一圃人,诣孟英泣请救命,诘其所以。云∶家住清泰门内马婆巷,因本年二月十五日卯刻,雷从地奋,
火药局适当其冲,墙垣廨宇,一震泯然,虽不(未)伤人,而附近民房,撼摇如簸。其时妻在睡中惊醒,即觉
气不舒畅。半载以来,渐至食减形瘦,神疲汛少。惟卧则其病如失,
药治罔效。或疑邪祟所凭,祈祷压镇,亦属无灵,敢乞手援,幸无却焉。孟英许之,往见妇卧于榻,神色言动,固
若无恙。诊毕,病患云∶君欲睹我之疾也(耶)?坐起,果即面赤如火,气息如奔,似不能接续者。苟登厕溲便,必
贲逆欲死。而前所服药,如破气行血,和肝补肺,运脾纳肾,清火安神,诸法具备,辄如水投石。孟英仿喻氏治(吴
添官母)厥巅疾之法,用药∶旋复花 代赭石 龙胆草 黄连 龙骨 牡蛎 五味子 乌梅 木瓜 法夏 蒺
藜猪胆汁,一剂知,旬余愈。
孟英治其令弟季杰之 室,因夜间未寐,侵晨饮酒解寒,适见旁人争谇,即觉心跳欲吐,家人疑其醉也。而欲
吐不出,气即奔逆如喘,且肢麻手握,语言难出,又疑为急痧而欲刺之。孟英闻而视之,脉象弦驶。曰∶夜坐阳升,
饮醇则肝阳益浮。见人争谇,是惊则气更上逆,不可刺也。灌以苏合香丸一颗,下咽即瘥。
顾升庵参军之仲郎,久患多疑善恐,不出房者数年矣。食则不肯与人共案,卧则须人防护。寡言善笑,时或遗精,
多医广药,略无寸效。孟英切脉∶甚滑数。与∶元参 丹参 竺黄 竹茹 丹皮 黄连 花粉 栀子 海 荸荠
为剂,送服当归龙荟丸,四帖,即能出署观剧,游净慈而登吴山。参军大喜,以为神治。次年为之配室。
章养云室,患感,适遇猝惊,黄、包二医皆主温补,乃至昏谵痉厥,势极危殆。棺衾成备,无望生矣。
所亲陈仰山闻之谓云∶去秋顾奏云之恙,仅存一息,得孟英治愈,子盍图之。章遂求诊于孟英,证交三十八日,
脉至细数无伦。两手拘挛,宛如角弓之反张。痰升自汗,渴饮苔黄,面赤臀穿,昼夜不能合眼。先与∶犀(角
)羚(羊角) 贝(母) (石)斛 元参 连翘 知母 花粉 胆星 牛黄 鳖甲 珍珠 竺黄 竹叶
竹茹 竹沥为方,三剂,两手渐柔,汗亦渐收,又五剂,热退痰降,脉较和,而自言自答,日夜不休,乃
去羚(羊角)、(石)斛、(珍)珠、(牛)黄,加西洋参、生地、大块朱砂两许,服之,聆絮不减。复于方中,
加青黛、龙(骨)、牡(蛎)、服二剂,仍喋喋不已。孟英苦思数四,径于前方加木通一钱,投匕即效。次日,
病者自云∶前此小溲业已通畅,不甚觉热,昨药服后,似有一团热气从心头直趋于下,由溺而泄。从此神气安谧
,粥食渐加,两腿能动,大解亦坚。忽咽肿大痛,水饮不下。孟英曰∶余火上炎也。仍
与前方,更吹锡类散而安。唯臀疮未敛,腿痛不已,乃下焦气血伤残。改用∶(人)参 (黄) (当)归
(白)芍 生地 合欢 山药 麦冬 牛膝 石斛 木瓜 山栀 藕肉,数服,痛止餐加。又予峻补生肌而愈。
魏氏女,因事惊骇,次日即不知饥,眩晕便秘。医谓“神虚”,投补数帖,反至时欲昏厥。更医作中
风治,势益甚。旬日后,孟英持其脉,弦伏而滑,胸腹无胀闷之苦,而旬
余又不更衣。是惊则气乱,挟痰逆升。正仲圣所谓“诸厥应
下者,下其痰与气也”。以∶旋(复) 赭(石) 栀(子) (黄)连 雪羹 楝(实) 贝(母) 金箔
竹沥 (莱)菔汁为方,并以铁器烧红淬醋,令吸其气,二剂厥止。旬日而瘳。
杨某,方作事,不知背后有人潜立,回顾失惊,遂不言不食,不寐不便,别无他苦。孟英按脉,沉弦。
以∶石菖蒲 远志 琥珀 胆星 旋(复) 贝(母) 竺黄 杏仁 省头草 羚羊角为剂,化服苏合香丸,
二帖,大解行而啜粥,夜得寐而能言。复予调气宁神蠲饮药,数日霍然。
王瘦石,禀属阴亏,卒闻惊吓之声,而气逆肢冷,自汗息微,速孟英视之∶身面皆青绿之色,脉沉弦而细。乃
素伤忧虑,而风阳陡动也。予∶牡蛎(四两) 鳖甲(二两) 蛤壳(一两) 石英(五钱) 龙齿 小麦 辰砂 麦
冬茯神 贝母 竹茹为方,一剂知,二剂已,续以滋养而瘳。
己酉春,胡孟绅山长,患疑。坐卧不安,如畏人捕,自知为痰,饵白金丸吐之,汗出头面,神躁妄闻。孟
英切其脉,弦滑洪数,不为指挠。投∶石膏 竹茹 枳实 黄连 旋复 花粉 胆星 石菖蒲 加雪羹、竹沥、
童溲,吞礞石滚痰丸,下其痰火。连得大解,夜分较安。惟不能断酒,为加∶绿豆、银花、枳 子,吞当归龙荟
丸。旬余,脉证渐平,神气亦静,尚多疑惧。改授∶犀角 元参 丹皮 竹叶 竹茹 贝母 百合 丹参 莲
心猪胆汁炒枣仁 盐水炒黄连,吞枕中丹,以清包络肝胆之有余而调神志。又旬日,各恙皆蠲,即能拈韵。
继与十味温胆法善其后。
太仑陆竹琴之令正,陡患心悸,肢冷如冰。其子惶惶,浼吴江程勉耘恳援于孟英。察其脉,浮弦而数,
视其舌,尖赤无苔。乃阴虚阳越,“煎厥”根萌。与∶元参 “二至” “三甲” 龙齿 石英 生地
牛膝 茯神 莲子心而愈。
康康侯司马令郎尔九,在玉环署中,患心忡自汗,气短面赤,霎时溲溺数十次,澄澈如水。医佥谓虚,
补之日剧。乃来省就孟英诊焉。左寸关数,右弦滑,心下似阻。因作痰火阻气,心热移肺治。用∶蛤壳 黄连
枳实 楝实 旋复 花粉 橘红 杏仁 百合 丝瓜络 冬瓜子 海 荸荠 竹茹 竹沥 梨汁等,出入为
方,服之良愈。而司马(指康康侯)为职守所羁,尝患恙,函请孟英诊视者数四,竟不克往。继闻司马于仲冬
竟卒于瓯。乃知病而得遇良手,原非偶然。前岁遇而今岁不能致,岂非命也耶!
有一位百姓,到孟英处哭泣着请求救命,孟英询问其病因。那人说:“我家住在清泰门内的马婆巷。因为今年二月十五日卯时,雷声从地面爆发,火药局正好处于冲击范围内,墙壁和官署房屋瞬间崩塌震毁,虽然未伤人,但附近的民房也被摇撼得像簸箕里的东西一样晃动。当时妻子正在熟睡中被惊醒,立刻感到气机不畅。半年来,逐渐出现食欲减退、身体消瘦、精神疲惫、月经量少等症状。只有躺下时病症才消失,用药治疗毫无效果。有人怀疑是邪祟附体,进行祈祷镇压,也都没有灵验,恳请先生出手相救,希望不要推辞。”孟英答应了,前往探望那位妇女,见她躺在床上,神色言语动作,本来好像没有病状。诊脉完毕后,病人说:“您是想看我的病吗?”坐起身来,果然立即面红如烈火,气息急促奔涌,似乎不能接续。如果去厕所小便,必定气逆欲死。而之前服用的药物,如破气行血、调和肝脏补益肺脏、运化脾脏纳摄肾脏、清热泻火安神等治疗方法都用过了,却都像水浇在石头上一样毫无反应。孟英仿照喻嘉言治疗吴添官母亲厥巅疾的方法,用药:旋复花、代赭石、龙胆草、黄连、龙骨、牡蛎、五味子、乌梅、木瓜、法半夏、蒺藜猪胆汁,一剂见效,十多天痊愈。
孟英治疗他弟弟季杰的妻子,因为夜间未睡觉,清晨饮酒驱寒,恰好看见旁边人争吵辱骂,顿时觉得心跳想吐,家人怀疑她喝醉了。她想吐却吐不出来,气机奔逆像喘气一样,而且手脚麻木手握拳,说话困难,又怀疑是急痧想要针刺。孟英听说后前去查看,脉象弦而急数。说:“夜间坐着阳气上升,饮用烈酒则肝阳更加浮越。看见别人争吵辱骂,这是受惊导致气机更加上逆,不可以针刺。”灌下一颗苏合香丸,咽下去即刻痊愈。
顾升庵参军的二儿子,长期患有疑神疑鬼、容易恐惧的症状,几年不出房门了。吃饭不肯与人同桌,睡觉需要人看护。寡言易笑,时常遗精,多位医生大量用药,完全没有一点效果。孟英切脉:脉象非常滑数。给予:玄参、丹参、竺黄、竹茹、丹皮、黄连、花粉、栀子、海荸荠为方剂,送服当归龙荟丸,四帖后,就能出府观看戏剧,游览净慈寺并登上吴山。参军大喜,认为这是神妙的治疗。第二年为他娶妻。
章养云的妻子,患感冒,恰逢突然受惊,黄、包两位医生都主张温补,以至于出现昏迷谵语、痉挛厥逆,形势极其危险。棺材寿衣都已备好,没有生望了。亲友陈仰山听说了对他说:“去年顾奏云的病,仅存一口气,得到孟英治愈,你何不找他试试。”章遂向孟英求诊,病程已三十八天,脉象细数无比。两手拘挛,宛如角弓反张。痰液上涌自汗,口渴饮水舌苔黄,面色红赤臀部溃烂,昼夜不能闭眼。先给予:犀角(或用水牛角代替)、羚羊角、贝母、石斛、玄参、连翘、知母、花粉、胆星、牛黄、鳖甲、珍珠、竺黄、竹叶、竹茹、竹沥为方剂,三剂后,两手逐渐柔和,汗也逐渐收敛,又五剂,热退痰降,脉象较平和,但患者自言自语,日夜不停,于是去掉羚羊角、石斛、珍珠、牛黄,加入西洋参、生地、大块朱砂一两许,服用后,絮叨不减。又在方中,加入青黛、龙骨、牡蛎,服用两剂,仍然喋喋不休。孟英苦思多次,直接在前方中加入木通一钱,投药即见效。第二天,病人自己说:“此前小便已经通畅,不太觉得热,昨天服药后,似乎有一团热气从心头直冲向下,通过尿液排出。从此神气安宁,粥食逐渐增加,双腿能动,大便也变硬。忽然咽喉肿大疼痛,水饮难下。孟英说:“这是余火上炎。”仍用前方,另外吹锡类散而安定。只有臀部疮口未愈合,腿痛不止,这是下焦气血伤残。改用:人参、黄芪、当归、白芍、生地、合欢、山药、麦冬、牛膝、石斛、木瓜、山栀、藕肉,数服后,痛止餐增。再给予峻补生肌的药物而痊愈。
魏氏女儿,因事情受到惊吓,第二天即不知饥饿,眩晕便秘。医生说是“神虚”,投以补药数帖,反而导致时常昏厥。换医生按中风治疗,病情更加严重。十天后,孟英把她的脉,脉象弦伏而滑,胸腹没有胀闷的痛苦,但十多天不排便。这是受惊导致气机紊乱,挟带痰浊上逆上升。正是仲景所说的“各种厥证应当用下法的,是下其痰与气”。用:旋复花、代赭石、栀子、黄连、雪羹汤、楝实、贝母、金箔、竹沥、莱菔汁为方剂,并用铁器烧红淬醋,让病人吸入其气味,两剂后厥逆停止。十天而痊愈。
杨某,正在做事,不知道背后有人悄悄站立,回头一看失惊,于是沉默不语、不吃不喝、不眠不便,没有其他痛苦。孟英按脉,脉象沉弦。用:石菖蒲、远志、琥珀、胆星、旋复花、贝母、竺黄、杏仁、省头草、羚羊角为方剂,化服苏合香丸,两帖后,大便通行而喝粥,夜晚能入睡并能说话。再给予调气宁神祛痰的药,数日后霍然痊愈。
王瘦石,体质属于阴亏,突然听到惊吓的声音,而气逆肢冷,自汗呼吸微弱,急忙请孟英诊治:身面都是青绿色,脉象沉弦而细。这是素来忧伤忧虑,而风阳突然发动。给予:牡蛎(四两)、鳖甲(二两)、蛤壳(一两)、石英(五钱)、龙齿、小麦、辰砂、麦冬、茯神、贝母、竹茹为方剂,一剂见效,两剂痊愈,继续滋养而康复。
己酉年春天,胡孟绅山长,患多疑症。坐卧不安,像怕被人抓捕,自知是痰,服用白金丸催吐,汗出头面,神志烦躁妄闻。孟英切他的脉,脉象弦滑洪数,不为指力所扰。投以:石膏、竹茹、枳实、黄连、旋复花、花粉、胆星、石菖蒲,加雪羹汤、竹沥、童便,吞服礞石滚痰丸,下其痰火。接连得到大便通畅,半夜比较安静。只是不能断酒,为此加入:绿豆、银花、枳实,吞服当归龙荟丸。十多天,脉证逐渐平稳,神气也安静,但仍多疑恐惧。改授:犀角、玄参、丹皮、竹叶、竹茹、贝母、百合、丹参、莲子心(猪胆汁炒枣仁)、盐水炒黄连,吞服枕中丹,以清泄包络肝胆的有余之邪而调治神志。又过十天,各病皆除,就能作诗吟韵。接着用十味温胆汤善后。
太仓陆竹琴的正室夫人,突然患心悸,四肢冰冷如冰。她的儿子惊慌失措,委托吴江程勉耘恳请孟英援助。察其脉,浮弦而数,看其舌,舌尖红赤无苔。这是阴虚阳越,“煎厥”的根源萌芽。给予:玄参、“二至丸”、“三甲复脉汤”、龙齿、石英、生地、牛膝、茯神、莲子心而痊愈。
康康侯司马的儿子尔九,在玉环官署中,患心慌自汗,气短面赤,片刻间小便数十次,清澈如水。医生们都认为是虚证,每日进补,病情日益加重。于是来到省城找孟英诊治。左寸关脉数,右脉弦滑,心下感觉阻滞。因此按痰火阻气、心热移肺治疗。用:蛤壳、黄连、枳实、楝实、旋复花、花粉、橘红、杏仁、百合、丝瓜络、冬瓜子、海荸荠、竹茹、竹沥、梨汁等,出入变化为方剂,服用后良愈。而司马(指康康侯)被职守所束缚,曾经患病,写信请孟英诊治数次,竟然未能前往。后来听说司马在仲冬竟然死于瓯地。才知道生病遇到良医,原本就不是偶然的。前年遇到而今岁不能致,难道不是命运吗!
A commoner went to Meng Ying, weeping and begging for help. Meng Ying inquired about the cause. The man said: "My home is located in Mapo Alley inside Qingtai Gate. On the Mao hour of February 15th this year, thunder erupted from the ground. The gunpowder depot was directly in its path; walls and official buildings collapsed instantly. Although no one was injured, nearby civilian houses were shaken as if in a winnowing basket. At that time, my wife was awakened from sleep and immediately felt uncomfortable Qi (vital energy). Over the past half-year, her appetite decreased, she became emaciated, fatigued, and her menstrual flow diminished. Only when lying down did the symptoms disappear. Medication was ineffective. Some suspected demonic possession; prayers and suppressive rituals also failed. I dare to beg for your assistance, please do not refuse." Meng Ying agreed and visited the woman. She lay on the couch, her expression, speech, and movements appearing normal. After pulse diagnosis, the patient asked: "Do you wish to see my illness?" Upon sitting up, her face indeed turned red as fire, her breathing became rapid and surging, seemingly unable to continue. If she went to the toilet to urinate, she would experience severe Qi rebellion, nearly dying. Previous medications included methods to break Qi and move blood, harmonize Liver and tonify Lung, regulate Spleen and store Kidney, clear Heat and calm Spirit, yet they were like water thrown on stone. Meng Ying imitated Yu Jia Yan's treatment of Wu Tianguan's mother's Jue Dian disease (a type of severe headache or stroke-like condition), prescribing: Inulae Flos (Xuanfu Hua), Magnetitum (Daizheshi), Gentianae Radix (Longdancao), Coptidis Rhizoma (Huanglian), Ossis Fragments Longgu (Longgu), Concha Ostreae (Muli), Schisandrae Fructus (Wuweizi), Mume Fructus (Wumei), Chaenomelis Fructus (Mu Gua), Pinelliae Rhizoma Preparatum (Fabanxia), Tribuli Fructus (Jili) with Pig Bile. One dose showed improvement; over ten days, she recovered.
Meng Ying treated the wife of his brother Ji Jie. Because she had not slept at night and drank alcohol in the early morning to dispel cold, and happened to see others arguing and cursing, she suddenly felt palpitations and nausea. Her family suspected intoxication. She wanted to vomit but could not; Qi surged rebelliously like asthma, limbs were numb, hands clenched, and speech was difficult. Others suspected acute Sha disease and wanted to prick it. Meng Ying heard this and examined her; the pulse was Wiry (Xian) and Rapid (Shi). He said: "Sitting at night causes Yang to rise; drinking strong wine further floats Liver Yang. Seeing an argument causes Jing (Shock) to make Qi rebel upward; pricking is contraindicated." He administered one pill of Suhe Xiang Wan (Styrax Pill), and she recovered immediately upon swallowing.
The second son of Canjun Gu Shengan suffered from chronic suspicion and fear, staying indoors for years. He refused to eat at the same table as others and required protection while sleeping. He spoke little but laughed often, and occasionally experienced nocturnal emissions. Many doctors and medicines yielded no effect. Meng Ying palpated the pulse: very Slippery (Hua) and Rapid (Shu). He prescribed: Scrophulariae Radix (Yuanshen), Salviae Miltiorrhizae Radix (Danshen), Farfarae Flos (Zhuhuang), Bambusae Medulla (Zhuru), Moutan Cortex (Danpi), Coptidis Rhizoma (Huanglian), Glehniae Radix (Huafen), Gardeniae Fructus (Zhizi), and Hydrocotyl Asiatica (Haibiqi) as a decoction, taken with Danggui Longhui Wan (Angelica Sinensis and Picrorhiza Pill). After four doses, he could leave the residence to watch plays, visit Jingci Temple, and climb Wushan. The Canjun was overjoyed, calling it divine treatment. He married him off the following year.
Zhang Yangyun's wife contracted a Cold-Heat disorder (Gan) and encountered sudden shock. Doctors Huang and Bao both advocated Warm Tonification, leading to coma, delirium, spasms, and syncope, with critical danger. Coffins and shrouds were prepared, with no hope of survival. A relative, Chen Yangshan, told Zhang: "Last autumn, Gu Zhaoyun's illness was near death, but Meng Ying cured him. Why not try him?" Zhang sought Meng Ying's consultation. The disease had lasted thirty-eight days. The pulse was Thready (Xi) and Rapid without limit. Both hands were convulsed, resembling opisthotonos. Phlegm rose, spontaneous sweating occurred, thirst with yellow coating was present, face was red, buttocks were ulcerated, and eyes could not close day or night. First, he prescribed: Rhinocerotis Cornu (or Buffalo Horn substitute), Saiga Tataricae Cornu (Lingyangjiao), Fritillariae Bulbus (Beimu), Dendrobii Caulis (Shihu), Scrophulariae Radix (Yuanshen), Forsythiae Fructus (Lianqiao), Anemarrhenae Rhizoma (Zhimu), Glehniae Radix (Huafen), Arisaematis Cum Bile (Danning), Bovis Calculus (Niuhuang), Testudinis Carapax et Plastrum (Biejia), Perla (Zhenzhu), Farfarae Flos (Zhuhuang), Phragmitis Rhizome (Zhuye), Bambusae Medulla (Zhuru), and Bamboo Sap (Zhulü). After three doses, hand convulsions softened, and sweating stopped. After five more doses, heat subsided, phlegm descended, and pulse became harmonious. However, the patient talked to himself incessantly day and night. Meng Ying removed Lingyangjiao, Shihu, Zhenzhu, and Niuhuang, adding American Ginseng (Xiyangshen), Rehmanniae Radix (Shengdi), and large pieces of Cinnabar (Zhusha) weighing approximately two taels. The muttering continued. Meng Ying then added Qing Dai (Indigo Naturalis), Longgu (Ossis Fragments), and Muli (Concha Ostreae). After two doses, the chatter persisted. After deep contemplation, Meng Ying added Tong Cao (Akebia Caulis) one qian to the previous formula. The effect was immediate. The next day, the patient reported: "Previously, urination was smooth, and I did not feel much heat. After yesterday's medicine, a mass of hot Qi seemed to rush from the heart downward and exit through urine. Since then, spirit has been calm, food intake increased, legs moved, and stool became firm. Suddenly, throat swelled and hurt severely, unable to swallow liquids." Meng Ying said: "This is residual Fire flaring upward." He used the previous formula and applied Xile San (Tin Type Powder) externally to soothe it. Buttocks ulcers remained unhealed, and leg pain persisted, indicating injury to Qi and Blood in the Lower Jiao. He changed the prescription to: Ginseng Radix (Renshen), Astragali Radix (Huangqi), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Rehmanniae Radix (Shengdi), Albiziae Cortex (Hehuan), Dioscoreae Rhizoma (Shanyao), Ophiopogonis Tuber (Maidong), Achyranthis Bidentatae Radix (Niuxi), Dendrobii Caulis (Shihu), Chaenomelis Fructus (Mu Gua), Gardeniae Fructus (Shanzhi), and Lotus Root Flesh (Outou). After several doses, pain stopped, and appetite increased. He then provided strong tonification to generate flesh, and she recovered.
Ms. Wei, shocked by an incident, lost her appetite, suffered vertigo, and constipation the next day. Doctors diagnosed "Spirit Deficiency" and gave tonics, causing frequent fainting. Another doctor treated it as Stroke, worsening the condition. Ten days later, Meng Ying palpated her pulse: Wiry, Hidden (Fu), and Slippery. There was no chest/abdominal fullness, but she had not defecated for over ten days. This was Shock causing Qi chaos, carrying Phlegm upward. As Zhongjing stated: "For various Jue syndromes requiring purgation, purge the Phlegm and Qi." He prescribed: Inulae Flos (Xuanfu), Magnetitum (Daizheshi), Gardeniae Fructus (Zhizi), Coptidis Rhizoma (Huanglian), Xueting Soup (Snow Broth), Meliae Fructus (Lianshi), Fritillariae Bulbus (Beimu), Gold Leaf (Jinpiao), Bamboo Sap (Zhulü), and Raphani Fructus Juice (Laifu Zhi). He also heated iron tools and quenched them in vinegar, letting her inhale the fumes. Two doses stopped the Jue. She recovered in ten days.
Mr. Yang was working when someone stood quietly behind him. Turning around in surprise, he became mute, refused food, could not sleep or defecate, with no other complaints. Meng Ying palpated the pulse: Deep (Chen) and Wiry (Xian). He prescribed: Acori Tatarinowii Rhizoma (Shichangpu), Polygalae Radix (Yuanzhi), Succinum (Hupo), Arisaematis Cum Bile (Danning), Inulae Flos (Xuanfu), Fritillariae Bulbus (Beimu), Farfarae Flos (Zhuhuang), Armeniacae Semen (Xingren), Menthae Haplocalycis Herba (Shentoucao), and Saiga Tataricae Cornu (Lingyangjiao) as a decoction, taken with dissolved Suhe Xiang Wan. After two doses, bowel movement occurred, he ate porridge, slept at night, and spoke. He was then given Qi-regulating, Spirit-calming, and Phlegm-resolving herbs, recovering fully in a few days.
Wang Shoushi had a Yin-deficient constitution. Upon hearing a startling noise, he experienced Qi rebellion, cold limbs, spontaneous sweating, and weak respiration. Meng Ying found his body and face greenish-blue, pulse Deep, Wiry, and Thready. This was due to chronic worry causing sudden Wind-Yang agitation. He prescribed: Concha Ostreae (Muli - 4 liang), Testudinis Carapax et Plastrum (Biejia - 2 liang), Concha Meretricis et Cyprinae (Geqiao - 1 liang), Quartz (Shiying - 5 qian), Dracunis Os (Longchi), Tritici Granum (Xiaomai), Cinnabar (Chensha), Ophiopogonis Tuber (Maidong), Poria (Fushen), Fritillariae Bulbus (Beimu), Bambusae Medulla (Zhuru). One dose improved, two doses resolved, followed by nourishing herbs for recovery.
In the spring of Jiyou year, Headmaster Hu Mengshen suffered from paranoia. Restless sitting and lying, fearing capture, he knew it was Phlegm and took Baijin Wan to induce vomiting, resulting in sweating on the head/face, irritability, and auditory hallucinations. Meng Ying palpated the pulse: Wiry, Slippery, Surging, and Rapid, unaffected by finger pressure. He prescribed: Gypsum Fibrosum (Shigao), Bambusae Medulla (Zhuru), Aurantii Fructus Immaturus (Zhishi), Coptidis Rhizoma (Huanglian), Inulae Flos (Xuanfu), Glehniae Radix (Huafen), Arisaematis Cum Bile (Danning), Acori Tatarinowii Rhizoma (Shichangpu), plus Xueting Soup, Bamboo Sap, and Child's Urine (Tong Sou), swallowed with Mengshi Guntan Wan to purge Phlegm-Fire. Large bowel movements ensued, bringing relief at night. Since he couldn't quit alcohol, Meng Ying added Mung Bean (Lvdou), Lonicerae Japonicae Flos (Yinjinhua), and Aurantii Fructus Immaturus (Zhizi), swallowing Danggui Longhui Wan. Over ten days, pulse and symptoms stabilized, spirit quieted, but suspicion/fear remained. He switched to: Rhinocerotis Cornu (or Buffalo Horn), Scrophulariae Radix (Yuanshen), Moutan Cortex (Danpi), Phragmitis Rhizome (Zhuye), Bambusae Medulla (Zhuru), Fritillariae Bulbus (Beimu), Lilii Bulbus (Baihe), Salviae Miltiorrhizae Radix (Danshen), Nelumbinis Plumula (Lianxin) stir-fried with Pig Bile and Ziziphus Seed (Suanzaoren), Salt-fried Coptidis Rhizoma (Huanglian), swallowed with Zhenzhong Dan to clear excess in Pericardium/Liver/Gallbladder and regulate Spirit. After another ten days, all ailments vanished, and he could compose poetry. Finally, Shiwei Wendan Tang was used for consolidation.
Madam Lu Zhuqin of Taicang suddenly suffered palpitations and ice-cold limbs. Her son panicked and asked Cheng Mi Yun of Wujiang to seek Meng Ying's aid. Pulse: Floating, Wiry, Rapid. Tongue: Red tip, no coating. This was Yin Deficiency with Yang Hyperactivity, the root of Jian Jue (Boiling Syncope). He prescribed: Scrophulariae Radix (Yuanshen), Erzhi Wan (Two Solstices Pill), Sanjia Fumai Tang (Three Shells Decoction), Dracunis Os (Longchi), Quartz (Shiying), Rehmanniae Radix (Shengdi), Achyranthis Bidentatae Radix (Niuxi), Poria (Fushen), Nelumbinis Plumula (Lianxin). She recovered.
Erjiu, son of Sima Kang Kanghou, in Yuhuan office, suffered palpitations, spontaneous sweating, shortness of breath, red face, and frequent urination (dozens of times, clear as water). Doctors assumed Deficiency and tonified daily, worsening the condition. He came to the provincial capital for Meng Ying. Left Cun/Guan pulses: Rapid. Right pulse: Wiry, Slippery. Epigastrium felt obstructed. Diagnosed as Phlegm-Fire obstructing Qi, Heart Heat transferring to Lung. Prescribed: Concha Meretricis et Cyprinae (Geqiao), Coptidis Rhizoma (Huanglian), Aurantii Fructus Immaturus (Zhishi), Meliae Fructus (Lianshi), Inulae Flos (Xuanfu), Glehniae Radix (Huafen), Citri Reticulatae Pericarpium (Juhong), Armeniacae Semen (Xingren), Lilii Bulbus (Baihe), Luffae Fructus Retinervus (Sigualuo), Benincasae Semen (Dongguazi), Hydrocotyl Asiatica (Haibiqi), Bambusae Medulla (Zhuru), Bamboo Sap (Zhulü), Pear Juice. Variations led to good recovery. Meanwhile, Sima Kang Kanghou was bound by duty, had previously requested consultations via letter multiple times, but Meng Ying couldn't go. Later, Sima died in Ou region in mid-winter. It was realized that meeting a skilled physician during illness was not accidental. Meeting last year but failing this year—was it not fate?