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Ju pi zhu ru tang (Tangerine Peel and Bamboo Shavings Decoction)---橘皮竹茹汤

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【组成】  橘皮(12g)  竹茹(12g)  生姜(9g)  甘草(6g)  人参(3g)  大枣(5枚)
【功用】  降逆止呃,益气清热。
【主治】  胃虚有热之呃逆呃逆干呕,舌红嫩,脉虚数。
【歌诀】  橘皮竹茹治呕逆,人参甘草枣姜益,胃虚有热失和降,久病之后更相宜。
Tangerine Peel and Bamboo Shavings Decoction ju pi zhu ru tang 

[SOURCE]: Synopsis of the Golden Chamber

[INGREDIENTS]:Tangerine peel 9g ,  Bamboo shavings 12g ,  Chinese date 5 pcs.   Fresh ginger 9g,   Licorice root 6g ,  Ginseng 3g 

[DIRECTIONS]: Decoct all the herbs listed above in water for oral administration.

[EFFECTS]: Lowering the adverse flow of qi to suppress vomiting, replenis­hing qi and clearing away heat. 

[INDICATIONS]: Reversed flow of qi due to stomach deficiency with heat manifested by vomiting and regurgitation, hiccup, red tongue, feeble, rapid pulse.

[ANALYSIS OF FORMULA]: Tangerine peel regulates qi, strengthens the spleen and harmonizes the stomach to suppress vomiting. Bamboo shavings clears heat, resolves phlegm and lowers adverse qi to stop vomiting. These two herbs are both used as principal herbs. Ginseng invigorates qi to consolidate the genuine. The combination of genseng and tangerine peel achieves the effects of activating accompanied by reinforcing. Fresh ginger is key herb for relieving vomiting, and its combination with bamboo shavings gets the effects of warming accompanied by clearing away heat. So these two herbs are used as assistant herbs. Licorice root and Chinese date are used to assist ginseng in invigorating qi and harmonizing the stomach and to moderate all the other herbs. They act as adjuvant and dispatcher herbs. All ingredients in the formula working together create the result of invigor­ating qi without causing stagnation and clearing away heat without leading to cold, thereby, the formula is suitable for vomiting, regurgitation and hiccup due to stomach deficiency with heat. It is contraindicated in cases with vomiting and hic­cup due to excess-heat or deficiency-heat.

Today this forumla is usually used for treatment of vomiting of pregnancy, neurogenic vomiting, incomplete pylorochesis with vomiting, gastritis with vomi­ting, obstinate hiccup after abdominal operation and others symptoms of adverse flow of qi due to stomach deficiency with heat.

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