Ju Pi Tang

Tangerine Peel Decoction · 橘皮汤

Also known as: Shēng Jiāng Jú Pí Tāng (生姜橘皮汤, Fresh Ginger and Tangerine Peel Decoction), Xiǎo Jú Pí Tāng (小橘皮汤, Minor Tangerine Peel Decoction)

A classic 2-herb formula from the Jin Gui Yao Lue that quickly warms the stomach, dispels Cold, and stops hiccup and nausea caused by Cold invading the stomach. It is especially useful for sudden hiccups accompanied by cold hands and feet.

Origin 《金匮要略》(Jin Gui Yao Lue) and 《伤寒论》(Shang Han Lun) — 东汉 (Eastern Han Dynasty), ~200 CE
Composition 2 herbs
Chen Pi
King
Chen Pi
Sheng Jiang
Deputy
Sheng Jiang
Explore composition

Educational content Consult qualified TCM practitioners for diagnosis and treatment

Patterns Addressed

In TCM, symptoms don't appear randomly — they cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Ju Pi Tang is designed to correct these specific patterns.

Why Ju Pi Tang addresses this pattern

This pattern arises when external Cold directly invades the Stomach or when internal Cold accumulates from consuming cold foods. The Cold congeals the Stomach Qi, preventing it from descending, which causes sudden hiccup or dry heaving with cold hands and feet. Ju Pi Tang disperses the Cold with Sheng Jiang and moves the Qi with Chen Pi, directly resolving the root of the pattern.

A practitioner would look for one or more of these signs

Hiccups

Sudden, strong hiccups often triggered by cold exposure

Nausea and Vomiting

Dry heaving or nausea without vomiting, or vomiting of clear fluids

Cold Hands and Feet

Cold extremities accompanying the digestive upset

Commonly Prescribed For

These conditions can arise from the patterns above. A practitioner would consider Ju Pi Tang when these conditions are specifically caused by those patterns — not for all cases of these conditions.

TCM Interpretation

In TCM, hiccups are mainly a sign of Rebellious Stomach Qi. When Cold invades the Stomach, it abruptly congeals the Qi, blocking its normal descent. This creates a spasm of the diaphragm (hiccups). The Cold may also prevent Yang Qi from reaching the extremities, causing cold hands and feet.

Why Ju Pi Tang Helps

Chen Pi and Sheng Jiang work together to warm the Stomach, dispel the Cold, and forcefully descend the Stomach Qi. The formula is small enough to act quickly, and its effect is described as immediate ('下咽即愈') in the classical source.

Also commonly used for

Gastroesophageal Reflux Disease

Regulates Stomach Qi downward and reduces belching and reflux due to Cold

Functional Dyspepsia

Improves stomach motility and alleviates cold-pattern indigestion with nausea

What This Formula Does

Every TCM formula has a specific set of actions — here's what Ju Pi Tang does in the body, explained in both everyday and TCM terms

Therapeutic focus

In practical terms, Ju Pi Tang is primarily used to support these areas of health:

TCM Actions

In TCM terminology, these are the specific therapeutic actions that Ju Pi Tang performs to restore balance in the body:

How It Addresses the Root Cause

TCM doesn't just suppress symptoms — it aims to resolve the underlying imbalance. Here's how Ju Pi Tang works at the root level.

When Cold Evil invades the Stomach, it obstructs the normal downward movement of Stomach Qi, forcing it to rebel upward. This rebellion manifests as dry heaving (干呕) or hiccup (哕). Because the Cold impedes the flow of Yang Qi to the limbs, the hands and feet may feel cold (手足厥). The formula dispels the Cold, releases the stagnation, and restores the Stomach's natural descending function, thus stopping the vomiting and warming the extremities.

Formula Properties

Every formula has an inherent temperature, taste, and affinity for specific organs — these properties determine how it interacts with the body

Overall Temperature

Warm

Taste Profile

Predominantly acrid and slightly sweet — acrid to disperse and descend qi, sweet to harmonize the middle.

Target Organs

Channels Entered

Ingredients

2 herbs

The herbs that make up Ju Pi Tang, organized by their role in the prescription

King — Main ingredient driving the formula
Deputy — Assists and enhances the King
King — Main ingredient driving the formula
Chen Pi

Chen Pi

Tangerine peel

Dosage 6 - 9g
Temperature Warm
Taste Acrid / Pungent (辛 xīn), Bitter (苦 kǔ)
Organ Affinity Lungs, Spleen

Role in Ju Pi Tang

Regulates Qi, harmonizes the Stomach, dries Dampness, and descends Rebellious Qi. It directly addresses the qi stagnation that underlies the hiccup and dry heaving.
Deputy — Assists and enhances the King
Sheng Jiang

Sheng Jiang

Fresh ginger rhizome

Dosage 9 - 15g
Temperature Slightly Warm
Taste Acrid / Pungent (辛 xīn)
Organ Affinity Lungs, Spleen, Stomach

Role in Ju Pi Tang

Warms the Middle Jiao, disperses Cold, and strongly directs Stomach Qi downward. It stops vomiting and, by spreading warmth, relieves the cold extremities. It also helps guide the formula specifically to the Stomach.

Why This Combination Works

How the herbs in Ju Pi Tang complement each other

Overall strategy

This is a direct, simple formula designed to dispel Stomach Cold, regulate Qi, and descend Rebellious Qi. It addresses acute episodes of hiccup and dry heaving caused by Cold invading the Stomach, where the priority is to quickly warm and move the Qi.

King herb

Chen Pi (Tangerine Peel) is the King. It excels at regulating Qi and harmonizing the Stomach. It moves the Qi that has become stuck, breaks up the stagnation, and naturally guides the Stomach Qi downward. Its warm and drying quality also helps address any accompanying Dampness.

Deputy and Envoy herb

Sheng Jiang (Fresh Ginger) serves both as Deputy and Envoy. As Deputy, it powerfully warms the Middle Jiao, disperses the invading Cold, and forcefully descends the Rebellious Qi to stop vomiting. As Envoy, its acrid-pungent nature helps direct the formula's actions specifically to the Stomach channel and the middle burner.

Notable synergies

The pairing of Chen Pi and Sheng Jiang is one of the most fundamental combinations for treating nausea and vomiting due to Cold. Chen Pi sorts out the qi mechanism, while Sheng Jiang provides the warmth and direct anti-rebellion force, creating a complete prescription with only two herbs.

How to Prepare

Traditional preparation instructions for Ju Pi Tang

Combine the two herbs with 7 cups (approximately 1400 mL) of water. Decoct over a medium flame until the liquid is reduced to 3 cups (approximately 600 mL). Strain. Take 1 cup (about 200 mL) warm. The classical description notes that the effect is often felt immediately upon swallowing.

Common Modifications

How practitioners adapt Ju Pi Tang for specific situations

Added
Gan Jiang

6g, dry-fried ginger, to strongly warm the Middle Jiao

Gan Jiang has a stronger interior-warming effect than Sheng Jiang and intensifies the formula's ability to dispel deep Cold and restore Yang to the limbs.

Educational content — always consult a qualified healthcare provider or TCM practitioner before using any herbal formula.

Contraindications

Situations where Ju Pi Tang should not be used or requires extra caution

Caution

Stomach Heat patterns with thirst, dry mouth, and yellow tongue coating. The warming, acrid nature of the formula can exacerbate Heat.

Caution

Yin deficiency with fire rising, presenting with night sweats, hot palms and soles, and red tongue with little coating.

Avoid

Known allergy to ginger or citrus peel.

Caution

Caution in pregnancy — although Sheng Jiang is food-grade, larger medicinal doses may not be advisable without professional guidance.

Special Populations

Important considerations for pregnancy, breastfeeding, and pediatric use

Pregnancy

No specific safety data from clinical studies. Both ingredients are food-grade and traditionally used in cooking; Sheng Jiang (fresh ginger) is commonly employed for pregnancy-related nausea. However, medicinal doses may differ from dietary amounts. Pregnant individuals should consult a qualified healthcare provider before using this formula.

Breastfeeding

No specific data on excretion into breast milk exists. Both ingredients are commonly consumed as food, suggesting relative safety in dietary amounts. However, medicinal doses in a formula may differ. Breastfeeding individuals should consult a healthcare provider before use.

Children

Ju Pi Tang may be used in children for vomiting or hiccups due to cold, but dosage must be age-appropriate. For children aged 5–6, a fraction of the adult dose is typical (e.g., 1–2 g of Ju Pi and 2–4 g of Sheng Jiang per dose). Not recommended for infants under 3 months without professional supervision. Monitor for any adverse reactions and discontinue if needed.

Usage Guidance

Practical advice for getting the most out of Ju Pi Tang

Best time to take

Best taken warm, 30 minutes after meals or when symptoms (hiccups, retching) occur.

Typical duration

Acute use: 1–3 days, often 1–3 doses until symptoms resolve.

Dietary advice

Avoid cold, raw, and hard-to-digest foods while taking this formula, as it is intended to warm the middle and descend Stomach qi. Cold foods may counteract its warming action.

Ju Pi Tang originates from 《金匮要略》(Jin Gui Yao Lue) and 《伤寒论》(Shang Han Lun) 东汉 (Eastern Han Dynasty), ~200 CE

Classical Texts

Key passages from the classical Chinese medical texts that first described Ju Pi Tang and its clinical use

《金匮要略》(Jin Gui Yao Lue): “干呕,哕,若手足厥者,橘皮汤主之。” (Gān ǒu, yuě, ruò shǒu zú jué zhě, Jú Pí Tāng zhǔ zhī.) — “Dry retching, hiccups, with cold hands and feet, Ju Pi Tang governs.”

《伤寒论》(Shang Han Lun): “噦逆者,橘皮汤主之。” (Yuě nì zhě, Jú Pí Tāng zhǔ zhī.) — “For hiccup and counterflow, Ju Pi Tang governs.”

Historical Context

How Ju Pi Tang evolved over the centuries — its origins, lineage, and place in the broader tradition of Chinese medicine

Ju Pi Tang (Orange Peel Decoction) is one of the simplest classical formulas, originating in Zhang Zhongjing’s Eastern Han texts, the Shang Han Lun and Jin Gui Yao Lue. It consists of only two ingredients: Ju Pi (tangerine peel) and Sheng Jiang (fresh ginger). This minimal formula exemplifies the principle of using kitchen-accessible herbs to address acute disorders of the Stomach, specifically hiccups and retching due to cold or qi stagnation.

Later generations developed more complex formulae from this root, most notably Ju Pi Zhu Ru Tang (with Bamboo Shavings and Ginseng) to treat a combination of Stomach deficiency, heat, and qi counterflow. The simple Ju Pi Tang was sometimes referred to as Sheng Jiang Ju Pi Tang or Xiao Ju Pi Tang in texts like Lei Zheng Huo Ren Shu and Yi Fang Lei Ju.