Herb Formulas Notebook

Xiao Luo Wan

(Reduce Scrofula Pill)

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Source: Awakening of the Mind in Medical Studies (1732)
Author: Cheng Guo-Peng

Category: Formulas that Dispel Phlegm

Pattern: Phlegm nodules that are firm and rubbery due to constrained Liver Fire consuming Liver and Kidney Yin

Key Symptoms: Nodules on the neck that are firm and rubbery in consistency
Secondary Symptoms: Dry mouth and throat

Tongue: Red
Pulse: Rapid and slippery or wiry

Xuan Shen 120g
Mu Li 120g
Bei Mu 120g

In the UK Mu Li must be substituted with increased Xuan Shen, Bai Shao and Wu Wei Zi.

Preparation: Ground into powder and formed into pill with honey to take in 9g doses 2-3 times per day. Can also be prepared as a decoction with 9-12g of each ingredient. Zhe Bei Mu is preferred over Chuan Bei Mu in this instance.

Actions: Clears Heat, transforms Phlegm, softens hardness, disperses clumping

Contraindications: Congealing due to Cold and ulcerated or ulcerated nodules.

This formula treats nodules from scrofula (Luo Li) on the side of the neck or goitre (Ying) on the midline of the neck.

Research Links:
Science Direct
Google Scholar
Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.