‘Reduce Scrophula Pill’
Source: Medical Revelations (Yi Xue Xin Wu, 1732)

Keywords
Phlegm type masses, lumps and nodules.

Ingredients
Scrophularia ningpoensis (Xuan Shen, scrophularia)
Ostrea gigas (Mu Li, oyster shell)
Fritillaria cirrhosa (Zhe Bei Mu, fritillaria)

Major therapeutic action
Softens hardness and dissipates Phlegm, reduces swellings.

Indications
• Various benign masses, nodules and lumps, i.e. those that are soft or firm and rubbery, and well defined.
Most commonly used for benign thyroid nodules, breast cysts and gliomas.
• Also used for ovarian cysts and fibroids, glandular, lymphatic and testicular congestion and swellings of
a rubbery type in contrast to the masses as described for Wū Jīn Wán. These masses also include some
masses with the same rubbery characteristics that cannot be directly palpated (from the outside). These
include prostatic swellings, internal cysts and other non-malignant masses.

Key symptoms for use
• masses and nodules that are rounded and smooth, with a firm, rubbery feel upon palpation, or that have a
pale glistening look upon visualisation (like simple ovarian cysts).
Combinations
• For breast cysts, combine with Sì Nì Sǎn or Xiāo Yáo Sǎn.
• For ovarian cysts, endometriosis or fibroids (with pain), combine with Wū Jīn Wán. This combination is
also useful for prostatic swelling and pain.
• For chronic lymphatic congestion from poor fluid metabolism, combine with Sì Jūn Zǐ Tāng.
• Combine with Xuě Fǔ Zhú Yū Tāng for the early stages of liver cirrhosis.

Dosage
The typical dose is three grams twice daily, before meals.
In severe or acute cases, or the early stages of treatment
(the first two weeks), a 50-100% increase in dose may be
used, then reduced as the treatment takes effect.

Cautions
Avoid the following foods – sugar, dairy, uncooked foods.

Contraindications
None noted.