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
• Rebellious Stomach Qi due to Stomach deficiency with Heat (Secondary source)

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 Belching

Treats

Hiccup Morning sickness Incomplete pyloric obstruction Postsurgical hiccup Nausea/Vomiting Erosive esophagitis Vertigo Stomach cancer

Cholecystitis with vomiting Vomiting from debility following a prolonged illness Chronic gastritis Chemotherapy-induced nausea and vomiting Neurogenic nausea and vomiting Duodenal ulcer Vomiting associated with AIDS/HIV

Contraindications And Herb/Drug Interactions

Notes

• Compared with Li Zhong Wan: both treat rebellious Stomach Qi from Stomach Deficiency (weak pulse). Ju Pi Zhu Ru Tang is for the Heat type (T: red, P: rapid); Li Zhong Wan is for the Cold type (T: pale, P: deep, slow).

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