海阳赵子升，辛卯夏病疟，急延孟英诊之。曰∶暑热为患耳，不可胶守于小柴胡也。与白虎汤，一啜而瘥。
甲午秋，范丽门，患温疟，孟英用白虎加桂枝以痊之。
丙申夏，盛少云，病湿热疟，孟英以白虎加苍术汤而安。
己亥夏，予舅母患疟，服小柴胡药（汤）二三帖后，汗出昏厥，妄语遗溺。或谓其体质素虚，虑有脱变，劝服独
参汤，幸表弟寿者，不敢遽进，乃邀孟英商焉。切其脉，洪大滑数。曰∶阳明暑疟也，与伤寒三阳合病同符，处竹
叶石膏汤，二剂而瘳。
庚子夏，滇人黄肖农自福清赴都，道出武林，患暑疟，孟英投白虎汤加西洋参，数帖始愈。辛丑秋，顾味吾室
人，病瘅疟，孟英亦主是方而效。
庄之阶中翰张安人，年逾花甲，疟热甚炽，孟英审视再四，亦与竹叶石膏汤而安。闻者无不惊异。予谓如此
数证，体分南北，质有壮衰，苟非识证之明，焉能药与病相当，而用皆适宜哉！
癸巳秋，余在婺患疟，大为医人所误。初则表散，继则滋补。延及月余，肌肉尽削，寒热不休，且善呕恶食，
溺赤畏冷。乃买棹旋杭，托孟英诊视。曰∶足太阴湿疟也。以不换金正气散，三啜而安。
石符生随乃翁自蜀来浙，同时患疟，医者以小柴胡汤加姜、桂投之，不效。改用“四兽”、“休疟”等法，反致
恶寒日甚，谷食不进，唯饮烧酒姜汤，围火榻前，重裘浓覆，胸腹痞闷，喜以热熨，犹觉冷气上冲，频吐稠粘痰沫，
延至腊初，疲惫不堪。始忆及丙申之恙。（因）访孟英过诊，脉沉而滑数，苔色黄腻不渴，便溏溺赤。曰∶是途
次所受之暑湿，失于清解，复以温补之品从而附益之，酿成痰饮，盘踞三焦，气机为之阻塞，所以喜得热熨热饮，
气冲反觉如冰，若不推测其所以然之故，而但闻、问在切脉之先，一听气冷喜热，无不以为真赃现获，熟知病机善
幻，理必合参，兹以脉形兼证并究，其为真热假寒，自昭昭若揭矣。予大剂苦寒之药，以芦菔煎汤，渐服渐不畏寒，
痰渐少，谷渐增，继用甘凉善后，乔梓皆得安痊。
汪吉哉，久疟不愈，医谓元气已虚，杂投温补。渐至肌瘦内燔，口干咳嗽，寐汗溺赤，饮食不甘。孟英视之，
曰∶此热邪逗留血分也。与秦艽鳖甲散而瘳。
堂兄汪养余，亦患疟数月，多医疗之，罔效。肌瘦自汗，腰膝酸软，不能稍坐，极其畏冷。孟英曰∶此大虚证，
胡反不补？犹以消导，是何居心？予∶（人）参 （黄） （白）术 （炙）草 熟地 白芍 五味 杜仲
山药 龙骨 牡蛎 桑枝 大枣 木瓜，数十帖而起。
顾云 ，体丰年迈，患疟于秋，脉芤而稍有歇止。孟英曰∶芤者暑也；歇止者，痰湿阻气机之流行也。大
忌温补以助邪气。及与清解蠲痰之法，病不少减，而大便带血。孟英
曰∶暑湿无形之气，而平素多痰，邪反得以盘踞，颇似有形之病，清解不克胜其任，气血皆受其滋扰，必攻去其痰，
使邪无根据附而病自去。切勿以高年而畏峻药。伊芳侄桂生少府，亦精于医者，闻之极口称是。遂以桃仁承气汤加西洋
参、滑石、（黄）芩、（黄）连、橘红、贝母、石斛为方，送礞石滚痰丸。乃郎石甫孝廉云∶此药在他人必畏而不
敢服，我昔年曾患暑湿证，深悉温补之不可轻试，况高明所见相
同，更何疑乎？经服二剂，下粘痰污血甚多，疟即不作，仍以清润法善后而康。
遂安余皆山贰尹，起复赴都，道出武林而患疟。范某云∶春寒所致，辛温散之；来某谓∶酒湿之 ，治以五苓；
且杂参、归、姜、枣之类，病乃日甚。旬日后，脘闷腹胀，便秘气逆，躁渴自汗，昏瞀不瞑，亟迎孟英视之。曰∶蕴
湿固然，惟温风外袭，已从热化，何必夏秋始有热疟耶？清解之法，十剂可安。服之果效，旬日径瘥。
酷热之际，疟疾甚行，有储丽波患此，陆某泥今岁寒水司天，湿土在泉，中运又从湿化，是以多疟。率投平
胃、理中之法，渐至危殆，伊芳表兄徐和圃荐孟英视之，热炽神昏，胸高气逆，苔若姜黄，溺如赭赤，脉伏，口渴，不
食不便。曰∶舍现病之暑热，拘司气而论治，谓之执死书以困活人。幸其体丰阴足，尚可救药，然非白虎汤十剂，不
能愈也。和圃然之。遂以∶生石膏 知母 银花 枳（实） 贝（母） 黄连 木通 花粉 （竹）茹 （黄）
芩杏（仁） （石）斛 海 竹叶等，相迭为方，服旬日，疟果断。
外甥庄迪卿，患疟，大渴而喜热饮，脘闷脉伏，苔腻欲
呕。孟英曰∶蕴湿内盛，暑热外侵，法当清解，然脉证如是，乃痰阻气道使然，清之无益，温之助疟，宜以礞石滚
痰丸先为开导。
服后，痰出甚多，脉即见弦滑而数，呕止胸舒，苔形黄燥。与∶石膏 知母 （黄）连 杏（仁） 知（母）
（浓）朴 杏（仁） 橘（皮） 半（夏） 茯（苓） 滑（石） （石）斛 菖蒲 花粉等药而安。
庄晓村，芝阶姊夫之侄孙也。馆于金愿谷舍人家，病疟。孟英曰∶吸受暑热，清涤即瘳。越数日，疟作甚剧，
目赤狂言，汗如雨下，居停大惊，闻服凉剂，疑为药误。亟速孟英至，正在披狂莫制之时。按其脉，洪滑无伦；视
其舌，深黄浓燥。心疑其另服他药之故，而扑鼻吹来一阵姜枣气，因诘曰∶得无服姜枣汤乎？曰∶恣饮三日矣。孟
英即令取西瓜一枚，劈开任病者食之，方从白虎，而生石膏用一两六钱，病即霍然。逾六年，以他疾亡。
陈仰山如君患疟，孟英连与清暑法，病不少减，孟英疑亦姜枣汤所致，询知果然。亟令屏绝遂愈。余如汪子宽、
魏之裳、胡秋纫等，暑疟治案皆以白虎（汤）化裁，案多不备载，录此以待读者之隅反焉。
何永昌，孟英之与人，其妻病疟，间二日而作。乃母曰∶疟不可服“官料药”，径服笺方。旬日后，势甚危。
永昌乞孟英救之。脉沉细而数，尺为甚。口渴，目不欲张，两腰收痛，宛如锥刺，寒少热多，心慌不能把握。曰∶异
哉病也，此暑入足少阴之证，喻氏所谓汗、下、温三法皆不可行者，若病在别家，虑其未必我信，病在汝（室人）而
求诊于我，事非偶然也。汝母云∶“官料药不可治疟”，（未识）此语出于何书？何人所创？既“官料”之勿服，
则“私料”更不可妄试矣，殊属可嗤。然是证若延（他）医诊（治），非表散即温补，不可谓非汝母之一得也。
疏方∶元参（八钱） 龟板 石斛（各一两） 地骨皮（六钱） 知母（五钱） 桑叶 金银花（各四钱） 花粉（三
钱） 丹皮（二钱），令用大沙锅煎而频服，不必限剂。服三日，疟断而各恙皆减，粥食渐进，不劳余药而起。
周某，患疟，间二日而作，寒少热多。医谓“老年三疟”，放手温补。渐至杳不进谷。所亲李石泉孝廉，嘱
延孟英诊之。脉细硬如弦，毫无胃气，右尺洪数，舌色光绛，大渴溺滴。孟英曰∶此足少阴暑疟也。广服温补，津
液劫尽，欲以草木生之，事不及矣。世但知治疟不善有“三患”∶邪留肝络则为疟母；戕及脾元则成疟臌；耗
乎肾阴则为疟劳。而此证以药助邪，邪将劫命，求转三患，亦不能得。所谓热得补而更炽，阴受灼以速亡，阴
愈亡而邪愈炽，何殊炮烙之刑。病者何辜？可惨可惨！逾日果殁。特录以为戒，医者鉴之。
盛墨庄，冬患间疟，因腹胀畏寒，自服神曲姜汤，势益甚。孟英视之，曰∶暑湿内伏也。以∶黄连 枳（
实） （浓）朴 （山）栀 （黄）芩 杏（仁） 贝（母） 知（母） （石）斛 旋（复） 橘（皮） 兰
草为剂，芦菔煮汤煎药，三啜而瘳。
姚小蘅大令，患疟，寒微热甚，日作二次，汪某与柴胡汤药二剂，势遂剧，舌绛大渴，小溲全无。孟英曰∶津
欲涸矣。予∶西洋参 生地 知母 花粉 石斛 麦冬 栀子 百合 竹叶投之，五剂而疟止。
其 （作外家解）室，同时患此，呕吐，胁痛，畏寒，不渴，苔色微白，孟英与小柴胡汤，三饮而瘳。
潘祥行，在外患疟。买舟归就孟英（诊）视，曰∶苔腻脉软，伏邪所化，不与正疟同科。风寒药一味不可犯，
姜枣（汤）一滴不可啜。与∶知（母） （黄）芩 橘（皮） 半（夏） 滑（石） （浓）朴 杏（仁）
（石）斛 花粉 省头草，一剂而病若失。此等案极多，姑载一二。
乔有南，年三十九岁，患牝疟二旬，医治罔效。所亲徐和圃疑为伏暑，迓孟英往诊，脉微无神，倦卧奄奄，便
秘半月，溺赤不饥，痰多口干，稍呷米饮必揉胸捶背而始下。苔色黑腻而有蒙茸之象。乃曰∶此精、气、神三者交
虚之证，不可与时行伏暑晚发同年而语也。幸前手之药，法主运中，尚无大害。与∶（人）参 （白）术 （肉）
桂附（片） 沉香 拌炒熟地 鹿角（胶） 石英 苁（蓉） （枸）杞 （当）归 茯（苓） 杜仲 枣仁 菟
丝（子） 山茱（萸） 橘皮 霞天曲 胡桃肉等，出入为大剂，投十余帖，寒后始有热，而苔色乃退，口不作渴，
甘淡亦日少，粥食渐加。即裁桂、附、白术，加石斛，又服七剂，解黑燥大便甚多。凡不更
衣者，四旬二日矣。寒热亦断，安谷溲澄而竟愈。
或谓先生尝訾人温补之非，何一旦放手而大用？孟英曰∶温补亦治病之一法，何可废也。第用较少耳。世之医
者，眼不识病，仅知此法，可以媚富贵之人，动手辄用，杀人无算，岂非将古人活人之方，翻为误世之药，可不痛
恨耶？
九月间，张春桥患疟，寒少热多，间二日而作。甫两发，形即清瘦。孟英诊曰∶脉弦而细，尺中甚数，疾
作于子夜，口干嗜饮，乃足少阴热疟也。两发遽尔形消，胡可玩视？吾以妙药奉赠，可期即已。但请即服，不可商
于人而致疑义也。方用∶元参 生地 知母 丹皮 地骨皮 天冬 龟板 茯苓 石斛 桑叶，春桥以向所心折，遂
服之。一剂疟即止，再以滋阴善后而愈。予谓此证一帖而瘳，似乎轻易。但非真才实学，焉有此种妙治？设遇别
手，非温补即提表，其祸可胜道哉，然天下之病，无论轻重，总贵初治得法。何致轻者重而重者危耶？奈世俗之
情，必使轻者重而后转安，始知医药之功，殊可叹也。按此证世人但知其为三阴疟，笼统治以温补之法，徒未闻
有分经用药者。今提出少阴二字，创立清凉之剂，用药精当，取效敏捷，法似新奇，理自完足。所谓活人
治活病，全以活泼运之也。可以启人慧悟。垂作典型。
陈媪，患牝疟月余，腹胀便秘，嗳多不饥，口淡脉滑。孟英主∶（黄）连 （浓）朴 橘（皮） 贝（母）
杏（仁） （竹）茹 旋（复花） （紫）菀 枇（杷叶） 蒺（藜）为方，数剂即瘳。
蒋北瓯二尹，患疟，医与小柴胡（汤）、平胃散而渐甚，继以大剂温补，势频于危。复用桂枝白虎（汤），
狂乱如故。所亲董兰初鹾尹，延孟英视之，曰∶暑疟也。桂枝白虎（汤）用于起病之时则妙矣，今为温散补燥诸药
助邪烁液，脉数无伦，汗渴不已，虽宜白虎（汤），岂可
监以桂枝，助热耗津而自掣其肘焉？因与∶大剂白虎（汤）加花粉、竹叶、西洋参、元参、石斛，服之即安。至十余
帖，疟始瘳，而舌尚无苔，渴犹不止，与甘凉濡润，三十余剂始告痊。
周同甫，患疟多汗，医恐其脱，与救逆汤而势剧。孟英（诊）视之，曰∶湿疟耳。湿家多汗，无恐也。况口渴
溺赤，温补勿投，与清解药渐安。
继而乃翁秋叔病，初服温补病进，更医知为伏暑，与药数剂，热果渐退。偶延孟英诊之，尺中甚乱。因谓其侄
赤霞曰∶令叔之证，必不能起，吾不能药也，已而果然。
广孔愚司马之大公子，仲秋间患疟，寒少热多，面目甚黄，苔腻大渴，腹胀溺赤，仍能纳谷，且素嗜肥甘，不
能撙节，孟英按其脉，滑实而数。与∶承气汤加知（母）、（黄）芩、半（夏）、贝（母）、（连）翘、（黄）
连、滑石、石膏、大腹（皮）、花粉之类，（服）二十余剂而始愈，是膏粱挟暑湿热之治也。
许叔超令大母（祖母），患疟。延孟英治之，脉弦滑而数，脘闷便闭，合目汗出，口渴不饥。或虑高年欲脱。
孟英曰∶此温邪挟素有之痰所化，补药断不可服。与∶知（母） （黄）芩 （栝）蒌 杏（仁） （连）翘 贝
（母） 旋（复） （竹）茹 （黄）连 （石）斛 雪羹为方，服果渐效。
许氏妇，患间疟，寒少热多，不饥大渴，善呕无汗，脉滑而弦，孟英投白虎汤加花粉、柴胡而愈。
海盐周子，因工于画，体素弱，偶患间疟，黄某用首乌、鳖甲、姜、枣等药，病日甚。加以参、桂，狂躁妄言。
始延孟英视之，面赤舌绛，溲涩便溏，渴饮汗多，脉形细数，是暑证也。与∶元参 银花 知母 （黄）芩 （
竹）茹 贝（母） 竹叶 荷秆 莲心 西瓜衣为剂，寻愈。
吴西 患疟，寒微热甚，旬余不愈。孟英诊之，脉滑而长。疏大剂白虎汤与之。渠兄濂仲云∶沈、顾二君，
皆主是方，屡服无效。孟英索方阅之，汤虽白虎，而石膏既少且煨，兼不去米。因谓其兄曰∶汤虽同，君药已重用，
海阳人赵子升，在辛卯年夏天患疟疾，急忙请孟英诊治。孟英说：“这是暑热邪气致病罢了，不能固执地拘泥于使用小柴胡汤。”于是给予白虎汤，喝一次病就好了。
丙申年夏天，盛少云患湿热疟，孟英用白虎加苍术汤使他病情安定。
己亥年夏天，我的舅母患疟疾，服用小柴胡药（汤）两三帖后，出汗昏厥，胡言乱语且遗尿。有人说是她体质素来虚弱，担心出现脱证变局，劝服独参汤，幸好表弟寿者不敢贸然进补，于是邀请孟英商量。切其脉象，洪大滑数。孟英说：“这是阳明暑疟，与伤寒三阳合病的证候相符”，开出处方竹叶石膏汤，服两剂后痊愈。
庚子年夏天，云南人黄肖农从福清前往京城，途经武林，患暑疟，孟英投予白虎汤加西洋参，服几帖后才痊愈。辛丑年秋天，顾味吾的家属患瘅疟，孟英也主用此方而见效。
庄之阶的中翰张安人，年龄超过六十岁，疟疾发热非常炽盛，孟英仔细审视反复推敲，也给予竹叶石膏汤使病情安定。听说的人没有不感到惊异的。我说像这样几个病例，体质有南北之分，禀赋有强弱之别，如果不是辨证明确，怎么能做到药与病相当，用药都适宜呢！
癸巳年秋天，我在婺州患疟疾，被医生误治。起初用发散表邪的方法，后来用滋补的方法。拖延了一个多月，肌肉完全消瘦，寒热不停，并且容易呕吐、厌恶饮食，小便赤涩、怕冷。于是买船返回杭州，托付孟英诊治。孟英说：“这是足太阴湿疟。”用不换金正气散，喝三次就安定了。
石符生跟随父亲从四川来到浙江，同时患疟疾，医生用小柴胡汤加生姜、肉桂投药，无效。改用“四兽”、“休疟”等方法，反而导致恶寒日益加重，谷物食物不进，只喝烧酒姜汤，围坐在火炉前，穿着厚皮衣重重覆盖，胸腹痞闷胀满，喜欢用热敷，仍觉得冷气上冲，频繁吐出稠粘痰沫，拖延到腊月初，疲惫不堪。这才想起丙申年的病。（因此）拜访孟英过诊，脉沉而滑数，舌苔黄腻但不口渴，大便溏薄、小便赤涩。孟英说：“这是在旅途中感受的暑湿邪气，失于清热解表，又用温补的药物从而助长邪气，酿成痰饮，盘踞在三焦，气机因此阻塞，所以喜欢热敷热饮，气冲反而觉得如冰一样冷。如果不推测其中的原因，只在切脉之前听问诊况，一听到气冷喜热，无不认为是真寒确凿无疑，谁知道病机善于变化，道理必须综合参详，现在通过脉象兼证并究，其为真热假寒，自然昭然若揭了。”我用大剂苦寒药物，用芦菔煎汤，逐渐服药逐渐不怕寒冷，痰逐渐减少，谷食逐渐增加，继用甘凉法善后，父子二人都得以安康痊愈。
汪吉哉，久疟不愈，医生说元气已虚，杂用温补。渐渐导致肌肉消瘦、内热燔灼，口干咳嗽，睡中出汗、小便赤涩，饮食无味。孟英看后说：“这是热邪逗留血分。”给予秦艽鳖甲散而痊愈。
堂兄汪养余，也患疟数月，多位医生治疗，无效。肌肉消瘦、自汗，腰膝酸软，不能稍坐，极其怕冷。孟英说：“这是大虚证，为什么反而不补？还用消导法，是何居心？”给予人参、黄芪、白术、炙甘草、熟地黄、白芍、五味子、杜仲、山药、龙骨、牡蛎、桑枝、大枣、木瓜，服几十帖后起身康复。
顾云，身体肥胖年迈，秋季患疟，脉芤且稍有歇止。孟英说：“芤脉是暑邪；歇止脉，是痰湿阻碍气机流行。”严禁温补以助长邪气。及至给予清热解表、祛除痰浊的方法，病势没有多少减轻，反而大便带血。孟英说：“暑湿是无形的邪气，但患者平素多痰，邪气反而得以盘踞，颇似有形的病邪，清热解表不能胜任，气血都受到滋扰，必须攻去痰浊，使邪气没有依附的基础而病自然去除。千万不要因为高龄而畏惧峻猛药物。”他的侄子桂生少府，也精通医术，听后极力称赞正确。于是用桃仁承气汤加西洋参、滑石、黄芩、黄连、橘红、贝母、石斛为方，送服礞石滚痰丸。他的儿子石甫孝廉说：“这种药在别人一定畏惧不敢服用，我早年曾患暑湿证，深知温补不可轻易尝试，何况高明所见相同，还有什么可疑虑的呢？”服用两剂后，排出粘痰污血很多，疟疾即不再发作，仍以清润法善后而康复。
遂安人余皆山贰尹，起复赴京，途经武林而患疟疾。范某说：“是春寒所致，用辛温发散法；来某认为：是酒湿之邪，用五苓散治疗；并且杂用参、归、姜、枣之类，病势才日益加重。十天后，胃脘闷胀、腹部胀满，便秘气逆，烦躁口渴、自汗，神志昏蒙不眠，急忙迎接孟英诊治。孟英说：“蕴湿固然存在，只是温风外袭，已经从热化，何必夏秋才有热疟呢？清热解表的方法，十剂可以安定。”服用后果然有效，十天直接痊愈。
酷热之际，疟疾盛行，有储丽波患此病，陆某拘泥于今年寒水司天，湿土在泉，中运又从湿化，所以多疟疾。一律投予平胃、理中之法，渐渐到了危殆地步，他的表哥徐和圃推荐孟英诊治，见其热炽神昏，胸高气逆，舌苔如姜黄色，小便如赭红色，脉伏，口渴，不进食不便秘。孟英说：“舍弃现病的暑热，拘泥于司天之气来论治，叫做拿着死板的书本去困扰活人。幸好他身体丰满阴液充足，还可以救药，然而不用白虎汤十剂，不能痊愈。”和圃同意。于是用：生石膏、知母、银花、枳实、贝母、黄连、木通、花粉、竹茹、黄芩、杏仁、石斛、海藻、竹叶等，交替组方，服用十天，疟疾果断根除。
外甥庄迪卿，患疟疾，大渴而喜欢热饮，胃脘闷胀、脉伏，舌苔腻想吐。孟英说：“蕴湿内盛，暑热外侵，法当清热解表，然而脉证如此，是痰阻气道造成的，清热无益，温补助长疟疾，宜先用礞石滚痰丸进行开导。”
服用后，痰出很多，脉即见弦滑而数，呕吐停止胸部舒展，舌苔形黄燥。给予：石膏、知母、黄连、杏仁、知母、浓朴、杏仁、橘皮、半夏、茯苓、滑石、石斛、菖蒲、花粉等药而安定。
庄晓村，是芝阶姊夫的侄孙。在金愿谷舍人家做馆师，患疟疾。孟英说：“吸受暑热，清涤即可痊愈。”过了几天，疟疾发作很剧烈，眼睛红、胡言乱语，汗如雨下，雇主大惊，听说服用凉剂，怀疑是药物误治。急忙让孟英赶到，正在披头散发疯狂无法控制之时。按摸其脉，洪滑无比；看其舌，深黄浓燥。心里怀疑他另外服用其他药物的缘故，而扑鼻吹来一阵姜枣气味，于是责问说：“莫非服用了姜枣汤吗？”回答说：“恣意饮用了三天了。”孟英立即让人取西瓜一枚，劈开任凭病人吃，方子从白虎汤化裁，而生石膏用一两六钱，病即霍然痊愈。过了六年，因其他疾病去世。
陈仰山先生患疟疾，孟英连续给予清暑法，病势没有多少减轻，孟英怀疑也是姜枣汤所致，询问得知果然如此。急忙让他摒弃不服遂痊愈。其余如汪子宽、魏之裳、胡秋纫等，暑疟治案都以白虎汤化裁，案例大多不备载，记录这些以等待读者举一反三。
何永昌，是孟英的朋友，他的妻子患疟疾，隔两天发作一次。母亲说：“疟疾不可服‘官料药’（正规处方药），直接服用笺方（民间单方）。十天后，病势非常危险。永昌乞求孟英救治。脉沉细而数，尺部尤其明显。口渴，眼睛不想睁开，两腰收缩疼痛，宛如锥刺，寒少热多，心慌不能把握。孟英说：“这病奇怪啊，这是暑邪侵入足少阴的证候，喻氏所说的汗、下、温三法都不可行的情况，如果病在别家，担心你们未必相信我，病在您的家人而求诊于我，事非偶然。你母亲说：‘官料药不可治疟’，不知道这话出于哪本书？什么人创立？既然‘官料’的不必服，那么‘私料’更不可妄试，实在可笑。但是这个证如果延误给其他医生诊治，不是发散表邪就是温补，不能说不是你母亲的一点收获。”开方：元参（八钱）、龟板、石斛（各一两）、地骨皮（六钱）、知母（五钱）、桑叶、金银花（各四钱）、花粉（三钱）、丹皮（二钱），令用大沙锅煎煮而频频服用，不必限定剂量。服用三天，疟疾断绝而各症都减轻，粥食逐渐进用，不需其他药物而起床康复。
周某，患疟疾，隔两天发作一次，寒少热多。医生说“老年三疟”，放手温补。渐渐导致完全不进谷物。亲戚李石泉孝廉，嘱咐延请孟英诊治。脉细硬如弦，毫无胃气，右尺洪数，舌色光绛，大渴溺滴。孟英说：“这是足少阴暑疟。”广泛服用温补，津液劫尽，想用草木药来生发，已经来不及了。世人只知道治疟不善会有“三患”：邪气留滞肝络则为疟母；损伤脾元则成疟臌；耗损肾阴则为疟劳。而这个证因为药物助长邪气，邪气将要劫夺性命，想转为上述三患，也不能得到。所谓热得补而更炽盛，阴受灼烧而加速死亡，阴愈亡而邪愈炽，何异于炮烙之刑。病人有什么罪过？可惨可惨！第二天果然去世。特别记录以此作为警戒，医者鉴戒。
盛墨庄，冬天患间日疟，因腹胀畏寒，自服神曲姜汤，病势更加严重。孟英看后说：“暑湿内伏。”用：黄连、枳实、浓朴、山栀、黄芩、杏仁、贝母、知母、石斛、旋覆花、橘皮、兰草为剂，用芦菔煮汤煎药，喝三次而痊愈。
姚小蘅大令，患疟疾，寒微热甚，每天发作两次，汪某给予柴胡汤药两剂，病势于是加剧，舌绛大渴，小便全无。孟英说：“津液快要枯竭了。”给予：西洋参、生地、知母、花粉、石斛、麦冬、栀子、百合、竹叶投予，五剂而疟疾停止。
他的岳母，同时患此病，呕吐，胁痛，畏寒，不渴，舌苔色微白，孟英给予小柴胡汤，喝三次而痊愈。
潘祥行，在外地患疟疾。买船回家找孟英诊治，孟英说：“舌苔腻脉软，是伏邪所化，不与正疟同列一类。风寒药一味不可犯，姜枣汤一滴不可喝。”给予：知母、黄芩、橘皮、半夏、滑石、浓朴、杏仁、石斛、花粉、省头草，一剂而病若消失。这类案例极多，姑且记载一二。
乔有南，年龄三十九岁，患牝疟二十天，医治无效。亲戚徐和圃怀疑是伏暑，迎接孟英前往诊治，脉微无神，疲倦卧床气息奄奄，便秘半月，小便赤涩不饥，痰多口干，稍微喝点米汤必须揉胸捶背才能下咽。舌苔黑腻而有蒙茸之象。于是说：“这是精、气、神三者交相虚弱的证候，不可与时行伏暑晚发同年而语。”幸好前一位医生的药，法主运中，尚无大害。给予：人参、白术、肉桂、附片、沉香、拌炒熟地、鹿角胶、石英、肉苁蓉、枸杞、当归、茯苓、杜仲、枣仁、菟丝子、山茱萸、橘皮、霞天曲、胡桃肉等，出入为大剂，投药十余帖，寒后始有热，而舌苔色乃退，口不作渴，甘淡亦日少，粥食渐加。随即裁去桂、附、白术，加石斛，又服七剂，解黑燥大便很多。凡不更衣者，四十天了。寒热也断绝，安谷溲澄而竟痊愈。
有人问先生曾经指责别人温补的错误，为什么一旦放手而大用？孟英说：“温补也是治病的一种方法，怎么可以废除呢？只是用得较少罢了。世上的医生，眼不识病，仅知此法，可以讨好富贵之人，动手就用，杀人无数，岂不是将古人活人的方子，翻为误世的药，可不痛恨吗？”
九月间，张春桥患疟疾，寒少热多，隔两天发作一次。刚发作两次，形体就清瘦。孟英诊察说：“脉弦而细，尺中尤其数急，疾作于子夜，口干嗜饮，这是足少阴热疟。两次发作就形体消瘦，怎么可以轻视？我以妙药奉赠，可以期望立即停止。但请立即服用，不要与人商量以致产生疑义。”方用：元参、生地、知母、丹皮、地骨皮、天冬、龟板、茯苓、石斛、桑叶，春桥因为向来心折信服，于是服用。一剂疟疾即止，再以滋阴善后而痊愈。我说这个证一帖而愈，似乎轻易。但如果没有真才实学，哪里有这种妙治？假如遇到别的医生，不是温补就是提表，其祸患能说得完吗？然而天下的病，无论轻重，总贵在初治得法。怎么会致使轻者重而重者危呢？无奈世俗之情，必定使轻者重而后转安，才知道医药之功，实在可叹。按这个证世人只知道它是三阴疟，笼统治以温补之法，从未听说过有分经用药的。现在提出少阴二字，创立清凉之剂，用药精当，取效敏捷，法似新奇，理自完足。所谓活人治活病，全以活泼运之也。可以启发人的慧悟。垂作典型。
陈媪，患牝疟月余，腹胀便秘，嗳气多不饥，口淡脉滑。孟英主用：黄连、浓朴、橘皮、贝母、杏仁、竹茹、旋覆花、紫菀、枇杷叶、蒺藜为方，数剂即痊愈。
蒋北瓯二尹，患疟疾，医生给予小柴胡汤、平胃散而渐渐加重，继以大剂温补，病势频于危殆。复用桂枝白虎汤，狂乱如故。亲戚董兰初鹾尹，延请孟英诊治，孟英说：“暑疟也。桂枝白虎汤用于起病之时则妙矣，现在被温散补燥诸药助邪烁液，脉数无伦，汗渴不已，虽然宜用白虎汤，岂可监以桂枝，助热耗津而自掣其肘焉？”于是给予：大剂白虎汤加花粉、竹叶、西洋参、元参、石斛，服用后即安。至十余帖，疟疾始愈，而舌尚无苔，渴犹不止，给予甘凉濡润，三十余剂始告痊。
周同甫，患疟多汗，医生恐其脱证，给予救逆汤而病势加剧。孟英诊视说：“湿疟耳。湿家多汗，无恐也。况且口渴溺赤，温补勿投，给予清解药渐安。”
继而他的父亲秋叔病，初服温补病进，更医知道是伏暑，给予药数剂，热果渐退。偶延孟英诊之，尺中甚乱。因而对他的侄子赤霞说：“令叔之证，必不能起，吾不能药也，已而果然。”
广孔愚司马的大公子，仲秋间患疟疾，寒少热多，面目甚黄，苔腻大渴，腹胀溺赤，仍能纳谷，且素嗜肥甘，不能撙节，孟英按其脉，滑实而数。给予：承气汤加知母、黄芩、半夏、贝母、连翘、黄连、滑石、石膏、大腹皮、花粉之类，服用二十余剂而始愈，这是膏粱挟暑湿热之治也。
许叔超令大祖母，患疟疾。延请孟英诊治，脉弦滑而数，胃脘闷便闭，合目汗出，口渴不饥。有人顾虑高龄欲脱。孟英说：“这是温邪挟素有之痰所化，补药断不可服。”给予：知母、黄芩、栝蒌、杏仁、连翘、贝母、旋覆花、竹茹、黄连、石斛、雪羹为方，服用果然渐效。
许氏妇，患间疟，寒少热多，不饥大渴，善呕无汗，脉滑而弦，孟英投白虎汤加花粉、柴胡而愈。
海盐周子，因工于画，体素弱，偶患间疟，黄某用首乌、鳖甲、姜、枣等药，病日甚。加以参、桂，狂躁妄言。始延孟英视之，面赤舌绛，溲涩便溏，渴饮汗多，脉形细数，是暑证也。给予：元参、银花、知母、黄芩、竹茹、贝母、竹叶、荷秆、莲心、西瓜衣为剂，寻愈。
吴西患疟疾，寒微热甚，旬余不愈。孟英诊之，脉滑而长。疏大剂白虎汤与之。渠兄濂仲说：“沈、顾二君，皆主是方，屡服无效。”孟英索方阅之，汤虽白虎，而石膏既少且煨，兼不去米。因而对其兄说：“汤虽同，君药已重用，
Zhao Zisheng from Haiyang contracted malaria in the summer of Xinmao year and urgently invited Meng Ying for diagnosis. Meng Ying said, "This is caused by summer-heat pathogen; one cannot rigidly adhere to Xiao Chai Hu Tang (Minor Bupleurum Decoction)." He prescribed Bai Hu Tang (White Tiger Decoction), and the illness resolved after a single dose.
In the autumn of Jiawu year, Fan Limen suffered from warm malaria (Wen Nue). Meng Ying cured him using Bai Hu Jia Gui Zhi Tang (White Tiger Decoction with Cinnamon Twig).
In the summer of Bing Shen year, Sheng Shaoyun suffered from damp-heat malaria (Shi Re Nue). Meng Ying stabilized his condition with Bai Hu Jia Cang Zhu Tang (White Tiger Decoction with Atractylodes Rhizome).
In the summer of Jihai year, my aunt contracted malaria. After taking two or three doses of Xiao Chai Hu Tang (Minor Bupleurum Decoction), she sweated, fainted, spoke deliriously, and lost bladder control. Some attributed this to her constitutionally weak state and feared a collapse syndrome (Tuo Bian), advising Dushen Tang (Single Ginseng Decoction). Fortunately, my cousin-in-law Shou did not dare administer it hastily but invited Meng Ying to consult. Upon palpating the pulse, which was surging, large, slippery, and rapid, Meng Ying stated, "This is Yangming summer-heat malaria, consistent with the pattern of combined disease of the three yang meridians in Cold Damage." He prescribed Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction), and she recovered after two doses.
In the summer of Gengzi year, Huang Xiaonong from Yunnan traveled from Fuqing to the capital via Wulin and contracted summer-heat malaria. Meng Ying administered Bai Hu Tang (White Tiger Decoction) with added Xi Yang Shen (American Ginseng), and he healed after several doses. In the autumn of Xinchou year, a family member of Gu Weiwu suffered from dan malaria (Dan Nue), and Meng Ying also used this formula with success.
Zhang Anren, wife of Zhonghan Zhuang Zhijie, was over sixty years old and suffered from intense malaria fever. After careful examination, Meng Ying prescribed Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction), stabilizing her condition. Those who heard of this were amazed. I remarked that in these cases, constitutions vary by north and south, and strength differs; without clear differentiation of the syndrome, how could the medicine match the disease and be appropriate?
In the autumn of Guisi year, I contracted malaria in Wuzhou and was misdiagnosed by physicians. Initially treated with exterior-releasing methods, then with tonification. After more than a month, my muscles wasted away, chills and fever persisted, vomiting occurred frequently, appetite was poor, urine was red, and I felt cold. I returned to Hangzhou by boat and entrusted myself to Meng Ying. He diagnosed "Taiyin damp malaria" (Zu Taiyin Shi Nue) and prescribed Bu Huan Jin Zheng Qi San (Unchanging Metal Regulate Qi Powder), resolving the issue after three doses.
Shi Fusheng came to Zhejiang from Sichuan with his father; both contracted malaria simultaneously. Physicians prescribed Xiao Chai Hu Tang (Minor Bupleurum Decoction) with Ginger and Cinnamon Twig, which failed. Switching to "Four Beasts" or "Stop Malaria" methods worsened their chills, prevented food intake, and led them to drink hot ginger wine and sit near fires wrapped in heavy furs. They experienced chest fullness, preferred heat application, yet felt rising cold air, and vomited thick sticky phlegm. By early winter, they were exhausted. Recalling the Bing Shen case, they visited Meng Ying. His pulse was deep, slippery, and rapid; tongue coating was yellow and greasy without thirst; stool was loose, urine red. Meng Ying explained, "This is summer-dampness acquired during travel, neglected by clearing and resolving, then aggravated by warming and tonifying herbs, creating phlegm-fluid retention stagnating in the Triple Burner, blocking qi mechanism. Hence the preference for heat feels like ice internally. Without analyzing the cause, relying only on listening and questioning before pulse-taking leads to misdiagnosis of true cold. Now, combining pulse and symptoms reveals true heat with false cold." I prescribed strong bitter-cold herbs decocted with Radish (Lu Fu), gradually reducing chills, decreasing phlegm, and increasing appetite. Follow-up with sweet-cool methods ensured full recovery for father and son.
Wang Jizai suffered from chronic malaria unresponsive to treatment. Physicians claimed deficiency of primordial qi and used various warming tonics. This led to emaciation, internal burning, dry mouth, cough, night sweats, red urine, and loss of taste. Meng Ying diagnosed "Heat pathogen lingering in the blood level" and prescribed Qin Jiao Bie Jia San (Gentian and Turtle Shell Powder), leading to recovery.
My elder cousin Wang Yangyu suffered from malaria for months with no effect from multiple treatments. He had emaciation, spontaneous sweating, soreness and weakness of waist and knees, inability to sit, and extreme aversion to cold. Meng Ying asked, "This is a major deficiency syndrome; why not tonify? Using digestion-promoting methods, what is the intention?" He prescribed Ren Shen (Ginseng), Huang Qi (Astragalus), Bai Zhu (Atractylodes Macrocephala), Zhi Cao (Honey-fried Licorice), Shu Di (Prepared Rehmannia), Bai Shao (White Peony Root), Wu Wei Zi (Schisandra), Du Zhong (Eucommia), Shan Yao (Dioscorea), Long Gu (Fossilized Bone), Mu Li (Oyster Shell), Sang Zhi (Mulberry Twig), Da Zao (Jujube), and Mu Gua (Chaenomeles), resulting in recovery after dozens of doses.
Gu Yun, obese and elderly, contracted malaria in autumn. Pulse was hollow (Kou) with occasional pauses. Meng Ying stated, "Hollow indicates summer-heat; pauses indicate phlegm-damp obstructing qi flow." Strictly forbade warming tonics to avoid aiding pathogens. Clearing and resolving with phlegm-dispelling methods yielded little improvement, followed by bloody stool. Meng Ying reasoned, "Summer-dampness is无形 (formless), but chronic phlegm allows pathogens to lodge, resembling a formless disease. Clearing alone fails; qi and blood are disturbed. Must attack the phlegm to remove the pathogen's basis. Do not fear harsh drugs due to age." His nephew Gui Sheng, a skilled physician, agreed. Formula: Tao Ren Cheng Qi Tang (Peach Kernel and Major Order the Qi Decoction) with Xi Yang Shen (American Ginseng), Hua Shi (Talc), Huang Qin (Scutellaria), Huang Lian (Coptis), Ju Hong (Tangerine Peel), Bei Mu (Fritillaria), Shi Hu (Dendrobium), delivered with Meng Shi Gun Tan Wan (Green Stone Rolling Phlegm Pill). After two doses, massive discharge of sticky phlegm and dirty blood occurred; malaria ceased. Follow-up with moistening methods ensured health.
Yu Jieshan, Vice Magistrate of Suian, contracted malaria while traveling to the capital via Wulin. Fan claimed it was spring cold requiring acrid-warm release; Lai attributed it to alcohol-dampness treating with Wu Ling San (Five Ingredient Powder with Poria), adding Ginseng, Angelica, Ginger, and Jujube, worsening the condition. Ten days later: epigastric fullness, abdominal distension, constipation, rebellious qi, irritability, thirst, sweating, coma, and insomnia. Meng Ying diagnosed, "Dampness accumulation exists, but warm wind invaded externally, transforming into heat. Why assume heat malaria only occurs in summer/autumn? Clearing and resolving will work in ten doses." It proved effective, curing him in ten days.
During extreme heat, malaria was prevalent. Chu Libo suffered; Lu relied on heavenly luck theory (Cold Water ruling heaven, Wet Earth ruling earth, wet transformation), prescribing Ping Wei San (Calm the Stomach Powder) and Li Zhong Wan (Regulate the Middle Pill), leading to critical danger. Xu Hepu recommended Meng Ying. Signs: intense heat, coma, high chest, rebellious qi, ginger-yellow tongue coating, jasper-red urine, hidden pulse, thirst, anorexia, constipation. Meng Ying criticized, "Ignoring current summer-heat pathology for theoretical weather patterns is binding dead books to困 (trap) living people." Given his robust constitution and yin sufficiency, he prescribed Bai Hu Tang (White Tiger Decoction) for ten doses. Ingredients: Sheng Shi Gao (Raw Gypsum), Zhi Mu (Anemarrhena), Yin Hua (Honeysuckle), Zhi Shi (Immature Bitter Orange), Bei Mu (Fritillaria), Huang Lian (Coptis), Mu Tong (Akebia), Hua Fen (Trichosanthes Root), Zhu Ru (Bamboo Shavings), Huang Qin (Scutellaria), Xing Ren (Apricot Seed), Shi Hu (Dendrobium), Hai Zao (Sargassum), Zhu Ye (Bamboo Leaf). Alternating formulas cured malaria decisively in ten days.
Nephew Zhuang Diqing suffered malaria with extreme thirst preferring hot drinks, epigastric fullness, hidden pulse, greasy coating, and nausea. Meng Ying diagnosed, "Internal dampness excess, external summer-heat invasion. Should clear and resolve, but pulse/symptoms indicate phlegm obstructing airway. Clearing is useless; warming aids malaria. Use Meng Shi Gun Tan Wan (Green Stone Rolling Phlegm Pill) first to guide." After dosing, massive phlegm discharge occurred; pulse became wiry-slippery-rapid; vomiting stopped, chest relaxed; tongue coating turned yellow-dry. Prescribed: Shi Gao (Gypsum), Zhi Mu (Anemarrhena), Huang Lian (Coptis), Xing Ren (Apricot Seed), Nong Po (Magnolia Bark), Ju Pi (Tangerine Peel), Ban Xia (Pinellia), Fu Ling (Poria), Hua Shi (Talc), Shi Hu (Dendrobium), Chang Pu (Acorus), Hua Fen (Trichosanthes Root), resolving the condition.
Zhuang Xiaocun, nephew of Zhijie's sister-in-law, worked as a tutor at Jin Yuangu's residence and contracted malaria. Meng Ying said, "Inhaling summer-heat clears upon purification." Days later, severe malaria with red eyes, delirium, and profuse sweating occurred. The employer panicked, suspecting cooling herbs were wrong. Meng Ying arrived during manic behavior. Pulse was surging-slippery without limit; tongue deep yellow-concentrated-dry. Suspecting other meds, he smelled ginger-jujube aroma and asked, "Did you take Ginger-Jujube Decoction?" Answer: "Drank freely for three days." Meng Ying ordered a watermelon cut open for the patient to eat, plus Bai Hu Tang (White Tiger Decoction) with 1 liang 6 qian of Sheng Shi Gao (Raw Gypsum). Recovery was immediate. He died six years later of another illness.
Chen Yangshan suffered malaria; Meng Ying repeatedly used summer-heat clearing methods with no reduction. Suspecting Ginger-Jujube Decoction again, confirmed it. Advised cessation; cure followed. Other cases like Wang Zikuan, Wei Zhishang, Hu Qiuren, etc., treated for summer-malaria with modified Bai Hu Tang (White Tiger Decoction), are omitted here for readers to infer similar principles.
He Yongchang, a friend of Meng Ying, sought help for his wife's malaria occurring every two days. His mother refused "official prescription medicines," using folk notes instead. Ten days later, condition critical. Yongang begged Meng Ying. Pulse: deep-thin-rapid, worse at Chi position. Thirst, eyes unwilling to open, lower back pain like needle pricks, less chills more heat, palpitations. Meng Ying said, "Strange disease. Summer-heat entering Foot-Shaoyin. Yu's method states sweating, purging, and warming are all contraindicated. If elsewhere, you might doubt me; since your wife seeks me, fate intervenes. Your mother says 'official meds bad for malaria'—from where? If official meds are banned, private ones are even more dangerous, ridiculous. Yet if delayed to others, they would likely use exterior-release or warming-tonic, arguably your mother's unintended gain." Prescription: Yuan Shen (Scrophularia), Gui Ban (Turtle Shell), Shi Hu (Dendrobium) each 1 liang; Di Gu Pi (Lycium Bark) 6 qian; Zhi Mu (Anemarrhena) 5 qian; Sang Ye (Mulberry Leaf), Jin Yin Hua (Honeysuckle) each 4 qian; Hua Fen (Trichosanthes Root) 3 qian; Dan Pi (Moutan) 2 qian. Decoct in large pot, frequent sips, no dose limit. After three days, malaria ceased, symptoms reduced, porridge intake increased, recovered without further meds.
Zhou suffered malaria every two days, less chills more heat. Doctor diagnosed "Elderly Three-Day Malaria" and used warming tonics freely. Gradually stopped eating. Relative Li Shiquan invited Meng Ying. Pulse: thin-hard like string, no stomach qi; Right-Chi surging-rapid; tongue glossy-crimson; extreme thirst, scant urine. Meng Ying said, "Foot-Shaoyin summer-heat malaria." Extensive warming tonics depleted fluids; herbs cannot regenerate life now. World knows three dangers of poor malaria treatment: pathogen staying in Liver collateral becomes Malaria Mass; damaging Spleen origin becomes Malaria Distension; consuming Kidney yin becomes Malaria Consumption. Here, meds aided pathogen, threatening life; turning back is impossible. Heat intensified by tonics, yin scorched to death, yin depletion fuels pathogen—like roasting punishment. How pitiable! Died next day. Recorded as warning.
Sheng Mozhuang contracted intermittent malaria in winter. Due to abdominal distension and cold aversion, self-administered Shen Qu Ginger Soup, worsening condition. Meng Ying diagnosed, "Summer-dampness latent inside." Formula: Huang Lian (Coptis), Zhi Shi (Immature Bitter Orange), Nong Po (Magnolia Bark), Shan Zhi (Gardenia), Huang Qin (Scutellaria), Xing Ren (Apricot Seed), Bei Mu (Fritillaria), Zhi Mu (Anemarrhena), Shi Hu (Dendrobium), Xuan Fu (Inula), Ju Pi (Tangerine Peel), Lan Cao (Orchid Stem). Decocted in Radish soup. Recovered after three doses.
Yao Xiaoheng Ling suffered malaria, mild chills severe heat, twice daily. Wang gave Chai Hu Tang (Bupleurum Decoction) for two doses, worsening condition. Tongue crimson, extreme thirst, no urination. Meng Ying said, "Fluids about to dry up." Prescribed: Xi Yang Shen (American Ginseng), Sheng Di (Rehmannia), Zhi Mu (Anemarrhena), Hua Fen (Trichosanthes Root), Shi Hu (Dendrobium), Mai Dong (Ophiopogon), Zhi Zi (Gardenia), Bai He (Lily Bulb), Zhu Ye (Bamboo Leaf). Five doses stopped malaria.
His mother-in-law contracted same simultaneously: vomiting, hypochondriac pain, cold aversion, no thirst, light white tongue coating. Meng Ying gave Xiao Chai Hu Tang (Minor Bupleurum Decoction); three doses cured.
Pan Xiangxing contracted malaria outside. Returned by boat to see Meng Ying. Diagnosis: Greasy coating, soft pulse, transformed latent pathogen, not standard malaria. Avoid wind-cold herbs entirely; do not ingest Ginger-Jujube Soup. Formula: Zhi Mu (Anemarrhena), Huang Qin (Scutellaria), Ju Pi (Tangerine Peel), Ban Xia (Pinellia), Hua Shi (Talc), Nong Po (Magnolia Bark), Xing Ren (Apricot Seed), Shi Hu (Dendrobium), Hua Fen (Trichosanthes Root), Sheng Tou Cao (Patchouli). One dose cured. Many such cases; recorded briefly.
Qiao Younan, 39 years old, suffered Pin Malaria (Cold-predominant) for 20 days, ineffective treatment. Relative Xu Hepu suspected latent summer-heat, invited Meng Ying. Pulse faint-no spirit, fatigue lying down, constipation half month, red urine, anorexia, excessive phlegm, dry mouth, needs chest/back rubbing to swallow rice drink. Tongue black-greasy with mossy appearance. Meng Ying said, "Essence, Qi, Spirit all severely deficient. Cannot compare with seasonal latent summer-heat late onset. Previous doctor's method focused on moving middle, causing no great harm." Formula: Ren Shen (Ginseng), Bai Zhu (Atractylodes), Rou Gui (Cinnamon Bark), Fu Pian (Aconite Slice), Chen Xiang (Aquilaria), Stir-fried Shu Di (Prepared Rehmannia), Lu Jiao Jiao (Deer Antler Glue), Shi Ying (Quartz), Rou Cong Rong (Cistanche), Gou Qi (Goji), Dang Gui (Angelica), Fu Ling (Poria), Du Zhong (Eucommia), Zao Ren (Jujube Seed), Tu Si Zi (Dodder Seed), Shan Zhu Yu (Cornus), Ju Pi (Tangerine Peel), Xia Tian Qu (Fermented Wheat), Hu Tao Rou (Walnut Meat). Large dose variations. Over ten doses, chills preceded heat, tongue coating receded, thirst stopped, sweet/light tastes decreased, porridge increased. Removed Gui, Fu, Bai Zhu; added Shi Hu. Seven more doses passed black-dry stool. Not defecating for 40 days. Chills/fever ceased, ate well, urine clear, fully recovered.
Someone asked why Meng Ying criticizes warming tonics yet uses them heavily. Meng Ying replied, "Warming tonics are a valid method; cannot abolish. Just used less. Doctors who don't recognize disease use this to flatter the rich, killing countless people. Turning life-saving ancient prescriptions into world-harming drugs—how hateful!"
In September, Zhang Chunqiao suffered malaria, less chills more heat, every two days. After two attacks, emaciated. Meng Ying diagnosed: Wiry-thin pulse, very rapid at Chi, onset at midnight, dry mouth craving drink. "Foot-Shaoyin Heat Malaria." Rapid emaciation shouldn't be ignored. "I offer excellent medicine; expect immediate stop. Take immediately, do not consult others to create doubt." Formula: Yuan Shen (Scrophularia), Sheng Di (Rehmannia), Zhi Mu (Anemarrhena), Dan Pi (Moutan), Di Gu Pi (Lycium Bark), Tian Dong (Asparagus Root), Gui Ban (Turtle Shell), Fu Ling (Poria), Shi Hu (Dendrobium), Sang Ye (Mulberry Leaf). Chunqiao trusted him, took it. One dose stopped malaria; follow-up with nourishing yin cured. I say one-dose cure seems easy, but requires true talent. Others would use warming tonic or lifting exterior, causing disaster. Regardless of severity, initial correct treatment is key. Why let mild become severe?世俗 sentiment requires severity before appreciating medical merit—sigh. People know it as Three-Yin Malaria, treat generally with warming tonics; rarely differentiate by meridian. Now specifying Shaoyin, creating cool formula, precise medication, quick effect, novel method, complete logic. Living person treating living disease, operating flexibly. Inspires wisdom, sets example.
Old woman Chen suffered Pin Malaria for over a month: abdominal distension, constipation, belching, anorexia, bland taste, slippery pulse. Meng Ying prescribed: Huang Lian (Coptis), Nong Po (Magnolia Bark), Ju Pi (Tangerine Peel), Bei Mu (Fritillaria), Xing Ren (Apricot Seed), Zhu Ru (Bamboo Shavings), Xuan Fu Hua (Inula Flower), Zi Wan (Aster), Pi Pa Ye (Loquat Leaf), Ji Li (Tribulus). Several doses cured.
Jiang Beiou, Vice Magistrate, suffered malaria. Treated with Xiao Chai Hu Tang (Minor Bupleurum Decoction) and Ping Wei San (Calm the Stomach Powder), worsening. Then large-dose warming tonics, critical condition. Used Gui Zhi Bai Hu Tang (Cinnamon Twig White Tiger Decoction), still maniacal. Relative Dong Lanchu invited Meng Ying. Diagnosed "Summer-heat Malaria." Gui Zhi Bai Hu Tang is good at onset, but now warming/drying meds aided pathogen and scorched fluids. Pulse extremely rapid, sweating/thirst unceasing. Although Bai Hu Tang (White Tiger Decoction) is indicated, adding Gui Zhi (Cinnamon Twig) aids heat and consumes fluids, hindering oneself. Prescribed: Large dose Bai Hu Tang (White Tiger Decoction) with Hua Fen (Trichosanthes Root), Zhu Ye (Bamboo Leaf), Xi Yang Shen (American Ginseng), Yuan Shen (Scrophularia), Shi Hu (Dendrobium). Immediate relief. After ten doses, malaria ceased, but tongue lacked coating, thirst continued. Sweet-cool moistening for thirty doses finally cured.
Zhou Tongfu suffered malaria with excessive sweating. Doctor feared collapse, gave Jiu Ni Tang (Rescue Collapse Decoction), worsening condition. Meng Ying diagnosed, "Damp malaria. Damp patients sweat often, no fear. Plus thirst, red urine, avoid warming tonics. Give clearing/resolving meds, gradual peace."
Then his father Qiu Shu fell ill. Initial warming tonics worsened condition. Another doctor identified latent summer-heat, gave meds, heat subsided. Meng Ying consulted, found chaotic Chi pulse. Told nephew Chi Xia, "Your uncle will not recover; I cannot medicate." Indeed happened.
Eldest son of Guang Kongyu Sima contracted malaria in mid-autumn. Less chills more heat, yellow face/coating, greasy coating, extreme thirst, abdominal distension, red urine, able to eat, loves rich/greasy food, lacks restraint. Pulse slippery-solid-rapid. Prescribed: Cheng Qi Tang (Order the Qi Decoction) with Zhi Mu (Anemarrhena), Huang Qin (Scutellaria), Ban Xia (Pinellia), Bei Mu (Fritillaria), Lian Qiao (Forsythia), Huang Lian (Coptis), Hua Shi (Talc), Shi Gao (Gypsum), Da Fu Pi (Areca Peel), Hua Fen (Trichosanthes Root). Took over twenty doses to heal. Treatment for rich diet complicated by summer-heat-damp-heat.
Xu Shuchao's grandmother suffered malaria. Meng Ying diagnosed: Wiry-slippery-rapid pulse, epigastric fullness, constipation, closed-eye sweating, thirst, anorexia. Some feared collapse due to age. Meng Ying said, "Warm pathogen combined with chronic phlegm transformation. Tonics strictly forbidden." Formula: Zhi Mu (Anemarrhena), Huang Qin (Scutellaria), Gua Lou (Trichosanthes Fruit), Xing Ren (Apricot Seed), Lian Qiao (Forsythia), Bei Mu (Fritillaria), Xuan Fu (Inula), Zhu Ru (Bamboo Shavings), Huang Lian (Coptis), Shi Hu (Dendrobium), Xue Geng (Snow Broth). Gradual efficacy observed.
Mrs. Xu suffered intermittent malaria, less chills more heat, anorexia, extreme thirst, frequent vomiting, no sweat, slippery-wiry pulse. Meng Ying gave Bai Hu Tang (White Tiger Decoction) with Hua Fen (Trichosanthes Root) and Chai Hu (Bupleurum); cured.
Zhou from Haiyan, painter, constitutionally weak, occasionally intermittent malaria. Huang used He Shou Wu (Polygonum), Bie Jia (Turtle Shell), Ginger, Jujube, worsening condition. Added Ginseng, Cinnamon, leading to mania/delirium. Meng Ying diagnosed: Red face, crimson tongue, difficult urination, loose stool, thirst/drinking, sweating, thin-rapid pulse. Summer-heat syndrome. Formula: Yuan Shen (Scrophularia), Yin Hua (Honeysuckle), Zhi Mu (Anemarrhena), Huang Qin (Scutellaria), Zhu Ru (Bamboo Shavings), Bei Mu (Fritillaria), Zhu Ye (Bamboo Leaf), He Gan (Lotus Stem), Lian Xin (Plumule), Xi Gua Yi (Watermelon Rind). Recovered soon.
Wu Xi suffered malaria, mild chills severe heat, over ten days unresolved. Meng Ying diagnosed: Slipper-long pulse. Prescribed large dose Bai Hu Tang (White Tiger Decoction). Brother Lianzhong said, "Doctors Shen and Gu also prescribed this, repeatedly ineffective." Meng Ying requested formula, reviewed: Though Bai Hu Tang, Gypsum was scarce and roasted, rice husk not removed. Told brother, "Though soup name same, chief herb dosage already heavy..."