HERB FORMULAS

JU PI ZHU RU TANG - 橘皮竹茹湯 - TANGERINE PEEL AND BAMBOO SHAVINGS DECOCTION

English: Tangerine Peel and Bamboo Shavings Decoction
Also Known As: Citrus and Bamboo Shavings Decoction
Citrus and Bamboo Combination
Decoction of Citrus Peel and Bamboo Shavings
Aurantium and Bambusae Combination
Aurantium and Bamboo Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Per. Citri Reticulatae Chen Pi 9-12g Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness, transforms Phlegm and descends Qi.
With Sheng Jiang, for vomiting and hiccups due to Disharmony of the Stomach Qi.
(Fr. Aurantii) (Zhi Ke) (4-12g) (Promotes the movement of Qi, reduces distention and pressure and resolves hardenings. Used instead of Chen Pi in some versions.)
Caulis Bambusae in Taeniam Zhu Ru 9-12g Clears Heat, transforms Hot Phlegm and stops vomiting.
With Chen Pi, Ren Shen and Sheng Jiang, for vomiting or hiccup due to Stomach Deficiency Heat.
Rx. Ginseng Ren Shen 3-9g Tonifies Spleen, Stomach and Lung Qi.
Rz. Zingiberis Recens Sheng Jiang 6-20g Warms the Middle, stops vomiting, warms the Lungs and stops cough.
With Da Zao, alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen.
With Zhu Ru, for vomiting due to Heat in patients with Stomach Qi Deficiency.
With Chen Pi, for Cold-Dampness Obstructing the Middle with nausea and hiccup.
Rx. Glycyrrhizae Gan Cao 3-15g Tonifies the Spleen, augments Qi, moderates spasms and alleviates pain.
Fr. Jujube Da Zao 10-30g Tonifies the Spleen and Stomach and augments Qi.

FORMULA ACTIONS

  • Descends Rebellious Qi
  • Stops hiccup
  • Augments Qi
  • Clears Heat
  • Strengthens the Spleen
  • Stops vomiting

SYNDROMES

  • Hiccup due to Stomach Heat with Stomach Qi Deficiency

CLINICAL MANIFESTATIONS

  • Hiccup
  • Nausea
  • Dry heaves
  • Retching
  • Vomiting
  • T: Pale or Red and tender or Red and dry
  • P: Weak and rapid or Thready and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Heat from Excess.
  • Contraindicated for those with Deficiency Cold.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For Yin Deficiency with thirst: For Excess Heat:
+ Rx. Ophiopogonis Mai Men Dong + Rz. Coptidis Huang Lian
+ Hb. Dendrobii Shi Hu For no Qi Deficiency:
+ Rz. Phragmitis Lu Gen - Rx. Ginseng Ren Shen
or For Stomach Heat:
+ Ophiopogonis Decoction
Mai Men Dong Tang
- Rz. Zingiberis Recens Sheng Jiang
- Fr. Jujube Da Zao
For Phlegm: + 30g Poria Rubra Chi Fu Ling
+ Rz. Pinelliae Preparatum Zhi Ban Xia + 30g Fol. Eriobotryae Pi Pa Ye
+ 30g Rx. Ophiopogonis Mai Men Dong
+ Poria Fu Ling + 30g Rz. Pinelliae Preparatum Zhi Ban Xia
For Stomach Heat with Stomach Qi and Yin Deficiency:
or
+ Rx. Ophiopogonis Mai Men Dong - Rx. Ginseng Ren Shen
+ Poria Fu Ling - Rx. Glycyrrhizae Gan Cao
+ 30g Fol. Eriobotryae Pi Pa Ye - Fr. Jujube Da Zao
+ 30g Rz. Pinelliae Preparatum Zhi Ban Xia + Calyx Kaki Shi Di
For Stomach Heat causing Qi Reversal:
For vertigo: + Rz. Coptidis Huang Lian
+ 10g Flos Inulae Xuan Fu Hua For chemotherapy-induced nausea and vomiting:
+ 10g Rz. Pinelliae Preparatum Zhi Ban Xia - Caulis Bambusae in Taeniam Zhu Ru
+ 10g Poria Fu Ling - Rx. Glycyrrhizae Gan Cao
+ 10g Fol. Eriobotryae Pi Pa Ye + 30g Hb. Lophatheri Dan Zhu Ye
+ 30g Haematitum Dai Zhe Shi For a stronger effect:
+ 12g Rx. Ophiopogonis Mai Men Dong - Per. Citri Reticulatae Chen Pi
For hiccups: + Exocarpium Citri Ju Pi
+ 12-18g Sm. Trichosanthis Gua Lou Ren + Poria Rubra Chi Fu Ling
+ Fol. Eriobotryae Pi Pa Ye
+ 9-12g Calyx Kaki Shi Di + Rx. Ophiopogonis Mai Men Dong
+ 9-12g Rz. Pinelliae Preparatum Zhi Ban Xia + Rz. Pinelliae Preparatum Zhi Ban Xia
+ 12-15g Poria Fu Ling For vomiting associated with AIDS/HIV:
    - Per. Citri Reticulatae Chen Pi
    + Exocarpium Citri Ju Pi
    - Rx. Glycyrrhizae Gan Cao
    + Rx. Ophiopogonis Mai Men Dong
    + Rx. Trichosanthis Tian Hua Fen
    + Rz. Anemarrhenae Zhi Mu