INGREDIENTS

Each pill contains the equiv. to dry:

 

Allheal spike, flower 67.5mg

Figwort, root 60.0 mg

Milk Vetch, root 45mg

Sargassum, whole 45mg

Japanese Gentian, root 33.75mg

Sichuan Fritillary, bulb 33.75mg

Burr Reed, rhiz. 33.75mg

Zedoary, rhiz. 33.75mg

Mandarin, peel 22.5mg

 

 

Store below 30°C

Contains 200 x 200mg pills.

AUSTL 483086

Manufactured In Australia.

 

Indications: nodules, lumps, adenomas, mastitis, swollen lymph, lipomas, goitre.

Actions: clear heat, break up masses.

Dosage: 12 pills twice per day with food until the matter is resolved.

Safe to take long term

Over use, don’t under use. Treat sooner rather than later.

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Nei Xiao Luo Li Tang – "Lumps & Nodules"

A classical Chinese herbal formula traditionally used to help soften nodules, reduce chronic swelling and support the body's natural resolution of long-standing lumps and glandular enlargement.

 

What is Nei Xiao Luo Li Tang?

Not every lump is dangerous.

Many people develop small nodules or areas of thickened tissue during their lifetime.

These may include:

• swollen lymph nodes

• thyroid nodules

• lipomas

• cystic swellings

• enlarged glands

• benign breast lumps

• chronic glandular enlargement

 

Although many of these conditions are harmless, every new lump should always be medically assessed to determine its cause.

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Traditional Chinese Medicine (TCM) recognised that many chronic lumps shared common characteristics.

They were slow to develop.

Slow to disappear.

Often painless.

Often associated with poor circulation and long-standing inflammation.

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Nei Xiao Luo Li Tang (内消瘰疬汤) was developed specifically to address these chronic patterns.

At Chiron Medical we call it "Nodules & Lumps", because that simple name immediately describes its traditional area of use.

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Rather than acting as a surgical alternative, the formula aims to improve the physiological environment that allows the body to gradually soften and resolve chronic tissue congestion.

 

A Formula with Centuries of Clinical History

Nei Xiao Luo Li Tang developed within the great Chinese tradition of treating Luo Li—the classical term describing enlarged lymph nodes and chronic nodular swellings, particularly around the neck.

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Historically these swellings were often associated with chronic infection, inflammation or constitutional weakness.

Over the centuries physicians expanded its use to many benign nodular conditions characterised by Phlegm accumulation, Qi stagnation and Blood Stasis.

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Today it remains one of Chinese medicine's most respected formulas for chronic glandular enlargement.

 

Why We Call It "Nodules & Lumps"

Most people are understandably concerned when they discover a lump.

Fortunately, many lumps prove to be benign.

Common examples include:

• thyroid nodules

• enlarged lymph nodes

• sebaceous cysts

• ganglion cysts

• lipomas

• fibroadenomas

• benign glandular enlargement

 

Chinese medicine asks a different question.

Rather than asking only "What is it?"

It also asks:

"Why has this tissue stopped behaving normally?"

 

Many chronic nodules are viewed as a combination of:

• stagnant circulation

• chronic inflammation

• Phlegm accumulation

• impaired tissue metabolism

Nei Xiao Luo Li Tang was designed to address these underlying patterns.

 

What Is It Traditionally Used For?

Traditionally, Nei Xiao Luo Li Tang is prescribed for Phlegm Nodules with Qi Stagnation and Blood Stasis.

 

Glandular Enlargement

• enlarged lymph nodes

• chronic swollen glands

• benign thyroid enlargement

• persistent neck nodules

 

Benign Soft Tissue Lumps

• lipomas

• fibroadenomas

• cystic swellings

• chronic nodules

 

Breast Health

Traditionally used for:

• benign breast lumps

• fibrocystic breast changes

• chronic breast nodularity

 

Other Applications

Modified versions may be considered for:

• chronic scar tissue

• post-inflammatory fibrosis

• persistent soft tissue thickening

Always following appropriate medical assessment.

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The Herbs That Make the Formula

 

Lumps, nodules and glandular swellings rarely appear overnight. They develop gradually as inflammation, poor circulation and tissue congestion slowly become organised into something the body can no longer clear on its own.

 

Nei Xiao Luo Li Tang was designed to gently reverse this process. Some herbs soften hardened tissue, others disperse long-standing congestion, while several improve circulation and support the body's ability to remodel damaged tissue. Rather than attacking the lump itself, the formula helps untie the knot that created it.

 

Xia Ku Cao (Prunella Spike)

 

Traditional Role

Xia Ku Cao is the lead surgeon of the team. It begins the work of softening hard nodules and dispersing the inflammatory Heat that often surrounds them. Like gently loosening the tightest part of a knot, it creates the opportunity for the remaining herbs to do their work.

 

Biomedical Role

Modern research demonstrates anti-inflammatory, antioxidant and immunomodulatory properties together with growing evidence for thyroid support and regulation of abnormal tissue responses.

 

Hai Zao (Seaweed)

 

Traditional Role

Once the knot begins to loosen, Hai Zao helps soften its deeper fibres. It resolves Phlegm, disperses hardness and gradually reduces chronic glandular enlargement that has developed over many years.

 

Biomedical Role

Rich in iodine, polysaccharides and antioxidant compounds, Hai Zao has been investigated for its effects on thyroid physiology, tissue remodelling and regulation of inflammatory pathways.

 

Kun Bu (Kelp)

 

Traditional Role

Kun Bu works alongside Hai Zao, patiently softening firm masses that have become deeply established. Together they encourage tissues to become flexible again rather than remaining dense and immobile.

 

Biomedical Role

Research suggests antioxidant, anti-inflammatory and thyroid-supportive effects together with potential roles in connective tissue remodelling.

 

Zhe Bei Mu (Fritillaria Bulb)

 

Traditional Role

Hardness rarely exists without congestion. Zhe Bei Mu transforms the Phlegm that binds the knot together, helping stagnant tissues gradually return to their normal structure.

 

Biomedical Role

Modern studies demonstrate anti-inflammatory and immunomodulatory effects together with laboratory evidence suggesting regulation of abnormal cellular proliferation.

 

Xuan Shen (Scrophularia Root)

 

Traditional Role

As hardened tissue begins to soften, Xuan Shen protects the surrounding landscape. It nourishes Yin while cooling lingering inflammation, preventing the body from becoming irritated as repair progresses.

 

Biomedical Role

Research suggests antioxidant, anti-inflammatory and immunomodulatory properties together with potential protection against oxidative tissue injury.

 

Dang Gui (Chinese Angelica Root)

 

Traditional Role

Once the obstruction begins to loosen, fresh nourishment must reach the tissues. Dang Gui restores healthy Blood circulation, delivering the materials needed for healing while preventing new stagnation from forming.

 

Biomedical Role

Modern research demonstrates improved microcirculation, vascular protection and anti-inflammatory activity together with support for connective tissue repair.

 

Chuan Xiong (Ligusticum Rhizome)

 

Traditional Role

Chuan Xiong keeps the repair team moving. It restores the smooth flow of both Qi and Blood, helping break the cycle in which poor circulation continually reinforces chronic congestion.

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Biomedical Role

Studies suggest improved circulation, endothelial support and anti-inflammatory activity together with beneficial effects on connective tissue health.

 

Supporting Herbs

 

Several additional herbs strengthen digestion and regulate the Spleen, recognising that new Phlegm must stop forming if existing nodules are to continue resolving. They provide the long-term foundation that helps reduce the likelihood of recurrence once the tissues have begun to remodel.

 

Why These Herbs Work Together

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Nei Xiao Luo Li Tang recognises that chronic nodules are rarely caused by a single problem. They usually develop through years of inflammation, impaired circulation, tissue congestion and the gradual accumulation of pathological material.

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The formula approaches this process from every direction. Xia Ku Cao, Hai Zao, Kun Bu and Zhe Bei Mu soften and disperse hardened tissues, while Xuan Shen cools the inflammatory environment surrounding them. Dang Gui and Chuan Xiong restore healthy circulation so damaged tissues receive the oxygen and nutrients required for repair, while the supporting herbs strengthen digestion to reduce the continued production of Phlegm.

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In Traditional Chinese Medicine, the formula softens hardness, transforms Phlegm, invigorates Blood and resolves nodules by addressing both the root cause and the established pathology. Rather than forcing tissues to disappear, it encourages the body to gradually reorganise itself toward normal structure and function.

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From a modern biomedical perspective, the constituent herbs have demonstrated anti-inflammatory, antioxidant, immunomodulatory and microcirculatory effects together with actions supporting connective tissue remodelling, thyroid physiology and regulation of abnormal cellular activity. These complementary mechanisms align with current understanding that chronic nodules develop through the interaction of persistent inflammation, impaired tissue repair and altered extracellular matrix turnover.

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Rather than simply treating the lump itself, Nei Xiao Luo Li Tang helps restore the environment in which healthy tissue can gradually replace chronic congestion.

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What Does Modern Research Say?

Research into the constituent herbs has explored:

 

Thyroid Disease

• benign thyroid nodules

• thyroid inflammation

• autoimmune thyroid disease (adjunctive research)

 

Breast Health

• benign breast disease

• fibrocystic breast changes

 

Fibrosis

Experimental studies suggest effects on:

• collagen remodelling

• fibroblast activity

• extracellular matrix regulation

 

Immunology

Research demonstrates:

• immune modulation

• reduction of inflammatory cytokines

• antioxidant protection

Several herbs have also shown laboratory evidence of influencing cellular proliferation pathways. These findings are scientifically interesting but should not be interpreted as evidence that the formula treats cancer.

 

Understanding Lumps in Chinese Medicine

Chinese medicine traditionally describes many chronic nodules as a combination of:

• Phlegm — abnormal tissue accumulation.

• Qi Stagnation — impaired physiological movement.

• Blood Stasis — reduced healthy circulation.

 

Modern medicine uses different language.

It may describe:

• fibrosis

• chronic inflammation

• altered extracellular matrix

• impaired lymphatic drainage

• tissue remodelling

Although the terminology differs, both systems recognise that long-standing tissue change rarely results from a single mechanism.

 

For Traditional Chinese Medicine Practitioners

 

Classical Pattern

Phlegm Accumulation with Qi Stagnation and Blood Stasis

Typical presentation:

• firm nodules

• glandular enlargement

• chronic swelling

• little or no pain

• wiry pulse

• swollen tongue with greasy coating

 

Formula Strategy

Nei Xiao Luo Li Tang:

• Softens hardness.

• Resolves Phlegm.

• Moves Qi.

• Invigorates Blood.

• Supports tissue remodelling.

 

Common Clinical Modifications

Frequently adapted for:

• thyroid nodules

• benign breast disease

• lymphadenopathy

• lipomas

• chronic fibrosis

• post-inflammatory scarring

 

For Medical Doctors

 

Proposed Biomedical Actions

Current research suggests the constituent herbs influence:

• inflammatory cytokines

• fibroblast activity

• extracellular matrix remodelling

• oxidative stress

• immune regulation

• angiogenesis

• connective tissue turnover

 

Major bioactive compounds include:

• rosmarinic acid

• iridoid glycosides

• steroidal alkaloids

• polysaccharides

• ferulic acid

• flavonoids

Collectively these compounds demonstrate anti-inflammatory, antioxidant and tissue-remodelling properties that align with the formula's traditional indications.

 

Potential Herb–Drug Considerations

Clinical monitoring is advisable in patients taking:

• thyroid medications

• anticoagulants

• immunosuppressive therapies

• hormone therapies

 

Because seaweed-derived herbs contain naturally occurring iodine, patients with thyroid disease should use the formula under the supervision of a qualified practitioner who can consider both the individual's thyroid function and the specific composition of the prescribed formula.

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Importantly, all new, enlarging or persistent lumps require appropriate medical assessment, including imaging or biopsy where clinically indicated.

 

Every Lump Has a Story

A lump is not a diagnosis.

It is a sign that something within the tissue has changed.

Sometimes the explanation is simple.

Sometimes it requires careful investigation.

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Chinese medicine has never encouraged ignoring these changes.

Instead, it has sought to understand why tissues stop behaving normally and how healthy circulation, immune regulation and tissue repair can be restored.

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That is why we call this formula "Nodules & Lumps."

It reminds people to pay attention to changes in their body while recognising that many benign nodules represent chronic physiological processes that may benefit from a comprehensive, integrative approach to health.

 

Key Takeaways

• Nei Xiao Luo Li Tang is a classical Chinese herbal formula traditionally prescribed for chronic nodules, glandular enlargement and benign soft tissue lumps associated with Phlegm accumulation, Qi Stagnation and Blood Stasis.

• At Chiron Medical it is called "Nodules & Lumps" because it is most commonly considered when persistent, benign tissue swellings are present.

• The formula combines herbs that traditionally soften hardened tissue, improve circulation and support healthy tissue remodelling.

• Modern research supports anti-inflammatory, antioxidant, immunomodulatory and connective tissue-regulating actions of its constituent herbs, although high-quality clinical trials of the complete formula remain limited.

• Every new, changing or persistent lump should be medically assessed. Nei Xiao Luo Li Tang is intended to complement appropriate medical investigation and ongoing care, not replace it.

 

Clinical Perspective

Within the Chiron Medical range, Nei Xiao Luo Li Tang ("Nodules & Lumps") complements formulas such as "Cysts & Fibroids" (Gui Zhi Fu Ling Tang) and "Clear the Way" (Xue Fu Zhu Yu Tang) by focusing on chronic, benign tissue enlargement rather than acute inflammation or pain. While Gui Zhi Fu Ling Tang is primarily directed at Blood Stasis within the pelvis and reproductive system, Nei Xiao Luo Li Tang addresses nodular conditions where Phlegm accumulation, impaired circulation and long-standing tissue remodelling predominate. Together they illustrate one of the enduring strengths of Traditional Chinese Medicine: recognising that not all lumps arise from the same underlying physiology, and that successful treatment begins with identifying the correct pattern rather than treating every mass in the same way.

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Clinical Insights

 

Mammary Dysplasia (Fibrocystic Breast Changes)

 

Benign breast lumps often develop slowly through a combination of hormonal imbalance, impaired circulation and chronic tissue congestion. Tenderness that fluctuates with the menstrual cycle commonly indicates both Qi stagnation and Blood Stasis contributing to the formation of nodules.

 

Depending on the underlying presentation, Nei Xiao Luo Li Tang combines particularly well with:

• Cool Calm & Collected (Jia Wei Xiao Yao San) when hormonal imbalance, emotional stress and Liver Heat are driving breast tenderness and cyclical swelling.

• (Tao Hong Si Wu Wan) where long-standing Blood Stasis has produced firm, fixed or painful nodules.

• Cysts & Fibroids (Gui Zhi Fu Ling Wan)when chronic pelvic congestion and Blood Stasis accompany fibrocystic breast disease.

Together these combinations address both the underlying tendency to form nodules and the local tissue changes already present.

 

Carbuncles and Furuncles

 

Some inflammatory skin infections resolve completely, while others become recurrent because inflammation remains trapped within the surrounding tissues.

 

When significant Heat Toxicity accompanies chronic tissue congestion, Nei Xiao Luo Li Tang combines well with:

• Inflammation (Wu Wei Xiao Du Yin)

• While Wu Wei Xiao Du Yin clears acute infection and inflammation, Nei Xiao Luo Li Tang assists the gradual resolution of the chronic tissue thickening that often remains afterwards.

 

Chronic Breast Abscess

Repeated breast infections can eventually leave areas of persistent induration, fibrosis and poor local circulation. Even after infection has settled, the tissue may remain thickened and tender.

 

In these situations Nei Xiao Luo Li Tang is commonly combined with:

• X factor (Xiao Chai Hu Wan) when ongoing inflammation remains centred around the Shaoyang and breast region.

• Bleeding (Si Miao Yong An Tang) when chronic inflammation, impaired circulation and delayed tissue healing predominate.

Together these formulas help resolve both the inflammatory process and the chronic tissue congestion left behind.

 

 

Goitre and Thyroid Enlargement

Diffuse thyroid enlargement and long-standing goitre often develop gradually through a combination of constitutional deficiency, altered thyroid physiology and chronic tissue remodelling.

 

Where reduced thyroid function accompanies glandular enlargement, Nei Xiao Luo Li Tang combines particularly well with:

• You Gui Wan to strengthen Kidney Yang and improve constitutional vitality.

• Qi Bao Mei Ran Dan to nourish Kidney Essence and support healthy ageing in patients with long-standing thyroid dysfunction.

This combination recognises that reducing thyroid enlargement alone is often insufficient if the underlying constitutional weakness remains unaddressed.

 

Lymphadenitis and Swollen Lymph Nodes

Enlarged lymph nodes often represent the body's response to persistent inflammation or infection. Once acute infection has settled, residual enlargement may remain because local tissue congestion has not fully resolved.

 

For chronic lymphadenopathy associated with Phlegm accumulation, Nei Xiao Luo Li Tang combines well with:

• Wet Cough (Qing Qi Hua Tan Wan)

This pairing helps transform persistent Phlegm while supporting the gradual remodelling of chronically enlarged lymphatic tissue.

 

Chronic Sinusitis

Persistent sinus inflammation frequently results in thickened mucous membranes, poor drainage and long-standing congestion that continues even after infection has resolved.

Where chronic sinus disease is accompanied by nasal polyps, swollen tissues or persistent congestion, Nei Xiao Luo Li Tang combines well with:

• Hayfever (Xin Yi San)

• Sinus Infection (Bi Min Gan Tang) for thickening white, yellow or green nasal congestion.

Xin Yi San restores ventilation and drainage through the nasal passages, Bi Min Gan Tang cleans up infection and takes the rubbish out, while Nei Xiao Luo Li Tang helps remodel the chronically congested tissues that have developed over years of inflammation.

 

Rheumatoid Arthritis

Rheumatoid arthritis is more than inflamed joints. Over time, persistent inflammation leads to structural tissue change, impaired circulation and progressive joint remodelling.

Depending on the patient's presentation, Nei Xiao Luo Li Tang may be combined with:

• Clear the Way (Xue Fu Zhu Yu Tang) where significant Blood Stasis contributes to chronic pain, stiffness and impaired joint circulation.

• Zhuang Yang Yi Jing Wan when long-standing inflammatory disease has resulted in constitutional weakness, reduced vitality and declining musculoskeletal strength.

These combinations address both the inflammatory process and the progressive tissue changes that characterise chronic rheumatoid disease.

 

Uterine Fibroids

Fibroids develop gradually through years of altered circulation and tissue remodelling. Once established, they rarely disappear quickly, making long-term treatment focused on improving circulation and reducing chronic congestion particularly important.

Where uterine fibroids are confirmed, Nei Xiao Luo Li Tang combines especially well with:

• Sharp Stabbing Pain (Huo Luo Xiao Ling Dan)

 

While Huo Luo Xiao Ling Dan powerfully improves Blood circulation and reduces pelvic pain, Nei Xiao Luo Li Tang supports the gradual softening and remodelling of the fibrotic tissue itself. Together they provide a comprehensive strategy for addressing both the symptoms and the underlying structural changes.

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