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【Tangerine Peel and Bamboo Shavings Decoction】
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Chinese Medicinal Material
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| 【Chinese Name】 |
橘皮竹茹湯
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| 【Phonetic】 |
Ju Pi Zhu Ru Tang
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| 【English Name】 |
Tangerine Peel and Bamboo Shavings Decoction |
| 【Classification】 |
Qi-regulating formulas |
| 【Source】 |
《Essentials from the Golden Cabinet》Jin Gui Yao Lue《金匱要略》 |
| 【Combination】 |
Citri Reticulatae Pericarpium (Ju Pi) 2 jin (12g), Bambusae Caulis in Taenias (Zhu Ru) 2 sheng (12g), Jujubae Fructus (Da Zao) 5 pieces, Zingiberis Rhizoma Recens (Sheng Jiang) 0.5 jin (9g), Glycyrrhizae Radix et Rhizoma (Gan Cao) 5 liang (6g), Ginseng Radix et Rhizoma (Ren Shen) 1 liang (3g) |
| 【Method】 |
Prepare as a decoction. |
| 【Action】 |
Directs counterflow downward, relieves hiccup, boosts qi, and clears heat. |
| 【Indication】 |
Ju Pi Zhu Ru Tang is indicated for hiccups due to stomach deficiency with heat. The symptoms are hiccups, belching, restlessness, shortness of breath, and thirst. The tongue is red and tender. The pulse is weak and rapid. |
| 【Pathogenesis】 |
Hiccups are always caused by stomach qi failing to descend. However, it should be further differentiated into cold, heat, deficiency, and excess. This pattern is due to middle jiao injury caused by chronic disease, vomiting and diarrhea, or stomach deficiency with heat and qi counterflow. The tongue is red and tender, and the pulse is weak and rapid. Based on the pathogenesis of this pattern, counterflow qi should be lowered, heat should be cleared, and stomach deficiency should be supplemented. Therefore, the treatment should focus on directing counterflow downward, relieving hiccup, clearing heat, harmonizing the stomach, boosting qi, and supplementing the center. |
| 【Application】 |
1. Essential pattern differentiation
Ju Pi Zhu Ru Tang is commonly indicated for hiccups due to stomach deficiency with heat. This clinical pattern is marked by hiccups, vomiting, red, tender tongue, weak, rapid pulse.
2. Modern applications
This formula may be used in the following biomedically defined disorders when the patient shows signs of a pattern of stomach deficiency with heat and counterflow qi: vomiting during pregnancy, incomplete pyloric obstruction, spasms of the diaphragm, and postoperative hiccup.
3. Cautions and contraindications
It is not applicable for hiccup or vomiting caused by excess heat or deficiency-cold. |
| 【Additonal formulae】 |
Ding Xiang Shi Di Tang (Clove and Persimmon Decoction 丁香柿蒂湯)
[Source]《Symptoms, Causes, Pulses, and Treatment》Zheng Yin Mai Zhi《症因脈治》
[Ingredients] Ding xiang 6g, shi di 9g, ren shen 3g, sheng jiang 6g
[Preparation and Administration] Prepare it as a decoction.
[Actions] Directs counterflow downward and relieves hiccup, warms the center and boosts qi.
[Applicable Patterns] Hiccup due to deficiency-cold. Symptoms include: hiccups and pi and fullness in the chest and stomach cavity. The tongue is pale with white coating, and the pulse is deep and slow. |
| 【Remark】 |
Ginseng (Panax ginseng) is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls. |
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