By Eric Brand

Xiao Luo Wan is a formula that was originally indicated for scrofula. However, beyond its textbook indications for nodules on the neck, it can be used to soften hardness and disperse binds in a variety of applications when combined appropriately. The ability of Xiao Luo Wan to soften hardness and disperse binds can be further accentuated with the addition of medicinals such as Xia Ku Cao (Prunellae Spica), Bie Jia (Trionycis Carapax), Hai Zao (Sargassum), and Kun Bu (Laminariae/Eckloniae Thallus).

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Xiao Luo Wan (Scrofula-Dispersing Pill) contains:

Mu Li (Ostreae Concha)
Zhe Bei Mu (Fritillariae Thunbergii Bulbus)
Xuan Shen (Scrophulariae Radix)

It is not uncommon for Xiao Luo Wan to be used in gynecology for conditions such as ovarian cysts or uterine fibroids in cases that are ascribed to phlegm-damp stasis. In such applications, it is often combined with formulas such as Er Chen Tang (Two Matured Ingredients Decoction) or Kai Yu Er Chen Tang (Depression-Opening Two Matured Ingredients Decoction).