Ju He Wan橘核囊

Tangerine Seed Pill

Also known asTangerine Pip Pill · Ju He Pi Wan · Citrus Seed Formula · Pills of Tangerine Seed · Bolus of Semen Citri Grandis

Medicinals: 13

Composition

Ju HeSm. Citri Reticulatae9–30 g
Promotes the movement of Qi, dissipates clumps and stops pain, for hernial disorders, testicular swelling and pain and breast lumps.
Chao Chuan Lian ZiDry-fried Fr. Toosendan3–30 g
Dredges Liver Qi, releases Stagnation, stops pain and conducts Heat out from below.
- Chuan Yan Hu Suo
for hernial disorders with hypochondriac, epigastric or abdominal pain caused by Liver Qi Stagnation with Heat.
Mu XiangRx. Aucklandiae3–15 g
Promotes the movement of Qi, alleviates pain and adjusts and regulates stagnant Qi in the Intestines.
Chao Tao RenDry-fried Sm. Persicae3–30 g
Breaks up Blood Stasis invigorates Blood circulation, moistens the Intestines and unblocks the bowels.
Chao Yan Hu SuoDry-fried Rz. Corydalis3–15 g
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.
- Chao Chuan Lian Zi
for flank and upper right quadrant pain and epigastric and abdominal pain.
Rou GuiCx. Cinnamomi1–15 g
Disperses deep Cold, warms the channels, unblocks the channels and vessels and alleviates pain.
(Gui Xin)(Cx. Rasus Cinnamomi)(1-15g)
(May substitute for *Rou Gui)*
Mu TongCaulis Akebiae6–15 g
Promotes urination, unblocks painful urinary dysfunction and drains Heart Heat through the Small Intestine.
Jiang Chao Hou PoGinger-fried Cx. Magnoliae Officinalis6–15 g
Harmonizes the Stomach.
- Chuan Zhi Shi
for stagnant Qi failing to move with abdominal distention, wheezing, shortness of breath, nausea and constipation.
Chao Zhi ShiDry-fried Fr. Aurantii Immaturus6–15 g
Breaks up Stagnant Qi, reduces accumulation, descends Qi, unblocks the bowels, removes stagnant food, transforms Phlegm, reduces distention and resolves hardenings.
- Jiang Chao Hou Po
for distention, swelling and pain due to Food Stagnation and Qi Stagnation.
Hai ZaoSargassum9–30 g
Reduces Phlegm, softens areas of hardness, promotes urination and reduces swelling.
- Kun Bu
for Goiter and scrofula.
Kun BuThallus Eckloniae9–30 g
Resolves Phlegm, softens Phlegm nodules (areas of hardness), promotes urination and reduces swelling.
Hai DaiThallus Laminariae9–30 g
Resolves Phlegm, softens Phlegm nodules (areas of hardness), promotes urination and reduces swelling.

Actions

Facilitates the flow of Qi
Relieves pain
Softens hardened masses
Disperses nodules
Opens the pathway for Yang Qi to move freely

Patterns treated

A protruding hernia arising when Cold-Dampness invades the Liver Channel
Qi becoming stagnant within the Small Intestine

Manifestations

Swelling of one testicle accompanied by cramping pain extending toward the navel
A yellow discharge seeping from the scrotum
The lower abdomen feels distended and painful
Pain that spreads down toward the lower spine
The scrotum becomes swollen and hard as stone
An abscess formation
Ulcerated tissue
A straining sensation with incomplete evacuation

Tongue body: Unremarkable
Coating: Either white, or white combined with greasiness
Pulse: Sunken and wiry, or sunken and taut

Indications

Herniation
Scrotal hydrocele
Testicular inflammation
Testis inflammation
Varicose veins of the spermatic cord
Fibroadenoma of the breast
Enlargement of the prostate
TB of the testicle
Inflammation of the epididymis
Blocked Fallopian tubes
Disorder of the tunica vaginalis
Adenoma of the thyroid
Inability to conceive

Modifications

To intensify the formula's effect
- +Xi Sha
When Blood Stasis and pain are severe
- +San Leng
- +E Zhu
When Damp-Cold converts to Heat, producing scrotal redness and swelling, or a yellow weeping discharge with scant, dark urine
- −Rou Gui
- +Che Qian Zi
- +Ze Xie
- +Tu Fu Ling
When Damp-Cold turns into Heat and the Heat is pronounced
- −Rou Gui
- +Che Qian Zi
- +Ze Xie
- +Tu Fu Ling
- +Huang Qin
- +Huang Bai
- +Long Dan Cao
When the conversion of Damp-Cold into Heat produces marked Heat signs
When infertility is present
- +Ai Fu Nuan Gong Wanformula
When prostate enlargement occurs alongside Damp-Heat
- −Rou Gui
- +Che Qian Zi
- +Ze Xie
- +Tu Fu Ling
When prostate enlargement is accompanied by Qi Deficiency
- +Huang Qi
When prostate enlargement coincides with bacterial prostatitis
When prostate enlargement is accompanied by Kidney Deficiency
When a hernia arises from Phlegm together with severe Blood Stagnation and pain
- +San Leng
- +E Zhu
When a hernia stems from Phlegm and Blood Stagnation accompanied by Heat
For a stronger effect in clearing Dampness
- +Ze Xie
- +Fu Ling
- +Zhu Ling
When Cold is severe and pain is intense
- +Rou Gui
- +Mu Xiang
When marked Cold accompanies intense pain
- +Xiao Hui Xiang
- +Wu Zhu Yu
When pain is intense
- +Dang Gui
- +Chuan Niu Xi
When one or several smooth, painless goiters develop from Qi Stagnation combined with Phlegm
- −Mu Tong
- −Chuan Lian Zi
- +Xiang Fu
- +Zhe Bei Mu
When breast nodules appear on one or both sides, round or oval in shape, and smooth or lumpy in texture
When prostate enlargement is accompanied by marked Blood Stasis
- +E Zhu
- +San Leng
When prostate enlargement involves a greater degree of Heat
When prostate enlargement is accompanied by pronounced Cold
When prostate enlargement occurs together with blood in the urine
When a hernia results from Phlegm-Heat
- +Long Dan Xie Gan Tangformula
When a hernia from Phlegm and Blood Stagnation is dominated by Phlegm
- +Mu Li
- +Xuan Shen
- +Zhe Bei Mu

Cautions

This formula should not be applied when scrotal or other swellings are soft.
Should the swellings have become ulcerated, add a suitable topical treatment alongside it.

Notes

When scrotal ulceration is present, this formula should be administered as a topical application.