Xiao Luo Wan - 小瘰囊 - Reduce Scrofula Pill

English:	Reduce Scrofula Pill
Also Known As:	Xiao Lei Wan

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Scrophulariae	Xuan Shen	10-15g	Clears Heat, Cools the Blood, Dissipates nodules, Nourishes Yin, Softens hardness, Transforms Phlegm-Heat. With Mu Li and Zhe Bei Mu, for scrofula, goiter and other nodules due to Phlegm.
Concha Ostreae	Mu Li	15-20g	Softens hardness and dissipates nodules.
Bul. Fritillariae Thunbergii	Zhe Bei Mu	10-15g	Clears Heat, transforms Phlegm and dissipates nodules.

Formula Actions

• Clears Heat
• Resolves Phlegm
• Softens Hardness
• Dissipates nodules

Syndromes

• Phlegm Fire

Clinical Manifestations

Nodules on the neck that are firm and rubbery Dry throat Bitter taste in mouth

Dry mouth T: Red C: Normal P: Rapid and slippery and/or Wiry

Treats

Scrofula Goiter Acute lymphadenitis Parotitis AIDS/HIV

Hyperthyroidism Cervical lymphadenopathy Thyroiditis Hyperplasia of the mammary glands

Contraindications And Herb/Drug Interactions

Notes

Modifications

For large, very hard nodules:		For increased Fire and Phlegm:
+ Thallus Eckloniae	Kun Bu	+ Rz. Anemarrhenae	Zhi Mu
+ More Concha Ostreae	Mu Li	+ Cx. Moutan	Mu Dan Pi
+ Hb. Sargassii	Hai Zao	For Liver Qi Stagnation:
+ Spica Prunellae	Xia Ku Cao	+ Rx. Bupleuri	Chai Hu
For very hot, sticky nodules with a bitter taste:		+ Rz. Cyperi	Xiang Fu
+ More Bul. Fritillariae	Zhe Bei Mu	+ Per. Citri Reticulate Viride	Qing Pi
+ Fr. Trichosanthis	Gua Lou	For severe dry throat and mouth:
For Liver Qi Stagnation with chest and hypochondriac pain:		+ More Rx. Scrophulariae	Xuan Shen
+ Rx. Bupleuri	Chai Hu	+ Rz. Anemarrhenae	Zhi Mu
+ Rx. Paeoniae Alba	Bai Shao	+ Cx. Moutan	Mu Dan Pi
+ Per. Citri Reticulate Viride	Qing Pi	For Excess Phlegm-Fire:
+ More Bul. Fritillariae	Zhe Bei Mu
For anger, restlessness and irritability:		+ Fr. Trichosanthis	Gua Lou
+ Fr. Gardeniae	Zhi Zi	+ Indigo Naturalis	Qing Dai
+ Rz. Coptidis	Huang Lian	+ Concha Meretricis/ Cyclinae	Ge Qiao
+ Rx. Scutellariae	Huang Qin
For Yin Deficiency Fire:		For an enlarged thyroid gland:
+ Cx. Lycii	Di Gu Pi	+ Thallus Eckloniae	Kun Bu
+ Cx. Moutan	Mu Dan Pi	+ Sargassum	Hai Zao
+ Rz. Anemarrhenae	Zhi Mu	+ Spica Prunellae	Xia Ku Cao
For hyperplasia of the mammary gland:		For AIDS:
+ Rambling Powder Xiao Yao San		+ Pseudobulbus Cremastrae/Pleiones	Shan Ci Gu
+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Bombyx Batryticatus	Jiang Can
+ Spica Prunellae	Xia Ku Cao
+ Sargassum	Hai Zao
+ Rz. Arisaematis	Zhi Tian Nan Xing
+ Sm. Sinapis	Bai Jie Zi
+ Hb. Hedyotis Diffusae	Bai Hua She She Cao
+ Rz. Dioscoreae Bulbiferae	Huan Yao Zi