OBJECTIVE: To investigate the protective effect of Tibetan medicine Compound Duoxuekang capsules on the acute lung injury in mice induced by lipopolysaccharide. METHODS: 60 KM mice were randomly divided into blank group, model group, dexamethasone group (positive control, 1 mg/kg) and Compound Duoxuekang high-dose, medium-dose, low-dose groups (3.6, 1.8, 0.9 g/kg, calculated by crude drug),10 in each group. Intragastrically administrated, mice in blank group and model group intragastrically administrated equal volume of normal saline, once a day. After 7 d of administration, except for blank group, mice in other groups intraperitoneally injected lipopolysaccharide to induce acute lung injury. After 6 h modeling, pathological changes in the lung tissue was observed, lung tissue water content was measured, superoxide dismutase (SOD), glutathione peroxidase (GSH-Px), malondialdehyde (MDA) levels in lung tissue and IL-6, TNF-α levels in serum were detected. RESULTS: Compared with blank group, mice in model group showed pathological changes in congestion and edema, inflammatory cell infiltration, obvious widened alveolar septum and alveolar wall; water content in lung tissue and IL-6, TNF-α levels in serum were significantly increased (P<0.01); SOD, GSH-Px levels in lung tissue were significantly decreased (P<0.01). Compared with model group, injury degree of lung tissue reduced to varying degrees in each treatment group, except for the water content, MDA level in lung tissue and TNF-α level in serum in Compound Duoxuekang capsules low-dose group; the above-mentioned indexes in other groups were significantly improved (P<0.05 or P<0.01). CONCLUSIONS: Compound Duoxuekang capsules can obviously reduce mice’s oxidative stress and inflammatory response, and has certain protective effect on acute lung injury in mice.