单小园巡检,患右胁痛,医予温运药,病益甚,至于音喑不能出声,仰卧不能反
侧,坐起则气逆如奔,便溺不行,汤饮不进者,已三日矣。孟
英诊其脉∶沉而弦。与∶旋复 赭石 薤白 蒌仁 (黄)连 (法)夏 竹茹 贝(母) 枳实 紫菀,加雪
羹,服之,一剂知,数剂愈。
陈春湖令郎子庄,体素弱,季秋,患腹痛,自汗,肢冷,息微。咸谓元虚欲脱,孟英诊之,脉虽沉伏难寻,而
苔色黄腻,口干溺赤。当从证也。与∶(黄)连 (浓)朴 楝(实) 栀(子) 元胡 蚕砂 省头草等药,
服之而康。次年患感,复误死于补。
夏酝泉,延孟英视钱妪之病,腹痛欲绝,因见弦滑之脉,与当归龙荟丸而安。
许仲筠,患腹痛不饥,医与参、附、姜、术诸药,痛胀日加,水饮不沾,沉沉如寐。孟英诊脉∶弦细,苔
色黄腻。投以∶枳(实) (浓)朴 (吴)萸 (黄)连 栀(子) 楝(实) 香附 蒺藜 延胡等药,二
剂。便行脉起,苔退知饥而愈。
阮范书明府令正,患腹痛欲厥,医见其体甚弱也,与镇逆通补之法,而势日甚。孟英察脉,弦数左溢,
是因忿怒而肝阳勃升也。便秘不饥,口苦而渴。与∶雪羹 栀(子) 楝(实) 旋(复) 绛(屑) 元胡 丹
皮(竹)茹 贝(母),(调)下左金丸而愈。逾年,以他疾殁于任所。
张月波令弟,陡患腹痛,适饱啖羊肉面条之后,医皆以为食滞。连进消导,痛甚而渴,得饮大吐,二便不行。
又疑寒结,叠投燥热。其病益加,呻吟欲绝,已四日矣。孟英视之,脉弦数,苔干黄,按腹不坚。以海 一斤、凫
茈一斤,煎汤频灌,果不吐。令将余汤煎∶ (山)栀 (黄)连 楝(实) (石)斛 (竹)茹 (黄)
芩枇杷叶 知母 延胡 柿蒂 旋复为剂,吞龙荟丸,投匕而溲行痛减。次日更衣而愈。
吴诵青室,年近五旬,天癸已绝,偶患腹胀,局医黄某知其体素羸也。投以肾气汤,而寒热渐作。改从建中法,
旬日后,病剧而崩,愈补愈甚。乞援于孟英。脉洪而数,渴饮苔黄,是吸受暑邪,得温补而血下漏也。与∶犀角
元参 茅根 柏叶 栀(子) 楝(实) 知(母) (石)斛 花粉 白薇等药,数剂始安。续加∶生地、
二至(丸)、“二冬”滋养而愈。次年患病,仍为药误而殒。
高若舟,偶患腹胀,医投温运,渐至有形如痞,时欲冲逆吐酸,益信为虚寒之病。温补之药备尝,饮食日减,
其痞日增,肌肉渐消,卧榻半载。甲辰春,迓孟英诊脉∶沉弦而软滑,大解不畅,小溲浑短,苔色黄腻,乃肝郁气
结。郁则生热,补则凝痰。与∶栀(子) (川)楝 (吴)萸 (黄)连 元胡 乌药 旋(复) 枳(实) 鸡金 鳖
甲(竹)茹 橘(皮) (茯)苓 (法)夏等药,服之证虽降序,时发寒热,四肢酸痛,或疑为疟。孟英曰∶
此气机宣达,郁热外泄,病之出路,岂可截乎?参以∶秦艽 柴胡 豆卷 羚羊(角) 蚕砂 桑枝之类,迎而
导之。人皆疑久病元虚,药过凉散。而若舟坚信不疑。孟英识定不惑。寒热渐息,攻冲亦止。按其腹尚坚硬,时
以龙荟滚痰丸缓异之,饮食递加,渐次向愈。若舟善作隶,因集《诗品》书一联以赠孟英云∶
“古镜照神,是有真宰。
明漪绝底,如见道心”。盖颂其隔垣之视也。
石子章,患腹胀,朱某与大剂温补之药,殊若相安,孟英见而非之。彼云∶服之略不助胀,正须多服图痊,君
何疑耶?孟英曰∶形瘦脉数,舌色干红,此为阴虚热胀。昔年有范次侯室及杨改之如君(外家)之恙,皆类此,
多医攻补追施,病无小效,吾以极苦泄热,微辛通络之法,投之应手而瘳。今子病初起,胀不碍食,症非气分
可知。而彼
误信温补不助胀,遂服之不疑。不知阴愈耗,络愈痹,胀虽不加,而肌则愈削,脉愈数,干呛气急,与女子之“风
消”、“息贲”何以异耶?寻果不起。按喻氏始信“男子亦有血蛊证”,可见男女虽别,而异中有同,同中有
异。临证者不可胶柱鼓瑟。
许某,于醉饱后,腹中胀闷,大便不行,自恃强壮,仍饮酒食肉。二日后,腹痛,犹疑为寒,又饮火酒,兼吸
“洋烟”,并小溲不通,继而大渴引饮,饮而即吐,而起居如常也。四朝,走恳孟英诊之∶脉促歇
止,满舌黄苔,极其秽腻,而体丰肉颤,症颇可危。因婉言告之曰∶不过停食耳,且饮山楂神曲汤可也。午后始
觉指冷倦怠,尚能坐轿出城,到家气逆,夜分痰升,比晓,胸腹额上俱胀裂而死。盖知下之不及,故不予药也。
宋氏妇,患感反复,已经向愈。忽然腹胀,上至心下,气喘,便泻,溺闭,汤饮不能下咽,自汗不能倚息。家人
惶惶,且极贫,不能延诊,走乞孟英拟方挽救。因以∶桂枝 石膏 旋(复) 赭(石) 杏(仁) (浓)
朴(黄)芩 半(夏) 黄连 通草为剂,果覆杯而病若失。张养之目击,叹为神治。
单小园担任巡检一职,患有右侧胁肋部疼痛。医生给予温运类药物(温里助阳、行气散寒的药物),病情反而加重,以至于声音嘶哑无法出声,仰卧时不能翻身侧卧,坐起则感觉气逆上冲如奔跑般剧烈,大小便不通,汤药饮食无法进服,这种情况已经持续三天了。王孟英诊察其脉象:沉而弦。给予处方:旋复花、代赭石、薤白、瓜蒌仁、黄连、法半夏、竹茹、贝母、枳实、紫菀,加入雪羹汤(海蜇与荸荠组成的食疗方),服用后,一剂见效,数剂痊愈。
陈春湖的公子子庄,体质向来虚弱。深秋季节,患腹痛,自汗出,四肢发冷,呼吸微弱。大家都认为是元气虚衰即将脱失。王孟英诊察他的脉象,虽然沉伏难以触及,但舌苔黄腻,口干,小便赤红。应当依据症状来辨证治疗。给予处方:黄连、厚朴、川楝子、栀子、延胡索、蚕砂、省头草等药物,服用后康复。次年患外感病,又因误用补益药而死。
夏酝泉,请王孟英去诊治钱家老妇的病。腹痛剧烈欲绝,因为见到弦滑的脉象,给予当归龙荟丸,病情得以安定。
许仲筠,患腹痛且不想进食。医生给予人参、附子、干姜、白术等药物,疼痛和胀满日益加重,连水饮都无法沾唇,神情昏沉如同嗜睡。王孟英诊脉:脉弦细,舌苔黄腻。投以处方:枳实、厚朴、吴茱萸、黄连、栀子、川楝子、香附、蒺藜、延胡索等药物,服用两剂。大便通畅,脉象恢复,舌苔消退,知道饥饿而痊愈。
阮范书的夫人,患腹痛欲晕厥。医生见她身体非常虚弱,采用镇逆通补的方法,病情却日益加重。王孟英诊察脉象,脉弦数且左侧溢指,这是因为愤怒导致肝阳勃然上升所致。伴有便秘、不想进食、口苦且口渴。给予处方:雪羹汤、栀子、川楝子、旋复花、绛矾(或指代清热凉血之品,此处依原文“绛屑”保留,通常指代特定矿物药或泛指红色清热药,结合语境多为清热凉血化瘀)、延胡索、牡丹皮、竹茹、贝母,调服左金丸而痊愈。过了一年,因其他疾病在任所去世。
张月波的弟弟,突然患腹痛,恰好是在饱食羊肉面条之后,医生都认为是食积停滞。连续使用消导药物,疼痛加剧且口渴,饮水后大吐,大小便不通。又怀疑是寒结,层层投予燥热药物。病情更加严重,呻吟声几乎断绝,已经四天了。王孟英视诊,脉弦数,舌苔干燥发黄,按压腹部不坚硬。用海蜇一斤、荸荠一斤,煎汤频繁灌服,果然不再呕吐。命令将剩余的汤再煎煮:山栀、黄连、川楝子、石斛、竹茹、黄芩、枇杷叶、知母、延胡索、柿蒂、旋复花为剂,吞服当归龙荟丸,投药不久小便即通,疼痛减轻。次日排便后痊愈。
吴诵青的妻子,年近五十,月经已绝经。偶然患腹胀,当地医生黄某知道她体质向来羸弱。投以肾气汤,于是寒热症状逐渐发作。改为从中焦建中法治疗,十天后,病情加重并出现崩漏(非经期大量出血),越补病情越重。请求王孟英援助。脉洪大而数,口渴想喝水,舌苔黄,这是吸受暑邪,得到温补而导致血液下漏。给予处方:犀角、玄参、白茅根、侧柏叶、栀子、川楝子、知母、石斛、天花粉、白薇等药物,数剂后才安定。随后加用:生地黄、二至丸(女贞子与旱莲草组成)、“二冬”(天冬与麦冬)滋养而痊愈。次年患病,仍因药物误治而死亡。
高若舟,偶然患腹胀,医生投以温运药物,逐渐形成有形之痞块,时常想要冲逆、吐酸水,更加确信是虚寒之病。温补药物备尝遍试,饮食日渐减少,痞块日渐增大,肌肉逐渐消瘦,卧床半年。甲辰年春季,迎接王孟英诊脉:脉沉弦而软滑,大便不畅,小便浑浊短少,舌苔黄腻,乃是肝郁气结。郁滞则生热,温补则凝痰。给予处方:栀子、川楝子、吴茱萸、黄连、延胡索、乌药、旋复花、枳实、鸡内金、鳖甲、竹茹、陈皮、茯苓、法半夏等药物,服用后证候虽按序下降,但时而发作寒热,四肢酸痛,有人怀疑是疟疾。王孟英说:“这是气机宣通达畅,郁热向外宣泄,是疾病排出的途径,怎么能截断呢?”参入秦艽、柴胡、大豆卷、羚羊角、蚕砂、桑枝之类药物,顺势引导。人们都怀疑久病元气虚衰,药物过于凉散。而高若舟坚信不疑。王孟英识见坚定不被迷惑。寒热逐渐平息,气逆攻冲也停止。按压腹部仍然坚硬,不时用龙荟滚痰丸缓泻之,饮食逐渐增加,渐渐趋向痊愈。高若舟擅长写隶书,因此集《诗品》中的句子写成一联赠送给王孟英说:“古镜照神,是有真宰。明漪绝底,如见道心。”这大概是颂扬他隔墙视物般的洞察力。
石子章,患腹胀,朱某给他大剂量的温补药物,似乎相安无事,王孟英看见后认为不对。他说:“服用后一点也不帮助腹胀,正需要多服以求痊愈,您为什么怀疑呢?”王孟英说:“形体消瘦,脉数,舌色干红,这是阴虚热胀。往年有范次侯的妻子及杨改之先生(岳母)的病症,都类似于此,多位医生攻补兼施,病情没有小效,我用极苦泄热、微辛通络的方法,投药应手而愈。现在您的病初起,腹胀不影响进食,症状不在气分可知。而您误信温补不助胀,于是毫不犹豫地服用。不知道阴液越耗损,经络越闭塞,腹胀虽然不加重,但肌肉却越削瘦,脉越数,干咳气急,这与女子的‘风消’、‘息贲’有什么不同呢?”不久果然不起。按喻嘉言开始相信“男子也有血蛊证”,可见男女虽然不同,但异中有同,同中有异。临证者不可拘泥固执。
许某,在醉酒后饱食,腹中胀闷,大便不行,自恃强壮,仍然饮酒吃肉。两天后,腹痛,还怀疑是寒邪,又喝火酒,并吸食“洋烟”(鸦片),并且小便不通,继而大渴引饮,饮水即吐,而起居行动如常。第四天,奔走恳求王孟英诊脉:脉促歇止,满舌黄苔,极其秽腻,而身体丰腴肉颤,症情颇为危险。于是委婉地告诉他:“不过是停食罢了,且饮用山楂神曲汤即可。”午后才觉得手指冷倦怠,尚能坐轿出城,到家气逆,半夜痰升,天亮时,胸腹额上全部胀裂而死。大概知道下法来不及实施,所以不给药。
宋氏妇人,患外感病反复,已经接近痊愈。忽然腹胀,上至心下,气喘,便泻,尿闭,汤药饮食不能下咽,自汗不能倚靠休息。家人惶恐,且极其贫穷,不能延请医生,奔走乞求王孟英拟方挽救。于是用:桂枝、石膏、旋复花、代赭石、杏仁、厚朴、黄芩、半夏、黄连、通草为剂,果然杯中药喝完病若消失。张养之亲眼目睹,叹为神治。
Dan Xiaoyuan, serving as a patrol inspector, suffered from pain in the right hypochondrium. The physician administered warming and moving herbs (herbs that warm the interior, assist yang, move qi, and dispel cold), but the condition worsened to the point of aphonia (loss of voice) where he could not speak, inability to turn over while supine, and severe qi rebellion like running when sitting up. Urination and defecation were obstructed, and neither decoctions nor drinks could be taken for three days. Wang Mengying examined his pulse: deep and wiry. He prescribed: *Inulae Flos* (Xuanfu), *Hematitum* (Zhesi), *Allii Macrostemonis Bulbus* (Xiebai), *Trichosanthis Semen* (Gualouren), *Coptidis Rhizoma* (Huanglian), *Pinelliae Rhizoma Praeparatum cum Ginger et Alumine* (Banxia), *Bambusae Folium* (Zhuru), *Fritillariae Cirrhosae Bulbus* (Beimu), *Aurantii Fructus Immaturus* (Zhishi), *Astrotidis Radix et Rhizoma* (Ziwan), added with Xue Geng Soup (a dietary therapy made of *Metereiae Carapax* and *Dioscoreae Hypoglaucae Rhizoma*). After one dose, improvement was seen; after several doses, he recovered.
Chen Chunhu's son, Zizhuang, had always been constitutionally weak. In late autumn, he suffered from abdominal pain, spontaneous sweating, cold limbs, and faint respiration. Everyone believed it was yuan qi deficiency about to collapse. Wang Mengying examined his pulse: although deep and hidden, difficult to find, the tongue coating was yellow and greasy, mouth was dry, and urine was red. Treatment should follow the symptoms. He prescribed: *Coptidis Rhizoma* (Huanglian), *Magnoliae Officinalis Cortex* (Houpo), *Meliae Fructus* (Lianzi), *Gardeniae Fructus* (Zhizi), *Cyperi Rhizoma* (Yanhusu), *Bombyx Batryticatus* (Can Sha), *Artemisiae Scopariae Herba* (Shengtoucao). After taking them, he recovered. The following year, he contracted an external pathogen and died due to erroneous use of tonifying drugs.
Xia Yunquan invited Wang Mengying to treat an old woman surnamed Qian. She suffered from severe abdominal pain, nearly unbearable. Observing a wiry and slippery pulse, Wang prescribed *Angelicae Sinensis Radix* and *Jatamansi Rhizoma* Pill (Danggui Longhui Wan), and her condition stabilized.
Xu Zhongyun suffered from abdominal pain and lack of appetite. The physician administered *Ginseng Radix* (Renshen), *Aconiti Lateralis Radix Praeparata* (Fuzi), *Zingiberis Rhizoma* (Shengjiang), *Atractylodis Macrocephalae Rhizoma* (Baizhu), etc. Pain and distension increased daily, he could not even take sips of water, and appeared lethargic as if sleeping. Wang Mengying examined the pulse: wiry and fine, tongue coating yellow and greasy. He administered: *Aurantii Fructus Immaturus* (Zhishi), *Magnoliae Officinalis Cortex* (Houpo), *Evodiae Fructus* (Wuzhuyu), *Coptidis Rhizoma* (Huanglian), *Gardeniae Fructus* (Zhizi), *Meliae Fructus* (Lianzi), *Cyperi Rhizoma* (Xiangfu), *Tribuli Fructus* (Jili), *Cyperi Rhizoma* (Yanhu). After two doses, bowel movement resumed, pulse returned, tongue coating receded, appetite returned, and he recovered.
Ruan Fanshu's wife suffered from abdominal pain and impending syncope. Seeing her very weak constitution, the physician used methods to suppress rebellion and tonify through unblocking, but the condition worsened. Wang Mengying observed the pulse: wiry and rapid, overflowing on the left side. This was due to anger causing liver yang to surge violently. Symptoms included constipation, lack of appetite, bitter taste in the mouth, and thirst. He prescribed: Xue Geng Soup, *Gardeniae Fructus* (Zhizi), *Meliae Fructus* (Lianzi), *Inulae Flos* (Xuanfu), *Jiang Xie* (likely referring to a specific mineral or blood-cooling herb, kept as Jiang Xie), *Cyperi Rhizoma* (Yanhu), *Moutan Cortex* (Danpi), *Bambusae Folium* (Zhuru), *Fritillariae Cirrhosae Bulbus* (Beimu), mixed with *Zuojin Pill*. She recovered. A year later, she died of another illness at her post.
Zhang Yuebo's younger brother suddenly suffered from abdominal pain, shortly after a heavy meal of mutton noodles. Physicians all attributed it to food stagnation. Continuous administration of digestion-promoting herbs intensified the pain and thirst; drinking caused violent vomiting, and urination/defecation ceased. Suspecting cold binding, layers of drying and heating herbs were given. The disease worsened, moaning almost ceased, lasting four days. Wang Mengying observed: pulse wiry and rapid, tongue coating dry and yellow, abdomen soft upon pressure. He used 1 jin of *Metereiae Carapax* (Haizhe) and 1 jin of *Dioscoreae Hypoglaucae Rhizoma* (Biqi), decocted and frequently administered. Vomiting stopped. The remaining decoction was boiled with: *Gardeniae Fructus* (Zhizi), *Coptidis Rhizoma* (Huanglian), *Meliae Fructus* (Lianzi), *Dendrobii Caulis* (Shihu), *Bambusae Folium* (Zhuru), *Scutellariae Radix* (Huangqin), *Loquat Leaf* (Pipaye), *Anemarrhenae Rhizoma* (Zhimu), *Cyperi Rhizoma* (Yanhu), *Persimmon Calyx* (Shidi), *Inulae Flos* (Xuanfu) as a decoction, swallowed with *Longhui Wan*. Shortly after administration, urination occurred, pain decreased. The next day, after defecation, he recovered.
Wu Songqing's wife, near fifty, had already ceased menstruation. She accidentally suffered from abdominal distension. Local physician Huang, knowing her constitution was frail, administered *Shengji Tang* (Kidney Qi Decoction), leading to alternating chills and fever. Switching to *Jianzhong* method, ten days later, the condition worsened with metrorrhagia (bing). Tonification made it worse. They sought help from Wang Mengying. Pulse: surging and rapid, thirsty for drinks, yellow tongue coating. This was absorption of summer-heat pathogen, and warm tonification caused blood leakage. Prescribed: *Rhinoceoris Cornu* (Xijiao), *Scrophulariae Radix* (Yuanshen), *Imperatae Rhizoma* (Maogen), *Platycladi Cacumen* (Boye), *Gardeniae Fructus* (Zhizi), *Meliae Fructus* (Lianzi), *Anemarrhenae Rhizoma* (Zhimu), *Dendrobii Caulis* (Shihu), *Trichosanthis Radix* (Huafen), *Clerodendri Cortex* (Baiwei). After several doses, stability was achieved. Subsequently added: *Rehmanniae Radix* (Shengdi), *Erzhi Wan* (Two Solstices Pill), "Er Dong" (Tiandong and Maidong) for nourishment. She recovered. The following year, she died due to medication error.
Gao Ruozhou accidentally suffered from abdominal distension. The physician administered warming and moving herbs, gradually forming a tangible mass resembling pi syndrome. He often felt qi rushing upward and acid regurgitation, firmly believing it was deficiency-cold. He tried various warm tonics, diet decreased daily, the mass increased, muscles wasted, bedridden for half a year. In spring of Jiachen year, Wang Mengying examined the pulse: deep, wiry, soft, and slippery. Bowel movement unsmooth, urine turbid and short, tongue coating yellow and greasy. It was liver qi depression and knotting. Depression generates heat; tonification condenses phlegm. Prescribed: *Gardeniae Fructus* (Zhizi), *Meliae Fructus* (Chuanlian), *Evodiae Fructus* (Wuzhuyu), *Coptidis Rhizoma* (Huanglian), *Cyperi Rhizoma* (Yanhu), *Linderae Radix* (Wuyao), *Inulae Flos* (Xuanfu), *Aurantii Fructus Immaturus* (Zhishi), *Medicinal Chicken Gizzard Membrane* (Jijin), *Chini Carapax et Plastrum* (Biejia), *Bambusae Folium* (Zhuru), *Citri Reticulatae Pericarpium* (Chenpi), *Poria* (Fuling), *Pinelliae Rhizoma Praeparatum cum Ginger et Alumine* (Banxia). After taking, symptoms declined sequentially, but intermittent chills/fever and limb soreness occurred. Some suspected malaria. Wang said: "This is the dissemination of qi mechanism and release of depressed heat, the exit of the disease, how can it be blocked?" Added: *Gentianae Macrophyllae Radix* (Qinjiao), *Bupleuri Radix* (Chaihu), *Sojae Seminum Preparatum* (Doujuan), *Saiga Tataricae Cornu* (Lingyangjiao), *Bombyx Batryticatus* (Can Sha), *Mori Ramulus* (Sangzhi) to guide it. People doubted that long-term deficiency patients could tolerate such cooling and dispersing herbs. But Ruozhou believed firmly. Wang's insight was unwavering. Chills/fever subsided, rushing stopped. Abdomen still hard. Occasionally used *Longhui Guntan Wan* to gently purge. Diet increased, gradually recovering. Ruozhou excelled in clerical script, collected lines from *Shipin* to gift Wang: "Ancient mirror reflects spirit, there is a true master. Clear ripples reach the bottom, as if seeing the mind of the Dao." Praising his clairvoyant-like perception.
Shi Zizhang suffered from abdominal distension. Zhu gave large doses of warm tonics, seemingly comfortable. Wang saw this and disagreed. Zhu said: "Taking it does not aid distension, just need more to recover, why doubt?" Wang said: "Emaciated, rapid pulse, dry red tongue, this is yin deficiency with heat distension. Years ago, Fan Cihou's wife and Yang Gaizhi's mother-in-law had similar conditions. Many doctors attacked and tonified, no small effect. I used extremely bitter heat-draining and slightly pungent meridian-unblocking methods, and they recovered instantly. Your disease started recently, distension does not hinder eating, clearly not in the qi level. You mistakenly believe warm tonics don't aid distension, so you took them without doubt. Unknowingly, yin is consumed more, meridians more blocked. Distension may not increase, but muscles waste, pulse becomes faster, dry cough and shortness of breath arise. How is this different from women's 'Feng Xiao' and 'Xi Ben'?" Soon, he did not survive. Yu Jiayan initially believed "men also have blood gu syndrome," showing that although men and women differ, there is similarity in difference and difference in similarity. Clinicians must not be rigid.
Mr. Xu, after drunkenness and overeating, suffered abdominal bloating and fullness, no bowel movement. Relying on his strength, he continued drinking alcohol and eating meat. Two days later, abdominal pain, still suspecting cold, drank fiery wine, and smoked "opium". Urination stopped, followed by extreme thirst and drinking, which caused immediate vomiting, yet daily activities remained normal. On the fourth day, he begged Wang Mengying to examine him. Pulse: hurried with intermittent pauses, tongue covered with yellow coating, extremely foul and greasy. Body plump, muscles trembling, condition critical. Wang gently told him: "It is merely food stagnation. Drink Hawthorn and Medicated Leaven soup." Only in the afternoon did he feel cold fingers and fatigue, yet could sit in a sedan chair out of the city. Upon returning home, qi rebelled, phlegm rose at midnight. By dawn, chest, abdomen, and forehead swelled and burst, causing death. Knowing purgation was too late, Wang did not prescribe medicine.
Mrs. Song, suffering from recurrent external contraction, was nearing recovery. Suddenly, abdominal distension extended to the epigastrium, panting, diarrhea, urinary retention, unable to swallow liquids, spontaneous sweating, unable to lean for rest. Family panicked, extremely poor, unable to hire a doctor, begged Wang Mengying to prescribe for rescue. Used: *Cinnamomi Ramulus* (Guizhi), *Gypsum Fibrosum* (Shigao), *Inulae Flos* (Xuanfu), *Hematitum* (Zhesi), *Pruni Armeniaci Semen* (Xingren), *Magnoliae Officinalis Cortex* (Houpo), *Scutellariae Radix* (Huangqin), *Pinelliae Rhizoma* (Banxia), *Coptidis Rhizoma* (Huanglian), *Akebiae Caulis* (Tongcao). As soon as the cup was emptied, the illness vanished. Zhang Yangzhi witnessed this, sighing it as divine treatment.