Formulas · Regulate Qi 理氣 · Junggyeong (仲景)

Major Tangerine Peel Decoction for a Stirring Qi

Dae-gyulpi-tang

한글 대귤피탕 · Pinyin Da Ju Pi Tang

大橘皮湯

Registered with the chapter suffix to distinguish it from the 大橘皮湯 of the Oedema chapter, which is an eleven-drug water-draining formula. The Shanghanlun's 橘皮竹茹湯 is the same prescription.

Composition 構成

Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

12 g
Chief 君
Jugyeo Zhu Ru
竹茹 죽여 · Bamboo Shavings

8 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

4 g
Deputy 臣
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

five slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

three fruits

Total 28 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 ingredients measured by count or used as a vehicle, shown as —.

Received this formula from your practitioner? Amounts shown here are classical reference values — granule and prepared products differ. Always follow your prescribed dosage and directions.

Actions 效能

Treats a stirring qi wrongly sweated with vexation of the heart
aching bones
dizziness of vision and vomiting of food
Settles the stomach and stops the vomiting

Indications 主治

Pattern-based

Stomach qi counterflow after wrongful sweating
Residual heat with vomiting

Biomedical correlates

Post-febrile vomiting
Vomiting with dehydration

Source text 原文

Donguibogam 東醫寶鑑

治動氣誤發汗, 心煩ㆍ骨痛ㆍ目暈ㆍ吐食. 陳皮三錢, 靑竹茹二錢, 人參ㆍ甘草各一錢. 右剉, 作一貼, 入薑五片, 棗三枚, 水煎服. 《仲景》

Translation

Treats a stirring qi wrongly sweated, with vexation of the heart, aching bones, dizziness of vision and vomiting of food. Tangerine peel, 3 don; green bamboo shavings, 2 don; ginseng and licorice, 1 don each. Cut up, make one packet, add five slices of ginger and three jujubes, and decoct in water. — Junggyeong 仲景 (Donguibogam · Han)

Clinical commentary 臨床

The Shanghanlun's tangerine-peel-and-bamboo-shavings decoction under another name, and it is among the most dependable antiemetics the tradition has. Tangerine peel moves the stomach qi downward, bamboo shavings cool what the sweating left behind, and ginseng with licorice, ginger and jujube restore what the vomiting is taking. The four signs in the indication — vexation, aching bones, swimming vision, vomiting — are a fair portrait of a dehydrated patient after a fever, and the formula is still prescribed for post-operative and post-febrile nausea. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.