ju pi zhu ru tang

Tangerine Peel and Bamboo Shavings Decoction

About ju pi zhu ru tang

Ju Pi Zhu Ru Tang, Tangerine Peel and Bamboo Shavings Decoction, is Chen Pi, Zhu Ru, Ren Shen, Sheng Jiang, Gan Cao and Da Zao. The catalogue classes it among the formulas that direct rebellious Qi downward, and records it as stopping hiccup while strengthening the Spleen.

Ingredients

Herb	Amount
chen pi	9 g
zhu ru	9 g
ren shen	3 g
sheng jiang	18 g
gan cao	15 g
da zao	30 g

Actions and indications

Directs rebellious Qi downward and stops hiccup

Hiccup: Stomach Qi weak and Stomach Heat present
Persistent hiccup that is hard to stop and worse with talking or exertion
Frequent belching, retching or dry heaves with little brought up

Clears Heat and stops vomiting

Nausea and vomiting
Dry mouth; chest and epigastrium feel warm or vexed

Augments Qi and strengthens the Spleen

Weak Stomach after a long or draining illness, major surgery or a difficult labor, leaving mild deficiency Heat
Poor appetite and general weakness that linger once the acute illness has passed
Tongue red, tender and dry with a yellow coat, or pale; pulse weak and rapid, or thready and rapid

Modern uses

Hiccup
Morning sickness
Incomplete pyloric obstruction
Hiccup after surgery
Nausea and vomiting
Erosive esophagitis
Vertigo
Stomach cancer
Cholecystitis with vomiting
Vomiting from debility after a long illness
Chronic gastritis
Nausea and vomiting from chemotherapy
Neurogenic nausea and vomiting
Duodenal ulcer
Vomiting with AIDS/HIV

Symptoms

Belching
Dry mouth
Heat sensation in the chest
Hiccups
Irritability
Nausea
Poor appetite
Retching
Vomiting
Weakness

Modifications

Yin deficiency with thirst: + mai men dong, + shi hu, + lu gen
Excess Heat: + huang lian
No Qi deficiency: − ren shen
Stomach Heat (combined with Mai Men Dong Tang): + chi fu ling, + pi pa ye, + mai men dong, + zhi ban xia, − sheng jiang, − da zao
Phlegm: + zhi ban xia, + fu ling
Stomach Heat with deficient Stomach Qi and Yin: + mai men dong, + fu ling, + pi pa ye, + zhi ban xia
Stomach Heat with deficient Stomach Qi and Yin, alternative: + shi di, − ren shen, − gan cao, − da zao
Rebellious Qi from Stomach Heat: + huang lian
Vertigo: + xuan fu hua, + zhi ban xia, + fu ling, + pi pa ye, + dai zhe shi, + mai men dong
Nausea and vomiting from chemotherapy: + dan zhu ye, − zhu ru, − gan cao
Stronger effect: + ju pi, + chi fu ling, + pi pa ye, + mai men dong, + zhi ban xia, − chen pi
Hiccups: + gua lou ren, + shi di, + zhi ban xia, + fu ling

Show all 13 modifications

Vomiting with AIDS/HIV: + ju pi, + mai men dong, + tian hua fen, + zhi mu, − chen pi, − gan cao

Cautions

contraindication Excess Heat, for example high fever or marked constipation in a strong patient; that calls for stronger clearing or purging
contraindication Deficiency Cold, including hiccup from a cold, deficient Stomach with a pale tongue, cold limbs and a liking for warmth
caution Gan Cao used long-term or in high doses: caution with edema, high blood pressure or low potassium
caution Hiccups lasting over 48 hours need medical assessment, as they can signal an underlying disorder
pregnancy In pregnancy or after a long illness, use under a qualified practitioner who has confirmed the pattern

Preparation

Water decoction of all the herbs, taken warm in several doses through the day; Sheng Jiang is used fresh, and fresh bamboo shavings give a stronger Heat-clearing effect

Names

Pinyin	ju pi zhu ru tang
English Name	Tangerine Peel and Bamboo Shavings Decoction

Classification

Category: Direct Rebellious Qi Downward