Pai Nong Tang

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

排膿湯 · Pái Nóng Tāng

A classical formula for abscess with pus, from the Jin Gui Yao Lue.

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Quick Facts

Formula Category
Heat-Clearing Formulas
Primary Pattern
Phlegm-Heat
Primary Function
Clear heat, expel pus
Primary Therapeutic Principle
Clear heat and expel pus
Classical Source
Jin Gui Yao Lue (Zhang Zhongjing, Eastern Han)
Available as Granules
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Formula Overview

A classical formula for abscess with pus, from the Jin Gui Yao Lue.

Therapeutic Principle

Selected when pus has formed and a simple expelling formula is appropriate.

Composition: Sovereign, Minister, Assistant, Envoy

Every herb in the formula, grouped by the job it does in the classical hierarchy.

Classical Composition

  • Glycyrrhizae Radix (Gan Cao) 6g
  • Platycodi Radix (Jie Geng) 3g
  • Zingiberis Rhizoma Recens (Sheng Jiang) 3g
  • Jujubae Fructus (Da Zao) 4 pieces. From the Jin Gui Yao Lue.

Dosages follow the classical source and are shown for study, not as a prescription.

Related Conditions

Related Health Topics

Actions

  • Clears heat and expels pus.

Indications

  • Abscess with pus.
  • Cough with purulent sputum, or sores that have formed pus.

Traditional Pathogenesis

Cause & mechanism

  • Heat and toxin form pus in the lung or sores.
  • Jie Geng opens and expels, Gan Cao resolves toxin.

Clinical presentation

  • Cough with purulent sputum, or sores with pus, chest discomfort.

Treatment strategy

  • Clear heat, expel pus, resolve toxin.

How does this formula compare?

Compare Pai Nong TangXian Fang Huo Ming YinQing Fei Tang
Primary Function Clear heat, expel pusClear heat, resolve toxin, reduce swelling, invigorate blood, stop painClear Lung heat, resolve phlegm, stop cough
Formula Category Heat-Clearing FormulasHeat-Clearing FormulasHeat-Clearing Formulas
Typical TCM Pattern Phlegm-HeatDamp-HeatLung Heat
Main Conditions CoughFever·Sore ThroatCough·Sore Throat
Main Herbs Licorice Root·Platycodon Root·Fresh Ginger·Jujube / Chinese DateAngelica Dahurica Root·Fritillaria Bulb·Saposhnikovia Root·Red Peony Root·Chinese Angelica RootScutellaria / Baikal Skullcap·Mulberry Root Bark·Platycodon Root·Ophiopogon Tuber·Fritillaria Bulb
Classical Source Jin Gui Yao Lue (Zhang Zhongjing, Eastern Han)Ming-Qing classical formularyClassical TCM formulary

Clinical Perspective

Pai Nong Tang, Wei Jing Tang and Xian Fang Huo Ming Yin address abscess differently. Wei Jing Tang clears lung heat and expels pus more strongly. Xian Fang Huo Ming Yin is for early sores. This is a simple Jin Gui pus-expelling formula.

Clinical Differentiation

  • Used when pus has formed in lung abscess or sores.
  • Key points: purulent discharge.
  • Distinct from early toxin formulas that clear before pus forms.

Safety notes: Not a substitute for conditions requiring urgent medical care. Not appropriate before pus has formed if strong clearing is needed.

For educational reference only, based on traditional pattern differentiation — not a substitute for professional advice.

Frequently Asked Questions

What is Pai Nong Tang? Are Pai Nong San and Wei Jing Tang the same?
Pai Nong Tang (排脓汤) is a classic formula from related records in the Jin Gui Yao Lue, centered on expelling pus, resolving toxicity and harmonizing the nutritive and defensive for sores, carbuncles, intestinal abscess and lung abscess. Pai Nong San expels pus and reduces swelling, leaning to early swelling and pain before rupture. Wei Jing Tang clears the Lung, transforms phlegm and expels pus, leaning to lung abscess. The three cannot be interchanged by equal weight. Write Pai Nong Tang. Use caution when pus has not formed and in pure deficiency without excess.
What is the composition and traditional use of Pai Nong Tang?
Classic composition: Gan Cao about 6 g, Jie Geng about 9 g, Sheng Jiang about 3 g, Da Zao ten pieces. It acts to move qi and blood, harmonize the nutritive and defensive, expel pus and resolve toxicity. It is used for sores, carbuncles, intestinal abscess and lung abscess with vomiting of pus. Jie Geng expels pus and opens; Gan Cao resolves toxicity and harmonizes the center; Sheng Jiang and Da Zao harmonize the nutritive and defensive.
How do you choose raw versus prepared? Can Pai Nong San replace it?
Sheng Jiang is raw; Gan Cao is raw or honey-fried according to the situation. Pai Nong San leans to reducing swelling; it cannot replace Pai Nong Tang by equal weight. Commercial products follow regulated compounding; do not self-modify.
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Medical Disclaimer

For general TCM education only — not medical advice. Consult a qualified TCM practitioner or licensed healthcare provider before use, especially if pregnant, nursing, on medication, or managing a chronic condition.

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