橘核丸

• Calculation of the original raw herb total weight (based on the common basic dosage, excluding Wu Zhu Yu / evodia fruit):
  • Ju He (tangerine seed) 9 g + Mu Xiang (costus root) 6 g + Chuan Lian Zi (toosendan fruit) 9 g + Tao Ren (peach kernel) 9 g + Yan Hu Suo (corydalis rhizome) 9 g + Rou Gui (cinnamon bark) 3 g + Hai Zao (sargassum) 9 g + Kun Bu (kelp) 9 g + Hai Dai (seaweed) 9 g + Mu Tong (akebia stem) 6 g + Hou Po (magnolia bark) 6 g + Zhi Shi (unripe bitter orange) 6 g = 90 g.
• Conversion to 5:1 granules:
  • 90 g raw herbs ÷ 5 = 18.0 g granules.
• Recommended dose and method:
  • One dose daily, taken in 2 divided doses dissolved in warm water.
  • It is recommended to take on an empty stomach with warm wine or light salt water.
  • Each dose is 9.0 g.

5. Cautions and clinical notes

1. [Contraindication]: Avoid in cases of testicular redness, swelling, heat, and pain caused by damp-heat pouring downward. This formula is warming and dispersing in nature and is suitable for patterns of cold-damp congelation. Where the pattern is damp-heat, as in acute epididymitis or orchitis, herbs that clear heat and drain dampness should be used instead.
2. [Safety warning]: If the formula contains Hai Zao (sargassum), traditional theory holds that it is incompatible with Gan Cao (licorice) as one of the "eighteen incompatibilities." The original formula does not contain Gan Cao, but if clinical modification requires combining them, this must be done only under explicit guidance from a physician.
3. Dietary restrictions: Avoid raw, cold, and chilled foods during treatment.
4. Modern application: This formula is commonly used for hydrocele of the tunica vaginalis, epididymitis, and inguinal hernia that present with cold-damp invading the Liver channel and qi-blood congelation.
5. Duration of use: Hernia (shan qi) is a chronic condition; the duration of use should be determined under a physician's guidance. If pain intensifies or the mass enlarges, medical attention should be sought promptly.