Lan Wei Hua Yu Tang阑尾化瘀汤
Appendix Stasis-Transforming Decoction
Ingredients7 herbs
Indications
Qi stagnation and blood stasis in the intestines with mild heat. The knot is there and the pain is fixed, but the burning heat toxin of a later stage has not developed, so the formula unblocks rather than purges.
Clinical Manifestations
- Stagnation-stage intestinal abscess with fixed right lower abdominal pain
- Localised tenderness with little systemic fever
- Early appendiceal inflammation under surgical observation
- Residual abdominal pain after an abscess has begun to settle
Health Categories
Modern Applications
Common adjustments
- Heat rising, fever and thirst appearing — the pattern is moving toward Lan Wei Qing Hua Tang 阑尾清化汤
- Constipation with fullness — increase Da Huang 大黄 and add it late in the cooking
Contraindications
Not a substitute for surgical assessment. Perforation, gangrene, an appendiceal mass with spreading peritonitis, or a deteriorating patient all require surgery, not herbs. Unsuitable for the frail and for patients with a deficiency-cold pattern.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Contraindicated in pregnancy. Da Huang purges, Tao Ren and Mu Dan Pi move blood, and Chuan Lian Zi and Yan Hu Suo are strong qi- and blood-movers — the whole combination is one classical practice keeps away from pregnancy. Right lower abdominal pain in a pregnant patient is an urgent assessment, not a prescription.
Related Formulas
References
Source Xin Ji Fu Zheng Xue 《新急腹症学》 · Modern
- Source text as cited above — a modern compilation, so no public-domain classical line is quoted.
2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition cross-checked.
3. 《方剂学》（全国中医药行业高等教育规划教材）— chapter placement, 功用 and pattern analysis cross-checked.
Professional reference notice. Entries are scholarly references for licensed TCM practitioners and students — not medical advice, and not a recommendation to self-prescribe. Chinese herbal formulas should be used under the guidance of a qualified practitioner. Content is an original editorial compilation by Cura x Cura, cross-checked against the cited references.