What is Ju Hong? Are Chen Pi, Hua Ju Hong and Qing Pi the same?
Official Ju Hong (橘红) is the dried outer pericarp of Citrus reticulata and its cultivated varieties. The pharmacopoeial name is Citri Exocarpium Rubrum. The white inner layer is removed. Chen Pi is the whole ripe peel: acrid-bitter and warm, regulates qi, strengthens the Spleen, dries dampness and transforms phlegm, and harmonizes the middle more strongly. Hua Ju Hong is the outer peel of Citrus grandis ‘Tomentosa’ or pomelo: acrid-bitter and warm, disperses cold, dries dampness, moves qi and disperses phlegm, and is harsher. Qing Pi is the immature fruit or peel: bitter-acrid and warm, courses the Liver, breaks qi, disperses accumulation and transforms stagnation. Write Ju Hong. Use caution in yin-vacuity dry cough.
What are the TCM properties and traditional uses of Ju Hong?
According to the Chinese Pharmacopoeia, Ju Hong is acrid, bitter and warm, enters the Lung and Spleen channels, and acts to regulate qi, ease the middle, dry dampness and transform phlegm. It is used for cough with copious phlegm, food accumulation with alcohol injury, and vomiting with oppression. Acrid-bitter, warm and drying, it suits wind-cold phlegm-damp—not yin-vacuity dry cough or fluid damage with dry mouth.
How do you choose Ju Hong versus Chen Pi? Can Hua Ju Hong replace it?
The Bencao Gangmu says keep the white layer to harmonize the middle, and remove it to direct qi downward and disperse phlegm. Ju Hong has the white removed, so warming, drying, transforming phlegm and dispersing cold are stronger. Chen Pi keeps the white and harmonizes the middle better. Hua Ju Hong is pomelo peel and disperses phlegm more harshly; do not mix them by equal weight. Commercial red-peel tea is not equal-weight pieces.
What is the usual dosage? Can it be drunk daily as a phlegm tea?
The pharmacopoeial decoction dose is 3–10 g. It is not a four-season “red-peel phlegm tea.” Yin-vacuity dry cough only coughs further as it dries. Cough needs a practitioner to name a short course; it does not replace respiratory assessment.
What are the contraindications? Can it be used in pregnancy?
Unsuitable in yin-vacuity dry cough, fluid damage with dry mouth, and vomiting of blood. Pregnancy needs a practitioner’s assessment. Stop if dry mouth or worsening cough appears. Panting with cyanosis and coughing blood need medical care.
Can Ju Hong regulate qi, ease the middle, dry dampness and transform phlegm?
It can help wind-cold cough with copious phlegm and food accumulation with vomiting. It is often joined with pinellia, poria and licorice in an Er Chen Tang type formula that substitutes red peel for aged peel. It regulates qi, eases the middle, dries dampness and transforms phlegm—not a specific for every cough or every distension.
Can Ju Hong be drunk daily as a phlegm, cough or digestion tea?
Cold phlegm and damp obstruction may enter a short formula; yin-vacuity dry cough only coughs further as it dries. “Red peel must transform phlegm” does not replace respiratory assessment. Regulating qi, easing the middle, drying dampness and transforming phlegm should name 3–10 g, and say Ju Hong rather than Hua Ju Hong.
How do you choose among Ju Hong, Chen Pi, Hua Ju Hong, Qing Pi and Ban Xia?
Red tangerine peel is acrid-bitter and warm: regulates qi, eases the middle, dries dampness and transforms phlegm—wind-cold with copious phlegm; the white layer is removed and it is more warming and drying. Aged peel is acrid-bitter and warm: regulates qi, strengthens the Spleen, dries dampness and transforms phlegm—epigastric distension; the white layer is kept and it harmonizes the middle. Pomelo peel is acrid-bitter and warm: disperses cold, dries dampness, moves qi and disperses phlegm—cold phlegm and food accumulation, and it is harsher. Green peel is bitter-acrid and warm: courses the Liver, breaks qi, disperses accumulation and transforms stagnation—Liver constraint and accumulation. Pinellia is acrid-warm and toxic: dries dampness, transforms phlegm and directs counterflow downward—cold-fluid phlegm, and it must be processed. Wind-cold phlegm cough favors Ju Hong; Spleen-vacuity distension favors Chen Pi; cold phlegm with food accumulation favors Hua Ju Hong; hypochondriac distension favors Qing Pi; vomiting and phlegm-fluid favor Ban Xia. They may be paired after pattern differentiation; yin-vacuity dry cough forbids large Ju Hong and Hua Ju Hong.
Which herbs is Ju Hong combined with? What are the representative formulas?
Phlegm-damp cough joins pinellia, poria and licorice in an Er Chen Tang type formula that substitutes red peel for aged peel. Food accumulation may join medicated leaven and hawthorn after pattern differentiation. Write Ju Hong 3–10 g; do not mix it by equal weight with pomelo peel or aged peel.
How do you choose and store Ju Hong?
Choose outer peel, orange-red or brown-red, yellow-white inside, dense oil dots, an aromatic odor and an acrid-bitter taste. Lots with much white pith, mold, moths or a faint aroma are discarded. Store cool and dry. Buy pharmacopoeial Ju Hong; do not replace regulating qi, easing the middle, drying dampness and transforming phlegm with pomelo peel or aged peel by equal weight.