Can People with GERD Consume Dried Tangerine Peel? Expert Insights - Traditional Chinese Medicine

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Can people with gastroesophageal reflux disease (GERD) consume dried tangerine peel?


Today, I visited a Traditional Chinese Medicine practitioner with the main complaint of gastroesophageal reflux.
Additionally, I experienced dry mouth, bitter taste, and sourness upon waking, along with vivid dreams at night.
The doctor prescribed Wendan Decoction with 5 grams of Xiangfu, 1.5 grams of Chenpi, 1 gram of Banxia, and 1.5 grams of Chaihu in a Chaihu Shugan Decoction of 4 grams.
However, I found online information indicating that Chenpi should not be consumed with excessive stomach acid.
Therefore, I have some concerns and would like Dr.
Zhang to clarify this for me.
Thank you!

Xiao Ke, 50~59 year old female. Ask Date: 2022/03/30

Dr. Zhang Weidong reply Traditional Chinese Medicine


Hello, Xiao Ke: Chen Pi (dried tangerine peel) is used to regulate Qi and strengthen the spleen, as well as to dry dampness and transform phlegm.
In addition to your liver fire issue, you likely have a problem with phlegm-dampness, which is why the doctor included Chen Pi in your treatment.
You can start taking it, and if you have any issues, please communicate with your doctor so that your concerns can be addressed! Wishing you health and peace.
Zhang Wei-Dong, Department of Traditional Chinese Medicine, Changhua Hospital, Ministry of Health and Welfare.

Reply Date: 2022/03/30

More Info


When it comes to managing gastroesophageal reflux disease (GERD), dietary choices can significantly impact symptoms. Dried tangerine peel, known as "chenpi" in Traditional Chinese Medicine (TCM), is often used for its digestive benefits, but its suitability for individuals with GERD can be a point of contention.

Understanding GERD and Dietary Considerations
GERD is a chronic condition where stomach acid flows back into the esophagus, leading to symptoms such as heartburn, regurgitation, and discomfort. Dietary management is crucial for controlling these symptoms. Foods that are acidic, spicy, or high in fat can exacerbate GERD symptoms, while others may help soothe the digestive tract.

Dried Tangerine Peel (Chenpi)
Dried tangerine peel is traditionally used in TCM to promote digestion, alleviate bloating, and reduce phlegm. It contains compounds that may stimulate gastric secretions and enhance digestive function. However, there are concerns regarding its use in individuals with GERD due to its potential to increase stomach acidity.

The Dilemma: Benefits vs. Risks
1. Potential Benefits: Chenpi is known for its ability to aid digestion and may help with symptoms like bloating and nausea. For some individuals, it may provide relief from digestive discomfort.

2. Potential Risks: On the flip side, dried tangerine peel can be acidic and may irritate the esophagus, particularly in those already suffering from GERD. The concern is that it could potentially exacerbate acid reflux symptoms, leading to increased discomfort.

Expert Insights and Recommendations
Given your specific situation, where you are experiencing GERD symptoms along with morning dryness and bitterness in the mouth, it is essential to approach the use of dried tangerine peel with caution. Here are some expert insights:
- Consult Your Healthcare Provider: Since you are already under the care of a TCM practitioner, it’s vital to discuss your concerns about dried tangerine peel with them. They can provide personalized advice based on your overall health and specific symptoms.

- Monitor Your Symptoms: If you decide to try dried tangerine peel, do so in moderation and monitor how your body reacts. If you notice an increase in GERD symptoms, it may be best to discontinue its use.

- Consider Alternatives: If dried tangerine peel does not seem suitable, there are other herbal remedies and dietary adjustments that may be more beneficial for managing GERD. For instance, ginger tea, chamomile, and slippery elm are often recommended for their soothing properties.

- Dietary Adjustments: Alongside herbal remedies, consider making dietary changes that can help manage GERD symptoms. This includes avoiding trigger foods (like spicy, fatty, or acidic foods), eating smaller meals, and not lying down immediately after eating.

In conclusion, while dried tangerine peel has its benefits in TCM, its use in individuals with GERD should be approached with caution. Always prioritize open communication with your healthcare provider and consider your body's responses to any new treatment or dietary change.

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