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Siche

Traditionally used for: Short-lived hiccups treated within a traditional formula. Hiccups; Belching; Rising gas or pressure in the chest.

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What is Siche? Siche is the dried calyx of the persimmon — the woody, star-shaped cap that sits on top of the fruit of Diospyros kaki. In Korean herbal medicine it is used for one main job: stubborn hiccups. It is also given for belching and for a feeling of gas or pressure rising in the chest. The honest verdict is that human trial evidence is thin. Most of what we know comes from long traditional use plus laboratory and animal work, so Siche is best understood as a traditional remedy rather than a proven treatment. Long use in a tradition is not proof that something works — that point applies to everything on this page. It is almost always taken as a decoction (a tea made by simmering the dried herb in water), usually alongside clove and fresh ginger. Ordinary hiccups stop on their own within minutes or hours. Hiccups that drag on for more than two days are a medical problem, not a home-remedy problem. How does Siche work? Nobody has shown clearly how Siche works in people. The traditional explanation is that it settles "rebellious" stomach energy that pushes upward, which is how old Korean and Chinese texts describe hiccups and belching. In modern terms, researchers have suggested it may act on the nerve loop that drives the diaphragm (the breathing muscle under your lungs) to spasm. That idea comes mostly from animal and test-tube work, not from trials in people. Some laboratory studies report antioxidant and mild smooth-muscle-relaxing activity from persimmon extracts. Those findings are interesting but they do not tell you whether a cup of the tea will stop your hiccups. What forms does Siche come in? You will usually meet Siche in one of these forms: Dried whole calyces, sold loose by weight for making a decoction. Cut or coarsely broken pieces for the same purpose. A ready-made granule or powdered extract dispensed by a Korean medicine practitioner, usually as part of a multi-herb formula. Single-herb capsules exist but are uncommon. Persimmon leaf tea and persimmon fruit products are different things and are not substitutes for the calyx. Where it comes from: Siche has a long and consistent record across East Asia. It appears in Chinese materia medica from the Song period onward and was carried into Korean practice, where it is listed in the Dongui Bogam (1613) among remedies for hiccups and belching. The best-known preparation is the classical clove-and-persimmon-calyx decoction, in which Siche is combined with clove and fresh ginger. Japanese Kampo practice uses the same pairing. In Korean households, the calyx was also simply saved from eaten persimmons and dried for later use.

Helps

What does Siche help with? Hiccups, including hiccups that keep coming back: This is the main traditional use, and it is consistent across Korean, Chinese and Japanese texts. The modern evidence is weak. There are small, poorly reported case series from East Asia using multi-herb formulas that contain Siche, but no well-run trial of the calyx on its own that we can point you to. Most hiccups stop by themselves, which makes weak studies very hard to read. Hiccups lasting over 48 hours need a doctor's assessment. Belching and burping: Traditional texts group belching with hiccups and treat both with the same formulas. We found no human trials testing Siche for belching. Any benefit you notice is uncertain and could easily be the warm drink or the passage of time. A feeling of gas or pressure rising in the chest: In traditional terms this is the same pattern as hiccups — something pushing upward that should be settling downward. There is no clinical evidence for this use. If chest pressure comes with breathlessness, sweating or pain spreading to your arm or jaw, that is an emergency, not indigestion. Nausea linked to that rising feeling: Siche is usually combined with fresh ginger for this, and ginger is the better-studied partner of the two. There is no human evidence that Siche itself eases nausea. Treat this as traditional use only.

Quick Facts

  • What it is: Siche is the dried calyx, or star-shaped cap, of the persimmon fruit, used in Korean herbal medicine mainly for hiccups.
  • Main uses: Hiccups, Belching, Rising gas or pressure in the chest
  • Best for: Short-lived hiccups treated within a traditional formula
  • Active ingredients: Tannins, Ursolic acid, Oleanolic acid, Flavonoids, Plant sterols
  • Forms: Dried whole calyces, Cut or broken pieces for decoction, Granule or powdered extract, Capsules (uncommon)
  • Time to effect: Traditionally minutes to a few hours; not measured in proper trials.
  • Side effects: Usually just a dry mouth; tannins can cause constipation and block iron absorption.
  • Pregnancy & breastfeeding: Not studied in pregnancy; avoid unless your clinician advises otherwise.

Educational information, not medical advice — ask your doctor or midwife.

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What is Siche?

Siche is the dried calyx of the persimmon — the woody, star-shaped cap that sits on top of the fruit of Diospyros kaki. In Korean herbal medicine it is used for one main job: stubborn hiccups. It is also given for belching and for a feeling of gas or pressure rising in the chest.

The honest verdict is that human trial evidence is thin. Most of what we know comes from long traditional use plus laboratory and animal work, so Siche is best understood as a traditional remedy rather than a proven treatment. Long use in a tradition is not proof that something works — that point applies to everything on this page.

It is almost always taken as a decoction (a tea made by simmering the dried herb in water), usually alongside clove and fresh ginger. Ordinary hiccups stop on their own within minutes or hours. Hiccups that drag on for more than two days are a medical problem, not a home-remedy problem.

How does Siche work?

Nobody has shown clearly how Siche works in people. The traditional explanation is that it settles "rebellious" stomach energy that pushes upward, which is how old Korean and Chinese texts describe hiccups and belching.

In modern terms, researchers have suggested it may act on the nerve loop that drives the diaphragm (the breathing muscle under your lungs) to spasm. That idea comes mostly from animal and test-tube work, not from trials in people.

Some laboratory studies report antioxidant and mild smooth-muscle-relaxing activity from persimmon extracts. Those findings are interesting but they do not tell you whether a cup of the tea will stop your hiccups.

What forms does Siche come in?

You will usually meet Siche in one of these forms:

Dried whole calyces, sold loose by weight for making a decoction. Cut or coarsely broken pieces for the same purpose. A ready-made granule or powdered extract dispensed by a Korean medicine practitioner, usually as part of a multi-herb formula.

Single-herb capsules exist but are uncommon. Persimmon leaf tea and persimmon fruit products are different things and are not substitutes for the calyx.

Where it comes from:

Siche has a long and consistent record across East Asia. It appears in Chinese materia medica from the Song period onward and was carried into Korean practice, where it is listed in the Dongui Bogam (1613) among remedies for hiccups and belching.

The best-known preparation is the classical clove-and-persimmon-calyx decoction, in which Siche is combined with clove and fresh ginger. Japanese Kampo practice uses the same pairing.

In Korean households, the calyx was also simply saved from eaten persimmons and dried for later use.

Who should avoid Siche?

  • Do not use if you are pregnant or breastfeeding, because it has not been studied in pregnancy or in nursing mothers
  • Do not use if you have iron-deficiency anaemia (low iron in the blood) or are taking iron tablets, unless your doctor agrees and you separate them by at least two hours
  • Do not use if you have had a bowel blockage, a bezoar (a hard lump of undigested plant matter in the gut), or gastroparesis (slow stomach emptying)
  • Do not use if you have had an allergic reaction to persimmon
  • Do not use it as your treatment if your hiccups have lasted more than 48 hours — see a doctor instead
  • Do not give it to children without advice from a qualified practitioner
  • Do not take it within two hours of any prescribed medicine taken by mouth
  • Never use it to delay care for chest pain, vomiting blood, or trouble swallowing

When should you see a doctor?

See a doctor if your hiccups last longer than two days, keep coming back, or wake you from sleep. Get checked quickly if hiccups come with weight loss, trouble swallowing, vomiting, or pain in your stomach or chest. Get emergency help for chest pain that spreads to your arm or jaw, breathlessness, vomiting blood, or sudden severe stomach pain with no bowel movement or wind.

Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.

Reviewed by the HealisticMD editorial team How we grade evidence →

The published evidence for Siche is weak or absent. That usually means no controlled trial has tested it, not that a trial found it ineffective — the two are different, and we grade only what has been published.

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