Objective:To research the effect of baicalin on alveolar fluid clearance(AFC) in rats with acute lung injury(ALI) induced by lipopolysaccharides(LPS). Methods:Sprague-Dawley(SD) rats were randomly divided into control group,ALI group and baicalin pretreatment group(ALI+baicalin group),with 5 rats in each group. The ALI+baicalin group was further divided into three subgroups with different concentrations(10,50,100 mg/kg). SD rats in each group were killed for measurement of ratio of wet to dry(W/D) weight of lung tissue,cyclic adenosine monophosphate(cAMP) level by radioimmunoassay,pathological changes and AFC at 2,4 and 6 h. Results:Compared with ALI group[W/D weight:(9.88±1.53);concentration of cAMP:(265.80±62.39) pmol/g],baicalin pre-treatment[baicalin 10 mg/kg group:(7.94±1.14);baicalin 50 mg/kg group:(6.13±1.34);baicalin 100 mg/kg group:(5.38±1.43)] significantly decreased W/D weight of lung tissue(P<0.05),and [baicalin 10 mg/kg group:(381.00±60.51) pmol/g;baicalin 50 mg/kg group:(493.40±63.93) pmol/g;baicalin 100 mg/kg group:(582.40±47.44) pmol/g] significantly increased concentration of cAMP in lung tissue(P<0.05) in a dose-dependent manner with increasing doses. Interstitial edema and inflammatory cell infiltration were markedly decreased when being pretreated with baicalin. AFC was significantly increased in ALI+baicalin group in a dose-dependent manner at different intervals(P<0.05). Meanwhile,cAMP concentration in lung tissue was positive correlated with AFC(r=0.984,P=0.002). Addition of amiloride to the instillate decreased fluid clearance significantly. Baicalin or LPS had no significant effect on AFC in rats with ALI as amiloride being added in the instillate(P>0.05). Conclusion:Baicalin alleviates low AFC in rats with ALI probably by increasing intercellular cAMP level to modulate epithelial sodium channel.