余友王君孟英，少年失怙，其尊人弥留之际，执孟英手而嘱曰∶人生天地之间，必期有用于世，汝识斯言，
吾无憾矣。孟英泣拜而铭诸心腹。然自顾家贫性介，不能为利达之人，将何以为世用耶？闻先哲有“不为良
相，则为良医”之语，因自颜其室曰“潜斋”。而锐志于轩岐之学，潜心研究，遂抉其微。年未冠，游长山，
即纳交于余，每见其治病之奇，若有天授，而视疾之暇，恒手一编不辍也。继瞻其斋头一联云∶“读书明理，
好学虚心”。可见志苦力学，蕴之胸中者，渊深莫测，乃能穷理书性。出之指下者，神妙难言。二十年来，活
人无错，岂非以用世之才，运其济世之术，而可垂诸后世者哉？今就余耳目所及之妙法，仿丁长孺刻仲淳案
之例，录而付梓，名曰《回春录》。然见闻有限，遗美极多，世之君子，必有如庄敛之，华岫云其人者，更为之
远搜博采，以广其传，而余糠秕在前，有荣施矣。
道光二十三年癸卯冬十二月愚弟周 拜题
一何叟，年近八旬，冬月伤风，有面赤气逆、烦躁不安之象。孟英曰∶此喻氏所谓“伤风亦有戴阳证也”。不可
藐视。以∶东洋人参 细辛 炙甘草 熟附片 白术 白芍 茯苓 干姜 五味 胡桃肉 细茶 葱白，一剂而瘳。
孟英曰∶此真阳素扰，痰饮内动，卫阳不固，风邪外入，有根蒂欲拔之虞。误投表散，一汗亡阳。故以真武、四
逆诸法，回阳镇饮，攘外安内以为剂也，不可轻试于人，致干操刃之辜，慎之慎之！
江小香，病势危笃，浼人迎孟英诊之，脉虚弦而小数，头痛偏于左，后子夜热躁，肢冷欲呕，口干不欲
饮，不饥不欲食，舌謇言涩，溺黄而频，曰∶体属素虚，此由患感时邪，过投温散，阴津阳气皆伤，后来进补
而势反日剧者，滋腻妨其中运，刚烈动其内风，以致医者佥云∶表之不应，补亦无功，
竟成无药可治之证。虽然、不过难治耳，未可遽弃也。与秋石水拌制高丽参苁蓉 首乌 生白芍 牡蛎 楝
实盐水炒 橘红 桑椹 石斛 蒺藜 茯苓，煎（汤），吞饭丸肉桂心五分，一剂躁平呕止，各恙皆减，连投
数服，粥食渐安；乃去首乌、楝实，加砂仁末拌炒熟地、菊花、枸杞，半月而瘳。
周子朝，患恶寒、头痛、发热，酷似伤寒，而兼心下痛胀。孟英脉之，右部沉滑，苔黄不渴，溲如苏木
汁。先以葱豉汤加（山）栀、（黄）连、杏（仁）、贝（母）、蒌（仁）、橘（皮）为方，服后微汗，而不恶
寒反恶热。虽汤饮略温，即气逆欲死。孟英曰∶客邪解矣，清其痰热可也。予∶知母 花粉 杏（仁） 贝（
母） 旋（复） 滑（石） （石）斛 橘（皮）
枇杷（叶） 茅根 芦根 地栗 海 等药，果吐胶痰甚多，而纳食渐复。惟动则欲喘。于“肃上”之中，
佐以“滋下”为善后而瘥。
《寓意草》谓∶“伤风亦有戴阳证”。此为高年而言。然有似是而非者。黄鼎如母，年登大耋
，季冬感冒，痰嗽气逆，额汗颧红，胸痞不饥，神情躁扰。孟英诊脉，左弦疾而促，右滑数
而溢，苔色满布。系冬温挟
痰阻肺，治节不伸，肝阳鼓舞直升。昔罗谦甫有“治痰火类孤阳”之案，与此颇相似也。以小陷胸汤加薤
白、旋复、赭石、花粉、海 、凫茈、竹沥，为大剂投之，痰活便通，数日而瘥。
继有陈舜廷之父，年逾花甲，患痰嗽气逆。惟饮姜汤则胸次舒畅，医者以为真属虚寒矣。连投温补之剂，
驯致咽痛不食，苔色灰刺，便秘无溺。求孟英诊之，脉至双弦，按之索然，略有胃气。曰∶渴喜姜汤者，不过
为痰阻清阳之证据耳，岂可妄指为寒，而迭投刚烈之剂哉？胃阴已竭，药不能为矣。
丙申春，蜀人石符生将赴邓云崖司马之招，经杭抱病，侨于张柳吟之旧馆，亦为寓侧陈六顺治困。居仃
之主人知之，即告以柳吟仆病之事，石闻之悚然，亟遣人延孟英诊焉，脉沉而涩滞，模糊不分至数，肢凉畏
冷，涎沫上涌，二便涩少，神气不爽。曰∶此途次感风湿之邪，失于解散，已从热化。加以温补，致气机愈形
窒塞，邪热漫无出路，必致烁液成痰，逆行而上。但与舒展气机，则痰行热降，诸恙自瘳矣。以∶黄连 黄芩
枳实 橘皮 栀子 淡豉 桔梗 杏仁 贝母 郁金 通草 紫菀 竹茹 芦菔汁等药，三服而起，调
理匝旬遂愈。
余某，年三十余，发热数日。医投凉解之法，遂呕吐自汗，肢冷神疲。亟延孟英诊之，脉微弱。曰∶内
伤也，岂可视同伏暑而一概治之，径不详辨其证耶？与黄 建中汤去饴，加龙骨、生姜、茯苓、橘皮，投剂
即安。续加（人）参、（白）术，逾旬而愈。
何新之，亦儒医也，患感旬日，胡士扬诊谓∶“势欲内陷”。举家惶惶。渠表弟沈悦亭亦工岐黄，而心折
于孟英，因拉孟英视之，呃忒苔腻，便秘痰多，心下拒按。持其脉，右手洪大滑数。与小陷胸汤
加沙参、菖（蒲）、贝（母）、（紫）菀、薤（白）、（竹）茹、杏（仁）、旋（复）、枇（杷叶）之类，数
剂而安。继以甘凉，二旬后，得大解而瘥。
石芷卿，患感，张某连投柴、葛之药，热果渐退，而复热之后更孔甚，乃延孟英诊焉。先以∶栀子 豆
豉黄芩 黄连等药，清解其升浮之热，俟邪归于腑，脉来弦滑而实，径用承气汤下之，时其尊人北涯赴瓯，
无人敢主其可服否？另招他医决之，以为太峻，且腹不坚满，妄攻虑变。举家闻之摇惑，暮夜复恳再诊。孟英
辨论洋洋，坚主前议，服后果下黑矢。次日大热、大汗、大渴引饮。孟英曰∶此腑垢行而经热显矣。予∶竹
叶石膏汤两剂，继以育阴充津，调理而康。
范廉居，患恙。旬日后，病剧。金粟香荐孟英视之。大解已行，热退未净，气逆不饥，呃忒自汗，脉形虚
大，舌紫无苔。为上焦热恋，下部阴亏之象。与∶西洋参 旋复 竹茹 枇杷叶 石斛 柿蒂 牡蛎 龟板 刀
豆牛膝之剂，两服即舌润知饥，呃汗皆罢。乃去刀豆、旋复、柿蒂，加熟地、胡桃肉、当归，投之而愈。
范廉居之室人，患恙。苔腻，口酸，耳鸣，不寐，不饥，神惫，脘痛，头摇。脉至虚弦，按之涩弱。以∶
当归 白芍 枸杞 木瓜 楝实 半夏 石斛 茯神 竹茹 兰叶 白豆蔻，为养营调气，和胃柔肝之法。数
啜而瘳。
范廉居令嫒，患感。壮热殿屎，二便皆闭，苔黄，大渴，胀闷难堪。脉来弦滑数实，系腑（实）证也。
投桃核承气（汤）加
蛇、莱菔，二剂而痊。廉居尊人颖禾曰∶甚矣，服药之不可不慎也。三人之证，医者皆
谓可危，而治之日剧。君悉以一二剂起之，抑何神欤？因忆四十二岁时患 （《古》疟疾）胡魁元先用
首乌太早，遂致客邪留恋，缠绵百日，大为所困。嗣后不敢服药，今四十年矣。
【背景信息】
书名：回春录 作者：王士维 朝代：清 章节：序 / 感冒 类别：综合
【待处理原文翻译】
我的好友王孟英先生，少年时丧父，其父亲在临终之际，握着孟英的手嘱咐说：“人生在世，必须期望能对世间有所贡献，你记住这句话，我死而无憾了。”孟英哭着拜谢并将这话铭记在心。然而他自顾家境贫寒、性格孤高耿介，不能成为追求名利通达的人，那又能用什么来为世所用呢？听闻先哲有“做不了好的宰相，就做好的医生”这样的话，于是给自己的书房题名为“潜斋”。他立志钻研黄帝内经与岐伯（轩岐）的医学学问，潜心研究，从而洞察其中的精微之处。年纪不到二十岁（未冠），去长山游历时，就与我结交，每次见到他治病的神奇效果，好像有天授之才，而在诊治疾病的闲暇时间，总是手捧书卷不停阅读。后来我看到他书房的一副对联：“读书明理，好学虚心”。可见他志向刻苦努力学习，蕴藏在胸中的学识，渊深莫测，才能穷尽事理、通晓人性。表现在手指下的医术，神妙难以言表。二十年来，救治活人从未出错，这难道不是以经世济民的才华，运用救世的技术，而可以流传后世吗？现在将我耳闻目睹的奇妙疗法，仿照丁长孺刻印仲淳医案的体例，记录并付梓印刷，命名为《回春录》。然而见闻有限，遗漏的美好案例极多，世上的君子，一定有像庄敛之、华岫云那样的人，进一步广泛搜集采择，以扩大其传播，而我作为抛砖引玉者，感到荣幸。
道光二十三年癸卯冬十二月愚弟周 拜题
一何叟，年龄接近八十岁，冬天患伤风（外感风寒），出现面色发红、气机上逆、烦躁不安的症状。孟英说：“这就是喻嘉言所说的‘伤风也有戴阳证’啊。”不可轻视。用药：东洋人参、细辛、炙甘草、熟附片、白术、白芍、茯苓、干姜、五味子、胡桃肉、细茶、葱白，服用一剂后痊愈。孟英说：“这是真阳素来虚扰，痰饮在内动乱，卫阳不固，风邪从外侵入，有根蒂欲拔的危险。如果误用解表发散的药物，一次发汗就会导致亡阳。所以用真武汤、四逆汤等方法，回阳镇摄痰饮，攘除外邪、安定内里作为方剂，不可轻易尝试于人，以免招致鲁莽行医的罪责，务必谨慎！
江小香，病情危重，托人请孟英诊病，脉象虚弦而小数，头痛偏于左侧，后半夜发热烦躁，四肢冰冷想呕吐，口干但不想喝水，没有饥饿感也不想吃东西，舌强言语涩滞，小便黄且频数。孟英说：“体质属于素来虚弱，这是因为患感受时邪，过度投用温散药物，导致阴津和阳气都受伤，后来进补反而病情日益加重的原因，是滋腻药物妨碍了中焦运化，刚烈药物动了内风，以致医生们都认为：解表无效，补益也无功，竟然成了无药可治的病证。虽然如此，不过是难治罢了，不可以立刻放弃。给予秋石水拌制的高丽参、苁蓉、首乌、生白芍、牡蛎、楝实（盐水炒）、橘红、桑椹、石斛、蒺藜、茯苓，煎汤，吞服饭丸肉桂心五分，一剂后烦躁平息、呕吐停止，各种症状都减轻，连续服用几剂，喝粥吃饭逐渐安稳；于是去掉首乌、楝实，加入砂仁末拌炒熟地、菊花、枸杞，半个月后痊愈。
周子朝，患恶寒、头痛、发热，很像伤寒，兼有心下疼痛胀满。孟英诊脉，右部脉沉滑，苔黄口不渴，小便像苏木汁一样红。先用葱豉汤加栀子、黄连、杏仁、贝母、瓜蒌仁、陈皮为方，服用后微微出汗，不再恶寒反而怕热。虽然汤药稍微温热，就气逆得快要死了。孟英说：“客邪已经解除，清除其痰热就可以了。给予知母、花粉、杏仁、贝母、旋覆花、滑石、石斛、陈皮、枇杷叶、茅根、芦根、地栗、海蜇等药，果然吐出很多胶状痰液，食欲逐渐恢复。只是活动时就想要喘。在‘肃降上焦’之中，佐以‘滋补下焦’作为善后调理而痊愈。
《寓意草》中说：“伤风也有戴阳证”。这是针对高龄老人而言的。然而有似是而非的情况。黄鼎如的母亲，年龄很大，季冬感冒，痰嗽气逆，额头出汗颧骨发红，胸膈痞闷不想进食，神情烦躁扰乱。孟英诊脉，左脉弦疾而促，右脉滑数而溢，苔色满布。这是冬温挟痰阻肺，治节功能不伸，肝阳鼓舞直升。以前罗谦甫有“治疗痰火类同孤阳”的案例，与此颇为相似。用小陷胸汤加薤白、旋复花、赭石、花粉、海蜇、凫茈、竹沥，为大剂量投服，痰活便通，几天后痊愈。
接着有陈舜廷的父亲，年龄超过六十岁，患痰嗽气逆。只有喝姜汤则胸中舒畅，医生认为是真正的虚寒。连续投用温补药剂，逐渐导致咽痛不吃东西，苔色灰刺，便秘无尿。求孟英诊病，脉至双弦，按之索然，略有胃气。说：“口渴喜欢姜汤，不过是痰阻清阳的证据罢了，怎么可以妄指为寒，而反复投用刚烈药剂呢？胃阴已竭，药物也不能起作用了。
丙申年春天，四川人石符生将要赴邓云崖司马的邀请，经过杭州时抱病，寄住在张柳吟的旧馆，也被寓所旁边的陈六顺治好困境。独居的主人知道这件事，就告诉石符生关于柳吟仆人患病的事，石符生听后惊恐，急忙派人请孟英诊病，脉沉而涩滞，模糊不分至数，四肢凉畏冷，涎沫上涌，二便涩少，神气不爽。说：“这是在旅途途中感受风湿之邪，失于解散，已经从热化。加上温补，导致气机更加窒塞，邪热漫无出路，必然导致灼烧津液成痰，逆行而上。只给与舒展气机，那么痰行热降，各种病症自然痊愈。给予黄连、黄芩、枳实、橘皮、栀子、淡豆豉、桔梗、杏仁、贝母、郁金、通草、紫菀、竹茹、芦菔汁等药，三服后起身，调理一个月遂愈。
余某，年龄三十多岁，发热数日。医生投用凉解的方法，于是呕吐自汗，四肢冷神疲。急忙延请孟英诊病，脉微弱。说：“这是内伤病，怎么能看作伏暑而一概治疗，径直不详辨其证候呢？给予黄芪建中汤去饴糖，加龙骨、生姜、茯苓、陈皮，投药即安。续加人参、白术，超过十天而愈。
何新之，也是儒医，患感旬日，胡士扬诊察认为：“病势将要内陷”。全家惶恐。他的表弟沈悦亭也精通岐黄之术，而心服孟英，因此拉孟英去看病，呃逆苔腻，便秘痰多，心下拒按。持其脉，右手洪大滑数。给予小陷胸汤加沙参、菖蒲、贝母、紫菀、薤白、竹茹、杏仁、旋复花、枇杷叶之类，几剂后安宁。继以甘凉药物，二十天后，得大便通畅而痊愈。
石芷卿，患感，张某连续投用柴胡、葛根的药，热果然渐渐退去，但复发后更严重，于是延请孟英诊病。先用栀子、豆豉、黄芩、黄连等药，清解其升浮之热，等到邪气归于腑，脉来弦滑而实，直接用承气汤攻下，当时他的父亲北涯去瓯地，没有人敢决定是否可以服用？另外招其他医生决断，认为太峻猛，而且腹部不坚满，妄攻担心变证。全家听到后动摇疑惑，夜晚再次恳请再诊。孟英辩论洋洋洒洒，坚持主张前议，服药后果然排出黑屎。次日大热、大汗、大渴引饮。孟英说：“这是腑垢行而经热显了。给予竹叶石膏汤两剂，继以育阴充津，调理而康。
范廉居，患恙。十天后，病剧。金粟香推荐孟英视诊。大便已行，热退未净，气逆不饥，呃逆自汗，脉形虚大，舌紫无苔。这是上焦热恋，下部阴亏的现象。给予西洋参、旋复花、竹茹、枇杷叶、石斛、柿蒂、牡蛎、龟板、刀豆、牛膝之剂，两服即舌润知饥，呃逆汗出皆罢。于是去掉刀豆、旋复花、柿蒂，加熟地、胡桃肉、当归，投药而愈。
范廉居的妻子，患恙。苔腻，口酸，耳鸣，不寐，不饥，神惫，脘痛，头摇。脉至虚弦，按之涩弱。给予当归、白芍、枸杞、木瓜、楝实、半夏、石斛、茯神、竹茹、兰叶、白豆蔻，作为养营调气，和胃柔肝的方法。几口饮用后痊愈。
范廉居的女儿，患感。壮热殿屎（形容高热神昏或排便困难之状），二便皆闭，苔黄，大渴，胀闷难堪。脉来弦滑数实，系腑实证也。投桃核承气汤加蛇蜕、莱菔，二剂而痊。廉居的父亲颖禾说：“服药之不可不慎啊。三个人的证候，医生都认为可危，而治疗之日剧。您都用一两剂药起效，多么神奇啊？因而回忆四十二岁时患疟疾（《古》疟疾），胡魁元先用首乌太早，遂致客邪留恋，缠绵百日，大为所困。嗣后不敢服药，今四十年矣。”
[Background Information]
Book: Huichun Lu (Record of Revival) Author: Wang Shiwei Dynasty: Qing Chapter: Preface / Common Cold Category: Comprehensive
[Preface Translation]
My friend, Mr. Wang Mengying, lost his father in his youth. On his deathbed, his father held Mengying's hand and instructed him, saying, "A person lives between heaven and earth; one must strive to be useful to the world. Remember these words, and I shall have no regrets." Mengying wept, bowed, and engraved these words in his heart. However, considering his poor family background and aloof character, he could not become a person pursuing fame and wealth. How then could he be useful to the world? Hearing the ancient saying, "If one cannot be a good prime minister, one should be a good physician," he named his study "Qianzhai" (Hidden Studio). He set his mind on studying the medical theories of Huangdi and Qibo (Xuanqi), delving deeply into research, thereby grasping their subtleties. Before reaching the age of twenty (uncrowned), while traveling in Changshan, he befriended me. Every time I saw his miraculous healing skills, it seemed as if endowed by heaven. In his leisure from treating diseases, he was always reading a book without ceasing. Later, I saw a couplet in his study: "Reading books to understand principles, loving learning with an open mind." This shows his bitter determination to study hard; what he harbored in his chest was profound and unfathomable, enabling him to exhaust principles and understand human nature. What emerged from his fingertips was divine and difficult to describe. For twenty years, he has saved countless lives without error. Is this not using his talent for governing the world and applying his art to save the world, so that it may be passed down to posterity? Now, taking the wonderful methods within my sight and hearing, and imitating the example of Ding Changru printing Zhongchun's medical cases, I record them and have them printed, naming this book *Huichun Lu* (Record of Revival). However, my knowledge is limited, and many beautiful cases are omitted. Gentlemen of the world, such as Zhuang Lianzhi and Hua Xiuyun, will surely further search widely and collect extensively to spread its influence. As the one who throws out bricks to attract jade, I feel honored.
Written by your humble brother Zhou, in the twelfth month of winter, Gui Mao year, 23rd year of Daoguang.
Case 1: Old Man Yi
Old Man Yi, nearly eighty years old, contracted a common cold (Wind-Cold Exopathy) in winter, presenting with facial redness, rebellious Qi, and restlessness. Mengying said, "This is what Yu Jiayan referred to as 'Common Cold also having Dai Yang Syndrome' (Floating Yang Syndrome)." It must not be underestimated. Prescription: Dongyang Ginseng, Xixin (Asarum), Zhi Gancao (Honey-fried Licorice Root), Shu Fupian (Prepared Aconite Child Root), Baizhu (Atractylodes Macrocephala Rhizome), Baishao (White Peony Root), Fuling (Poria), Ganjiang (Dried Ginger), Wuweizi (Schisandra Berry), Hetao Rou (Walnut Kernel), Xicha (Fine Tea), Congbai (Scallion White). One dose resulted in recovery. Mengying explained, "This is due to inherent disturbance of True Yang, internal movement of Phlegm-Fluids, insecurity of Defensive Yang, and external invasion of Wind Pathogen, with the danger of root extraction. Misusing exterior-releasing dispersants would cause loss of Yang through a single sweat. Therefore, methods like Zhenwu Tang (True Warrior Decoction) and Sini Tang (Frigid Extremities Decoction) were used to restore Yang, suppress Phlegm-Fluids, repel external pathogens, and stabilize the interior. This prescription should not be tried lightly on others to avoid the guilt of reckless practice. Be extremely cautious!"
Case 2: Jiang Xiaoxiang
Jiang Xiaoxiang suffered from a critical condition and sent someone to invite Mengying for diagnosis. The pulse was deficient, wiry, rapid, and small. Headache was localized to the left side. Late at night, there was fever and irritability, cold limbs, nausea, dry mouth without desire to drink, no hunger, and no desire to eat. Tongue was stiff with slurred speech, urine was yellow and frequent. Mengying said, "The constitution is inherently deficient. This arose from contracting seasonal pathogens, followed by excessive use of warm-dispersing drugs, injuring both Yin fluids and Yang Qi. Subsequent tonification aggravated the condition because cloying substances hindered middle-jiao transportation, and harsh drugs stirred internal Wind. Thus, physicians claimed that releasing the exterior was ineffective and tonification was useless, resulting in a seemingly untreatable state. Nevertheless, it is merely difficult to treat, not hopeless." Prescription: Gaoli Shen (Korean Ginseng) processed with Qiushi Water (Nitre Water), Rongrong (Cistanche), Shouwu (Polygonum Multiflorum), Sheng Baishao (Raw White Peony Root), Muli (Oyster Shell), Lianshi (Melia Azedarach Fruit) stir-fried with salt water, Juhong (Tangerine Red), Sangshen (Mulberry Fruit), Shihu (Dendrobium), Jili (Tribulus Terrestris), Fuling (Poria). Decoct and swallow Wan Rouguixin (Cinnamon Heart Pills) made from rice paste, 5 fen. After one dose, irritability subsided, vomiting stopped, and symptoms improved. After several doses, porridge intake stabilized. Then, remove Shouwu and Lianshi; add Shudi (Rehmannia Root) stir-fried with Shaoren (Amomum Fruit powder), Juhua (Chrysanthemum), Gouqi (Goji Berry). Recovered after half a month.
Case 3: Zhou Zichao
Zhou Zichao suffered from aversion to cold, headache, and fever, resembling Taiyang Cold Damage (Shanghan), accompanied by pain and distension in the epigastrium. Mengying palpated the pulse: right side was deep and slippery, coating was yellow, no thirst, urine resembled Su Mu (Sappan Wood) juice. First prescribed Congchi Tang (Scallion and Fermented Soybean Decoction) plus Zhizi (Gardenia), Huanglian (Coptis Rhizome), Xingren (Apricot Seed), Beimu (Fritillaria Bulb), Louren (Trichosanthes Seed), Chenpi (Tangerine Peel). After ingestion, slight sweating occurred; aversion to cold ceased, replaced by aversion to heat. Even slightly warm decoctions caused severe rebellious Qi. Mengying said, "The exogenous pathogen has resolved; clear the Phlegm-Heat." Prescribed: Zhimu (Anemarrhena Rhizome), Huafen (Trichosanthes Root), Xingren (Apricot Seed), Beimu (Fritillaria Bulb), Xuanfuhua (Inula Flower), Huashi (Talc), Shihu (Dendrobium), Chenpi (Tangerine Peel), Pipaye (Loquat Leaf), Maogen (Imperata Rhizome), Lugeng (Reed Rhizome), Dili (Water Chestnut), Hai Zhe (Sea Cucumber/Calamary - likely referring to Hai Zhe in context of phlegm resolution). The patient expectorated much gelatinous phlegm, and appetite gradually recovered. Only dyspnea upon exertion remained. Treatment focused on "descending Lung Qi" assisted by "nourishing the Lower Jiao" for convalescence, leading to recovery.
Note on Dai Yang Syndrome:
The book *Yuyi Cao* states, "Common cold can also present as Dai Yang Syndrome." This refers to elderly patients. However, similar presentations can be deceptive. Case of Mrs. Huang Dingru: Elderly, contracted cold in late winter, with coughing with phlegm, rebellious Qi, forehead sweating, malar flush, chest fullness, anorexia, and mental agitation. Pulse: left wiry, rapid, and hurried; right slippery, rapid, and overflowing. Coating covered the tongue completely. Diagnosis: Winter-Warmth combined with Phlegm obstructing the Lung, impairing its regulating function, with Liver Yang stirring upward. Similar to Luo Qianfu's case of "treating Phlegm-Fire mimicking isolated Yang." Prescribed Xiaoxianxiong Tang (Minor Stagnant Chest Decoction) plus Xiebai (Macrostemon Bulb), Xuanfuhua (Inula Flower), Zhesi (Hematite), Huafen (Trichosanthes Root), Hai Zhe (Sea Cucumber), Fu Zi (Eleocharis Tubers), Zhuli (Bamboo Juice). Large dose administered. Phlegm cleared, bowels moved, recovered in a few days.
Case of Father of Chen Shunting:
Over sixty years old, suffering from coughing with phlegm and rebellious Qi. Only felt comfortable in the chest after drinking ginger soup. Physicians diagnosed true deficiency-cold. Continuous administration of warm-tonifying agents led to sore throat, anorexia, gray prickly coating, constipation, and anuria. Mengying diagnosed: Double wiry pulse, empty upon pressure, but slight Stomach Qi remains. Explanation: Thirst preferring ginger soup is evidence of Phlegm obstructing Clear Yang, not necessarily cold. Repeated use of harsh/warm drugs exhausted Stomach Yin; medication is now ineffective.
Case of Shi Fusheng:
Spring of Bing Shen year. Shi Fusheng from Sichuan, traveling to Hangzhou under illness, stayed at Zhang Liuyin's former residence. Treated by Chen Liushun nearby. Upon hearing of Liuyin's servant's illness, Shi summoned Mengying. Pulse: deep, choppy, indistinct rate. Cold limbs, fear of cold, surging saliva, scanty urination and defecation, dull spirit. Diagnosis: Contracted Wind-Damp during travel, failed to resolve, transformed into Heat. Warm tonification exacerbated Qi stagnation, trapping pathogenic Heat without exit, burning fluids into Phlegm, reversing upward. Treatment: Unblock Qi mechanism to move Phlegm and descend Heat. Prescribed: Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root), Zhishi (Immature Bitter Orange), Chenpi (Tangerine Peel), Zhizi (Gardenia), Danshi (Fermented Soybean), Jiegeng (Platycodon Root), Xingren (Apricot Seed), Beimu (Fritillaria Bulb), Yujin (Curcuma Root), Tongcao (Tetrapanax Pith), Ziwan (Aster Root), Zhuru (Bamboo Shavings), Lubo Zhi (Radish Juice). Three doses improved condition; full recovery after one month of regulation.
Case of Yu Mou:
Male, over thirty, fever for several days. Previous doctor used cooling-resolving methods, resulting in vomiting, spontaneous sweating, cold limbs, and fatigue. Mengying diagnosed: Weak pulse. Diagnosis: Internal injury (Neishang), not Summerheat-Turbidity (Fushu). Do not treat uniformly without differentiation. Prescribed Huangqi Jianzhong Tang (Astragalus Middle-Joint Building Decoction) minus Yitang (Maltose), plus Longgu (Dragon Bone), Shengjiang (Fresh Ginger), Fuling (Poria), Chenpi (Tangerine Peel). Immediate relief. Continued with Ren Shen (Ginseng) and Baizhu (Atractylodes), recovered after ten days.
Case of He Xinzhi:
Confucian physician, ill for ten days. Hu Shiyang diagnosed "pathogen about to sink inward." Family panicked. Cousin Shen Yueting, skilled in medicine and admiring Mengying, invited him. Symptoms: Hiccups, greasy coating, constipation, profuse phlegm, tenderness on pressure in epigastrium. Pulse: Right hand洪大 (Surging), large, slippery, rapid. Prescribed Xiaoxianxiong Tang (Minor Stagnant Chest Decoction) plus Shashen (Glehnia Root), Changpu (Acorus Rhizome), Beimu (Fritillaria Bulb), Ziwan (Aster Root), Xiebai (Macrostemon Bulb), Zhuru (Bamboo Shavings), Xingren (Apricot Seed), Xuanfuhua (Inula Flower), Pi Pa Ye (Loquat Leaf). Several doses brought peace. Followed by sweet-cool herbs. Recovered after twenty days with bowel movement.
Case of Shi Zhiqing:
Contracted cold. Dr. Zhang used Chaihu (Bupleurum) and Gegen (Pueraria), fever subsided slightly but rebounded severely. Mengying consulted. First, Zhizi (Gardenia), Danshi (Fermented Soybean), Huangqin (Scutellaria), Huanglian (Coptis) to clear floating Heat. Once pathogen entered the Fu organs, pulse became wiry, slippery, and solid. Directly used Chengqi Tang (Purgative Decoction) to purge. Father Beiya was away; family hesitated due to fear of harshness and lack of abdominal hardness. Another doctor advised against it. Night visit: Mengying argued firmly, insisted on previous plan. Patient passed black stool. Next day: High fever, profuse sweating, intense thirst. Mengying said, "Fu waste expelled, Jing (Channel) heat exposed." Prescribed Zhuye Shigao Tang (Leaf of Bamboo and Gypsum Decoction) for two doses, followed by Yin-nourishing and fluid-supplementing therapy for recovery.
Case of Fan Lianju:
Illness. Worsened after ten days. Jin Suxiang recommended Mengying. Bowels moved, fever subsided but not fully, rebellious Qi, anorexia, hiccups, spontaneous sweating. Pulse: deficient and large. Tongue: purple, no coating. Diagnosis: Upper Jiao Heat lingering, Lower Jiao Yin deficiency. Prescribed: Xiyangshen (American Ginseng), Xuanfuhua (Inula Flower), Zhuru (Bamboo Shavings), Pipaye (Loquat Leaf), Shihu (Dendrobium), Shidi (Persimmon Calyx), Muli (Oyster Shell), Guiban (Tortoise Plastron), Daodou (Lablab Bean), Niuxi (Achyranthes Root). Two doses: tongue moist, appetite returned, hiccups/sweating stopped. Remove Daodou, Xuanfuhua, Shidi; add Shudi (Rehmannia), Hetao Rou (Walnut Kernel), Danggui (Angelica Sinensis). Recovered.
Case of Fan Lianju's Wife:
Symptoms: Greasy coating, sour taste, tinnitus, insomnia, anorexia, exhaustion, epigastric pain, head tremor. Pulse: deficient-wiry, choppy-weak upon pressure. Prescription: Danggui (Angelica Sinensis), Baishao (White Peony Root), Gouqi (Goji Berry), Mugua (Chaenomeles Fruit), Lianshi (Melia Azedarach), Banxia (Pinellia Tuber), Shihu (Dendrobium), Fushen (Poria with Hostwood), Zhuru (Bamboo Shavings), Lanye (Orchid Leaf), Baudoukou (White Cardamom). Method: Nourish Ying (Nutrient) Qi, regulate Qi, harmonize Stomach, soften Liver. Recovered after a few doses.
Case of Fan Lianju's Daughter:
Contracted cold. High fever, difficulty defecating, obstruction of both urine and stool, yellow coating, extreme thirst, unbearable distension. Pulse: wiry, slippery, rapid, solid. Diagnosis: Fu organ excess syndrome. Prescribed Taohe Chengqi Tang (Peach Kernel and Mirabilite Purgative Decoction) plus She Tui (Snake Slough), Laifu (Radish). Two doses cured. Fan Yinghe (Father) remarked: "One must be extremely cautious with medication. Three cases were deemed critical by other doctors and worsened with treatment. You revived them in one or two doses. How miraculous! I recall suffering from Malaria (Gu Jue) at age forty-two. Hu Kuiyuan used Shouwu (Polygonum Multiflorum) too early, causing pathogen retention for a hundred days. Since then, I have avoided medication for forty years."