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Scrofula, Lymphatic Swellings, Goiter

Scrofula and Goiter are classed as Phlegm-Masses in Traditional Medicine. The Phlegm may be associated with Cold or Heat. The former are usually softer, cold to touch with other general signs of Cold. Phlegm-Heat manifests with red, swollen, hot or painful swellings, red tongue with a greasy or thick coating and a rapid or big pulse.

Both require Phlegm-clearing and mass-dispersing (attenuant or resolvent) medicines. Cases of Cold-Phlegm will combine Hot medicines and Hot-Phlegm will combine Heat-clearing medicines.

When chronic or in Melancholic constitutions, the Lumps become hard and fibrotic. Such cases require medicines for the Melancholy Humor (Dodder, Agaric etc).

In all systems, the importance of medicines from the Sea was long relaized as important for Scrofula, and in particular, Goiter. In the Western Tradition, Sponge, Sponge Stone, Burnt Sponge, Pumice, Cuttlefish Bone, Sea Balls etc. were used. In TCM, Kelp, Laminaria, and Pumice etc. are used. The importance of their trace minerals especially in relation to Iodine is most relevant.

By extrapolation, other Nodes and Lymphatic swellings in other parts of the body can usually be treated with similar formulas.


See also:
Treatment of Goiter (Wirtzung)

Western Tradition

Simples
Maidenhair
Orris
Bryony
Burnt Sponge
Pumice

Self Heal
Opopanax
Black Hellebore
Sponge stone
Cuttlefish bone


Simple remedies
1. Goiter: ‘The seeds of the common Nettle are a sovereign remedy for the cure of a Goiter. Dose, from 12 to 15 seeds, three times a day’. (Vitalogy)



Formulas

Scrophulas resoluunt, & delent – Scrofula

Infusion for Scrofula

Decoction of Self Heal
Decoction of Figwort
Decoction Against Scrofula (Fuller)

Tincture of Rue
Tincture of Bees
Powder Against Scrofula (Arnold de Villa Nova)

Marvelous Powder Against Scrofula (Arnold de Villa Nova)
Powder of Burnt Sponge (Gabelhover)
Powder for Scrofula (Palestra Pharmaceutica)
Powder for Scrofula (Renodeus)
Powder for Scrofula (Wirtzung)
Powder for Scrofula (Pharmacopoea Argentorarensis)

Electuary of Figwort (Avicenna)
Oil of Sesame
Oil of Wild Cucumber
Diachilon
Ointment of Cyclamen
Plaster of Cyclamen



Scrofula, Nodes and Swellings from Phlegm

Tincture of Rue
Tincture of Bees
Powder for Scrofula (Renodeus)
Powder for Scrofula (Wirtzung)
Powder for Scrofula (Pharmacopoea Argentorarensis)


Scrofula, Nodes and Swellings from Phlegm-Heat

Powder Against Scrofula (Arnold de Villa Nova)
Marvelous Powder Against Scrofula (Arnold de Villa Nova)
Powder of Burnt Sponge (Gabelhover)


Scrofula, Nodes and Swelling from Heat and Toxin

Infusion for Scrofula
Decoction of Self Heal
Decoction of Figwort
Decoction Against Scrofula (Fuller)

Electuary of Figwort (Avicenna)

Crystal Moon 37 (Zla shel so bdun) (Tibetan Medicine)


TCM Classification

Phlegm Obstruction
Soft swelling of the neck, pale face, nausea, white coated tongue

Xiao Luo Wan
Er Chen Tang


Heat and Toxin

Red swellings, sore throat, fever, red eyes, red tongue with yellow coating.

Yin Qiao Jie Du Pian
Shi Wei Bai Du San
Niu Huang Jie Du Pian


Liver Heat

Lumps in the throat that are red or quick growing, inflammation, restlessness, sweating, feels hot, fever, irritability, bulging eyes, bitter taste, red tongue with yellow coat

Dan Zhi Xiao Yao San
Long Dan Xie Gan Tang


Blood Stasis with Phlegm
Chronic hard lump of the throat, difficult to clear, dull complexion, poor appetite


Hai Zao Yu Hu Tang


Yin deficiency of the Heart and Liver
soft swelling of the neck, grows slowly, palpitations, restlessness, nightsweat, dryness of the eyes, blurred vision, insomnia

Zhi Bai Di Huang Wan
Tian Wan Bu Xin Wan





Research
1. Goiter in Tibetan Medicine

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