而弱。询其溺清且长。五苓八正肾气五皮遍尝之矣。孟英曰。此土虚不制水也。
通利无功。滋阴亦谬。法宜补土胜湿。予大剂参术。果即向安。(土炒潞党五钱。土炒茅术
五钱。酒炒白芍一钱五分。土炒西 三钱。土炒甘草二钱。土炒干姜五钱。炒故纸杵五钱。
熟附片五钱。北五味杵三钱。土炒陈木瓜三钱。肾为脾胃根键。大凡脾阳极败。如不挟风寒
痰滞。非兼补肾阳不可 木瓜不独入脾消肿 合参草 酸甘化阴。姜附虽多。绝无偏阳温
燥流弊。)
金元章媳。 甲午新寡后。患脓窠疥。大抵湿热之病。疡医连某疑为遗毒。竟作梅疮治。
渐至
上吐下利。不进饮食。另从内科治。亦无寸效。延至次年春令。更兼腹痛自汗。汛愆肌削。
诸医望而却走。孟英视之。曰此胃气为苦寒所败。肝阳为辛热所煽。前此每服阳刚。即如昏
(患者脉象)微弱。询问其小便清长。五苓散、八正散、肾气丸、五皮饮等方剂都已尝试过了。孟英说:这是脾土虚弱不能制约水湿。通利小便没有效果,滋阴也是错误的。治法应当补益脾土以胜湿。给予大剂量的党参和白术,果然病情逐渐安定。(土炒潞党参五钱,土炒茅苍术五钱,酒炒白芍一钱五分,土炒西洋参三钱,土炒甘草二钱,土炒干姜五钱,炒补骨脂捣碎五钱,熟附片五钱,北五味子捣碎三钱,土炒陈木瓜三钱。肾为脾胃之根本关键。大凡脾阳极度衰败,如果不夹杂风寒痰滞,不兼补肾阳是不行的。木瓜不仅入脾经消除肿胀,配合参草,酸甘化阴。虽然姜附用量多,却绝无偏于阳热温燥的流弊。)
金元章的儿媳。甲午年新婚不久后,患脓窠疥疮。大抵是湿热引起的疾病。外科医生连某怀疑是梅毒遗毒,竟然按梅毒治疗。逐渐导致上吐下泻,无法进食。另外请内科医生诊治,也没有丝毫效果。拖延到次年春季,又加上腹痛自汗,月经失调身体消瘦,各位医生看了都退避不敢诊治。孟英诊视后说:这是胃气被苦寒药物损伤,肝阳被辛热药物煽动。此前每次服用阳刚(温热)药物,就出现昏厥……
(The pulse is) weak. Upon inquiry, the urine was clear and long. Wuling San (Five-Ingredient Poria Decoction), Bazheng San (Eight-Righteousness Powder), Shenqi Wan (Kidney Qi Pill), and Wupi Yin (Five-Rind Decoction) had all been tried. Mengying said: This is Spleen Earth deficiency failing to control Water. Promoting urination has been ineffective; nourishing Yin is also erroneous. The method should be to tonify Earth to overcome dampness. A large dose of Renshen (Ginseng Root) and Baizhu (Atractylodes Rhizome) was given, and indeed, the condition gradually stabilized. (Tu-chao Ludangshen [Earth-fried Codonopsis Root] 5 qian, Tu-chao Maoshu [Earth-fried Atractylodes Macrocephala Rhizome] 5 qian, Jiu-chao Baishao [Wine-fried White Peony Root] 1.5 qian, Tu-chao Xiyangshen [Earth-fried American Ginseng Root] 3 qian, Tu-chao Gancao [Earth-fried Licorice Root] 2 qian, Tu-chao Ganjiang [Earth-fried Dried Ginger] 5 qian, Chao Guzhi [Stir-fried Psoralea Fruit] pounded 5 qian, Shu Fupian [Prepared Aconite Lateralis Radix] 5 qian, Bei Wuweizi [Schisandra Berry] pounded 3 qian, Tu-chao Chen Mugua [Earth-fried Mature Quince Fruit] 3 qian. The Kidney is the root and key of the Spleen and Stomach. Generally, when Spleen Yang is extremely exhausted, if not complicated by Wind-Cold or Phlegm-Stasis, it is impossible to succeed without simultaneously tonifying Kidney Yang. Mugua enters the Spleen meridian to reduce swelling; combined with Renshen and Gancao, Sour and Sweet transform into Yin. Although Jiang (Ginger) and Fu (Aconite) are used in large amounts, there is absolutely no adverse effect of excessive Yang-warming dryness.)
The daughter-in-law of Jin Yuanzhang. After becoming a widow early in the year of Jiawu, she suffered from impetigo-like sores (Nongkejie). Broadly speaking, this is a disease of Damp-Heat. The surgeon Lian suspected it was residual toxicity (from syphilis) and treated it as Chancre (Meichuang). Gradually, she developed vomiting and diarrhea, unable to take food. She was then treated by an internal medicine physician, but with no success. By the following spring, abdominal pain and spontaneous sweating were added, along with delayed menstruation and emaciation. Various physicians retreated upon seeing her. Mengying examined her and said: This is Stomach Qi damaged by Bitter-Cold herbs, and Liver Yang fanned by Pungent-Warm herbs. Previously, every time Yang-Gang (Yang-tonifying/Warm) herbs were taken, fainting would occur...