Theory

Chen Pi Tangerine Peel - Chinese Herbal Medicine


Chen Pi Names

  • English Name: Tangerine Peel
  • Pinyin Name: Chen Pi

Chen Pi Image

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Chen Pi Clinical Usages and Indications

  • Regulates Qi, improves transportive function of the spleen, relieves diaphragm - epigastric/abdominal distention, fullness, bloating, belching, nausea, vomiting (promotes movement of qi in general; specifically directing it downward - good for different types of nausea/vomiting).
  • Important herb for drying dampness and the transformation of phlegm - coughs with stifling sensation in the chest/diaphragm, and copious viscous sputum (qi-level herb).
  • Prevents stagnation - prevents cloying of tonifying herbs.
  • Ju Hong is the red part of the tangerine peel - it is more drying and aromatic.


Chen Pi Dosage and Prep Notes

  • Dosage: 3-9g




Chen Pi Appears In 24 Formulas

Ba Wei Dai Xia Fang

  • Eight Herb Powder for Vaginal Discharge
    • Clearing damp heat in the lower warmer, particularly with underlying blood deficiency - vaginal disharge, vaginal itching, vaginal inflammation along with constipation, possibly anemia, low back pain, and/or abdominal pain.  Leukorrhea may be yellow, white or red.
    • Gonorrhea, syphilis.
  • Clear Heat
  • Clear Damp-Heat

Ban Xia Bai Zhu Tian Ma Wan

  • Pinellia, Atractylodis and Gastrodia Combination
    • Nausea with possible vomitting from combination of damp with liver qi stagnation causing rebellious qi.
    • Dizziness, migraines, and vertigo from damp and liver wind rising.
    • Heavy or oppressed sensation of the chest.
  • Treat Phlegm
  • Transform Phlegm and Extinguish Wind
  • Cautions
  • This formula should not be used to treat dizziness or vertigo due to liver yang rising patterns.

Ban Xia Xie Xin Wan

  • Pinellia Drain Epigastrium Pills
    • Distension and fullness of the epigastrium usually without pain.
    • Borborygmus (gurgling sounds), and diarrhea if spleen qi is affected.
    • Vomiting with possible dry heaves due to rebellious stomach qi.
  • Harmonize
  • Harmonize the Stomach and Intestines
  • Cautions
  • Do not use for epigastric distention due to food stagnation.  Use with caution if patient has yin deficiency.

Bao He Wan

  • Preserve Harmony Pills
    • Epigastric and or abdominal fullness or painful distention after meals.
    • Acid reflux, belching, vomiting with possible aversion to food due to food stagnation.
    • This formula can also be used for acute food poisoning.
  • Reduce Food Stagnation
  • Cautions
  • Use with caution with weak or qi deficient patients.

Bu Zhong Yi Qi Wan

  • Tonify the Middle and Augment the Qi Formula
    • Coldness of the limbs, borborygmus with loose stools or diarrhea due to spleen yang deficiency.
    • Spontaneous or easy sweating, general fatigue, changes in appetite due to spleen qi deficiency.
    • Pale complexion and preference for warm food or drinks due to spleen yang and qi deficiency.
    • Shortness of breath and noticable lack of desire to speak may present if both spleen and stomach qi are weak.
    • This formula is also commonly used for prolasped organs.
  • Tonify
  • Tonify the Qi
  • Cautions
    • Use with caution for yin deficient patients.

Chai Hu Shu Gan Wan

  • Bupleurum Powder to Spread the Liver
    • Hypochondriac pain with possible breast tenderness.
    • Irregular menstruation and or amenorrhea, PMS symptoms that result from liver qi stagnation.
    • Irritability and or depression may also manifest as the emotional component of liver qi stagnation.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen

Chen Xiang Hua Qi Wan

  • Aquilaria Qi Transforming Pills
  • For spleen qi deficiency with damp heat accumulation in the lower.  The spleen system is effectively the western version of the digestive system.  The spleen is responsible for extracting the energy from the food and properly breaking the food down.  When the spleen is weak the overall energy tends to drop, the appetite may be poor, and the mood may also be on the down side.  Furthermore, the weakness of the spleen results in the accumulation of byproducts (damp) which tend to accumulate in the lower.

    Symptoms may include diarrhea, constipation, excessive gas, and abdominal distension.  This formula is used to treat belching, acid reflux, poor appetite, abdominal distension, flatulence, constipation, and abdominal cramping and discomfort.

    Tongue: puffy, sticky or greasy coat

    Pulse: slippery, weak

  • Expel Dampness
  • Clear Damp-Heat
  • Cautions
  • Contraindicated during pregnancy

Er Chen He San Zi Yang Qin Wan

Fang Feng Tong Sheng Wan

  • Ledebouriella Pills to Sagely Unblock
    • High fever with aversion to cold.
    • Thick phlemg that may be both in sinus and chest.
    • Vertigo or dizziness that is caused by excess heat.
    • Rashes, carbuncles, and other types of skin disorders that are caused by heat.
    • Constipation and scanty or dark urine.
  • Release the Exterior
  • Release Exterior-Interior Excess
  • Cautions
    • Contraindicated for pregnancy.
    • Use with caution for patients presenting with loose stools or diarrhea.

Hui Chun Wan

  • Recovery Special Pill
  • Most often used for childhood convulsions (possibly with wheezing, nausea, nighttime crying, vomiting, diarrhea, excessive mucus/saliva) or other conditions that involve fever, impaired or loss of consciousness, irritability, restlessness such as seizure disorders, meningitis, measles, and gastroenteritis among others.

  • Open the Orifices
  • Clear Heat and Open The Orifices

Huo Xiang Zheng Qi Wan

  • Agastache Powder to Correct the Qi
    • Acute flu or cold symptoms including fever, aversion to cold, headaches, sinus pressure, runny nose.
    • Vomitting and diarrhea from interior damp with possible abdominal cramps or pains.
  • Expel Dampness
  • Transform Damp Turbidity
  • Cautions
    • Not suitable for patients that present with yin and/or blood deficiency. 

Jian Pi Wan

  • Strengthen Spleen Pills
    • For stomach and spleen qi deficiency with dampness that has potentially generated mild interior-heat - diarrhea, abdominal pain, poor appetite, epigastric pain.
    • May be used in early pregnancy for more deficient patients particularly with a tendency towards miscarriage.
    • May be used with pediatric patients for poor appetite and looser stools.
  • Reduce Food Stagnation

Mu Xiang Shun Qi Wan

  • Saussurea Qi Promoting Pills
    • Bloating, lower abdominal pain, sluggish bowels.
    • Acid reflux/heartburn, nausea with possible vomitting after meals.
  • Expel Dampness
  • Clear Damp-Heat
  • Cautions
    • Use with caution for preganacy.

Ping Wei Wan

  • Calm the Stomach Powder
    • Damp cold stagnation in the middle jiao - poor appetite, indigestion, gastritis, loose stools, heavy sensation of the limbs, fatigue.
    • Can be used to induce labor with appropriate underlying diagnoses.
  • Expel Dampness
  • Promote Urination and Leach out Dampness
  • Cautions
  • Pregnancy
    • Avoid in pregnancy and in yin deficient and/or blood deficient cases due to the warming and drying nature.

Qing Qi Hua Tan Wan

  • Clear the Qi and Transform Phlegm Pill
    • Cough with thick yellow or green phlegm, difficulty breathing, wheezing, and possible fullness of the chest due to damp heat accumulation in the lungs.
  • Treat Phlegm
  • Clear Heat and Transform Phlegm

Qing Shu Yi Qi Tang Wan

  • Clear Summer Heat and Augment the Qi
    • Please note that there are two formulas with the same name but slightly different compositions.  One is from Wang's Wen Re Jing Wei and tonifies the yin more strongly, the other (which is the one discussed here) is from Li's Pi Wei Lun (Discussion of the Spleen and Stomach) and tonifies the spleen more strongly.  Both have similar usages but are not directly interchangeable.  
    • Clears summerheat and dries dampness - summer colds and flus, heatstroke - fever, fatigue, excessive sweating with loose stools and heaviness in the body.
    • Along with respiratory infections in the right cases certain types of asthma may be appropriate for this formula.
    • Dampheat related inflammatory condtions such as Colitis are approprirate with the right underlying factors.
    • Chronic Fatigue Syndrome with symptoms of spleen deficiency and heat.
    • Wtih the right underlying factors the range of perimenopausal symptoms may be appropriate - low libido, fatigue, water retention, fibroids, heavy cycles.  Where this appear with spleen qi deficiency signs and kidney weakness, this formula may be appropriate.
  • Clear Heat
  • Relieve Summerheat

Ren Shen Yang Rong Wan

  • Ginseng Decoction to Nourish the Nutritive Qi
    • Tonifies both qi and blood and nourishes the heart and calms the spirit - generally used for weakness from longer term or deep diseases such as cancer and for a host of other conditions affecting a broad range of the body and psyche such as Chronic Fatigue Syndrome and autoimmune conditions such as Lupus, Scleroderma, MCTD.
    • Anemia.
    • May be used alone or in conjunction with a formula such as yu ping feng wan to enhance immunity - particularly in patients with frequent colds and flus.
    • Raynaud's condition in addition to the other connective tissue issues listed above.
    • Micturition syncope, nephritis, cancers of the genitourinary tract.
    • Male infertility, possibly with Gui Zhi Fu Ling Wan, for sperm volume and motility issues.
    • Along with other immune benefits, hepatitis C.
    • Lung cancer.
  • Tonify
  • Tonify the Qi and Blood
  • Cautions
    • Use with caution or seek an alternative in deficiency cases with very pronounced sensations of coldness.  Part of this is due to the relatively neutral (i.e. non warming) aspects of this formula.

Shu Gan Wan

  • Liver Comfort Pills
    • Abdominal and/or Hypochondriac pain, cramps or spasms resulting from liver qi stagnation.
    • Alternating chills and fever.
    • Nausea, bloating, acid reflux, alternating stools, or IBS like symptoms caused by the liver invading the spleen.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen
  • Cautions
    • Use with caution with pregnancy.

Shu Jing Huo Xue Wan

  • Relax The Channels and Invigorate The Blood Decoction
    • Primarily used for blood stasis with wind-damp in the channels and collaterals characterized by internal deficiency with external excesses - joint pain, muscle aches, numbness and/or pain in the lower extremities (may be severe).
    • Wind-cold damp bi-syndrome (i.e. arthritis) - particularly in the lower part of the body, hips, knees, lower back.
    • Sciatic pain with the correct underlying pattern.
    • Neck pain with the correct underling pattern.
    • Fractures that are reluctant to heal, particularly in the lower body.
  • Invigorate the Blood
  • Invigorate the Blood and Dispel Blood Stasis
  • Cautions
  • Pregnancy
    • Avoid during pregnancy.
    • Generally not for long term use and use with caution if at all in deficient patients.

Tong Xie Yao Fang Wan

Wen Dan Wan

  • Warm the Gallbladder Formula
    • Anxiety, depression, insomnia, and other shen disturbances caused by phlegm misting the mind.
    • Seizures, convulsions or other types of involuntary muscle contractions that are caused by phlegm and heat.
    • Nausea, vomitting, abdominal discomfort resulting from disharmony of the stomach and gallbladder/liver.
    • Vertigo, dizziness or light-headedness.
  • Treat Phlegm
  • Clear Heat and Transform Phlegm
  • Cautions
    • Use with caution with patients that present with yin or blood deficiency.

Xian Fang Huo Ming Yin Wan

  • Immortals Formula For Sustaining Life
    • Generally for short-term use with early stage heat toxins - sores, carbuncles, boils, styes, acne.  Swollen and painful skin lesions with other heat signs (chills/fever). 
    • Breast abscesses, mastitis.
    • Uses for rheumatoid arthritis and/or psoriasis with the right underlying diagnosis.
    • Internal abscesses from blood stasis.
  • Clear Heat
  • Clear Heat and Relieve Toxicity
  • Cautions
    • Generally not for long-term use.
    • Use with caution with spleen qi deficiency.
    • Avoid with yin fire.

Xiang Sha Liu Jun Zi Wan

  • Aucklandia, Amomi & Six Gentlemen Pills
    • A modified version of the base, zhi zhu wan, which is used to treat qi stagnation and food retention from qi deficiency.  This modification includes herbs which add more movement and damp drying.
    • Distention and fullness in the epigastric area - bloating, indigestion, gastritis, gastric prolapse.
    • Poor appetite (from Spleen Qi Deficiency), anorexia.
  • Tonify
  • Tonify the Qi
  • Cautions
    • Avoid raw and cold food when taking this formula (and generally for Spleen Qi Deficiency).

Xiang Sha Yang Wei Wan

  • Aucklandia Amomi Nurture Stomach Pills
    • Low appetite, apathy towards eating due to spleen qi deficiency.
    • Acid reflux, indigestion, epigastric pain, tendency to feel full even with small quantities of food.
    • Food stagnation due to overeating.
  • Tonify
  • Tonify the Qi
  • Cautions
    •  



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