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	Promotes urination, Reduces Phlegm, Reduces swelling, Softens areas of hardness. With Kun Bu, for Goiter and scrofula.
Thallus Eckloniae	Kun Bu	9-30g	Promotes urination and reduces swelling, Resolves Phlegm, Softens Phlegm nodules (areas of hardness).
Thallus Laminariae	Hai Dai	9-30g	Promotes urination and reduces swelling, Resolves Phlegm, Softens Phlegm nodules (areas of hardness).

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
• Damp-Cold invading the Liver channel (Secondary source)

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

Hernia Hydrocele Orchitis Testitis Varicocele of the spermatic cord Breast fibroadenoma Prostatic hypertrophy

Testicular tuberculosis Epididymitis Fallopian tube obstruction Tunic vaginalis Thyroid adenoma Infertility

Contraindications And 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