Qing Chang Yin清肠饮
Clear the Intestines Drink
Ingredients8 herbs
Indications
with blazing heat toxin and yin damaged: lower abdominal pain that resists pressure, fever, thirst, a dry mouth and dry stools or an urgent loose stool, in a patient whose tongue is already red and dry.
Clinical Manifestations
- Intestinal abscess with heat toxin and damaged fluids, alongside surgical care
- Appendicitis in the suppurative stage, as an adjunct
- Post-operative or walled-off intra-abdominal inflammation with dryness and heat
- Chronic lower abdominal pain with heat signs and constipation
Health Categories
Modern Applications
Common adjustments
- Constipation with hard stool — add Da Huang 大黄 briefly to give the heat a way down
- Marked blood stasis with fixed stabbing pain — add Tao Ren 桃仁 and Mu Dan Pi 牡丹皮
- Pus clearly formed — combine with pus-expelling herbs such as Bai Jiang Cao 败酱草 and Dong Gua Zi 冬瓜子; a collection needs drainage
- Pain escalating or fever with rigors — stop and seek urgent surgical assessment
Contraindications
The formula is cold and enriching in very large doses, so it is unsuitable for the cold, deficient patient with loose stools and a poor appetite, and it will loosen the stool in most people. Dang Gui at 60 g moves blood strongly: it is used with caution alongside anticoagulant and antiplatelet drugs, and generally avoided in pregnancy at this dose. Di Yu is cooling and astringent and is not appropriate for cold-type diarrhoea. Huang Qin and Xuan Shen are markedly cold. Xuan Shen belongs to the group and must never be combined with Li Lu under the. Sustained Gan Cao use, even at the modest dose here, adds to the sodium and potassium considerations if the patient is on several Gan Cao-containing formulas. The overriding point is diagnostic: right lower abdominal pain is appendicitis until proven otherwise, and appendicitis is treated surgically or with antibiotics under surveillance. Increasing pain, rebound tenderness, a rigid abdomen, vomiting, fever with rigors, or a rapid pulse with low blood pressure means perforation or sepsis and requires emergency care. This entry documents a classical prescription, not a way to manage an acute abdomen at home.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Avoided in pregnancy as written — Dang Gui is given at a very large blood-moving dose and the formula as a whole is markedly cold. Abdominal pain in pregnancy always needs medical assessment, since appendicitis in pregnancy is both harder to diagnose and more dangerous.
Related Formulas
References
Source Bian Zheng Lu 《辨证录》 · Qing
- Classical source named in the source fields (pre-1900, public domain).
2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition & dosage 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.