Lan Wei Qing Jie Tang阑尾清解汤
Appendix Heat-Clearing and Toxin-Resolving Decoction
Ingredients8 herbs
Indications
Heat toxin blazing in the intestineswith the abscess advanced and systemic signs present. Clearing alone is too slow at this stage, so the formula clears and purges at the same time.
Clinical Manifestations
- Heat-toxin stage intestinal abscess with high fever
- Severe continuous right lower abdominal pain with guarding
- Abscess formation with systemic toxic signs, alongside surgical care
- Marked thirst, constipation and dark urine in an abdominal abscess pattern
Health Categories
Modern Applications
Common adjustments
- Fluids visibly damaged by the fever — pair with fluid-generating herbs such as Xuan Shen 玄参 rather than purging harder
- Pain and stasis dominant with lower fever — the milder Lan Wei Qing Hua Tang 阑尾清化汤 fits better
Contraindications
This stage is a surgical emergency in most settings — the formula is adjunctive, never a replacement for surgery when there is perforation, gangrene, spreading peritonitis or a deteriorating patient. Strongly cold and purging, so unsuitable for the frail, the elderly with collapsed qi, and for anything beyond a short course.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Contraindicated in pregnancy. This is the most aggressive of the three appended formulas — large doses of cold toxin-resolving herbs plus a forceful purge — and none of it is appropriate in pregnancy. A pregnant patient with this presentation needs emergency care.
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.