Ju Pi Zhu Ru Tang橘皮竹茹汤
Tangerine Peel & Bamboo Shavings Decoction (Aurantium & Bamboo Combination)
Ingredients6 herbs
Indications
Stomach deficiency with heat: illness has consumed the Stomach's qi and left a residue of heat behind, so the qi rebels upward as hiccup or retching instead of descending. Deficiency and heat are addressed together because treating either alone worsens the other.
Clinical Manifestations
- Persistent hiccup after a febrile illness or surgery
- Dry retching and nausea with a poor appetite
- Belching and epigastric discomfort in the depleted
- Nausea and vomiting in pregnancy with heat signs, under supervision
- Vomiting during a slow convalescence
Health Categories
Modern Applications
Common adjustments
- Stomach yin clearly damaged — peeled tongue, dry mouth — add Mai Men Dong 麦门冬, Shi Hu 石斛
- Phlegm-damp with a greasy coating — add Zhi Ban Xia 制半夏, Chi Fu Ling 赤茯苓 — the direction of the expanded 《济生方》 version
- Heat more pronounced — add a small amount of Huang Lian 黄连, plus Pi Pa Ye 枇杷叶
- Hiccup from Stomach cold, eased by warmth — the wrong pattern for this formula — Ding Xiang 丁香 with Shi Di 柿蒂 leads the warming alternative
Contraindications
Not for hiccup or vomiting of Stomach cold, nor for excess patterns from food stagnation or phlegm obstruction, where the sweet tonics would hold the excess in place. The heat it treats is the residue left in a weakened Stomach, not a blazing Stomach fire.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Traditionally used during pregnancy for nausea and vomiting accompanied by heat signs, and generally regarded as compatible; it should still be prescribed and monitored by a practitioner rather than self-selected.
Related Formulas
References
Source Jin Gui Yao Lue 《金匮要略》 · Eastern Han
「哕逆者，橘皮竹茹汤主之。」
- 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.