范庆簪，年逾五十。素患痰嗽。乙酉秋在婺（地名），骤然吐血，势颇可危。孟英诊曰∶气虚
而血无统摄也。虽向来咳嗽阴亏，阴药切不可服。然非格阳吐血，桂、附更为禁剂。乃以∶潞党参 （炙黄）
（白）术 （茯苓） （甘）草 山药 扁豆 橘皮 木瓜 酒炒白芍药为方，五帖而安。继去甘草、
木瓜，加熟地、黄黑驴皮胶、紫石英、麦冬、五味子、龙骨、牡蛎，熬膏服之，痊愈。
亦不复发。后范旋里数年，以他疾终。
歙人吴永言，于十年前读《论语》不撤姜食之文，因日服之，虽盛夏不辍。至三年前，患大溢血，虽以凉
药治瘳，而时时火升，迄今不愈。季冬，就诊于孟英，身不衣锦，头面之汗蓬蓬也。且云∶服芩、连则烦渴益
甚，以苦能化燥也；用生地即闷滞不饥，以甘能缓中也；蔗、梨入口亦然。按其脉∶沉取滑数。是从前之积热，
深伏于内。予白虎汤去（甘）草、（粳）米，加竹叶、竹茹、花粉、海蜇、荸荠、银花、绿豆，恣服，渐吐胶痰而愈。
丁未春，金朗然令堂，陡吐狂血，肢冷自汗。孟英切脉，弦涩，察血紫黯。乃肝郁凝瘀也。证虽可愈，复发难
瘳。予∶丹参 丹皮 茺蔚 旋复 （茯）苓 栀（子） 柏叶 郁金 海 之方，覆杯果愈。然不能惩忿，逾两年复
吐，竟不起。
王子能参军令正，久患吐血，医不能愈。延孟英视之，脉弦滑而搏指，右手较甚。渴喜冷冻饮料，米谷碍于下
咽，小溲如沸，夜不成眠。久服滋阴，毫无寸效。孟英以苇茎汤合雪羹，加石膏、知母、花粉、枇杷叶、竹茹、
旋复、滑石、梨汁，大剂投之，三十剂而痊。
继而参军旋省，患久积忧劳，真阴欲匮，竟难救药，寻果仙游。
郑某，吐血盈碗，孟英脉之，右关洪滑，自汗口渴，稍一动摇，血即上溢，人皆虑其脱，意欲补之。孟英曰∶
如脱，唯我是问。与白虎汤加西洋参、大黄炭，一剂霍然。
锁某，弱冠吐血，杨医连进归脾汤，吐益甚。孟英视之，面有红光，脉形豁大。因问曰∶足冷乎？探
之果然。遂与六味地黄汤送饭丸肉桂心一钱，覆杯而愈。
邵子受令阃，患吐血，肌肤枯涩，口渴、脉虚大。孟英曰∶气分之阴亏也。温补既
非，滋填亦谬。以∶（西洋）参 （黄） “二冬” 知母 百合 玉竹 石斛 桑叶 枇杷叶，投之而愈。
孙执中，春前四日，忽然鼻衄如注，诸法莫塞。夤夜请孟英视之，脉弦而数。曰∶冬暖气泄，天令不主闭
藏，今晚雷声大震，人身应之，肝阳乃动，血亦随而上溢，不
可以其体肥头汗，畏虚脱而进温补也。投以∶元参 生地 犀角 牡蛎 知母 生白芍 牛膝 茯苓 侧柏叶 童
溺诸药，一剂知，二剂已。
既而胁痛流乳，人皆异之，孟英与甘露饮加女贞、旱莲、“三甲”而瘳。
吴蕴香之仆吴森，在越患感，旋杭日，鼻衄数升，苔黄大渴，脉滑而洪。孟英投白虎汤二帖而安。遽食肥
甘，复发壮热，脘闷昏倦。孟英以枳实栀子豉汤而瘥。数日后，又昏沉欲寐，发热自汗，舌绛溺涩，仍求孟英
诊之，左尺细数而芤，右尺洪大。是女劳复也。研诘之，果然。与大剂滋阴清热药，吞 鼠矢而愈。
赵秋 进士令郎子循，每啖蔗，则鼻衄必至。或疑蔗为大热之性。孟英曰∶蔗甘而凉，然甘味太重，生津之
力有余。凉性甚微，荡热之功不足。津虚而热不甚炽者，最属相宜。风温证中救液之良药，吾名之曰∶“天生复
脉汤”。若湿热痰火内盛者服之，则喻氏所谓“翻受胃变”，从而化热矣。凡药皆当量人之体气而施，岂可拘乎
一定之寒热耶？今子循之体，水虚而火旺者也。蔗性不能敌，反从其气而化热，正如蔗经火炼则成糖，全失
清凉之本气矣，枸杞子亦然。
蒲艾田，年逾花甲，陡患鼻衄，诸法不能止，速孟英救之。面色黑黯而有红光，脉弦洪而芤。询知冬间广
服助阳药，是热亢阴虚之证。与大剂∶犀角 元参 茅根 女贞 旱莲 石斛 茯苓 泽泻 天冬 知母，投匕
而安。续与滋阴药，填补而康。
吴蕴香大令之四令媳，时患腹胀餐减，牙衄腿痛。久治不效，肌肉渐消。孟英诊脉∶弦细而数。曰∶肝
气虽滞，而阴虚营热，岂辛通温运之可投耶？以∶乌梅 黄连 楝（实） （白）芍 栀子 木瓜 首乌 鳖
甲（竹）茹 贝（母），服之果愈。继与甘润滋填，肌充胃旺，汛准脉和，积岁沉 ，宛然若失。
沈悦亭之妻，患齿衄，五日不止，去血已多，诸方不应。孟英脉之，弦滑上溢。投∶犀角 泽兰 元参
旋复 生地 花粉 茯苓 牛膝 桃仁 泽泻而安。既而询其经事，本月果已愆期，盖即逆行之候也。继用滋
阴清热，乃
渐康复。
孙氏女，年将及笄，久患齿衄，多医莫疗。孟英诊曰∶六脉缓滑，天癸将至耳！予∶丹参 生地 桃仁
牛膝 茯苓 白薇 滑石 茺蔚子，一剂知，数日愈。寻即起汛，略无他患。
谢再华室，素患肝厥，孟英于癸卯岁授药一剂，六载安然。今夏偶患齿衄，继渐腐臭，头痛汛阻，彻夜无眠。
盖（因）秦某作“格阳”证治，进以肾气汤数服而致剧也。孟英予大剂神犀汤加知（母）、（黄）柏，旬日而瘳。
某男子，患便血，医投温补，血虽止，而反泄泻浮肿。延及半年，孟英诊之，脉数舌绛。曰∶此病原属湿
热，温补翻伤阴液。与∶（黄）芩 （黄）连 栀（子） （白）芍 桑叶 丹皮 银花 石斛 楝实 冬瓜
皮鳖甲 鸡内金等药，旬余而愈。
王开荣，偶患腹中绞痛，自服治痧诸药，而大便泻血如注。孟英诊之，左脉颇和，右关尺弦大而滑，面
色油红，喘逆不寐。予∶苇茎汤合金铃子散加银花、侧柏叶、（山）
栀、（石）斛、（黄）芩、（黄）连，二剂后，面红退，血亦止。乃裁柏叶、银花，加雪羹、枯荷杆，又
两剂。始发热一夜，得大汗周身，而腹之痛胀爽然若失，即能安寐进粥。改投∶沙参 知母 花粉 桑叶 枇
杷叶 石斛 白芍 橘络 杏仁 冬瓜子 茅根 荷杆，三剂。大解行，而脉柔安谷。
戊申元旦，陈秋槎参军，大便骤然下黑血数升，继即
大吐鲜红之血而汗出神昏，肢冷搐搦，躁乱妄言。速孟英至，举家跪泣求命。察其脉，左手如无，右弦软，按
之数。以六十八岁之年，佥虑其脱，参汤煎就，将欲灌之。孟英急止勿服。曰∶高年阴分久亏，肝血大去而风阳
陡动。殆由忿怒兼服热药所致。其夫人云∶日来颇有郁怒，热药则未服也。惟冬间久服姜枣汤，且饮都中药烧
酒一瓶耳！孟英曰∶是矣。以∶西洋参 犀角 生地 银花 绿豆 栀子 元参 茯苓 羚羊（角）茅根为剂，
冲入热童溲灌之，外以烧铁淬醋，令吸其气，用龙骨、牡蛎研粉扑汗，生附子捣贴涌泉穴，引纳浮阳。
两服后，血止，左脉渐起，又加∶龟板、鳖甲，服三帖，神始清，各恙渐息，稍能啜粥。乃去犀、羚，加
麦冬、天冬、女贞子、旱莲草投之，眠食日安，半月后，始解黑燥屎。两旬外，便溺之色始正，与滋补药调痊。
仍充抚辕巡捕，矍铄如常。秋间赴任绍兴，酉（年）秋，以他疾终。
便血至三十余年，且已形瘦腰痛，嗽痰气逆，似（宜）乎温补之法矣。而嘉定沈酝书，患此濒危，求孟
英以决归程之及否。比按脉∶弦数，视舌∶苔黄，询溺∶短赤。曰∶痔血也。殆误于温补矣。肯服吾药，旬日
可瘳。酝书欣感，力排众论，径服其方，果不旬而愈。方用∶苇茎（汤）合白头翁汤加枇杷叶、旋复花、侧柏
叶、藕（节），是肃肺祛痰，清肝凉血互用也。
祝氏妇，患溺血，五六年矣。医皆作“淋”治。孟英诊视，脉弦数，苔黄口苦，头痛溺热。曰∶是溺血也。
法当清肝。与久淋当滋补者迥殊。病者极为首肯。盖其出路自知，而赧于细述，故
医者但知其为淋也。
范庆簪，年龄超过五十岁。平时患有痰多咳嗽的毛病。乙酉年秋天在婺州（地名），突然吐血，病情相当危急。孟英诊断说：这是气虚导致血液失去统摄。虽然向来有咳嗽和阴液亏损的情况，但滋阴药物绝对不可服用。况且这不是格阳证导致的吐血，桂枝、附子更是禁忌药物。于是用以下方剂：潞党参（炙黄）、白术、茯苓、甘草、山药、扁豆、橘皮、木瓜、酒炒白芍药，服用五帖后病情安定。随后去掉甘草、木瓜，加入熟地黄、阿胶、紫石英、麦冬、五味子、龙骨、牡蛎，熬制成膏服用，痊愈了。此后也没有再复发。后来范庆簪回乡几年，因其他疾病去世。
歙县人吴永言，十年前读到《论语》中“不撤姜食”的记载，因此每天服用生姜，即使是盛夏也不停止。到了三年前，患大出血，虽然用凉药治疗好了，但时常感觉热气上冲，至今未愈。深冬时节，来就诊于孟英，身上不穿锦缎衣物，头面部汗出如蒸笼一般。并且说：服用黄芩、黄连则烦渴更加严重，因为苦味能化燥；用生地黄就会胸闷停滞、没有食欲，因为甘味能缓中；甘蔗、梨入口也是如此。按脉象：沉取滑数。这是从前积存的火热之邪，深伏在内。给予白虎汤去掉甘草、粳米，加入竹叶、竹茹、天花粉、海蜇、荸荠、金银花、绿豆，随意服用，逐渐吐出胶状痰液而痊愈。
丁未年春天，金朗然的母亲，突然狂吐鲜血，四肢冰冷，自汗。孟英切脉，脉弦涩，观察血色紫暗。这是肝气郁结凝结成瘀血所致。证候虽然可以治愈，但复发后难以治好。给予丹参、牡丹皮、茺蔚子、旋覆花、茯苓、栀子、侧柏叶、郁金、海藻等药物，喝完一杯药果然痊愈。然而不能控制愤怒情绪，过了两年又吐血，最终不治身亡。
王子能参军夫人的女儿，长期患吐血，医生无法治愈。请孟英诊治，脉象弦滑且搏指有力，右手比左手更甚。口渴喜欢喝冷冻饮料，米谷难以下咽，小便像沸腾一样，夜里无法入睡。长期服用滋阴药物，毫无效果。孟英用苇茎汤合雪羹汤，加入石膏、知母、天花粉、枇杷叶、竹茹、旋覆花、滑石、梨汁，大剂量投服，三十帖后痊愈。
随后参军回省城，因长期忧虑劳累，真阴枯竭，竟然难以救治，不久果然去世。
郑某，吐血满碗，孟英诊脉，右关脉洪滑，自汗口渴，稍微一动摇，血就向上溢出，大家都担心他脱证，想要用补法。孟英说：如果是脱证，唯我是问。给予白虎汤加西洋参、大黄炭，一帖后霍然痊愈。
锁某，二十岁左右吐血，杨医生连续进服归脾汤，吐血更加严重。孟英查看，面色有红光，脉形豁大。于是问道：脚冷吗？探试果然如此。于是给予六味地黄汤送服肉桂心一钱，喝完一杯药即愈。
邵子受的夫人，患吐血，肌肤枯涩，口渴，脉虚大。孟英说：这是气分的阴液亏损。温补不对，滋填也是错误的。用西洋参、黄芪、“二冬”（天冬、麦冬）、知母、百合、玉竹、石斛、桑叶、枇杷叶，投服后痊愈。
孙执中，春节前四天，突然鼻衄如注，各种方法都无法止住。深夜请孟英诊治，脉弦而数。说：冬天阳气外泄，天时不主闭藏，今晚雷声大震，人身与之相应，肝阳乃动，血也随之上溢，不可以因为他体胖头汗，害怕虚脱而进用温补药。投以玄参、生地、犀角、牡蛎、知母、生白芍、牛膝、茯苓、侧柏叶、童便等药，一帖见效，两帖痊愈。
随后胁痛流脓（乳），人们都觉得奇怪，孟英给予甘露饮加女贞子、旱莲草、“三甲”而病愈。
吴蕴香的仆人吴森，在越地患感冒，回到杭州那天，鼻衄数升，苔黄大渴，脉滑而洪。孟英投白虎汤两帖而安。突然吃肥甘厚味，又复发壮热，胃脘闷胀昏倦。孟英用枳实栀子豉汤而病愈。几天后，又昏沉想睡，发热自汗，舌绛尿涩，仍然求孟英诊治，左尺脉细数而芤，右尺脉洪大。这是女劳复（房事复感）。仔细询问，果然如此。给予大剂滋阴清热药，吞服鼠矢而愈。
赵秋进士的儿子赵子循，每次吃甘蔗，鼻衄必定发生。有人怀疑甘蔗是大热之性。孟英说：甘蔗甘而凉，但是甘味太重，生津的力量有余。凉性很微弱，荡热的功能不足。津液虚而热不是很炽盛的，最适合相宜。风温证中救液的良药，我称之为：“天生复脉汤”。如果湿热痰火内盛的人服用它，就是喻氏所说的“翻受胃变”，从而化热了。凡药都应当根据人的体质施治，怎么能拘泥于一定的寒热呢？现在赵子循的体质，是水虚而火旺的。甘蔗的性质不能抵挡，反而顺从其气而化热，正如甘蔗经过火炼则成糖，完全失去了清凉的本气一样，枸杞子也是这样。
蒲艾田，年龄超过六十岁，突然患鼻衄，各种方法不能止住，急忙请孟英抢救。面色黑黯而有红光，脉弦洪而芤。询问得知冬天广泛服用助阳药，是热亢阴虚的证候。给予大剂：犀角、玄参、茅根、女贞子、旱莲草、石斛、茯苓、泽泻、天冬、知母，投匕即安。接着给予滋阴药，填补而康复。
吴蕴香县令的四儿媳，时常患腹胀餐减，牙衄腿痛。久治不效，肌肉逐渐消瘦。孟英诊脉：弦细而数。说：肝气虽然滞涩，但是阴虚营热，怎么可以用辛通温运的方法呢？用乌梅、黄连、楝实、白芍、栀子、木瓜、首乌、鳖甲、竹茹、贝母，服用果然痊愈。继用甘润滋填，肌肉丰满胃口旺盛，月经准时脉象平和，多年的沉疴，宛然若失。
沈悦亭的妻子，患齿衄，五天不止，失血已多，各种方剂无效。孟英诊脉，弦滑上溢。投：犀角、泽兰、玄参、旋覆花、生地、花粉、茯苓、牛膝、桃仁、泽泻而安。随后询问她的月经，本月果然已经延期，这即是逆行之候。继用滋阴清热，才渐渐康复。
孙氏女孩，年龄将近十五岁，长期患齿衄，多位医生无法治疗。孟英诊断说：六脉缓滑，是天癸将至啊！给予丹参、生地、桃仁、牛膝、茯苓、白薇、滑石、茺蔚子，一帖见效，数日痊愈。随即月经来潮，略无其他病患。
谢再华的妻室，素患肝厥，孟英在癸卯年授药一剂，六年安然无恙。今年夏天偶尔患齿衄，逐渐腐臭，头痛月经阻滞，彻夜无眠。这是因为秦某当作“格阳”证治疗，进服肾气汤几服而导致加剧。孟英给予大剂神犀汤加知母、黄柏，十天而愈。
某男子，患便血，医生投用温补，血虽止住，反而腹泻浮肿。延续半年，孟英诊之，脉数舌绛。说：此病原属湿热，温补反而损伤阴液。给予黄芩、黄连、栀子、白芍、桑叶、丹皮、银花、石斛、楝实、冬瓜皮、鳖甲、鸡内金等药，十几天而愈。
王开荣，偶然患腹中绞痛，自服治痧诸药，而大便泻血如注。孟英诊之，左脉颇和，右关尺弦大而滑，面色油红，喘逆不寐。给予：苇茎汤合金铃子散加银花、侧柏叶、山栀、石斛、黄芩、黄连，两剂后，面红退，血亦止。于是裁去柏叶、银花，加雪羹、枯荷杆，又两剂。开始发热一夜，得大汗周身，而腹之痛胀爽然若失，即能安寐进粥。改投：沙参、知母、花粉、桑叶、枇杷叶、石斛、白芍、橘络、杏仁、冬瓜子、茅根、荷杆，三剂。大便行，而脉柔安谷。
戊申元旦，陈秋槎参军，大便骤然下黑血数升，继即大吐鲜红之血而汗出神昏，肢冷搐搦，躁乱妄言。急忙请孟英至，举家跪泣求命。察其脉，左手如无，右弦软，按之数。以六十八岁之年，大家都担心他脱证，人参汤煎好，将要灌之。孟英急止勿服。说：高年阴分久亏，肝血大去而风阳陡动。大概是由忿怒兼服热药所致。他的夫人说：日来颇有郁怒，热药则未服也。只是冬天间久服姜枣汤，且饮都中药烧酒一瓶耳！孟英说：是矣。给予：西洋参、犀角、生地、银花、绿豆、栀子、玄参、茯苓、羚羊角、茅根为剂，冲入热童溲灌之，外以烧铁淬醋，令吸其气，用龙骨、牡蛎研粉扑汗，生附子捣贴涌泉穴，引纳浮阳。
两服后，血止，左脉渐起，又加：龟板、鳖甲，服三帖，神始清，各恙渐息，稍能啜粥。于是去犀、羚，加麦冬、天冬、女贞子、旱莲草投之，眠食日安，半月后，始解黑燥屎。两旬外，便溺之色始正，与滋补药调痊。仍充抚辕巡捕，矍铄如常。秋间赴任绍兴，酉年秋，以他疾终。
便血至三十余年，且已形瘦腰痛，嗽痰气逆，似乎适宜温补之法了。而嘉定沈酝书，患此濒危，求孟英以决归程之及否。比按脉：弦数，视舌：苔黄，询溺：短赤。说：痔血也。大概是误于温补了。肯服吾药，十日可愈。酝书欣感，力排众论，径服其方，果不旬而愈。方用：苇茎汤合白头翁汤加枇杷叶、旋复花、侧柏叶、藕节，是肃肺祛痰，清肝凉血互用也。
祝氏妇，患溺血，五六年了。医生都当作“淋”治疗。孟英诊视，脉弦数，苔黄口苦，头痛溺热。说：是溺血也。法当清肝。与久淋当滋补者迥殊。病者极为首肯。盖其出路自知，而赧于细述，故医者但知其为淋也。
Fan Qingzan, aged over fifty. He had a chronic history of phlegm and cough. In the autumn of the Yiyu year, while in Wuzhou (place name), he suddenly vomited blood, and the condition was quite critical. Mengying diagnosed: "This is Qi deficiency leading to the loss of control over blood." Although he had always suffered from cough and Yin deficiency, Yin-nourishing medicines must absolutely not be taken. Moreover, this is not vomiting blood due to Floating Yang (Ge Yang); Cinnamon Twig (Guizhi) and Aconite (Fuzi) are even more contraindicated. The prescription used was: Radix Codonopsis (Ludangshen) [roasted with honey], Rhizoma Atractylodis Macrocephalae (Baizhu), Poria (Fuling), Radix Glycyrrhizae (Gancao), Dioscoreae Rhizoma (Shanyao), Semen Lablab Album (Bian Dou), Pericarpium Citri Reticulatae (Jupi), Fructus Chaenomelis (Mugua), Radix Paeoniae Alba (Baishao) [stir-fried with wine]. After five doses, the condition stabilized. Subsequently, Gancao and Mugua were removed, and Rehmanniae Radix Preparata (Shudi), Asini Corii Colla (Ejiao), Fulgur (Zishiying), Ophiopogonis Radix (Maidong), Schisandrae Fructus (Wuweizi), Os Draconis (Longgu), and Testudinis Carapax et Plastrum (Muli) were added, decocted into a paste and taken, resulting in a complete cure. There was no recurrence later. Fan returned home years later and died of another illness.
Wu Yongyan, a native of Shexian, read the passage in the *Analects* regarding "not removing ginger from meals" ten years ago and thus took ginger daily without stopping, even in midsummer. Three years ago, he suffered from massive hemorrhage. Although treated with cooling medicines and recovered, he frequently experienced rising fire sensations, which persisted until then. In deep winter, he consulted Mengying. He wore no silk garments, and his head and face were covered in profuse sweat. He stated: "Taking Scutellariae Radix (Huangqin) and Phellodendri Cortex (Huanglian) worsens my irritability and thirst because bitter flavors can transform into dryness; using Rehmanniae Radix (Shengdi) causes chest stuffiness, stagnation, and loss of appetite because sweet flavors can slow down the middle Jiao; sugarcane and pear have similar effects." Palpation revealed a slippery and rapid pulse when pressed deeply. This indicated accumulated heat from the past, deeply hidden inside. The prescription was Baihu Tang (White Tiger Decoction) minus Gancao and Coicis Semen (Jingmi), plus Bambusae Folium (Zhuye), Bambusae Caulis in Taeniam (Zhuru), Trichosanthis Radix (Huafen), Aureliae Corpus (Haizhe), Dioscoreae Bulbiferae (Biqi), Lonicerae Japonicae Flos (Yinhua), and Phaseoli Volubilis Semen (Lvdou). Taken freely, he gradually expectorated gelatinous phlegm and was cured.
In the spring of the Dingwei year, Lady Jin, mother of Jin Langran, suddenly vomited blood violently, with cold limbs and spontaneous sweating. Mengying palpated the pulse: wiry and choppy, and observed the blood color as purple and dark. This was Liver Qi stagnation condensing into blood stasis. Although the condition could be cured, recurrence would be difficult to treat. The prescription included: Salviae Miltiorrhizae Radix (Danshen), Moutan Cortex (Danpi), Leonuri Herba (Chongwei), Inulae Flos (Xuanfu), Poria (Fuling), Gardeniae Fructus (Zhizi), Platycladi Cacumen (Baiye), Curcumae Tuber (Yujin), and Sargassum (Haizao). The patient recovered after one cup. However, unable to control anger, she vomited blood again after two years and eventually died.
Lady Wang, daughter-in-law of Military Officer Wangzineng, suffered from chronic hematemesis that doctors could not cure. Mengying examined her: the pulse was wiry and slippery, beating forcefully against the fingers, more pronounced on the right hand. She was thirsty and preferred cold drinks, found it difficult to swallow food and grain, urinated like boiling water, and could not sleep at night. Long-term use of Yin-nourishing medicines had yielded no effect. Mengying prescribed Weijing Tang (Reed Shoot Decoction) combined with Xue Geng Tang (Snow Soup Decoction), adding Gypsum Fibrosum (Shigao), Anemarrhenae Rhizoma (Zhimu), Trichosanthis Radix (Huafen), Loquat Leaf (Pipaye), Bambusae Caulis in Taeniam (Zhuru), Inulae Flos (Xuanfu), Talcum (Huashi), and Pear Juice (Lizhi). Administered in large doses, she recovered after thirty doses.
Subsequently, the officer returned to the provincial capital. Suffering from long-term worry and fatigue, his True Yin was depleted, making him incurable. He soon passed away.
Mr. Zheng vomited a bowlful of blood. Mengying palpated the pulse: the right Guan position was surging and slippery. He had spontaneous sweating and thirst. Any slight movement caused blood to overflow upwards. Everyone feared collapse (Tuos) and wanted to use tonification. Mengying said: "If it is collapse, I will take responsibility." He prescribed Baihu Tang (White Tiger Decoction) with American Ginseng (Yangshengshen) and Charred Rhubarb (Dahuang Tan). One dose resulted in immediate recovery.
Suo, in his early twenties, vomited blood. Physician Yang consecutively administered Guipi Tang (Restore the Spleen Decoction), causing the vomiting to worsen. Mengying observed a red glow on his face and a hollow, large pulse form. He asked: "Are your feet cold?" They were indeed. He then prescribed Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) to wash down Qianjin Rougui Wan (One Qian of Cinnamon Heart). The patient recovered after one cup.
Lady Shao, wife of Shao Zishou, suffered from hematemesis. Her skin was dry and rough, she was thirsty, and her pulse was deficient and large. Mengying said: "This is Yin deficiency in the Qi aspect." Warm tonification is incorrect, and heavy nourishment is also wrong. The prescription included: American Ginseng (Yangshengshen), Astragali Radix (Huangqi), "Er Dong" (Tianmen Dong and Maidong), Anemarrhenae Rhizoma (Zhimu), Lilii Bulbus (Baihe), Polygonati Odorati Rhizoma (Yuzhu), Dendrobii Caulis (Shihu), Mori Folium (Sangye), and Loquat Leaf (Pipaye). She recovered after taking it.
Sun Zhizhong, four days before Spring Festival, suddenly suffered from severe epistaxis. Various methods failed to stop it. Mengying was summoned late at night. The pulse was wiry and rapid. He said: "Winter warmth leaks out; the heavenly mandate does not govern closure and storage. Tonight's loud thunder resonates with the human body, stirring up Liver Yang, causing blood to surge upwards. Do not assume deficiency or collapse due to his obesity and head sweating, nor administer warm tonics." The prescription included: Scrophulariae Radix (Yuanshen), Rehmanniae Radix (Shengdi), Rhinocerotis Cornu (Xijiao), Ostreae Concha (Muli), Anemarrhenae Rhizoma (Zhimu), Raw Paeoniae Radix Alba (Sheng Baishao), Achyranthis Bidentatae Radix (Niuxi), Poria (Fuling), Platycladi Cacumen (Cebaiye), and Children's Urine (Tong Niao). Improvement was seen after one dose, and cure after two.
Later, he suffered from flank pain and purulent discharge (from breast/abscess). People found this strange. Mengying prescribed Ganlu Yin (Sweet Dew Drink) with Ligustrum Lucidum Fructus (Nvzhenzi), Ecliptae Herba (Hanlian), and "San Jia" (Three Shells). He recovered.
Wu Sen, servant of Wu Yunxiang, contracted a pathogenic factor in Yue. Upon returning to Hangzhou, he suffered from several sheng of epistaxis. His tongue coating was yellow, he was extremely thirsty, and his pulse was slippery and surging. Mengying administered two doses of Baihu Tang (White Tiger Decoction), bringing peace. Suddenly eating rich and greasy foods triggered a relapse with high fever, epigastric fullness, dizziness, and fatigue. Mengying prescribed Zhishi Zhizi Chi Tang (Gardenia, Bitter Orange, and Fermented Soybean Decoction). He recovered. Several days later, he became lethargic, febrile, and sweaty, with a crimson tongue and scanty, painful urination. He sought Mengying again. The left Chie position was fine, rapid, and hollow; the right Chie position was surging and large. This was "female labor relapse" (relapse due to sexual activity). Upon inquiry, it was confirmed. Large doses of Yin-nourishing and heat-clearing medicines were given, along with Rat Droppings (Shushi) swallowed, leading to recovery.
Zi Xun, son of Jinshi Zhao Qiu, always suffered from epistaxis after consuming sugarcane. Some suspected sugarcane was excessively hot. Mengying said: "Sugarcane is sweet and cool, but its sweetness is too strong, providing ample fluid-generating power. Its cooling nature is weak, lacking sufficient heat-scouring function. It is most suitable for those with fluid deficiency and mild heat. It is a fine medicine for rescuing fluids in Wind-Warmth syndromes, which I call 'Heavenly Born Pulse-Replenishing Decoction'. If taken by those with abundant damp-heat, phlegm-fire internally, it leads to what Yu Shi called 'reversing stomach transformation', turning into heat. All medicines should be applied according to the person's constitution; how can one stick to fixed cold or hot properties? Zi Xun's constitution is Water deficiency and Fire hyperactivity. Sugarcane cannot counteract it; instead, it transforms into heat following its own qi, just as sugarcane becomes sugar when roasted by fire, completely losing its original cooling nature. Goji berries are the same."
Pu Aitian, over sixty years old, suddenly suffered from epistaxis. Various methods failed to stop it. Mengying was urgently summoned. His complexion was dark black with a red glow, and the pulse was wiry, surging, and hollow. It was learned that he had widely taken Yang-assisting medicines during winter. This was a syndrome of Heat hyperactivity and Yin deficiency. Large doses of Rhinocerotis Cornu (Xijiao), Scrophulariae Radix (Yuanshen), Imperatae Rhizoma (Maogen), Ligustrum Lucidum Fructus (Nvzhen), Ecliptae Herba (Hanlian), Dendrobii Caulis (Shihu), Poria (Fuling), Alisma Rhizoma (Zexie), Asparagi Radix (Tiandong), and Anemarrhenae Rhizoma (Zhimu) were administered. He stabilized immediately. Subsequent Yin-nourishing and filling treatments led to recovery.
The fourth daughter-in-law of County Magistrate Wu Yunxiang often suffered from abdominal distension, reduced appetite, gingival bleeding, and leg pain. Long-term treatment was ineffective, and muscles gradually wasted away. Mengying palpated the pulse: wiry, fine, and rapid. He said: "Although Liver Qi is stagnant, there is Yin deficiency and Ying-level heat. How can acrid-unblocking and warm-moving methods be used?" The prescription included: Pruni Semen (Wumei), Scutellariae Radix (Huanglian), Meliae Fructus (Lianshi), Paeoniae Radix Alba (Baishao), Gardeniae Fructus (Zhizi), Fructus Chaenomelis (Mugua), Polygoni Multiflori Radix (Shouwu), Trionycis Carapax (Biejia), Bambusae Caulis in Taeniam (Zhuru), and Fritillariae Bulbus (Beimu). She recovered. Subsequent sweet-moistening and Yin-nourishing treatments restored muscle mass and stomach function, regularized menstruation, harmonized the pulse, and eliminated years of chronic disease.
Wife of Shen Yueting suffered from gingival bleeding for five days without stopping, having lost much blood. Various prescriptions failed. Mengying palpated the pulse: wiry, slippery, and surging upwards. He prescribed: Rhinocerotis Cornu (Xijiao), Lantanae Radix (Zelan), Scrophulariae Radix (Yuanshen), Inulae Flos (Xuanfu), Rehmanniae Radix (Shengdi), Trichosanthis Radix (Huafen), Poria (Fuling), Achyranthis Bidentatae Radix (Niuxi), Peach Seed (Taoren), and Alisma Rhizoma (Zexie). She stabilized. Later, upon inquiry about her menstruation, it was found to be delayed for the month. This was retrograde menstruation. Subsequent Yin-nourishing and heat-clearing treatments led to gradual recovery.
Miss Sun, nearing fifteen years of age, suffered from chronic gingival bleeding. Many doctors could not treat it. Mengying diagnosed: "The six pulses are slow and slippery. Menarche is approaching!" He prescribed: Salviae Miltiorrhizae Radix (Danshen), Rehmanniae Radix (Shengdi), Peach Seed (Taoren), Achyranthis Bidentatae Radix (Niuxi), Poria (Fuling), Clematidis Radix et Rhizoma (Baiwei), Talcum (Huashi), and Leonuri Fructus (Chongweizi). Improvement was seen after one dose, and cure after several days. Menstruation soon started, with no other issues.
Mrs. Xie Zaihua, who usually suffered from Liver Convulsion (Gan Jue), received a prescription from Mengying in the Gui Mao year and remained safe for six years. This summer, she occasionally suffered from gingival bleeding, which gradually became foul-smelling. She had headache, menstrual obstruction, and insomnia all night. This was caused by Dr. Qin treating it as "Floating Yang" syndrome and administering several doses of Shenqi Tang (Kidney Qi Decoction), worsening the condition. Mengying prescribed large doses of Shenxi Tang (Divine Calamity Rescuing Decoction) with Anemarrhenae Rhizoma (Zhimu) and Phellodendri Cortex (Huangbai). She recovered in ten days.
A certain man suffered from hematochezia. Doctors used warm tonification. The bleeding stopped, but diarrhea and edema ensued. This lasted half a year. Mengying palpated: rapid pulse, crimson tongue. He said: "This disease originally belonged to damp-heat. Warm tonification damaged the Yin fluids." The prescription included: Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Gardeniae Fructus (Zhizi), Paeoniae Radix Alba (Baishao), Mori Folium (Sangye), Moutan Cortex (Danpi), Lonicerae Japonicae Flos (Yinhua), Dendrobii Caulis (Shihu), Meliae Fructus (Lianshi), Benincasae Exocarpium (Dongguapi), Trionycis Carapax (Biejia), and Chicken Gizzard Membrane (Jineijin). He recovered in over ten days.
Wang Kairong accidentally suffered from severe abdominal colic. After self-medicating with various drugs for Sha disease, he began passing blood from the rectum like a gush. Mengying palpated: the left pulse was harmonious; the right Guan and Chie positions were wiry, large, and slippery. His face was oily and red, he panted, and could not sleep. He prescribed: Weijing Tang (Reed Shoot Decoction) combined with Lingliao San (Corydalis and Cyperus Powder), adding Lonicerae Japonicae Flos (Yinhua), Platycladi Cacumen (Cebaiye), Gardeniae Fructus (Zhizi), Dendrobii Caulis (Shihu), Scutellariae Radix (Huangqin), and Coptidis Rhizoma (Huanglian). After two doses, facial redness subsided, and bleeding stopped. Then, Cebaiye and Yinhua were removed, and Xue Geng Tang (Snow Soup Decoction) with dried lotus stem (Kuhegan) were added. After another two doses, he had one night of fever, profuse whole-body sweating, and the abdominal pain and distension vanished completely. He could sleep peacefully and eat porridge. The prescription was changed to: Glehniae Radix (Shashen), Anemarrhenae Rhizoma (Zhimu), Trichosanthis Radix (Huafen), Mori Folium (Sangye), Loquat Leaf (Pipaye), Dendrobii Caulis (Shihu), Paeoniae Radix Alba (Baishao), Tangerine Network (Jieluo), Apricot Seed (Xingren), Benincasae Semen (Dongguazi), Imperatae Rhizoma (Maogen), and Lotus Stem (Hegan). After three doses, bowel movements occurred, the pulse became soft, and digestion improved.
On New Year's Day of the Wushen year, Military Officer Chen Qiucha suddenly passed several sheng of black blood from the rectum, followed by massive vomiting of bright red blood, sweating, coma, cold limbs, convulsions, restlessness, and delirious speech. Mengying was urgently summoned. The family knelt and wept for his life. Palpation revealed: the left pulse was almost imperceptible; the right was wiry and soft, rapid when pressed. Given his age of sixty-eight, everyone feared collapse. Ginseng soup was prepared for administration. Mengying urgently stopped them, saying: "In advanced age, Yin levels have been deficient for a long time. Massive loss of Liver blood has caused sudden stirring of Wind-Yang. This is likely caused by anger combined with the intake of hot medicines." His wife said: "There has been depression and anger recently, but no hot medicines were taken. Only ginger-date soup was taken for a long time in winter, and a bottle of medicinal liquor from Duozhou was drunk." Mengying said: "Exactly." The prescription was: American Ginseng (Yangshengshen), Rhinocerotis Cornu (Xijiao), Rehmanniae Radix (Shengdi), Lonicerae Japonicae Flos (Yinhua), Phaseoli Volubilis Semen (Lvdou), Gardeniae Fructus (Zhizi), Scrophulariae Radix (Yuanshen), Poria (Fuling), Saigae Tataricae Cornu (Lingyangjiao), and Imperatae Rhizoma (Maogen). This was mixed with hot children's urine and administered. Externally, heated iron was quenched in vinegar for inhalation, Longgu and Muli powder was applied to absorb sweat, and raw Fuzi (Aconite) paste was applied to Yongquan (KI1) to guide floating Yang downwards.
After two doses, bleeding stopped, and the left pulse gradually reappeared. Guiban (Tortoise Shell) and Biejia (Softshell Turtle Shell) were added. After three doses, consciousness cleared, symptoms subsided, and he could sip porridge. Xijiao and Lingyangjiao were removed, and Maidong, Tiandong, Nvzhenzi, and Hanliancao were added. Sleep and appetite improved daily. Half a month later, he passed black, dry stool. After twenty days, the color of urine and stool normalized. Tonifying medicines were used for final recovery. He continued serving as a patrol officer, vigorous as usual. In autumn, he went to Shaoxing for his post and died of another illness in the autumn of the You year.
Hematochezia had persisted for over thirty years, accompanied by emaciation, lower back pain, cough with phlegm, and rebellious Qi. It seemed appropriate to use warm tonification. Shen Yunshu from Jiading, suffering from this critically, asked Mengying if he could return home in time. Palpation revealed: wiry and rapid pulse. Tongue inspection: yellow coating. Inquiry about urine: short and red. Mengying said: "This is hemorrhoidal bleeding. It was likely mismanaged with warm tonification." If you take my medicine, you will recover in ten days. Yunshu was grateful, dismissed contrary opinions, and took the prescription directly. He recovered in less than ten days. The formula was: Weijing Tang (Reed Shoot Decoction) combined with Baitouweng Tang (Pulsatilla Decoction), adding Loquat Leaf (Pipaye), Inulae Flos (Xuanfuhua), Platycladi Cacumen (Cebaiye), and Nymphaeae Nelumbonis Rhizomatis Node (Oujie). This combines lung-sweeping and phlegm-resolving with liver-clearing and blood-cooling.
Madam Zhu suffered from hematuria for five or six years. Doctors treated it as strangury (Lin). Mengying examined: wiry and rapid pulse, yellow coating, bitter taste in mouth, headache, and hot urination. He said: "This is hematuria. The method should be Liver clearing. It is vastly different from chronic strangury which requires tonification." The patient agreed strongly. Presumably, she knew the cause herself but was shy to describe it in detail, so doctors only knew it as strangury.