HERB FORMULAS

JU HE WAN - 橘核囊 - TANGERINE SEED PILL

English: Tangerine Seed Pill
Also Known As: Tangerine Pip Pill
Ju He Pi Wan
Citrus Seed Formula
Pills of Tangerine Seed
Bolus of Semen Citri Grandis

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Sm. Citri Reticulatae Ju He 9-30g Promotes the movement of Qi, dissipates clumps and stops pain, for hernial disorders, testicular swelling and pain and breast lumps.
Dry-fried Fr. Toosendan Chao Chuan Lian Zi 3-30g Dredges Liver Qi, releases Stagnation, stops pain and conducts Heat out from below.
With Chuan Yan Hu Suo,for hernial disorders with hypochondriac, epigastric or abdominal pain caused by Liver Qi Stagnation with Heat.
Rx. Aucklandiae Mu Xiang 3-15g Promotes the movement of Qi, alleviates pain and adjusts and regulates stagnant Qi in the Intestines.
Dry-fried Sm. Persicae Chao Tao Ren 3-30g Breaks up Blood Stasis invigorates Blood circulation, moistens the Intestines and unblocks the bowels.
Dry-fried Rz. Corydalis Chao Yan Hu Suo 3-15g Regulates the flow of Qi and Blood, to treat milder cases of menstrual irregularity or dull ache in the epigastrium from clumped Qi in the Spleen and Stomach.
With Chao Chuan Lian Zi, for flank and upper right quadrant pain and epigastric and abdominal pain.
Cx. Cinnamomi Rou Gui 1-15g Disperses deep Cold, warms the channels, unblocks the channels and vessels and alleviates pain.
(Cx. Rasus Cinnamomi) (Gui Xin) (1-15g) (May substitute for Rou Gui)
Caulis Akebiae Mu Tong 6-15g Promotes urination, unblocks painful urinary dysfunction and drains Heart Heat through the Small Intestine.
Ginger-fried Cx. Magnoliae Officinalis Jiang Chao Hou Po 6-15g Harmonizes the Stomach.
With Chuan Zhi Shi, for stagnant Qi failing to move with abdominal distention, wheezing, shortness of breath, nausea and constipation.
Dry-fried Fr. Aurantii Immaturus Chao Zhi Shi 6-15g Breaks up Stagnant Qi, reduces accumulation, descends Qi, unblocks the bowels, removes stagnant food, transforms Phlegm, reduces distention and resolves hardenings.
With Jiang Chao Hou Po, for distention, swelling and pain due to Food Stagnation and Qi Stagnation.
Sargassum Hai Zao 9-30g Reduces Phlegm, softens areas of hardness, promotes urination and reduces swelling.
With Kun Bu, for Goiter and scrofula.
Thallus Eckloniae Kun Bu 9-30g Resolves Phlegm, softens Phlegm nodules (areas of hardness), promotes urination and reduces swelling.
Thallus Laminariae Hai Dai 9-30g Resolves Phlegm, softens Phlegm nodules (areas of hardness), promotes urination and reduces swelling.

FORMULA ACTIONS

  • Promotes the movement of Qi
  • Alleviates pain
  • Softens hardness
  • Dissipates nodules
  • Dredges the passage of Yang Qi

SYNDROMES

  • Protuberant hernia due to Cold-Dampness Entering the Liver Channel
  • Qi Stagnation in the Small Intestine

CLINICAL MANIFESTATIONS

  • Unilateral testicular swelling with colicky pain reaching to the umbilicus
  • Oozing of a yellow fluid from the scrotum
  • Distention and pain in the lower abdomen
  • Pain radiating to the lower spine
  • Rock-like hardness and swelling of the scrotum
  • Abscess
  • Ulceration
  • Tenesmus
  • T:Normal
  • C: White or White and greasy
  • P: deep and wiry or Deep and taut

TREATS

  • Testicular tuberculosis
  • Epididymitis
  • Fallopian tube obstruction
  • Tunic vaginalis
  • Thyroid adenoma
  • Infertility

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Do not use for soft scrotal or other swellings.
  • If the swellings have ulcerated, use appropriate topical applications in addition.
HERB/DRUG INTERACTIONS

NOTES

  • For patients with ulcerations of the scrotum, apply this formula topically.

MODIFICATIONS

For a stronger action: To eliminate Dampness more effectively:
+ Salmiacum Xi Sha + Rz. Alismatis Ze Xie
For severe Blood Stasis and pain:
+ Poria Fu Ling
+ Rz. Sparganii San Leng + Polyporus Zhu Ling
+ Rz. Curcumae E Zhu
For severe cold with intense pain:
For Damp-Cold Transforming into Heat with redness and swelling of the scrotum, or a yellow oozing exudate and scanty dark urine:
+ More Cx. Cinnamomi Rou Gui
- Cx. Cinnamomi Rou Gui + More Rx. Aucklandiae Mu Xiang
+ Sm. Plantaginis Che Qian Zi
or
+ Rz. Alismatis Ze Xie + Fr. Foeniculi Xiao Hui Xiang
+ Rz. Smilacis Glabrae Tu Fu Ling + Fr. Evodiae Wu Zhu Yu
For Damp-Cold Transforming into Heat with severe Heat:
For severe pain:
- Cx. Cinnamomi Rou Gui + Rx. Angelicae Sinensis Dang Gui
+ Sm. Plantaginis Che Qian Zi = Rx. Cyathulae Chuan Niu Xi
+ Rz. Alismatis Ze Xie
For single or multiple smooth, painless goiters due Stagnation of Qi and Phlegm:
+ Rz. Smilacis Glabrae Tu Fu Ling - Caulis Akebiae Mu Tong
+ Rx. Scutellariae Huang Qin - Fr. Toosendan Chuan Lian Zi
+ Cx. Phellodendri Huang Bai + Rz. Cyperi Xiang Fu
+ Rx. Gentianae Long Dan Cao + Bul. Fritillariae Thunbergii Zhe Bei Mu
or
For breast nodules which are unilateral or bilateral, round or oval and smooth or nodular:
- Cx. Cinnamomi Rou Gui - Caulis Akebiae Mu Tong
+ Cx. Phellodendri Huang Bai + A large dose of Fr. Hordei Germinatus Mai Ya
+ Rx. Gentianae Long Dan Cao + Per. Citri Reticulatae Chen Pi
For infertility:
For prostatic hypertrophy with severe Blood Stasis:
+ Mugwort and Cyperus Pills to Warm the Palace
Ai Fu Nuan Gong Wan
+ 9g Rz. Curcumae E Zhu
For prostatic hypertrophy with Damp-Heat:
+ 9g Rz. Sparganii San Leng
- Cx. Cinnamomi Rou Gui
For prostatic hypertrophy with more Heat:
+ 9g Sm. Plantaginis Che Qian Zi + 9g Rx. Scutellariae Huang Qin
+ 9g Rz. Alismatis Ze Xie + 9g Rx. Gentianae Long Dan Cao
+ 9g Rz. Smilacis Glabrae Tu Fu Ling + 9g Cx. Phellodendri Huang Bai
For prostatic hypertrophy with marked Cold:
For prostatic hypertrophy with Qi Deficiency:
+ more (9g) Cx. Cinnamomi Rou Gui
+ 15g Rx. Astragali Huang Qi
For prostatic hypertrophy with bacterial prostatitis:
+ 3g Fr. Evodiae Wu Zhu Yu
+ 9g Fr. Foeniculi Xiao Hui Xiang
+ 12g Hb. Taraxaci Pu Gong Ying
For prostatic hypertrophy with hematuria:
+ 12g Hb. Patriniae Bai Jiang Cao + 15g Hb. Cirsii Xiao Ji
+ 12g Fr. Forsythiae Lian Qiao + 15g Rz. Imperatae Bai Mao Gen
For prostatic hypertrophy with Kidney Deficiency:
+ 15g Pollen Typhae Pu Huang
For a hernia due to Phlegm-Heat:
+ 9g Fr. Lycii Gou Qi Zi
+ Gentiana Longdancao Decoction to Drain the Liver
Long Dan Xie Gan Tang
+ 9g Rx. Dipsaci Xu Duan
+ 9g Sm. Cuscutae Tu Si Zi
For a hernia due to Phlegm and severe Blood Stagnation with pain:
For a hernia due to Phlegm and Blood Stagnation with a predominance of Phlegm:
+ 15g Rz. Sparganii San Leng + 30g Concha Ostreae Mu Li
+ 15g Rz. Curcumae E Zhu + 30g Rx. Scrophulariae Xuan Shen
For a hernia due to Phlegm and Blood Stagnation with Heat:
 + 35g Bul. Fritillariae Thunbergii Zhe Bei Mu
- Cx. Cinnamomi Rou Gui    
+ 15g Rz. Smilacis Glabrae Tu Fu Ling    
   
+ 15g Rx. Gentianae Long Dan Cao    
+ 15g Cx. Phellodendri Huang Bai    
+ 15g Rx. Scutellariae Huang Qin