xiao luo wan

Reduce Scrofula Pill

About xiao luo wan

Xiao Luo Wan, Reduce Scrofula Pill, is Xuan Shen, Mu Li and Bei Mu. The catalogue classes it among the formulas that transform Phlegm and dissipate nodules, and records it as clearing Heat, resolving Phlegm and softening what has hardened.

Ingredients

Herb	Amount
xuan shen	9 g
mu li	9 g
bei mu	9 g

Actions and indications

Clears Heat and resolves Phlegm

Phlegm-Fire binding into nodules, often on a background of Yin deficiency with empty Heat
Dry mouth and throat, sometimes with a bitter taste
Tongue red; pulse rapid, slippery or wiry

Softens hardness and dissipates nodules

Scrofula: firm, rubbery, usually painless lumps or chains of nodules in the neck that enlarge slowly

Modern uses

Scrofula
Cervical lymphadenopathy
Acute lymphadenitis
Goiter
Thyroid nodules
Thyroiditis
Hyperthyroidism
Parotitis
Mammary gland hyperplasia
HIV/AIDS

Symptoms

Bitter taste in the mouth
Dry mouth
Dry throat
Neck mass
Swollen lymph nodes

Modifications

Big, very hard nodules: + kun bu, + mu li, + hai zao, + xia ku cao
Increased Fire and Phlegm: + zhi mu, + mu dan pi
Liver Qi stagnation: + chai hu, + xiang fu, + qing pi
Hot, sticky nodules and a bitter taste: + zhe bei mu, + gua lou
Marked dryness of mouth and throat: + xuan shen, + zhi mu, + mu dan pi
Liver Qi stagnation with pain of the chest and flanks: + chai hu, + bai shao, + qing pi
Excess Phlegm-Fire: + zhe bei mu, + gua lou, + qing dai, + ge qiao
Anger, agitation and irritability: + zhi zi, + huang lian, + huang qin
Yin deficiency Fire: + di gu pi, + mu dan pi, + zhi mu
Enlarged thyroid gland: + kun bu, + hai zao, + xia ku cao
Breast hyperplasia (combined with Xiao Yao San)
AIDS: + shan ci gu, + zhi ban xia, + jiang can, + xia ku cao, + hai zao, + zhi tian nan xing, + bai jie zi, + bai hua she she cao, + huang yao zi

Cautions

contraindication Nodules from congealed Cold rather than Phlegm-Fire
caution Mu Li is cold and heavy; take care when the Spleen and Stomach are weak or cold
caution Any new or growing lump in the neck should be medically assessed for infection, thyroid disease or cancer; the formula does not replace that

Preparation

Decoction with Mu Li cooked first; traditionally also powdered and made into honey pills

Names

Pinyin	xiao luo wan
English Name	Reduce Scrofula Pill

Classification

Category: Transform Phlegm and Dissipate Nodules