须以手撩，不饮不食，不便不眠，或多言不倦，或久问不答，是七情郁结，气久不舒，津液凝痰，邪得根据附。
治之中肯，尚难即愈，不药而待，病从何去？遂于清解方中，寓蠲痰流气，通胃舒肝之品。交十四日而热退。又
数日，痰沫渐少。又旬日，大便始行。粥食日加而愈。此一治法，直贯到底，不但不犯一分温燥升补之药，而
滋腻入血之品，亦皆避之。尚须三十剂奏绩。若病家不笃信，医者不坚持，旁人多议论，则焉克有济耶？然非
乃媳前车之鉴，亦未必遽尔任贤不二也。
杨某，患感旬日，初则便溏，医予温散，泻止热不退，昼夜静卧，饮食不进。孟英诊脉，迟缓，浮取甚
微。目眵，舌色光红，口不渴，溲亦行，胸腹无所苦，语懒音低，寻即睡去。是暑湿内伏，而有燥矢在胃，
机关为之不利也。先与清营通胃药两剂，热退舌淡而脉症依然。加以酒洗大黄、省头草，即下坚黑燥矢甚多，
而睡减啜粥，继以凉润，旬日而痊。
海盐任斐庭。馆于吴琴楚家，季夏患感，黄某闻其身热而时有微寒也，进以姜、萸、紫苏、大枣等药，数帖，
热愈壮而二便不行。更医连进渗利之剂，初服溲略通，既而益闭。居停以为忧，始延孟英视焉，证交十四日，骨瘦如
柴，脉弦细而涩，舌色光紫，满布白糜，夜不成寐，渴不多饮，粒米不进，少腹拒按，势将喘逆。此虽属下
证，而形脉如斯，法难直授。先令取大田螺一枚、鲜车前草一握、大蒜六瓣，共抖烂，加麝香少许，罨敷脐下
水分穴，方以∶元参 紫菀 栀子 知母 花粉 海 荸荠 苁蓉 牛膝 天冬为剂，加鲜地黄汁服之，其
夜小溲即行，气平略寐。又两剂，大便始下，热退而渐进稀糜。乃去雪羹、栀（子）、（紫）菀、苁（蓉）、
（牛）膝、地黄汁，加西洋参、麦冬、石斛、干生地、竹茹、银花等药，又服十余帖，凡三
解黑矢，而苔色复于红润，眠食渐安而起。
许芷卿，患外寒，须覆重衾，内热饮不解渴，仍能安谷，便溺皆行。或以为虚寒，或以为疡患，投
以温散，即显咽痛，孟英脉之，沉弦而缓，作痰热内伏。投以∶犀
（角） 羚（羊角） 元参 丹皮 白薇 黑栀 （竹）茹 贝（母） 旋（复） （牛）蒡之剂，两帖而寒
渴咽痛皆减。乃去犀（角）、羚（羊角）、牛蒡，加二至（丸）、知母、花粉、银花，解酱矢而瘳。
必须用手撩拨（患者），不喝水不吃东西，不便秘也不睡觉，或者多言不倦怠，或者长时间询问却不回答，这是七情郁结，气机长久不能舒展，津液凝结成痰，邪气得以依附。
治疗如果切中肯綮，尚且难以立即痊愈，如果不吃药而等待，病从哪里去除？于是于清解方剂中，寓含祛除痰浊、流通气机、通利胃腑、舒缓肝气的药物。到了第十四天热退。又过了几天，痰沫逐渐减少。又过了十天，大便才开始通行。粥食每天增加而痊愈。这一种治法，一直贯彻到底，不仅不犯一分温燥升补的药物，而且滋腻入血的药物，也都避开。还需要三十剂药才能见效。如果病人家属不深信，医生不坚持，旁人多有议论，那么怎么能有成效呢？然而如果不是因为儿媳妇前车之鉴的教训，也未必会如此任用贤才而不二心。
杨某，患感冒十天，起初大便溏薄，医生给予温散药，泻止但热不退，昼夜静卧，饮食不进。孟英诊脉，脉迟缓，轻取甚微。眼屎多，舌色光红，口不渴，小便也正常，胸腹没有痛苦，说话懒倦声音低，随即睡去。这是暑湿内伏，而有燥屎在胃，机关为之不利。先给予清营通胃药两剂，热退舌淡而脉症依然。加上酒洗大黄、省头草，即排出坚黑燥屎很多，而睡眠减少喝粥，继以凉润药，十天而痊愈。
海盐任斐庭。在吴琴楚家做馆师，季夏患感冒，黄某听说他身热而时有微寒，进用姜、萸、紫苏、大枣等药，数帖后，热更壮而二便不通。换医生连进渗利之剂，初服小便略通，继而更加闭塞。雇主感到担忧，才延请孟英诊治，证候交十四日，骨瘦如柴，脉弦细而涩，舌色光紫，满布白糜，夜里不能入睡，口渴但不多饮，粒米不进，少腹拒按，势将喘逆。这虽然属于下焦实证，但形脉如此，法难直接施治。先令取大田螺一枚、鲜车前草一握、大蒜六瓣，共捣烂，加麝香少许，罨敷脐下水分穴，方剂用：元参、紫菀、栀子、知母、花粉、海荸荠、苁蓉、牛膝、天冬为剂，加鲜地黄汁服之，那夜小便即行，气平略寐。又两剂，大便始下，热退而渐进稀糜。于是去掉雪羹汤、栀子、紫菀、苁蓉、牛膝、地黄汁，加西洋参、麦冬、石斛、干生地、竹茹、银花等药，又服十余帖，凡三次解出黑矢，而苔色复于红润，眠食渐安而起。
许芷卿，患外寒，须覆盖厚被，内热饮水不解渴，仍能安谷，便溺皆行。有人认为是虚寒，有人认为是疡患，投以温散药，即显现咽痛，孟英诊脉，沉弦而缓，断为痰热内伏。投以：犀角、羚羊角、元参、丹皮、白薇、黑栀、竹茹、贝母、旋覆花、牛蒡子的方剂，两帖后寒渴咽痛皆减。于是去掉犀角、羚羊角、牛蒡子，加二至丸、知母、花粉、银花，解酱矢而痊愈。
The patient must be roused by hand; they neither drink nor eat, have no bowel movement nor sleep, or speak incessantly without fatigue, or remain unresponsive to questions for a long time. This indicates the constraint of the Seven Emotions (Seven Affects), with Qi stagnation failing to disperse for a prolonged period, causing body fluids to congeal into phlegm, allowing pathogenic factors to take root and attach.
Even if treatment hits the mark precisely, immediate recovery is difficult; waiting without medication, how can the disease be expelled? Therefore, within a formula for clearing and resolving heat, ingredients that dispel phlegm, promote Qi circulation, unblock the Stomach, and soothe the Liver are incorporated. By the fourteenth day, the fever subsided. After a few more days, the amount of phlegm and saliva gradually decreased. Ten days later, bowel movements finally occurred. Porridge intake increased daily until recovery. This therapeutic approach was carried through consistently from start to finish. Not only were warming, drying, ascending, and tonifying herbs avoided entirely, but also cloying and blood-nourishing substances were shunned. It required thirty doses to achieve results. If the family lacked firm faith, the physician lacked persistence, and bystanders offered conflicting opinions, how could success be attained? However, it was not merely due to the cautionary tale of his daughter-in-law’s previous illness that he would so steadfastly trust this capable physician without wavering.
Yang, suffering from a common cold for ten days, initially presented with loose stools. The physician administered warming and dispersing herbs; although the diarrhea ceased, the fever persisted. Yang lay quietly day and night, refusing food and drink. Mengying palpated the pulse: slow and moderate, extremely faint on superficial pressure. There was ocular discharge, the tongue was bright red and glossy, there was no thirst, urination was normal, and there was no discomfort in the chest or abdomen. Speech was lazy and voice low, followed quickly by sleep. This indicated latent Summerheat-Dampness internally, combined with dry fecal impaction in the Stomach, obstructing the functional mechanisms. Initially, two doses of a formula to clear the Ying (Nutritive) level and unblock the Stomach were given. The fever subsided and the tongue became pale, yet the pulse and symptoms remained unchanged. Wine-processed Rhizoma et Radix Notopterygii (Qianghuo) [Note: Text says 大黄 Dahuang - Rheum officinale / Polygonum cinnabarinum Rhizome] and Herba Pogostemonis (Shentoucao) were added. Subsequently, a large amount of hard, black, dry feces were discharged. Sleep decreased, and porridge consumption resumed. Following this, cooling and moistening herbs were administered, leading to full recovery within ten days.
Ren Feiting from Haiyan. He was employed as a tutor in the Wu Qinchu household. In late summer, he contracted a cold. Physician Huang, noting his fever accompanied by occasional slight chills, prescribed Ginger, Cornus, Perilla, and Jujube. After several doses, the fever intensified, and both urination and defecation ceased. A subsequent physician continued with diuretic and draining agents. Initially, urination improved slightly, but then became completely obstructed. The employer grew worried and invited Mengying for consultation. On the fourteenth day of illness, Ren was emaciated ("skin and bones"), with a wiry, fine, and choppy pulse. The tongue was bright purple, covered with white thrush-like patches. He suffered from insomnia, thirst without desire to drink much, inability to eat even a grain of rice, tenderness upon pressure in the lower abdomen, and impending asthma/wheezing. Although this presents as a Lower Jiao excess pattern, the physical and pulse signs preclude direct aggressive treatment. First, one large river snail, a handful of fresh Plantago asiatica Leaf (Cheqiancao), and six cloves of garlic were crushed together, mixed with a small amount of Moschus (Musk), and applied as a poultice to the Shuifen (CV9) acupoint below the umbilicus. The herbal decoction consisted of Radix Scrophulariae (Xuanshen), Flos Asteroatis (Ziwan), Fructus Gardeniae (Zhizi), Radix Anemarrhenae (Zhimu), Radix Trichosanthis (Huafen), Rhizoma Cyperi Rotundi (Haibiqi - *Note: Text likely refers to Dioscorea bulbifera or similar, often translated as Air Potato or similar tuber in context of moistening*), Cistanche Stem (Rongrong), Achyranthes Root (Niuxi), and Asparagus Tuber (Tiantong). Fresh Rehmannia Juice was added. That night, urination commenced, breathing eased, and he slept briefly. After two more doses, bowel movements occurred, fever subsided, and he began tolerating thin gruel. The Xue Geng Decoction components (Snow Soup), Zhizi, Ziwan, Rongrong, Niuxi, and Rehmannia juice were removed. They were replaced with American Ginseng (Xiyangshen), Ophiopogon Tuber (Maidong), Dendrobium Stem (Shihu), Dry Rehmannia Root (Gan Shengdi), Bamboo Shavings (Zhuru), and Honeysuckle Flower (Yinhua). After over ten doses, three episodes of black stool passage occurred. The tongue coating returned to a healthy red and moist appearance, and sleep and appetite gradually normalized, allowing him to rise.
Xu Zhiqing suffered from external Cold, requiring heavy quilts to cover himself. Internally, he felt hot, and drinking did not quench his thirst, yet he could digest food normally, and urination/defecation were patent. Some considered it Deficient-Cold; others suspected a carbuncle/ulcer condition. Warming and dispersing herbs were administered, which immediately manifested as sore throat. Mengying palpated the pulse: deep, wiry, and slow, diagnosing internal latent Phlegm-Heat. He prescribed a formula containing Rhinoceros Horn (Xijiao - *Note: Now substituted with Buffalo Horn Lingyangjiao*), Antelope Horn (Lingyangjiao), Radix Scrophulariae (Xuanshen), Moutan Bark (Danpi), White Peony Root (Baiwei - *Note: Text says Baiwei, usually Pseudolarix or related, but context suggests cooling blood/phlegm heat*), Black Gardenia (Heizhi), Bamboo Shavings (Zhuru), Fritillaria Bulb (Beimu), Inula Flower (Xuanfu), and Bitter Apricot Seed (Niangao - *Note: Text says Niubang, usually Arctium Fruit Niubangzi*). After two doses, the chills, thirst, and sore throat all diminished. The Xijiao, Lingyangjiao, and Niubangzi were removed. Erzhi Wan (Two Winter Pill), Zhimu, Huafen, and Yinhua were added. Passage of "soy-sauce" like stool occurred, and he recovered.