Ju He Wan橘核丸

Tangerine Seed Pill

Regulating Qi 理气剂Promote the Movement of Qi 行气

Ingredients12 herbs

HerbDosageWhat it does in this formula

橘Ju He橘核炒Citri Reticulatae Semen30gEnters the Liver channel to move qi, disperse nodules and stop testicular pain 海Hai Zao海藻洗Sargassum30gSoftens what has hardened and dissolves the mass 昆Kun Bu昆布洗Eckloniae Thallus30gWorks with Hai Zao to soften hardness and drain damp 海Hai Dai海带洗Laminariae Thallus30gCompletes the softening group 川Chuan Lian Zi川楝子去肉，炒Toosendan Fructus30gMoves Liver qi and stops the dragging pain 桃Tao Ren桃仁麸炒Persicae Semen30gBreaks up the blood stasis inside the accumulation 厚Hou Po厚朴去皮，姜汁炒Magnoliae Officinalis Cortex15gMoves qi downward and relieves the distended, bearing-down feeling 木Mu Tong木通Akebiae Caulis15gFrees the collaterals and gives damp a way out through the urine 枳Zhi Shi枳实麸炒Aurantii Fructus Immaturus15gBreaks stubborn qi stagnation 延Yan Hu Suo延胡索炒，去皮Corydalis Rhizoma15gMoves both qi and blood and is the formula's main analgesic

桂Gui Xin桂心不见火Cinnamomi Cortex15gWarms the channels and disperses the cold underlying the accumulation

木Mu Xiang木香不见火Aucklandiae Radix15gRegulates qi in the lower abdomen and eases pain

Indications

Moves qi and stops painSoftens hardness and disperses nodulesInvigorates blood and frees the collaterals

Cold-damp with qi stagnation and blood stasis knotted in the Liver channel. What began as cold and stagnation has, over time, congealed into a palpable mass, so softening and blood-moving are added to the qi-moving strategy.

Clinical Manifestations

Chronic swelling of one testicle, unequal in size
A scrotal mass that has become firm or stone-hard
Dragging pain from the scrotum to the umbilicus
Long-standing scrotal distention with a heavy, bearing-down feeling

TongueWhite greasy coating, sometimes with a dusky body

PulseDeep and wiry

Health Categories

Fertility SupportMen's Health

Modern Applications

Hydrocele Epididymal cyst Chronic epididymitis Varicocele Inguinal hernia

Common adjustments

Cold pronounced — add Xiao Hui Xiang 小茴香 and Wu Yao 乌药
Hardness very marked — add Xia Ku Cao 夏枯草 and Zhe Bei Mu 浙贝母
Damp-heat with redness and weeping — add Long Dan Cao 龙胆草 and Che Qian Zi 车前子, and reduce the warming herbs
Marked qi deficiency with bearing-down — add Huang Qi 黄芪 and Sheng Ma 升麻

Contraindications

A testicular lump must be evaluated by a doctor before it is treated as a TCM pattern — testicular cancer typically presents as a painless firm swelling, and torsion or infection presents acutely with severe pain. Neither is a case for a dispersing pill. Hai Zao, Kun Bu and Hai Dai are rich in iodine and are inappropriate for anyone with thyroid disease or on thyroid medication without medical advice. The formula invigorates the blood and is not used alongside anticoagulant therapy without a practitioner's supervision.

For licensed practitioners’ reference only — not a self-treatment guide.

Pregnancy

Contraindicated in pregnancy. Tao Ren and Yan Hu Suo invigorate the blood, Zhi Shi breaks qi downward, and Gui Xin is hot — the combination is unsuitable at any stage of pregnancy.

Related Formulas

References

Source Ji Sheng Fang 《济生方》 · Southern Song

「治四种㿉病，卵核肿胀，偏有大小，或坚硬如石，或引脐腹绞痛。」
— 《济生方》(classical source, public domain)

Classical source (public domain), cited in the source-quote section.
2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition & dosage cross-checked.
3. 《方剂学》（全国中医药行业高等教育规划教材）— pattern analysis cross-checked.

Professional reference notice. Entries are scholarly references for licensed TCM practitioners and students — not medical advice, and not a recommendation to self-prescribe. Chinese herbal formulas should be used under the guidance of a qualified practitioner. Content is an original editorial compilation by Cura x Cura, cross-checked against the cited references.