NEI XIAO LUO LI WAN (BP043) Prunella & Scrophularia Complex

Indication

This formula is a variant on the formula by the same name that was first devised by Gu Si-cheng and recorded in his book, ‘Complete Works for the Treatment of Sores’ (yang yi da quan), 17th century. The original formula was designed to treat scrofula and similar swellings in the neck, including goitre. The modern variant omits several of the harsh dispersing and laxative ingredients that limited the original formula’s use to excess conditions in patients with a robust constitution.

This formula is suitable for the treatment of various types of nodules, masses and swellings that involve the localised accumulation of Phlegm-Heat and/or static Blood. Owing to the nature of the pathogens, Phlegm and Heat, together with Qi stagnation and Blood stasis, the disorders for which this formula is indicated require prolonged treatment.

This necessitates the use of a more balanced formula that supports the health Qi (zheng qi) while at the same time effectively dispelling the pathogens. The indications of this formula, as listed above, are therefore much broader than those of the original.

The synergistic actions of the herbs are as follows:

Prunella herb top flowering (xia ku cao), Scrophularia root (xuan shen), Sargassum whole plant (hai zao): clear Heat and dissipate Phlegm-Heat nodules

Sparganium rhizome (san leng), Curcuma rhizome (e zhu): activate the Blood & dispel stasis.

Fritillaria bulb (chuan bei mu), Sargassum whole plant (hai zao), Scrophularia root (xuan shen): clear Heat and resolve Phlegm

Gentiana root (long dan cao): clear Liver Fire, drains Damp-Heat

Citrus peel (chen pi): regulates the Qi and harmonises the middle Jiao, dries Damp and resolves Phlegm

Astragalus root (huang qi), Citrus peel (chen pi): tonify the Spleen Qi to protect the health Qi (zheng qi)

Indications:

Lymphadenitis

Mammary dysplasia (fibrocystic breast disease)

Non-malignant breast tumour

Adenoma (e.g. breast adenoma)

Multi-nodular goitre

Early stage carbuncle or furuncle

Small uterine fibroids

Small lipomas

Signs & Symptoms:

Lumps in the neck or breast

Fibroids, small

Carbuncle or furuncle, early stage

Mammary dysplasia (fibrocystic breast disease)

Combinations –

Carbuncle or furuncle:

WU WEI XIAO DU YIN

Chronic breast abscess:

XIAO CHAI HU WAN

SI MIAO YONG AN WAN (Jia Wei)

Hypothyroidism (Goitre):

BU ZHONG YI QI WAN

XUE FU ZHU YU TANG

ZUO GUI WAN

ZHUANG YANG YI JING WAN

QI BAO MEI RAN DAN (Jia Wei)

YOU GUI WAN

Lymphadenitis, swollen lymph nodes:

QING QI HUA TAN WAN

Mammary dysplasia (fibrocystic beast disease):

JIA WEI XIAO YAO SAN

GUI ZHI FU LING WAN

TAO HONG SI WU WAN

A C Skin Formula (formerly Acne):

BLOOD MOVING 2 Formula

Rheumatoid arthritis:

SHU JING HUO XUE TANG

XUE FU ZHU YU TANG

HUO LUO XIAO LING DAN

ZHUANG YANG YI JING WAN

Sinusitis, chronic:

XIN YI SAN

Uterine fibroids:

HUO LUO XIAO LING DAN

TAO HONG SI WU WAN

TCM Syndromes: Nodules due to Phlegm-Heat, Qi stagnation and Blood stasis.

TCM Actions: Clears Heat, resolves Phlegm, breaks up Blood stasis to soften and reduce masses.