Nei Xiao Luo Li Wan

Nei Xiao Luo Li Wan (Scrofula Internal-Dispersing Pill), from Enlightments of Medicine (Yi Xue Qi Meng).

Actions and indications: Soften hardness and dissipate masses, dissolve phlegm and disperse scrofula. Indicated for the treatment of scrofula, phlegm nodule, goiter, with swelling or pain, and no change of skin color caused by qi constraint transforming into fire, phlegm coagulation, and blood stasis and qi stagnation

Modifications: For more evident phlegm coagulation, blood stasis and qi stagnation with large and hard masses, decrease the dosage of Sargassum ( hai zao ) and Spica Prunellae ( xia ku cao ) to soften hardness and dissipate masses; for more evident phlegm-fire, add Fructus Trichosanthis ( gua lou ) and Arisaema cum Bile ( dan nan xing ) to clear heat and dissolve phlegm; for vigorous fire due to yin deficiency, add Rhizoma Anemarrhenae ( zhi mu ) and Cortex Phellodendri Chinensis ( huang bai ) to subdue fire and clear heat; complicated by liver constraint and qi stagnation, add Radix Bupleuri ( chai hu ) and Pericarpium Citri Reticulatae Viride ( qing pi ) to soothe the liver and rectify qi

Cautions: During medication, avoid eating stimulatory food with acrid and peppery flavors

Category: Formulas That Resolve Masses and Remove Accumulation.

Source: Xi S, Gong Y. Essentials of Chinese Materia Medica and Medical Formulas: New Century Traditional Chinese Medicine. Academic Press/Elsevier, 2017, pp. 819–822.

Grind the ingredients into powder, make into pills as size of simple leaf shrub chaste tree fruit, and take in 6–9 g doses, 2–3 times a day