The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Neck lumps can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like neck lumps here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here neck lumps is often associated with menstrual cramps, irritability and feeling of distension in the pattern “Liver Qi Stagnation”.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of neck lumps we’ve identified two herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat neck lumps.
Liver Qi Stagnation, a "pattern of disharmony" that can cause neck lumps
In Chinese Medicine neck lumps is a symptom for the pattern "Liver Qi Stagnation". Below is a small explanation for it with links for more details.
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Liver Qi Stagnation
Pulse type(s): Wiry (Xian)
Tongue color: Normal (light red)
When Liver Qi does not flow smoothly or regularly, it becomes Stagnant and in Excess. This leads to Heat accumulating in the Liver. The feeling of ‘Distension’ (zhang 胀) is the main symptom of Liver Qi Stagnation.
In addition to neck lumps, other symptoms associated with Liver Qi Stagnation include menstrual cramps, irritability and feeling of distension.
From a Western Medicine standpoint Liver Qi Stagnation is associated with health issues such as Low Breast Milk Supply, Mastitis or Breast Engorgement.
Liver Qi Stagnation is often treated with Xiao Yao San, a herbal formula made of 6 herbs (including Bupleurum Roots - Chai Hu - as a key herb). Xiao Yao San belongs to the category of "formulas that harmonize liver-spleen", which might be why it is often recommended for this pattern. Its main action as a formula is: "Harmonizes the function of Liver and Spleen".
Two herbal formulas that might help with neck lumps
Jia Wei Xiao Yao San
Source date: Ming dynasty
Number of ingredients: 10 herbs
Key actions: Clears Liver and Spleen Qi Stagnation. Tonifies Spleen. Clears Deficient Heat. Nourishes the blood.
Why might Jia Wei Xiao Yao San help with neck lumps?
Because it is a formula often recommended to treat the pattern 'Liver Qi Stagnation' of which neck lumps is a symptom.
Other symptoms characteristic of Liver Qi Stagnation include menstrual cramps, irritability and feeling of distension.
Xiao Yao San
Source date: 1107 AD
Number of ingredients: 6 herbs
Key actions: Harmonizes the function of Liver and Spleen. Relieves Liver Qi stagnation. Nourishes the Blood.
Why might Xiao Yao San help with neck lumps?
Because it is a formula often recommended to treat the pattern 'Liver Qi Stagnation' of which neck lumps is a symptom.
Other symptoms characteristic of Liver Qi Stagnation include menstrual cramps, irritability and feeling of distension.
The five Chinese Medicinal herbs most likely to help treat neck lumps
Why might White Peony Root (Bai Shao) help with neck lumps?
Because White Peony Root is an ingredient in several formulas indicated to treat neck lumps as a symptom, like Jia Wei Xiao Yao San or Xiao Yao San for instance.
White Peony Roots is a Neutral herb that tastes Bitter and Sour. It targets the Spleen and the Liver.
Its main actions are: Tonifies the Blood and preserves the Yin. Nourishes the Liver and assists in the smooth flow of Qi. Regulates the meridians and eases the pain.
Why might Atractylodes Rhizome (Bai Zhu) help with neck lumps?
Because Atractylodes Rhizome is an ingredient in several formulas indicated to treat neck lumps as a symptom, like Yue Ju Wan or Xiao Yao San for instance.
Atractylodes Rhizomes is a Warm herb that tastes Bitter and Sweet. It targets the Spleen and the Stomach.
Its main actions are: Tonifies the Spleen Qi. Fortifies the Spleen Yang and dispels Damp through urination. Tonifies Qi and stops sweating. Calms restless fetus when due to Deficiency of Spleen Qi.
Why might Szechuan Lovage Root (Chuan Xiong) help with neck lumps?
Because Szechuan Lovage Root is an ingredient in several formulas indicated to treat neck lumps as a symptom, like Yue Ju Wan or Chai Hu Shu Gan San for instance.
Szechuan Lovage Roots is a Warm herb that tastes Pungent. It targets the Gallbladder, the Liver and the Pericardium.
Its main actions are: Regulates and moves the Blood. Relieves Wind-Cold and pain. Circulates the Qi in the Upper Burner, relieving headaches.
Why might Cape Jasmine Fruit (Zhi Zi) help with neck lumps?
Because Cape Jasmine Fruit is an ingredient in several formulas indicated to treat neck lumps as a symptom, like Yue Ju Wan or Jia Wei Xiao Yao San for instance.
Cape Jasmine Fruits is a Cold herb that tastes Bitter. It targets the Gallbladder, the Heart, the Lung and the Sanjiao.
Its main actions are: Clears Heat and calms spirit. Drains Damp-Heat affecting the Liver and Gallbladder. Clears Heat in the Blood and stops bleeding. Anti-inflammatory.
Why might Dong Quai (Dang Gui) help with neck lumps?
Because Dong Quai is an ingredient in several formulas indicated to treat neck lumps as a symptom, like Xiao Yao San or Jia Wei Xiao Yao San for instance.
Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Spleen, the Heart and the Liver.
Its main actions are: Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation.
Other symptoms often associated with neck lumps
Menstrual cramps Irritability Feeling of distension Breast lumps Hypochondriac pain Nausea Vomiting Abdominal pain Poor appetite Diarrhea