The difference between Scrofula Pills and Internal Scrofula Pills lies in the composition and main treatment. 1. Difference in composition: Scrofula Pill is composed of oyster, ginseng and shellfish. Internal elimination of scrofula pill consists of XuanShen, XiaKuCao, DiHuang, seaweed, smallpox pollen, Ampelopsis and so on. 2. Difference of main treatment: Internal scrofula pill has wider indications than scrofula pill. Scrofula Pill is mainly used for treating phlegm nuclei (lumps swollen up like nuclei under the skin), scrofula, gall tumors at the beginning of the disease, symptoms such as lumps in the neck and neckline, or like beads, and dryness of the throat. Internal elimination of scrofula pill main treatment of scrofula phlegm nucleus or swelling or pain, mammary hyperplasia, benign breast lumps, chronic lymphadenitis. There is not much difference between the efficacy of Anti-Scrofula Pill and Internal Anti-Scrofula Pill. The former’s efficacy is to clear away heat and resolve phlegm, and to soften and disperse lumps (soften and dissipate hard lumps). The effect of the latter is to soften and disperse hard lumps. The adverse reactions and contraindications of Scrofula Pill and Internal Scrofula Pill are not clear. If medication is needed, a Chinese medicine practitioner should be consulted for diagnosis and use under medical supervision.