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Scrofula Internal Dispersion Pill
内消瘰疬丸 〔內消瘰癧丸〕nèi xiāo luǒ lì wán
Source: Yáng Yī Dà Quán 疡医大全
Ingredients:
- Xuán shēn (玄参 Scrophulariae Radix, scrophularia [root]) 150g
- Tiān huā fěn (天花粉 Trichosanthis Radix, trichosanthes root) 30g
- Gān cǎo (甘草 Glycyrrhizae Radix, licorice [root]) 30g
- Bái liǎn (白蔹 Ampelopsis Radix, ampelopsis [root]) 30g
- Dāng guī (当归 Angelicae Sinensis Radix, Chinese angelica) 30g
- Hǎi zǎo (海藻 Sargassum , sargassum) 30g
- Zhǐ ké (qiào) (枳壳 Aurantii Fructus, bitter orange) 30g
- Jié gěng (桔梗 Platycodonis Radix, platycodon [root]) 30g
- Chuān bèi mǔ (川贝母 Fritillariae Cirrhosae Bulbus, Sìchuān fritillaria [bulb]) 30g
- Lián qiào (连翘 Forsythiae Fructus, forsythia [fruit]) 30g
- Bò hé (薄荷 Menthae Herba, mint) 30g
- Dà huáng (大黄 Rhei Radix et Rhizoma, rhubarb) (processed) 30g
- Shēng dì huáng (生地黄 Rehmanniae Radix Exsiccata seu Recens, dried/fresh rehmannia [root]) 30g
- Hǎi fěn (海粉 Notarchi Filamentum, notarchus filament) 30g
- Qīng yán (青盐 Halitum , halite) 150g
- Xià kū cǎo (夏枯草 Prunellae Spica, prunella [spike]) 240g
- Xuán míng fěn (玄明粉 Natrii Sulfas Exsiccatus, refined mirabilite) 30g
Action: Softens hardness and disperses binds; transforms phlegm and disperses goiter.
Indication: Goiter, scrofula, and phlegm nodes.
Category: Dispersion formulas / Concretion and conglomeration formulas
Method: Grind above ingredients to a powder. Decoct 24g of
Dosage: Take 6–9g twice daily with warm water.
Rationale: Scrofula and phlegm nodes are generally caused by binding depression of phlegm and fire. Hǎi zǎo softens hardness, disperses phlegm, disinhibits water, and drains fire. Xià kū cǎo enters the liver channel and disperses binds. These agents are commonly used to treat scrofula. Dà huáng and Xuán míng fěn is to drain fire, while Lián qiào, Bái liǎn, and Tiān huā fěn clear heat and resolve toxin. The action heat-clearing fire-draining action is enhanced by Xuán shēn and Shēng dì huáng, which nourish yīn.