煎一两。南花粉四钱。香白薇一钱。犀角元参知斛息风救液。花粉茅根栀薇清卫凉营。方中
尤以救液息风为重。液复则风息。风息则血不行。)数剂始安。（续方去犀角茅根栀皮花粉。
)加生地二至二冬而愈。（大生地八钱。明天冬切六钱。女贞杵五钱。旱莲草四钱。花麦冬四
钱。)
阮范书室患腹痛欲厥。医见其体甚弱。予镇逆通补之法。而势日甚。孟英察脉弦数左溢。是
忿怒而肝阳勃升也。便 不饥。口苦而渴。予雪羹栀楝旋绛元胡丹皮茹贝下左金丸而愈。（
脉弦数左溢。为阴虚挟汗热。便 不饥二语。为肝风逆升之象。淡海蜇先煎二两。整荸荠打
二两。黑栀皮三钱。楝核杵先四钱。旋复包先三钱。新绛屑六分。元胡索一钱半。粉丹皮二
钱。姜竹茹三钱。川贝母杵四钱。雪羹合楝核丹皮能息风肃肺。药送左金丸二钱。)
周子因体素弱。偶患间疟。黄某用首乌鳖甲姜枣等药。病日以甚。加以参桂。狂躁妄言。孟
英
视之。面赤舌绛。溲涩便溏。渴饮汗多。脉形细数。是暑证也。予元参银花知芩茹贝竹叶荷
杆莲心西瓜皮为剂寻愈。（温补助热灼津。病情尚在气分。元参片一两。泡冲去渣。银花一
两
五钱。酒炒知母三钱。酒炒枯芩一钱半。姜竹茹三钱。川贝母杵四钱。莲子心一钱。鲜竹叶
二钱。西瓜皮四钱。元参银花知母竹叶西瓜皮救液息风。)
吴薇客母患痰嗽。喘逆。便 不眠。微热不饥。口干畏热。孟英切其脉。右寸关弦滑而浮。
左
关尺细 无神。是阴虚于下。痰实于上。微兼客热也。予茹贝旋斛浮石芦根冬瓜子枇叶杏仁
花粉为剂。以熟地泡汤煎服。则浊药轻投。清上滋下。是一举两全之策也。投匕果应。再服
而大便行。渐次调瘳。（右寸关弦滑而浮为痰实于上。左关尺细 无神为阴虚于下。此方除
熟地外。
皆蠲痰肃肺之品。以熟地汤煎服。则阴复而后气行。气行而后在上之痰热悉降。此非独孟英
已试之法。凡阴虚痰实之证。悉仿此法。亦百用百效。不敢自秘。姜竹茹三钱。川贝母杵四
钱。旋复包先三钱。石斛先煎八钱。鲜芦根一两。生冬瓜子四钱。姜枇叶刷包三钱。苦杏仁
次入二钱。南花粉四钱。大熟地泡煎去渣一两。)
谢谱香素属阴亏。情志抑郁。因远行持重而患咳逆。左胁刺痛。寸步难移。杳不知饥。卧难
着枕。孟英诊之。脉象弦细 数。苔腻痰粘。便艰涩少。乃肾气不纳。肝气不舒。肺气不清
。胃气不降。（咳逆为肺气不清。左胁刺痛。寸步难移。为肝气不舒。杳不知饥。为胃气不
降。脉弦细 数。为肾虚肝郁。苔腻痰粘。便艰涩少。为肺胃不降。)投以沙参枇叶茹贝旋
栀龟板鳖甲丝瓜络冬瓜子青铅白前金铃藕肉。以熟地泡汤煎服。数剂而平。继渐滋镇向愈。
（北沙参四钱。姜枇叶刷包三钱。姜竹茹三钱。川贝母杵四钱。旋复包先三钱。黑栀皮三钱
。丝瓜络三钱。生冬瓜子四钱。白前一钱。熟地八钱。泡汤去渣。先煎血龟板杵三两。血鳖
甲杵一两。青铅二两。楝核杵先四钱。藕肉切一两。至八句钟。再入前药。阴虚痰实之证。
补阴潜阳。则痰自降。历试不爽。)
叶承恩室怀妊患感。昏谵不语。善呕便秘。汗出不解脉涩口干。乃营阴素亏。邪热内炽。以
元参石膏知芩茹贝银花枇叶薇栀楝斛投数帖而愈。（元参片泡冲去渣八钱。生石膏先煎八钱
。姜炒知母三钱。姜炒枯芩一钱。姜炒楝皮去核二钱。姜竹茹三钱。川贝母杵四钱。银花次
入一两。姜枇叶刷包三钱。酒炒白薇一钱半。酒炒栀皮三钱。石斛先煎一两。)
江梦花外家患两目肿痛。不能略张。医投风药。昏痉欲厥。孟英诊之。脉至洪滑。大渴便秘。
予白虎汤二剂霍然。（生石膏先煎一两六钱。酒炒知母四钱。生苡仁杵八钱。生冬瓜子四钱
。南花粉五钱。鲜竹叶二钱。济银花一两五钱。青果连核杵先二钱。旋复包先三钱。生赭石
杵先八钱。淡豆豉一钱半。石斛先煎一两。淡海 先煎二两。)
潘馥堂女患感。沈悦亭治之渐愈。惟咽阻无形。水谷碍下。孟英以竹叶石膏汤加紫菀白前旋
复枇叶以清肺而降肺气。果即帖然。（咽阻无形二句。为肺有实热。肺气不降。鲜竹叶二钱
。生石膏先煎八钱。酒炒知母四钱制半夏研次入一钱。紫菀茸一钱半。白前二钱。旋复包先
三钱。鲜枇叶刷包三钱。)
吴西 患疟。寒微热甚。旬余不愈。孟英诊之。脉滑而长。书大剂白虎汤予之。前医亦主是
方。屡服无效。汤虽白虎。石膏既少且煨。兼不去米。汤名虽同。药却重用。且去米加花粉
。其力不同科矣。此可见服药不可徒有汤头之名。（生石膏先煎一两二钱。酒炒知母四钱。
南花粉四钱。姜竹茹三钱。西滑石先煎五钱。生冬瓜子四钱。黑栀 皮三钱。淡豆豉一钱半
。冬瓜皮三钱。)
曹稼梅女。患眩晕脘痛。筋掣吐酸。渴饮不饥。咽中如有炙脔。朱某予温胃药病日剧。孟英
诊脉弦滑。投茹贝萸连旋赭栀楝枳郁雪羹之药。十余剂始愈。（眩晕脘痛四句。为肝阳侮胃
。胃气不降。脉弦为阴虚肝热。滑为痰热。姜竹茹三钱。川贝母杵五钱。淡吴萸次入六分。
酒炒川连一钱。旋复包先三钱。生赭石杵先二两。酒炒楝核杵先三钱。炒枳实一钱半。黄郁
金一钱。整荸荠打一两。淡海 先煎二两。)
夏氏妇怀娠患感。医投温散。渐至气冲不寐。时欲痉厥。脘闷呻吟。渴难受饮。孟英诊之。
脉滑数而溢。予小陷胸加旋薤石膏知栀茹杏腹皮苏子竹沥海 大剂。投旬日而愈。（病情为
温散劫津。肝肠侮胃。液不布气。胃肠亦弱。姜炒川连二钱。制半夏一钱半蒌仁研三钱。旋
复包先三钱。鲜薤白打次入一钱半。生石膏先煎一两二钱。姜汁炒知母三钱。黑栀皮三钱。
姜竹茹三钱。苦杏泥二钱。生苏子研一钱半姜竹沥两大酒杯冲。淡海 先煎二两。方中夏薤
杏腹苏皆为渴难受饮胃阳不健而设。)沈悦亭妻齿衄。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。（去血已多合脉
弦滑上溢。为阴涸风升。煽痰逆上。镑犀角先煎四钱。泽兰叶次入一钱半元参片一两。旋复
包先三钱。大生地八钱。南花粉四钱。云茯苓三钱。制牛膝一钱。生桃仁研一钱半。生泽泻
一钱半。)嗣询经事。本月果已愆期。盖即逆行之候也。继用滋阴清热。乃渐康复。
王雪山上年误饵透土丹之时。孟英延医向愈。即属常饮柿饼汤。以杜关格于将来。次年四月
形体日瘦。张某进导湿疏风补气之药。孟英力劝温补莫投。竟误仍服补药。秋间孟英视之。
胁痛畏风。周身络胀。时欲敲扑。食少便难。日晡微有寒热。脉来弦涩而数。右寸关弦
以滑。是升降之令久窒。痰邪袭于隧络。关格之势将成。勉予沙参茹贝薇蒿旋斛栀楝兰草枇
叶丝瓜络冬瓜子芦根茅根等出入为方。服之寒热既蠲。胁痛亦减。（此证误服温补。升降之
令久窒为远因。痰邪袭于隧络为近因。欲涤痰邪先调升降弦数为热。故方中多凉润清通之品
。姜
竹茹三钱。川贝母杵四钱。姜栀皮三钱姜枇叶刷包三钱。丝瓜络三钱。姜汁拌芦根八钱。佩
兰草三钱。更方去栀皮枇叶。加北沙参四钱。再更方去竹茹。加石斛先煎八钱。再更方去沙
参。加楝核杵先三钱。再更方加香白薇一钱。鲜青蒿一钱半。旋复包先三钱。脉沥则痰邪
阻
气之征也。)脉颇转和。第肝阴为谋虑所伤。最忌情志不怡。无如嗔怒萦思。屡生枝节。复
误温散温补。舌色干紫津涸而亡。
徐梦香年近六旬。患手颤不能握管。孟英以通补息风药吞指迷茯苓丸而安。仲秋类中。遗溺
痰升。昏瞀妄言。汗多面赤。孟英视之。脉浮弦洪滑。盖吸受暑邪。而连日适服参汤也。予
羚角石菖蒲连翘栀子桑叶菊花楝斛知母花粉竹沥银花蒿薇等药。（病情为温补助热。肝风煽
痰逆升而厥。羚次尖先煎四钱。石菖蒲次入二钱。连翘壳三钱。黑栀皮三钱。冬桑叶四钱。
杭白菊三钱。川楝核杵先二钱。石斛先煎一两。酒炒知母三钱。南花粉四钱。姜竹沥两大酒
杯冲。银花一两五钱。鲜青蒿一钱半。香白薇二钱。方以苦甘寒息风救液。菖蒿反佐。)
一剂知。二剂神清。乃去羚菖。加茹贝滑石投之。（加姜竹茹三钱。川贝母杵四钱。西滑石
先煎五钱。)下利白如脓垢者数日。始知饥纳谷。继以调理而愈。
张月波弟陡患腹痛。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。叠投燥烈。其病益加。呻吟欲绝。已四日矣。孟英视之。脉弦数。
苔干微黄。按腹不坚。以海 一斤。荸荠半斤煎汤频灌。果不吐。令将余汤煎栀连楝斛茹
芩枇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。（痛甚而渴三
句。本系温药伤阴。肝阳逆上。叠投燥烈。阴津将涸。故以大剂雪羹频灌救阴。汤煎黑栀皮
三钱。酒炒川连一钱。酒炒楝核杵先二钱。石斛先煎一两。姜竹茹三钱。酒炒枯芩一钱半。
鲜枇叶刷包三钱。酒炒知母三钱。元胡索一钱半。干柿蒂十个。旋复包先三钱。药送龙荟丸
三钱。)
黄鼎如母年七十七岁。季秋患间疟。每发加剧。寒甚微而热必昏痉。舌不能伸。三发后孟英
视之。颧赤目垂。鼻冷额颏微汗。苔色黄腻。舌根纯红。口渴痰多。不思粥饮。脉至弦数。
重按少神。证属伏暑挟痰。而阴虚阳越。先与苁蓉鳖甲楝斛茹贝燕窝藕。（伏暑挟痰。应用
茹贝等轻清之品。惟阴虚阳越。本身气先不降。药气何能下行。常法先标后本。若本病较重
。则本反为标。伏暑挟痰虽标病。而阴虚阳越。则本反为标。淡苁蓉一钱半。血鳖甲杵四两
。楝核杵四钱。石斛一两。燕窝包三钱。藕切二两。六味先煎八句钟。姜竹茹四钱。川贝母
杵一两。同次入。)两剂而颧红颏汗皆蠲。继佐参沥薤麦枇叶旋复。去竹茹苁蓉。（北沙参八
钱
。姜竹沥两大酒杯冲。鲜薤白打一钱半。鲜枇叶刷包三钱。旋复包先三钱。)投三帖而昏痉
不作。又去薤楝。加生地花粉。服五日而疟休。（大生地八钱。南花粉四钱。)饮食渐加。居
然告愈。（按此系足厥阴肝疟之治。)
许芷卿患外寒须复重衾。内热饮不解渴。仍能安谷。便溺皆行。投以温散。即显咽痛。孟英
切脉沉弦而缓。作痰热内伏。投以犀羚元参丹皮白薇黑栀茹贝旋蒡之剂。（仍能安谷。便溺
皆
行。病不在气。饮不解渴。温散咽痛。为内风已动。脉沉弦为肝热遏伏。此脉缓乃痰浊阻气
。
非脾阳衰弱。镑犀角羚次尖同先煎各四钱。元参片泡冲去渣一两。粉丹皮二钱。香白薇一钱
。黑栀皮三钱。姜竹茹三钱。川贝杵四钱。旋复包先一钱半。姜炒牛蒡子三钱。)两帖而寒
渴咽痛皆减。乃去犀羚牛蒡。加二至知母花粉银花。解酱矢而瘳。（女贞杵五钱。旱莲草四
钱。酒炒知母三钱。姜汁炒花粉四钱。济银花次入八钱。)
韩组林年近古稀。孟冬患肢厥头肿。 语遗溺。某作虚风类。进以温补。势益剧。孟英切脉
。左弦数。右滑溢。乃痰热内阻。风温外侵予羚贝茹栀翘薇桑菊花粉丹皮旋复。以芦菔汤煎
服而瘳。（左弦数为阴虚挟肝热。右滑溢为风阳煽痰逆上。方义主息风阳以涤痰热。羚次尖
先煎八钟四钱。川贝杵四钱。姜竹茹三钱。黑栀皮三钱。连翘壳三钱。香白薇一钱。冬桑叶
四钱。杭白菊三钱。粉丹皮二钱。南花粉四钱。芦菔一两。煨汤去渣煎药。)
钱闻远子患感。汤某进桂朴姜柴等药。而痰血频咯。神瞀耳聋。 语便溏。不饥大渴。苔黑
涩少。彻夜无眠。某某叠进轻清。黑苔渐退。舌绛无津。外证依然。不能措手。孟英诊之。
脉皆细数。乃真阴素亏。营液受灼。不必以便溏不食而畏滋腻也。授以西洋参生地二至二冬
龟板燕窝茹贝银花藕汁梨汁玉竹百合等药。二剂咯血渐止。痰出甚多。渐进稀糜。夜能稍寐
。五剂热退泻止。渴始减。脉渐和。旬日后解燥矢而痊。（无实证而便溏。为脾败除中。有
实证而便溏。为热寻出路。此病脉证八句皆实热见证。脉皆细数。何畏滋腻。西洋参三钱。
大生地八钱。女贞杵五钱。旱莲草四钱。明天冬切六钱。花麦冬四钱。血龟板杵四两。燕窝
包
三钱。二味同先煎八钟。姜竹茹三钱。川贝杵四钱。济银花八钱。藕汁梨汁各大半酒杯冲。
肥玉竹三钱。百合花三钱。)朱湘槎子忽于饱食后大吐而厥。冷汗息微。孟英视之。厥甫回
而腹痛异常。口极苦渴。二便不行。脉来弦缓。乃痰滞而热伏厥阴。肝气无从疏泄也。投雪
羹栀楝元胡苁蓉萸连橘核旋复竹茹菔汁之药。（大吐而厥脉证六句。皆肝热壅痰。肝不疏泄
之象。淡海 先煎二两。荸荠打一两。黑栀皮三钱。川楝核杵先三钱。元胡索一钱半。淡吴
萸六分。姜炒川连八分。橘核杵一钱半。姜竹茹三钱。菔汁半酒杯冲。淡苁蓉一钱半。)一
剂痛减。再服便行而愈。
（前文方剂）煎煮一两。南花粉四钱。香白薇一钱。犀角、元参、知母、石斛以息风救阴液。花粉、茅根、栀子皮、白薇以清卫分、凉营分。方中尤其以救阴液、息肝风为关键。阴液恢复则肝风自息，肝风平息则血行归经。（服用）数剂后病情始安。（续方去掉犀角、茅根、栀子皮、花粉。）加入大生地二至八钱、明天冬切六钱而痊愈。（大生地八钱。明天冬切六钱。女贞子捣碎五钱。旱莲草四钱。花麦冬四钱。）
阮范书室患腹痛欲发厥逆。医生见其体质非常虚弱，给予镇逆通补的方法，但病情日益加重。孟英诊察脉象弦数且左脉溢指，认为是因忿怒导致肝阳勃然上升所致。大便不畅且不思饮食，口苦而渴。给予雪羹汤、栀子、川楝子、旋覆花、绛香、元胡索、丹皮、竹茹、川贝母，并送服左金丸而痊愈。（脉弦数左溢，为阴虚挟有郁热之象；“便溏不饥”二语，为肝风逆升之征。淡海蜇先煎二两，整荸荠捣烂二两，黑栀子皮三钱，川楝核捣碎先煎四钱，旋覆花包煎先煎三钱，新绛屑六分，元胡索一钱半，粉丹皮二钱，姜竹茹三钱，川贝母捣碎四钱。雪羹合川楝核、丹皮能息风肃肺。药送左金丸二钱。）
周子因体质素来虚弱，偶然患间日疟。黄某使用首乌、鳖甲、生姜、大枣等药物，病情日渐加重。又加上人参、肉桂，出现狂躁妄言。孟英诊视，见面赤舌绛，小便涩滞，大便溏薄，口渴多饮，汗出多，脉形细数，这是暑证。给予元参、银花、知母、黄芩、竹茹、川贝母、竹叶、荷杆、莲子心、西瓜皮为剂，不久即愈。（温补助长热邪灼伤津液。病情尚在气分。元参片一两，泡冲去渣。银花一两五钱，酒炒知母三钱，酒炒枯芩一钱半，姜竹茹三钱，川贝母捣碎四钱，莲子心一钱，鲜竹叶二钱，西瓜皮四钱。元参、银花、知母、竹叶、西瓜皮救阴液息肝风。）
吴薇客之母患痰嗽，喘逆，大便不畅，失眠，微热不思饮食，口干畏热。孟英切其脉，右寸关弦滑而浮，左关尺细弱无神，这是下焦阴虚，上焦痰实，微兼客热。给予竹茹、川贝母、旋覆花、石斛、浮石、芦根、冬瓜子、枇杷叶、杏仁、南花粉为剂，用熟地黄泡汤煎服，则是浊药轻投，清上滋下，是一举两全的策略。服药果然见效，再服后大便通畅，逐渐调治痊愈。（右寸关弦滑而浮为痰实于上，左关尺细弱无神为阴虚于下。此方除熟地外，皆为蠲痰肃肺之品。以熟地汤煎服，则阴复而后气行，气行而后在上之痰热悉降。这不仅是孟英已尝试的方法，凡阴虚痰实之证，都仿照此法，也是百用百效，不敢自秘。姜竹茹三钱，川贝母捣碎四钱，旋覆花包煎先煎三钱，石斛先煎八钱，鲜芦根一两，生冬瓜子四钱，姜枇杷叶刷包三钱，苦杏仁次入二钱，南花粉四钱，大熟地泡煎去渣一两。）
谢谱香素属阴亏，情志抑郁，因远行负重而患咳逆，左胁刺痛，寸步难移，完全不知饥饿，卧难着枕。孟英诊之，脉象弦细数，苔腻痰粘，大便艰涩量少，乃肾气不纳，肝气不舒，肺气不清，胃气不降。（咳逆为肺气不清，左胁刺痛，寸步难移，为肝气不舒，完全不知饥饿，为胃气不降。脉弦细数，为肾虚肝郁。苔腻痰粘，大便艰涩量少，为肺胃不降。）投以沙参、枇杷叶、竹茹、川贝母、旋覆花、栀子、龟板、鳖甲、丝瓜络、冬瓜子、青铅、白前、金铃子、藕肉，用熟地黄泡汤煎服，数剂而平。继以渐滋镇潜之法向愈。（北沙参四钱，姜枇杷叶刷包三钱，姜竹茹三钱，川贝母捣碎四钱，旋覆花包煎先煎三钱，黑栀子皮三钱，丝瓜络三钱，生冬瓜子四钱，白前一钱，熟地八钱，泡汤去渣。先煎血龟板捣碎三两，血鳖甲捣碎一两，青铅二两，川楝核捣碎先煎四钱，藕肉切一两，至八点时，再入前药。阴虚痰实之证，补阴潜阳，则痰自降，历试不爽。）
叶承恩之妻怀妊患感，昏谵不语，善呕便秘，汗出不解，脉涩口干，乃营阴素亏，邪热内炽。以元参、石膏、知母、黄芩、竹茹、川贝母、银花、枇杷叶、白薇、栀子、川楝子、石斛投数帖而愈。（元参片泡冲去渣八钱，生石膏先煎八钱，姜炒知母三钱，姜炒枯芩一钱，姜炒楝皮去核二钱，姜竹茹三钱，川贝母捣碎四钱，银花次入一两，姜枇杷叶刷包三钱，酒炒白薇一钱半，酒炒栀子皮三钱，石斛先煎一两。）
江梦花的外祖父患两目肿痛，不能略张。医生投以风药，致昏痉欲厥。孟英诊之，脉至洪滑，大渴便秘，予白虎汤二剂霍然痊愈。（生石膏先煎一两六钱，酒炒知母四钱，生苡仁捣碎八钱，生冬瓜子四钱，南花粉五钱，鲜竹叶二钱，济银花一两五钱，青果连核捣碎先煎二钱，旋覆花包煎先煎三钱，生赭石捣碎先煎八钱，淡豆豉一钱半，石斛先煎一两，淡海蜇先煎二两。）
潘馥堂之女患感，沈悦亭治之渐愈，惟咽阻无形，水谷碍下。孟英以竹叶石膏汤加紫菀、白前、旋覆花、枇杷叶以清肺而降肺气，果然即帖然。（咽阻无形二句，为肺有实热，肺气不降。鲜竹叶二钱，生石膏先煎八钱，酒炒知母四钱，制半夏研末次入一钱，紫菀茸一钱半，白前二钱，旋覆花包煎先煎三钱，鲜枇杷叶刷包三钱。）
吴西患疟，寒微热甚，旬余不愈。孟英诊之，脉滑而长，书大剂白虎汤予之。前医亦主是方，屡服无效。汤虽名白虎，石膏既少且煨，兼不去米。汤名虽同，药却重用，且去米加花粉，其力不同科矣。此可见服药不可徒有汤头之名。（生石膏先煎一两二钱，酒炒知母四钱，南花粉四钱，姜竹茹三钱，西滑石先煎五钱，生冬瓜子四钱，黑栀子皮三钱，淡豆豉一钱半，冬瓜皮三钱。）
曹稼梅女，患眩晕脘痛，筋掣吐酸，渴饮不饥，咽中如有炙脔。朱某予温胃药病日剧。孟英诊脉弦滑，投竹茹、川贝母、吴茱萸、黄连、旋覆花、代赭石、栀子、川楝子、枳实、郁金、雪羹之药，十余剂始愈。（眩晕脘痛四句，为肝阳侮胃，胃气不降。脉弦为阴虚肝热，滑为痰热。姜竹茹三钱，川贝母捣碎五钱，淡吴茱萸次入六分，酒炒川连一钱，旋覆花包煎先煎三钱，生赭石捣碎先煎二两，酒炒川楝核捣碎先煎三钱，炒枳实一钱半，黄郁金一钱，整荸荠捣烂一两，淡海蜇先煎二两。）
夏氏妇怀娠患感，医投温散，渐至气冲不寐，时欲痉厥，脘闷呻吟，渴难受饮。孟英诊之，脉滑数而溢，予小陷胸加旋覆花、薤白、石膏、知母、栀子、竹茹、杏仁、腹皮、苏子、竹沥、海蜇大剂，投旬日而愈。（病情为温散劫津，肝肠侮胃，液不布气，胃肠亦弱。姜炒川连二钱，制半夏一钱半，瓜蒌仁研三钱，旋覆花包煎先煎三钱，鲜薤白捣烂次入一钱半，生石膏先煎一两二钱，姜汁炒知母三钱，黑栀子皮三钱，姜竹茹三钱，苦杏泥二钱，生苏子研一钱半，姜竹沥两大酒杯冲，淡海蜇先煎二两。方中夏枯草、薤白、杏仁、腹皮、苏子皆为渴难受饮、胃阳不健而设。）沈悦亭之妻齿衄，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、旋覆花、生地、花粉、茯苓、牛膝、桃仁、泽泻而安。（去血已多合脉弦滑上溢，为阴涸风升，煽痰逆上。镑犀角先煎四钱，泽兰叶次入一钱半，元参片一两，旋覆花包煎先煎三钱，大生地八钱，南花粉四钱，云茯苓三钱，制牛膝一钱，生桃仁研一钱半，生泽泻一钱半。）嗣询经事，本月果已愆期，盖即逆行之候也。继用滋阴清热，乃渐康复。
王雪山上年误饵透土丹之时，孟英延医向愈，即嘱常饮柿饼汤，以杜关格于将来。次年四月形体日瘦，张某进导湿疏风补气之药，孟英力劝温补莫投，竟误仍服补药。秋间孟英视之，胁痛畏风，周身络胀，时欲敲扑，食少便难，日晡微有寒热，脉来弦涩而数，右寸关弦以滑，是升降之令久窒，痰邪袭于隧络，关格之势将成。勉予沙参、竹茹、川贝母、白薇、青蒿、旋覆花、石斛、栀子、川楝子、泽兰、枇杷叶、丝瓜络、冬瓜子、芦根、茅根等出入为方，服之寒热既蠲，胁痛亦减。（此证误服温补，升降之令久窒为远因，痰邪袭于隧络为近因。欲涤痰邪先调升降，弦数为热，故方中多凉润清通之品。姜竹茹三钱，川贝母捣碎四钱，姜栀子皮三钱，姜枇杷叶刷包三钱，丝瓜络三钱，姜汁拌芦根八钱，佩兰草三钱。更方去栀子皮、枇杷叶，加北沙参四钱。再更方去竹茹，加石斛先煎八钱。再更方去沙参，加川楝核捣碎先煎三钱。再更方加香白薇一钱，鲜青蒿一钱半，旋覆花包煎先煎三钱。脉沥则痰邪阻气之征也。）脉颇转和，第肝阴为谋虑所伤，最忌情志不怡，无如嗔怒萦思，屡生枝节，复误温散温补，舌色干紫津涸而亡。
徐梦香年近六旬，患手颤不能握管。孟英以通补息风药吞指迷茯苓丸而安。仲秋类中，遗溺痰升，昏瞀妄言，汗多面赤。孟英视之，脉浮弦洪滑，盖吸受暑邪，而连日适服参汤也。予羚角、石菖蒲、连翘、栀子、桑叶、菊花、川楝子、石斛、知母、花粉、竹沥、银花、青蒿、白薇等药。（病情为温补助热，肝风煽痰逆升而厥。羚羊角次尖先煎四钱，石菖蒲次入二钱，连翘壳三钱，黑栀子皮三钱，冬桑叶四钱，杭白菊三钱，川楝核捣碎先煎二钱，石斛先煎一两，酒炒知母三钱，南花粉四钱，姜竹沥两大酒杯冲，银花一两五钱，鲜青蒿一钱半，香白薇二钱。方以苦甘寒息风救液，菖蒿反佐。）一剂知，二剂神清，乃去羚角、石菖蒲，加竹茹、川贝母、滑石投之。（加姜竹茹三钱，川贝母捣碎四钱，西滑石先煎五钱。）下利白如脓垢者数日，始知饥纳谷，继以调理而愈。
张月波弟陡患腹痛，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，叠投燥烈，其病益加，呻吟欲绝，已四日矣。孟英视之，脉弦数，苔干微黄，按腹不坚，以海蜇一斤，荸荠半斤煎汤频灌，果不吐，令将余汤煎栀子、黄连、川楝子、石斛、竹茹、黄芩、枇杷叶、知母、延胡索、柿蒂、旋覆花为剂，吞龙荟丸，投匕而溲行痛减，次日更衣而愈。（痛甚而渴三句，本系温药伤阴，肝阳逆上，叠投燥烈，阴津将涸，故以大剂雪羹频灌救阴。汤煎黑栀子皮三钱，酒炒川连一钱，酒炒川楝核捣碎先煎二钱，石斛先煎一两，姜竹茹三钱，酒炒枯芩一钱半，鲜枇杷叶刷包三钱，酒炒知母三钱，元胡索一钱半，干柿蒂十个，旋覆花包煎先煎三钱。药送龙荟丸三钱。）
黄鼎如母年七十七岁，季秋患间疟，每发加剧，寒甚微而热必昏痉，舌不能伸。三发后孟英视之，颧赤目垂，鼻冷额颏微汗，苔色黄腻，舌根纯红，口渴痰多，不思粥饮，脉至弦数，重按少神，证属伏暑挟痰，而阴虚阳越。先与肉苁蓉、鳖甲、川楝子、石斛、竹茹、川贝母、燕窝、藕。（伏暑挟痰，应用竹茹、川贝母等轻清之品，惟阴虚阳越，本身气先不降，药气何能下行。常法先标后本，若本病较重，则本反为标。伏暑挟痰虽标病，而阴虚阳越，则本反为标。淡肉苁蓉一钱半，血鳖甲捣碎四两，川楝核捣碎四钱，石斛一两，燕窝包三钱，藕切二两，六味先煎八点钟，姜竹茹四钱，川贝母捣碎一两，同次入。）两剂而颧红颏汗皆蠲，继佐沙参、竹沥、薤白、麦冬、枇杷叶、旋覆花，去竹茹、肉苁蓉。（北沙参八钱，姜竹沥两大酒杯冲，鲜薤白打一钱半，鲜枇杷叶刷包三钱，旋覆花包煎先煎三钱。）投三帖而昏痉不作，又去薤白、川楝子，加生地、花粉，服五日而疟休。（大生地八钱，南花粉四钱。）饮食渐加，居然告愈。（按此系足厥阴肝疟之治。）
许芷卿患外寒须复重衾，内热饮不解渴，仍能安谷，便溺皆行，投以温散，即显咽痛。孟英切脉沉弦而缓，作痰热内伏，投以犀角、羚羊角、元参、丹皮、白薇、黑栀子、竹茹、川贝母、旋覆花、牛蒡子之剂。（仍能安谷，便溺皆行，病不在气。饮不解渴，温散咽痛，为内风已动。脉沉弦为肝热遏伏，此脉缓乃痰浊阻气，非脾阳衰弱。镑犀角、羚羊角次尖同先煎各四钱，元参片泡冲去渣一两，粉丹皮二钱，香白薇一钱，黑栀子皮三钱，姜竹茹三钱，川贝母捣碎四钱，旋覆花包煎先煎一钱半，姜炒牛蒡子三钱。）两帖而寒渴咽痛皆减，乃去犀角、羚羊角、牛蒡子，加二至丸、知母、花粉、银花，解酱矢而瘳。（女贞子捣碎五钱，旱莲草四钱，酒炒知母三钱，姜汁炒花粉四钱，济银花次入八钱。）
韩组林年近古稀，孟冬患肢厥头肿，谵语遗溺，某作虚风类，进以温补，势益剧。孟英切脉，左弦数，右滑溢，乃痰热内阻，风温外侵，予羚角、川贝母、竹茹、黑栀子、连翘、白薇、桑叶、菊花、花粉、丹皮、旋覆花，以芦菔汤煎服而瘳。（左弦数为阴虚挟肝热，右滑溢为风阳煽痰逆上。方义主息风阳以涤痰热。羚羊角次尖先煎八钟四钱，川贝母捣碎四钱，姜竹茹三钱，黑栀子皮三钱，连翘壳三钱，香白薇一钱，冬桑叶四钱，杭白菊三钱，粉丹皮二钱，南花粉四钱，芦菔一两，煨汤去渣煎药。）
钱闻远子患感，汤某进桂朴姜柴等药，而痰血频咯，神瞀耳聋，谵语便溏，不饥大渴，苔黑涩少，彻夜无眠，某某叠进轻清，黑苔渐退，舌绛无津，外证依然，不能措手。孟英诊之，脉皆细数，乃真阴素亏，营液受灼，不必以便溏不食而畏滋腻也。授以西洋参、生地、二至丸、二冬、龟板、燕窝、竹茹、川贝母、银花、藕汁、梨汁、玉竹、百合等药，二剂咯血渐止，痰出甚多，渐进稀糜，夜能稍寐，五剂热退泻止，渴始减，脉渐和，旬日后解燥矢而痊。（无实证而便溏，为脾败除中。有实证而便溏，为热寻出路。此病脉证八句皆实热见证，脉皆细数，何畏滋腻。西洋参三钱，大生地八钱，女贞子捣碎五钱，旱莲草四钱，明天冬切六钱，花麦冬四钱，血龟板捣碎四两，燕窝包三钱，二味同先煎八钟，姜竹茹三钱，川贝母捣碎四钱，济银花八钱，藕汁梨汁各大半酒杯冲，肥玉竹三钱，百合花三钱。）
朱湘槎子忽于饱食后大吐而厥，冷汗息微。孟英视之，厥甫回而腹痛异常，口极苦渴，二便不行，脉来弦缓，乃痰滞而热伏厥阴，肝气无从疏泄也。投雪羹、栀子、川楝子、元胡索、肉苁蓉、吴茱萸、黄连、橘核、旋覆花、竹茹、萝卜汁之药。（大吐而厥脉证六句，皆肝热壅痰，肝不疏泄之象。淡海蜇先煎二两，荸荠捣烂一两，黑栀子皮三钱，川楝核捣碎先煎三钱，元胡索一钱半，淡吴茱萸六分，姜炒川连八分，橘核捣碎一钱半，姜竹茹三钱，萝卜汁半酒杯冲，淡肉苁蓉一钱半。）一剂痛减，再服便行而愈。
(Previous prescription) Decoct for one tael. Nan Hua Fen (Fritillariae Thunbergii Bulbus, 南花粉) four qian. Xiang Bai Wei (Radix Stellerae, 香白薇) one qian. Xi Jiao (Rhinocerotis Cornu, 犀角), Yuan Shen (Scrophulariae Radix, 元参), Zhi Mu (Anemarrhenae Rhizoma, 知母), Shi Hu (Dendrobii Caulis, 石斛) to extinguish wind and rescue fluids. Hua Fen, Mao Gen (Imperatae Rhizoma, 茅根), Zhi Wei (Gardeniae Fructus Pericarpium, 栀薇) to clear the Wei level and cool the Ying level. In the prescription, rescuing fluids and extinguishing wind are particularly emphasized. When fluids are restored, wind subsides; when wind subsides, blood flow returns to normal. (After taking) several doses, the condition stabilized. (The follow-up prescription removes Xi Jiao, Mao Gen, Zhi Wei, and Hua Fen.) Add Da Sheng Di (Rehmanniae Radix Preparata, 大生地) two to eight qian, Ming Tian Dong (Asparagi Radix, 明天冬) cut six qian, and the patient recovered. (Da Sheng Di eight qian. Ming Tian Dong cut six qian. Nv Zhen Zi (Ligustri Lucidi Fructus, 女贞子) pounded five qian. Han Lian Cao (Ecliptae Herba, 旱莲草) four qian. Hua Mai Dong (Ophiopogonis Japonici Bulbus, 花麦冬) four qian.)
Ruan Fan's study room suffered from abdominal pain with a tendency towards syncope. The physician, seeing his very weak constitution, prescribed methods to suppress rebellion and tonify unblocking, but the condition worsened daily. Mengying observed the pulse as wiry and rapid, overflowing on the left side, indicating that anger caused the Liver Yang to surge violently. There was difficult defecation and lack of appetite, bitter taste in the mouth, and thirst. He prescribed Xue Geng Tang (Snow Soup Decoction), Zhi Zi (Gardeniae Fructus, 栀子), Chuan Lian Zi (Toosendan Fructus, 川楝子), Xuan Fu Hua (Inulae Flos, 旋覆花), Jiang Xiang (Saussureae Radix, 绛香), Yuan Hu Suo (Corydalis Rhizoma, 元胡索), Dan Pi (Moutan Cortex, 丹皮), Zhu Ru (Bambusae Folium, 竹茹), Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 川贝母), and administered Zuo Jin Wan (Left Metal Pill, 左金丸) with the medicine, resulting in recovery. (A wiry and rapid pulse overflowing on the left indicates Yin deficiency with internal heat; "difficult defecation and lack of appetite" are signs of Liver Wind rebelling upwards. Dan Hai Zhe (Marina Concha, 淡海蜇) decocted first two taels, whole Bi Qi (Dioscoreae Hypoglaucae Rhizoma, 整荸荠) pounded two taels, Hei Zhi Pi (Gardeniae Fructus Pericarpium, 黑栀皮) three qian, Chuan Lian He (Toosendan Fructus, 楝核) pounded and decocted first four qian, Xuan Fu Hua (Inulae Flos, 旋复花) bagged and decocted first three qian, Xin Jiang Sa (Safflower Stamen, 新绛屑) six fen, Yuan Hu Suo (Corydalis Rhizoma, 元胡索) one and a half qian, Fen Dan Pi (Moutan Cortex, 粉丹皮) two qian, Jiang Zhu Ru (Bambusae Folium, 姜竹茹) three qian, Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 川贝母) pounded four qian. Xue Geng combined with Chuan Lian He and Dan Pi can extinguish wind and purify the Lung. The medicine is taken with Zuo Jin Wan two qian.)
Zhou Zi had a constitution that was inherently weak and occasionally suffered from intermittent malaria. Huang Mou used herbs such as Shou Wu (Polygoni Multiflori Radix, 首乌), Bie Jia (Testudinis Carapax et Plastrum, 鳖甲), Jiang (Zingiberis Rhizoma Recens, 姜), and Zao (Jujubae Fructus, 枣). The illness worsened day by day. Ginseng and Rou Gui (Cinnamomi Cortex, 肉桂) were added, leading to mania and delirious speech. Mengying examined him: red face, crimson tongue, scanty and difficult urination, loose stools, thirst with desire to drink, profuse sweating, and a fine, rapid pulse. This was a Summerheat syndrome. He prescribed Yuan Shen (Scrophulariae Radix, 元参), Yin Hua (Lonicerae Japonicae Flos, 银花), Zhi Mu (Anemarrhenae Rhizoma, 知母), Qin (Scutellariae Radix, 芩), Zhu Ru (Bambusae Folium, 茹), Bei (Fritillariae Cirrhosae Bulbus, 贝), Zhu Ye (Bambusae Folium, 竹叶), He Gan (Nelumbinis Petiolus, 荷杆), Lian Xin (Nelumbinis Plumula, 莲心), and Xi Gua Pi (Citrulli Citrullus Pericarpium, 西瓜皮) as a formula, and he recovered soon. (Warm tonification aids heat and scorches fluids. The pathology remains at the Qi level. Yuan Shen Pian (Scrophulariae Radix, 元参片) one tael, soaked and taken after removing dregs. Yin Hua (Lonicerae Japonicae Flos, 银花) one tael and five qian, wine-fried Zhi Mu (Anemarrhenae Rhizoma, 知母) three qian, wine-fried Ku Qin (Scutellariae Radix, 枯芩) one and a half qian, Jiang Zhu Ru (Bambusae Folium, 姜竹茹) three qian, Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 川贝母) pounded four qian, Lian Zi Xin (Nelumbinis Plumula, 莲子心) one qian, fresh Zhu Ye (Bambusae Folium, 竹叶) two qian, Xi Gua Pi (Citrulli Citrullus Pericarpium, 西瓜皮) four qian. Yuan Shen, Yin Hua, Zhi Mu, Zhu Ye, and Xi Gua Pi rescue fluids and extinguish wind.)
Wu Weike's mother suffered from phlegm-cough, wheezing, difficult defecation, insomnia, slight fever, and lack of appetite. She had a dry mouth and aversion to heat. Mengying palpated her pulse: the right Cun and Guan positions were wiry, slippery, and floating; the left Guan and Chi positions were fine and lacked spirit. This indicated Yin deficiency below and Phlegm excess above, with slight external heat. He prescribed Zhu Ru (Bambusae Folium, 茹), Bei (Fritillariae Cirrhosae Bulbus, 贝), Xuan Fu Hua (Inulae Flos, 旋), Shi Hu (Dendrobii Caulis, 斛), Fu Shi (Pumex, 浮石), Lu Gen (Phragmitis Rhizoma, 芦根), Dong Gua Zi (Benincasae Semen, 冬瓜子), Pi Ye (Eriobotryae Folium, 枇叶), Xing Ren (Armeniacae Semen Amarum, 杏仁), and Hua Fen (Fritillariae Thunbergii Bulbus, 花粉) as a formula, decocted with Shu Di (Rehmanniae Radix Preparata, 熟地) soaked in water. This method involves administering heavy medicines lightly, clearing the upper and nourishing the lower, achieving both goals with one move. The administration was effective; after another dose, bowel movements occurred, and gradual recovery ensued. (Right Cun and Guan wiry, slippery, and floating indicate Phlegm excess above; left Guan and Chi fine and lacking spirit indicate Yin deficiency below. Except for Shu Di, all herbs in this formula eliminate phlegm and purify the Lung. Decocting with Shu Di soup restores Yin, allowing Qi to move; once Qi moves, the phlegm-heat above descends completely. This is not only a method tested by Mengying but also applicable to all cases of Yin deficiency with Phlegm excess, yielding hundred percent efficacy. I dare not keep it secret. Jiang Zhu Ru (Bambusae Folium, 姜竹茹) three qian, Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 川贝母) pounded four qian, Xuan Fu Hua (Inulae Flos, 旋复花) bagged and decocted first three qian, Shi Hu (Dendrobii Caulis, 石斛) decocted first eight qian, fresh Lu Gen (Phragmitis Rhizoma, 芦根) one tael, Sheng Dong Gua Zi (Benincasae Semen, 生冬瓜子) four qian, Jiang Pi Ye (Eriobotryae Folium, 姜枇叶) brushed and bagged three qian, Ku Xing Ren (Armeniacae Semen Amarum, 苦杏仁) added later two qian, Nan Hua Fen (Fritillariae Thunbergii Bulbus, 南花粉) four qian, Da Shu Di (Rehmanniae Radix Preparata, 大熟地) soaked and decocted, dregs removed, one tael.)
Xie Puxiang inherently suffered from Yin deficiency and emotional depression. After traveling far and carrying heavy loads, he developed coughing and rebellious Qi, stabbing pain in the left hypochondrium making movement difficult, complete loss of appetite, and inability to sleep comfortably. Mengying diagnosed a wiry, fine, and rapid pulse, greasy coating with sticky phlegm, and difficult, scanty defecation. This indicated Kidney Qi failing to grasp, Liver Qi stagnating, Lung Qi failing to clear, and Stomach Qi failing to descend. (Coughing and rebellious Qi indicate Lung Qi failing to clear; stabbing pain in the left hypochondrium and difficulty moving indicate Liver Qi stagnating; complete lack of appetite indicates Stomach Qi failing to descend. Wiry, fine, and rapid pulse indicates Kidney deficiency and Liver depression. Greasy coating, sticky phlegm, and difficult, scanty defecation indicate Lung and Stomach failing to descend.) He prescribed Sha Shen (Glehniae Radix, 沙参), Pi Ye (Eriobotryae Folium, 枇叶), Zhu Ru (Bambusae Folium, 茹), Bei (Fritillariae Cirrhosae Bulbus, 贝), Xuan Fu Hua (Inulae Flos, 旋), Zhi Zi (Gardeniae Fructus, 栀), Gui Ban (Testudinis Carapax et Plastrum, 龟板), Bie Jia (Testudinis Carapax et Plastrum, 鳖甲), Si Gua Luo (Luffae Fructus Retinervus, 丝瓜络), Dong Gua Zi (Benincasae Semen, 冬瓜子), Qing Qian (Plumbum, 青铅), Bai Qian (Cynanchi Stauntonii Rhizoma et Radix, 白前), Jin Ling Zi (Toosendan Fructus, 金铃), and Ou Rou (Nymphaeae Nelumbinis Semen, 藕肉), decocted with Shu Di (Rehmanniae Radix Preparata, 熟地) soaked in water. After several doses, the condition stabilized. Subsequently, gradual nourishment and subduing led to recovery. (Bei Sha Shen (Glehniae Radix, 北沙参) four qian, Jiang Pi Ye (Eriobotryae Folium, 姜枇叶) brushed and bagged three qian, Jiang Zhu Ru (Bambusae Folium, 姜竹茹) three qian, Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 川贝母) pounded four qian, Xuan Fu Hua (Inulae Flos, 旋复花) bagged and decocted first three qian, Hei Zhi Pi (Gardeniae Fructus Pericarpium, 黑栀皮) three qian, Si Gua Luo (Luffae Fructus Retinervus, 丝瓜络) three qian, Sheng Dong Gua Zi (Benincasae Semen, 生冬瓜子) four qian, Bai Qian (Cynanchi Stauntonii Rhizoma et Radix, 白前) one qian, Shu Di (Rehmanniae Radix Preparata, 熟地) eight qian, soaked in water, dregs removed. First decoct Xue Gui Ban (Testudinis Carapax et Plastrum, 血龟板) pounded three taels, Xue Bie Jia (Testudinis Carapax et Plastrum, 血鳖甲) pounded one tael, Qing Qian (Plumbum, 青铅) two taels, Chuan Lian He (Toosendan Fructus, 楝核) pounded and decocted first four qian, Ou Rou (Nymphaeae Nelumbinis Semen, 藕肉) cut one tael. At 8 o'clock, add the previous herbs. For Yin deficiency with Phlegm excess, tonifying Yin and subduing Yang causes phlegm to descend naturally, proven effective repeatedly.)
Ye Cheng'en's wife, while pregnant, contracted an exogenous pathogen. She became comatose, delirious, and mute, vomited frequently, had constipation, sweating without relief, a choppy pulse, and dry mouth. This indicated inherent deficiency of Ying-Yin and blazing internal pathogenic heat. He prescribed Yuan Shen (Scrophulariae Radix, 元参), Shi Gao (Gypsum Fibrosum, 石膏), Zhi Mu (Anemarrhenae Rhizoma, 知母), Qin (Scutellariae Radix, 芩), Zhu Ru (Bambusae Folium, 茹), Bei (Fritillariae Cirrhosae Bulbus, 贝), Yin Hua (Lonicerae Japonicae Flos, 银花), Pi Ye (Eriobotryae Folium, 枇叶), Wei (Radix Stellerae, 薇), Zhi Zi (Gardeniae Fructus, 栀), Chuan Lian Zi (Toosendan Fructus, 楝), and Shi Hu (Dendrobii Caulis, 斛) over several doses, resulting in recovery. (Yuan Shen Pian (Scrophulariae Radix, 元参片) soaked and taken after removing dregs eight qian, Sheng Shi Gao (Gypsum Fibrosum, 生石膏) decocted first eight qian, Ginger-fried Zhi Mu (Anemarrhenae Rhizoma, 知母) three qian, Ginger-fried Ku Qin (Scutellariae Radix, 枯芩) one qian, Ginger-fried Chuan Pi (Toosendan Cortex, 楝皮) pitted two qian, Jiang Zhu Ru (Bambusae Folium, 姜竹茹) three qian, Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 川贝母) pounded four qian, Yin Hua (Lonicerae Japonicae Flos, 银花) added later one tael, Jiang Pi Ye (Eriobotryae Folium, 姜枇叶) brushed and bagged three qian, Wine-fried Bai Wei (Radix Stellerae, 白薇) one and a half qian, Wine-fried Zhi Pi (Gardeniae Fructus Pericarpium, 栀皮) three qian, Shi Hu (Dendrobii Caulis, 石斛) decocted first one tael.)
Jiang Menghua's maternal grandfather suffered from swelling and pain in both eyes, unable to open them slightly. Physicians administered wind-dispelling drugs, leading to coma, spasms, and impending syncope. Mengying palpated the pulse as surging, slippery, with extreme thirst and constipation. He prescribed Bai Hu Tang (White Tiger Decoction, 白虎汤) for two doses, resulting in sudden recovery. (Sheng Shi Gao (Gypsum Fibrosum, 生石膏) decocted first one tael and six qian, Wine-fried Zhi Mu (Anemarrhenae Rhizoma, 知母) four qian, Sheng Yi Yi Ren (Coicis Semen, 生苡仁) pounded eight qian, Sheng Dong Gua Zi (Benincasae Semen, 生冬瓜子) four qian, Nan Hua Fen (Fritillariae Thunbergii Bulbus, 南花粉) five qian, fresh Zhu Ye (Bambusae Folium, 竹叶) two qian, Ji Yin Hua (Lonicerae Japonicae Flos, 济银花) one tael and five qian, Qing Guo (Canarii Fructus, 青果) with core pounded and decocted first two qian, Xuan Fu Hua (Inulae Flos, 旋复花) bagged and decocted first three qian, Sheng Zhe Shi (Hematitum, 生赭石) pounded and decocted first eight qian, Dan Dou Chi (Sojae Semini Preparatum, 淡豆豉) one and a half qian, Shi Hu (Dendrobii Caulis, 石斛) decocted first one tael, Dan Hai Zhe (Marina Concha, 淡海蜇) decocted first two taels.)
Pan Futang's daughter contracted an exogenous pathogen. Shen Yueting treated her, and she gradually improved, except for a sensation of obstruction in the throat without any physical mass, hindering the swallowing of food and water. Mengying prescribed Zhu Ye Shi Gao Tang (Leaf and Gypsum Decoction, 竹叶石膏汤) plus Zi Wan (Asteris Radix, 紫菀), Bai Qian (Cynanchi Stauntonii Rhizoma et Radix, 白前), Xuan Fu Hua (Inulae Flos, 旋复花), and Pi Ye (Eriobotryae Folium, 枇叶) to clear the Lung and descend Lung Qi. Indeed, she felt comfortable immediately. (The phrase "obstruction in the throat without any physical mass" indicates excess heat in the Lung and failure of Lung Qi to descend. Fresh Zhu Ye (Bambusae Folium, 竹叶) two qian, Sheng Shi Gao (Gypsum Fibrosum, 生石膏) decocted first eight qian, Wine-fried Zhi Mu (Anemarrhenae Rhizoma, 知母) four qian, Prepared Ban Xia (Pinelliae Rhizoma, 制半夏) ground and added later one qian, Zi Wan Rong (Asteris Radix, 紫菀茸) one and a half qian, Bai Qian (Cynanchi Stauntonii Rhizoma et Radix, 白前) two qian, Xuan Fu Hua (Inulae Flos, 旋复花) bagged and decocted first three qian, fresh Pi Ye (Eriobotryae Folium, 鲜枇叶) brushed and bagged three qian.)
Wu Xi suffered from malaria, with mild chills and severe fever, lasting more than ten days without resolution. Mengying palpated the pulse as slippery and long, and prescribed a large dose of Bai Hu Tang (White Tiger Decoction, 白虎汤). The previous physician also advocated this formula, but repeated doses were ineffective. Although the soup was named Bai Hu, the Shi Gao (Gypsum Fibrosum, 石膏) was scarce and roasted, and the rice was not removed. Although the name was the same, the dosage and preparation differed significantly, and rice was replaced with Hua Fen (Fritillariae Thunbergii Bulbus, 花粉). The efficacy was entirely different. This shows that taking medicine should not merely rely on the name of the formula. (Sheng Shi Gao (Gypsum Fibrosum, 生石膏) decocted first one tael and two qian, Wine-fried Zhi Mu (Anemarrhenae Rhizoma, 知母) four qian, Nan Hua Fen (Fritillariae Thunbergii Bulbus, 南花粉) four qian, Jiang Zhu Ru (Bambusae Folium, 姜竹茹) three qian, Xi Hua Shi (Talcum, 西滑石) decocted first five qian, Sheng Dong Gua Zi (Benincasae Semen, 生冬瓜子) four qian, Hei Zhi Pi (Gardeniae Fructus Pericarpium, 黑栀皮) three qian, Dan Dou Chi (Sojae Semini Preparatum, 淡豆豉) one and a half qian, Dong Gua Pi (Benincasae Exocarpium, 冬瓜皮) three qian.)
Cao Jiamai, a young woman, suffered from vertigo, epigastric pain, muscle twitching, acid regurgitation, thirst with drinking but no appetite, and a sensation of a lump in the throat like roasting meat. Zhu Mou prescribed warm stomach herbs, worsening the condition daily. Mengying palpated the pulse as wiry and slippery, and prescribed Zhu Ru (Bambusae Folium, 茹), Bei (Fritillariae Cirrhosae Bulbus, 贝), Yu (Evodiae Fructus, 萸), Lian (Coptidis Rhizoma, 连), Xuan Fu Hua (Inulae Flos, 旋), Zhe Shi (Hematitum, 赭), Zhi Zi (Gardeniae Fructus, 栀), Chuan Lian Zi (Toosendan Fructus, 楝), Zhi Shi (Aurantii Fructus Immaturus, 枳), Yu Jin (Curcumae Radix, 郁), and Xue Geng Tang (Snow Soup Decoction, 雪羹). After more than ten doses, she recovered. (Vertigo and epigastric pain indicate Liver Yang insulting the Stomach and failure of Stomach Qi to descend. A wiry pulse indicates Yin deficiency and Liver heat; slippery indicates Phlegm-heat. Jiang Zhu Ru (Bambusae Folium, 姜竹茹) three qian, Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 川贝母) pounded five qian, Dan Wu Zhu Yu (Evodiae Fructus, 淡吴萸) added later six fen, Wine-fried Chuan Lian (Coptidis Rhizoma, 川连) one qian, Xuan Fu Hua (Inulae Flos, 旋复花) bagged and decocted first three qian, Sheng Zhe Shi (Hematitum, 生赭石) pounded and decocted first two taels, Wine-fried Chuan Lian He (Toosendan Fructus, 川楝核) pounded and decocted first three qian, Fried Zhi Shi (Aurantii Fructus Immaturus, 枳实) one and a half qian, Huang Yu Jin (Curcumae Radix, 黄郁金) one qian, whole Bi Qi (Dioscoreae Hypoglaucae Rhizoma, 荸荠) pounded one tael, Dan Hai Zhe (Marina Concha, 淡海蜇) decocted first two taels.)
Mrs. Xia, while pregnant, contracted an exogenous pathogen. Physicians administered warm dispersants, gradually leading to rushing Qi, insomnia, frequent spasms and syncope, epigastric fullness, groaning, extreme thirst difficult to quench. Mengying palpated the pulse as slippery, rapid, and overflowing. He prescribed Xiao Xian Xiong Tang (Minor Sinking Chest Decoction, 小陷胸) plus Xuan Fu Hua (Inulae Flos, 旋), Xie Bai (Allii Macrostemonis Bulbus, 薤), Shi Gao (Gypsum Fibrosum, 石膏), Zhi Mu (Anemarrhenae Rhizoma, 知), Zhi Zi (Gardeniae Fructus, 栀), Zhu Ru (Bambusae Folium, 茹), Xing Ren (Armeniacae Semen Amarum, 杏), Fu Pi (Citri Reticulatae Pericarpium, 腹皮), Su Zi (Perillae Fructus, 苏子), Zhu Li (Bambusae Sap, 竹沥), and Hai Zhe (Marina Concha, 海蜇) in a large dose. After ten days, she recovered. (The pathology resulted from warm dispersants depleting fluids, Liver and Intestines insulting the Stomach, failure of fluids to distribute Qi, and weakness of the Gastrointestinal tract. Ginger-fried Chuan Lian (Coptidis Rhizoma, 川连) two qian, Prepared Ban Xia (Pinelliae Rhizoma, 制半夏) one and a half qian, Lou Ren (Trichosanthis Semen, 瓜蒌仁) ground three qian, Xuan Fu Hua (Inulae Flos, 旋复花) bagged and decocted first three qian, fresh Xie Bai (Allii Macrostemonis Bulbus, 薤白) pounded and added later one and a half qian, Sheng Shi Gao (Gypsum Fibrosum, 生石膏) decocted first one tael and two qian, Ginger-juice fried Zhi Mu (Anemarrhenae Rhizoma, 知母) three qian, Hei Zhi Pi (Gardeniae Fructus Pericarpium, 黑栀皮) three qian, Jiang Zhu Ru (Bambusae Folium, 姜竹茹) three qian, Ku Xing Ni (Armeniacae Semen Amarum, 苦杏泥) two qian, Sheng Su Zi (Perillae Fructus, 生苏子) ground one and a half qian, Ginger Zhu Li (Bambusae Sap, 姜竹沥) two large wine cups mixed, Dan Hai Zhe (Marina Concha, 淡海蜇) decocted first two taels. In the formula, Xia Ku Cao (Prunellae Spica, 夏枯草), Xie Bai, Xing Ren, Fu Pi, and Su Zi are set for extreme thirst and weak Stomach Yang.) Shen Yueting's wife suffered from gingival bleeding for five days without stopping, having lost much blood. Various prescriptions failed. Mengying palpated the pulse as wiry, slippery, and overflowing upwards. He prescribed Xi Jiao (Rhinocerotis Cornu, 犀角), Ze Lan (Lygodii Herba, 泽兰), Yuan Shen (Scrophulariae Radix, 元参), Xuan Fu Hua (Inulae Flos, 旋复花), Sheng Di (Rehmanniae Radix, 生地), Hua Fen (Fritillariae Thunbergii Bulbus, 花粉), Fu Ling (Poria, 茯苓), Niu Xi (Achyranthis Bidentatae Radix, 牛膝), Tao Ren (Persicae Semen, 桃仁), and Ze Xie (Alismatis Rhizoma, 泽泻), resulting in stability. (Profuse blood loss combined with a wiry, slippery, overflowing pulse indicates Yin exhaustion and rising wind, stirring phlegm rebelling upwards. Slivered Xi Jiao (Rhinocerotis Cornu, 犀角) decocted first four qian, Ze Lan Ye (Lygodii Herba, 泽兰叶) added later one and a half qian, Yuan Shen Pian (Scrophulariae Radix, 元参片) one tael, Xuan Fu Hua (Inulae Flos, 旋复花) bagged and decocted first three qian, Da Sheng Di (Rehmanniae Radix, 大生地) eight qian, Nan Hua Fen (Fritillariae Thunbergii Bulbus, 南花粉) four qian, Yun Fu Ling (Poria, 云茯苓) three qian, Prepared Niu Xi (Achyranthis Bidentatae Radix, 制牛膝) one qian, Sheng Tao Ren (Persicae Semen, 生桃仁) ground one and a half qian, Sheng Ze Xie (Alismatis Rhizoma, 生泽泻) one and a half qian.) Later inquiry revealed her menstruation was late for the month, indicating reverse flow. Subsequent treatment with Yin-nourishing and heat-clearing methods led to gradual recovery.
When Wang Xuexuan mistakenly took Tou Tu Dan (Earth-Penetrating Pill, 透土丹) last year, Mengying invited physicians to treat him until he recovered, then advised him to regularly drink Persimmon Cake Soup (Shi Bing Tang, 柿饼汤) to prevent Guan Ge (Obstruction and Reversal, 关格) in the future. In April of the next year, his body grew thinner daily. Zhang Mou prescribed damp-draining, wind-dispersing, and Qi-tonifying herbs. Mengying strongly advised against warm tonification, but he mistakenly continued taking tonics. In autumn, Mengying examined him: hypochondriac pain, aversion to wind, distension in the meridians, desire to beat himself, poor appetite, difficult defecation, slight chills and fever in the afternoon, wiry, choppy, and rapid pulse, with the right Cun and Guan positions wiry and slippery. This indicated long-term obstruction of ascending and descending mechanisms, with pathogenic phlegm attacking the collateral channels, approaching the state of Guan Ge. He reluctantly prescribed Sha Shen (Glehniae Radix, 沙参), Zhu Ru (Bambusae Folium, 茹), Bei (Fritillariae Cirrhosae Bulbus, 贝), Wei (Radix Stellerae, 薇), Qing Hao (Artemisiae Annuae Herba, 蒿), Xuan Fu Hua (Inulae Flos, 旋), Shi Hu (Dendrobii Caulis, 斛), Zhi Zi (Gardeniae Fructus, 栀), Chuan Lian Zi (Toosendan Fructus, 楝), Ze Lan (Lygodii Herba, 兰), Pi Ye (Eriobotryae Folium, 枇叶), Si Gua Luo (Luffae Fructus Retinervus, 丝瓜络), Dong Gua Zi (Benincasae Semen, 冬瓜子), Lu Gen (Phragmitis Rhizoma, 芦根), and Mao Gen (Imperatae Rhizoma, 茅根) in varying combinations. After taking it, chills and fever ceased, and hypochondriac pain decreased. (This case resulted from mistaken warm tonification; long-term obstruction of ascending and descending mechanisms is the remote cause, while pathogenic phlegm attacking collaterals is the proximate cause. To eliminate phlegm, one must first regulate ascending and descending. Wiry and rapid indicate heat, so the formula contains many cooling, moistening, clearing, and unblocking herbs. Jiang Zhu Ru (Bambusae Folium, 姜竹茹) three qian, Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 川贝母) pounded four qian, Jiang Zhi Pi (Gardeniae Fructus Pericarpium, 姜栀皮) three qian, Jiang Pi Ye (Eriobotryae Folium, 姜枇叶) brushed and bagged three qian, Si Gua Luo (Luffae Fructus Retinervus, 丝瓜络) three qian, Ginger-juice mixed Lu Gen (Phragmitis Rhizoma, 芦根) eight qian, Pei Lan (Agastaches Herba, 佩兰) three qian. Changed formula: remove Zhi Pi and Pi Ye, add Bei Sha Shen (Glehniae Radix, 北沙参) four qian. Changed again: remove Zhu Ru, add Shi Hu (Dendrobii Caulis, 石斛) decocted first eight qian. Changed again: remove Sha Shen, add Chuan Lian He (Toosendan Fructus, 楝核) pounded and decocted first three qian. Changed again: add Xiang Bai Wei (Radix Stellerae, 香白薇) one qian, fresh Qing Hao (Artemisiae Annuae Herba, 青蒿) one and a half qian, Xuan Fu Hua (Inulae Flos, 旋复花) bagged and decocted first three qian. Pulse analysis indicates phlegm obstructing Qi.) The pulse became harmonious, but Liver Yin was damaged by excessive worrying. Emotional disturbance is strictly contraindicated. However, anger and lingering thoughts caused complications. Mistaken warm dispersants and tonification followed, leading to a dry, purple tongue, exhaustion of fluids, and death.
Xu Mengxiang, nearly sixty years old, suffered from hand tremors preventing him from holding a brush. Mengying prescribed tonifying and wind-extinguishing herbs taken with Zhi Mi Fu Ling Wan (Finger-Bewitching Poria Pill, 指迷茯苓丸), resulting in stability. In mid-autumn, he suffered a stroke-like condition with urinary incontinence, rising phlegm, coma, delirious speech, profuse sweating, and red face. Mengying observed a floating, wiry, surging, and slippery pulse, attributing it to inhaling Summerheat pathogens while continuously taking Ginseng soup. He prescribed Ling Jiao (Bovis Cornu, 羚角), Shi Chang Pu (Acori Tatarinowii Rhizoma, 石菖蒲), Lian Qiao (Forsythiae Fructus, 连翘), Zhi Zi (Gardeniae Fructus, 栀子), Sang Ye (Mori Folium, 桑叶), Ju Hua (Chrysanthemi Flos, 菊花), Chuan Lian Zi (Toosendan Fructus, 楝), Shi Hu (Dendrobii Caulis, 斛), Zhi Mu (Anemarrhenae Rhizoma, 知母), Hua Fen (Fritillariae Thunbergii Bulbus, 花粉), Zhu Li (Bambusae Sap, 竹沥), Yin Hua (Lonicerae Japonicae Flos, 银花), Qing Hao (Artemisiae Annuae Herba, 蒿), and Bai Wei (Radix Stellerae, 薇). (Pathology: warm tonification aided heat, Liver Wind stirred phlegm rebelling upwards causing syncope. Ling Jiao (Bovis Cornu, 羚角) tip decocted first four qian, Shi Chang Pu (Acori Tatarinowii Rhizoma, 石菖蒲) added later two qian, Lian Qiao Ke (Forsythiae Fructus, 连翘壳) three qian, Hei Zhi Pi (Gardeniae Fructus Pericarpium, 黑栀皮) three qian, Dong Sang Ye (Mori Folium, 冬桑叶) four qian, Hang Bai Ju (Chrysanthemi Flos, 杭白菊) three qian, Chuan Lian He (Toosendan Fructus, 川楝核) pounded and decocted first two qian, Shi Hu (Dendrobii Caulis, 石斛) decocted first one tael, Wine-fried Zhi Mu (Anemarrhenae Rhizoma, 知母) three qian, Nan Hua Fen (Fritillariae Thunbergii Bulbus, 南花粉) four qian, Ginger Zhu Li (Bambusae Sap, 姜竹沥) two large wine cups mixed, Yin Hua (Lonicerae Japonicae Flos, 银花) one tael and five qian, fresh Qing Hao (Artemisiae Annuae Herba, 青蒿) one and a half qian, Xiang Bai Wei (Radix Stellerae, 香白薇) two qian. The formula uses bitter, sweet, and cold herbs to extinguish wind and rescue fluids; Chang Pu and Qing Hao act as counter-agents.) One dose brought improvement, two doses cleared the mind. Then Ling Jiao and Shi Chang Pu were removed, and Zhu Ru (Bambusae Folium, 茹), Bei (Fritillariae Cirrhosae Bulbus, 贝), and Hua Shi (Talcum, 滑石) were added. (Added Jiang Zhu Ru (Bambusae Folium, 姜竹茹) three qian, Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 川贝母) pounded four qian, Xi Hua Shi (Talcum, 西滑石) decocted first five qian.) He had diarrhea resembling white pus for several days, then regained appetite and ate grain. Subsequent regulation led to recovery.
Zhang Yuebo's younger brother suddenly suffered abdominal pain after eating mutton noodles. Physicians assumed food stagnation and administered digestive herbs repeatedly. Pain intensified with thirst; drinking caused violent vomiting. Urination and defecation stopped. Suspecting cold accumulation, they administered drying and hot herbs, worsening the condition. He groaned almost dying for four days. Mengying examined him: wiry and rapid pulse, dry and slightly yellow coating, soft abdomen upon pressure. He gave Hai Zhe (Marina Concha, 海蜇) one jin and Bi Qi (Dioscoreae Hypoglaucae Rhizoma, 荸荠) half a jin decocted in soup, frequently administered. Vomiting stopped. He instructed to decoct the remaining soup with Zhi Zi (Gardeniae Fructus, 栀), Lian (Coptidis Rhizoma, 连), Chuan Lian Zi (Toosendan Fructus, 楝), Shi Hu (Dendrobii Caulis, 斛), Zhu Ru (Bambusae Folium, 茹), Qin (Scutellariae Radix, 芩), Pi Ye (Eriobotryae Folium, 枇叶), Zhi Mu (Anemarrhenae Rhizoma, 知母), Yan Hu Suo (Corydalis Rhizoma, 延胡), Shi Di (Kaki Calyx, 柿蒂), and Xuan Fu Hua (Inulae Flos, 旋复花) as a formula, taken with Long Hui Wan (Dragon Gallbladder Pill, 龙荟丸). After administration, urination occurred, pain decreased, and defecation happened the next day, leading to recovery. (Severe pain with thirst indicates warm herbs damaged Yin and Liver Yang rebelled upwards. Repeated drying and hot herbs nearly exhausted Yin fluids. Hence, a large dose of Xue Geng (Snow Soup, 雪羹) was frequently administered to rescue Yin. Soup decocted with Hei Zhi Pi (Gardeniae Fructus Pericarpium, 黑栀皮) three qian, Wine-fried Chuan Lian (Coptidis Rhizoma, 川连) one qian, Wine-fried Chuan Lian He (Toosendan Fructus, 川楝核) pounded and decocted first two qian, Shi Hu (Dendrobii Caulis, 石斛) decocted first one tael, Jiang Zhu Ru (Bambusae Folium, 姜竹茹) three qian, Wine-fried Ku Qin (Scutellariae Radix, 枯芩) one and a half qian, fresh Pi Ye (Eriobotryae Folium, 鲜枇叶) brushed and bagged three qian, Wine-fried Zhi Mu (Anemarrhenae Rhizoma, 知母) three qian, Yuan Hu Suo (Corydalis Rhizoma, 元胡索) one and a half qian, dried Shi Di (Kaki Calyx, 柿蒂) ten pieces, Xuan Fu Hua (Inulae Flos, 旋复花) bagged and decocted first three qian. Medicine taken with Long Hui Wan (Dragon Gallbladder Pill, 龙荟丸) three qian.)
Huang Dingru's mother, seventy-seven years old, suffered from intermittent malaria in late autumn, worsening each episode. Severe chills with slight fever, but fever always accompanied coma and spasms, inability to extend the tongue. After three episodes, Mengying examined her: red cheekbones, drooping eyelids, cold nose, slight sweating on forehead and chin, greasy yellow coating, pure red tongue root, thirst, profuse phlegm, no desire for porridge or drinks, wiry and rapid pulse, lacking spirit upon deep pressure. The syndrome belonged to latent Summerheat with phlegm, and Yin deficiency with Yang floating. He first prescribed Cong Rong (Cynomorii Herba, 苁蓉), Bie Jia (Testudinis Carapax et Plastrum, 鳖甲), Chuan Lian Zi (Toosendan Fructus, 楝), Shi Hu (Dendrobii Caulis, 斛), Zhu Ru (Bambusae Folium, 茹), Bei (Fritillariae Cirrhosae Bulbus, 贝), Yan Wo (Swallow's Nest, 燕窝), and Ou (Nymphaeae Nelumbinis Semen, 藕). (Latent Summerheat with phlegm requires light and clear herbs like Zhu Ru and Bei. However, with Yin deficiency and Yang floating, the body's Qi fails to descend first, so how can medicinal Qi descend? Usually, treat symptoms first, then root. If the root disease is severe, the root becomes the symptom. Latent Summerheat with phlegm is a symptom, but Yin deficiency with Yang floating makes the root the symptom. Dan Cong Rong (Cynomorii Herba, 淡苁蓉) one and a half qian, Xue Bie Jia (Testudinis Carapax et Plastrum, 血鳖甲) pounded four taels, Chuan Lian He (Toosendan Fructus, 楝核) pounded four qian, Shi Hu (Dendrobii Caulis, 石斛) one tael, Yan Wo (Swallow's Nest, 燕窝) bagged three qian, Ou (Nymphaeae Nelumbinis Semen, 藕) cut two taels. These six ingredients decocted first for eight hours, Jiang Zhu Ru (Bambusae Folium, 姜竹茹) four qian, Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 川贝母) pounded one tael, added together later.) After two doses, red cheeks and chin sweating ceased. Subsequently supplemented with Sha Shen (Glehniae Radix, 沙参), Zhu Li (Bambusae Sap, 竹沥), Xie Bai (Allii Macrostemonis Bulbus, 薤), Mai Dong (Ophiopogonis Japonici Bulbus, 麦), and Pi Ye (Eriobotryae Folium, 枇叶), Xuan Fu Hua (Inulae Flos, 旋复花), removing Zhu Ru and Cong Rong. (Bei Sha Shen (Glehniae Radix, 北沙参) eight qian, Ginger Zhu Li (Bambusae Sap, 姜竹沥) two large wine cups mixed, fresh Xie Bai (Allii Macrostemonis Bulbus, 鲜薤白) pounded one and a half qian, fresh Pi Ye (Eriobotryae Folium, 鲜枇叶) brushed and bagged three qian, Xuan Fu Hua (Inulae Flos, 旋复花) bagged and decocted first three qian.) After three doses, coma and spasms stopped. Then Xie Bai and Chuan Lian Zi were removed, and Sheng Di (Rehmanniae Radix, 生地) and Hua Fen (Fritillariae Thunbergii Bulbus, 花粉) added. After five doses, malaria ceased. (Da Sheng Di (Rehmanniae Radix, 大生地) eight qian, Nan Hua Fen (Fritillariae Thunbergii Bulbus, 南花粉) four qian.) Diet gradually increased, and she declared recovered. (Note: This is the treatment for Jueyin Liver Malaria.)
Xu Zhiqing suffered from external cold requiring heavy quilts, internal heat not relieved by drinking, yet able to eat normally, with normal urination and defecation. Administered warm dispersants, immediately showing sore throat. Mengying palpated the pulse as deep, wiry, and slow, diagnosing internal latent Phlegm-heat. He prescribed Xi Jiao (Rhinocerotis Cornu, 犀角), Ling Jiao (Bovis Cornu, 羚), Yuan Shen (Scrophulariae Radix, 元参), Dan Pi (Moutan Cortex, 丹皮), Bai Wei (Radix Stellerae, 白薇), Hei Zhi Zi (Gardeniae Fructus, 黑栀), Zhu Ru (Bambusae Folium, 茹), Bei (Fritillariae Cirrhosae Bulbus, 贝), Xuan Fu Hua (Inulae Flos, 旋), and Niu Bang Zi (Arctii Fructus, 蒡). (Ability to eat normally and normal urination/defecation indicate the disease is not at the Qi level. Thirst not relieved by drinking and sore throat after warm dispersants indicate internal wind has moved. Deep wiry pulse indicates suppressed Liver heat; slow pulse indicates phlegm-turbidity obstructing Qi, not Spleen Yang deficiency. Slivered Xi Jiao (Rhinocerotis Cornu, 犀角) and Ling Jiao (Bovis Cornu, 羚) tip decocted first, four qian each, Yuan Shen Pian (Scrophulariae Radix, 元参片) soaked and taken after removing dregs one tael, Fen Dan Pi (Moutan Cortex, 粉丹皮) two qian, Xiang Bai Wei (Radix Stellerae, 香白薇) one qian, Hei Zhi Pi (Gardeniae Fructus Pericarpium, 黑栀皮) three qian, Jiang Zhu Ru (Bambusae Folium, 姜竹茹) three qian, Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 川贝母) pounded four qian, Xuan Fu Hua (Inulae Flos, 旋复花) bagged and decocted first one and a half qian, Ginger-fried Niu Bang Zi (Arctii Fructus, 牛蒡子) three qian.) After two doses, chills, thirst, and sore throat decreased. Then Xi Jiao, Ling Jiao, and Niu Bang Zi were removed, and Er Zhi Wan (Two Solstice Pill, 二至), Zhi Mu (Anemarrhenae Rhizoma, 知母), Hua Fen (Fritillariae Thunbergii Bulbus, 花粉), and Yin Hua (Lonicerae Japonicae Flos, 银花) added. Resolution of fermented stool led to recovery. (Nv Zhen Zi (Ligustri Lucidi Fructus, 女贞子) pounded five qian, Han Lian Cao (Ecliptae Herba, 旱莲草) four qian, Wine-fried Zhi Mu (Anemarrhenae Rhizoma, 知母) three qian, Ginger-juice fried Hua Fen (Fritillariae Thunbergii Bulbus, 花粉) four qian, Ji Yin Hua (Lonicerae Japonicae Flos, 济银花) added later eight qian.)
Han Zulin, near seventy years old, suffered from limb coldness and head swelling in early winter, delirious speech, and urinary incontinence. Another physician diagnosed deficient wind and administered warm tonification, worsening the condition. Mengying palpated the pulse: left wiry and rapid, right slippery and overflowing. This indicated internal obstruction by Phlegm-heat and external invasion of Wind-Warmth. He prescribed Ling Jiao (Bovis Cornu, 羚), Bei (Fritillariae Cirrhosae Bulbus, 贝), Zhu Ru (Bambusae Folium, 茹), Zhi Zi (Gardeniae Fructus, 栀), Qiao (Forsythiae Fructus, 翘), Wei (Radix Stellerae, 薇), Sang Ye (Mori Folium, 桑), Ju Hua (Chrysanthemi Flos, 菊), Hua Fen (Fritillariae Thunbergii Bulbus, 花粉), Dan Pi (Moutan Cortex, 丹皮), and Xuan Fu Hua (Inulae Flos, 旋复花), decocted with Lu Fu Tang (Radish Soup, 芦菔汤), resulting in recovery. (Left wiry and rapid indicates Yin deficiency with Liver heat; right slippery and overflowing indicates Wind-Yang stirring phlegm rebelling upwards. The formula's principle is to extinguish Wind-Yang and eliminate Phlegm-heat. Ling Jiao (Bovis Cornu, 羚) tip decocted first, four qian, Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 川贝母) pounded four qian, Jiang Zhu Ru (Bambusae Folium, 姜竹茹) three qian, Hei Zhi Pi (Gardeniae Fructus Pericarpium, 黑栀皮) three qian, Lian Qiao Ke (Forsythiae Fructus, 连翘壳) three qian, Xiang Bai Wei (Radix Stellerae, 香白薇) one qian, Dong Sang Ye (Mori Folium, 冬桑叶) four qian, Hang Bai Ju (Chrysanthemi Flos, 杭白菊) three qian, Fen Dan Pi (Moutan Cortex, 粉丹皮) two qian, Nan Hua Fen (Fritillariae Thunbergii Bulbus, 南花粉) four qian, Lu Fu (Raphani Sativi Radix, 芦菔) one tael, simmered soup to remove dregs before decocting herbs.)
Qian Wen Yuan's son contracted an exogenous pathogen. Tang Mou prescribed Gui (Cinnamomi Ramulus, 桂), Po (Magnoliae Officinalis Cortex, 朴), Jiang (Zingiberis Rhizoma Recens, 姜), and Chai (Bupleuri Radix, 柴). He then frequently expectorated phlegm-blood, experienced mental confusion and deafness, delirious speech, loose stools, lack of appetite, extreme thirst, black and rough scanty coating, and sleeplessness all night. Various physicians repeatedly prescribed light and clear herbs; the black coating gradually receded, but the tongue became crimson without fluids, and external symptoms remained unchanged, leaving physicians helpless. Mengying palpated the pulse as fine and rapid throughout. This indicated inherent deficiency of True Yin and scorching of Ying-Fluids. One should not fear cloying herbs due to loose stools and anorexia. He prescribed Xi Yang Shen (American Ginseng Radix, 西洋参), Sheng Di (Rehmanniae Radix, 生地), Er Zhi Wan (Two Solstice Pill, 二至), Er Dong (Ophiopogon and Asparagus Roots, 二冬), Gui Ban (Testudinis Carapax et Plastrum, 龟板), Yan Wo (Swallow's Nest, 燕窝), Zhu Ru (Bambusae Folium, 茹), Bei (Fritillariae Cirrhosae Bulbus, 贝), Yin Hua (Lonicerae Japonicae Flos, 银花), Ou Zhi (Nymphaeae Nelumbinis Succus, 藕汁), Li Zhi (Pyrus Sinkiangensis Succus, 梨汁), Yu Zhu (Polygonati Odorati Rhizoma, 玉竹), and Bai He (Lilii Bulbus, 百合). After two doses, hemoptysis gradually stopped, much phlegm was expectorated, thin gruel was gradually accepted, and some sleep was possible at night. After five doses, fever subsided, diarrhea stopped, thirst decreased, and the pulse harmonized. Ten days later, dry feces were passed, and he recovered. (Loose stools without excess pathogens indicate Spleen failure and Chu Zhong (False Recovery, 除中). Loose stools with excess pathogens indicate heat seeking an exit. These eight pulse and symptom descriptions are all signs of excess heat. With a fine and rapid pulse, why fear cloying herbs? Xi Yang Shen (American Ginseng Radix, 西洋参) three qian, Da Sheng Di (Rehmanniae Radix, 大生地) eight qian, Nv Zhen Zi (Ligustri Lucidi Fructus, 女贞子) pounded five qian, Han Lian Cao (Ecliptae Herba, 旱莲草) four qian, Ming Tian Dong (Asparagi Radix, 明天冬) cut six qian, Hua Mai Dong (Ophiopogonis Japonici Bulbus, 花麦冬) four qian, Xue Gui Ban (Testudinis Carapax et Plastrum, 血龟板) pounded four taels, Yan Wo (Swallow's Nest, 燕窝) bagged three qian. These two decocted first for eight hours, Jiang Zhu Ru (Bambusae Folium, 姜竹茹) three qian, Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 川贝母) pounded four qian, Ji Yin Hua (Lonicerae Japonicae Flos, 济银花) eight qian, Ou Zhi (Nymphaeae Nelumbinis Succus, 藕汁) and Li Zhi (Pyrus Sinkiangensis Succus, 梨汁) half a large wine cup each mixed, Fei Yu Zhu (Polygonati Odorati Rhizoma, 肥玉竹) three qian, Bai He Hua (Lilii Bulbus, 百合花) three qian.)
Zhu Xiang Cha's son suddenly vomited violently and fainted after a full meal, with cold sweat and faint breathing. Mengying examined him: after the faint resolved, abdominal pain was abnormal, mouth extremely bitter and thirsty, urination and defecation stopped, pulse was wiry and slow. This indicated phlegm stagnation and heat latent in the Jueyin channel, with no way for Liver Qi to disperse. He prescribed Xue Geng (Snow Soup, 雪羹), Zhi Zi (Gardeniae Fructus, 栀), Chuan Lian Zi (Toosendan Fructus, 楝), Yuan Hu Suo (Corydalis Rhizoma, 元胡), Cong Rong (Cynomorii Herba, 苁蓉), Wu Zhu Yu (Evodiae Fructus, 萸), Lian (Coptidis Rhizoma, 连), Ju He (Citri Reticulatae Fructus, 橘核), Xuan Fu Hua (Inulae Flos, 旋复花), Zhu Ru (Bambusae Folium, 茹), and Fu Zhi (Raphani Sativi Succus, 菔汁). (Violent vomiting, fainting, and pulse/symptoms indicate Liver heat congested with phlegm and failure of Liver dispersion. Dan Hai Zhe (Marina Concha, 淡海蜇) decocted first two taels, Bi Qi (Dioscoreae Hypoglaucae Rhizoma, 荸荠) pounded one tael, Hei Zhi Pi (Gardeniae Fructus Pericarpium, 黑栀皮) three qian, Chuan Lian He (Toosendan Fructus, 川楝核) pounded and decocted first three qian, Yuan Hu Suo (Corydalis Rhizoma, 元胡索) one and a half qian, Dan Wu Zhu Yu (Evodiae Fructus, 淡吴茱萸) six fen, Ginger-fried Chuan Lian (Coptidis Rhizoma, 川连) eight fen, Ju He (Citri Reticulatae Fructus, 橘核) pounded one and a half qian, Jiang Zhu Ru (Bambusae Folium, 姜竹茹) three qian, Fu Zhi (Raphani Sativi Succus, 菔汁) half a wine cup mixed, Dan Cong Rong (Cynomorii Herba, 淡苁蓉) one and a half qian.) After one dose, pain decreased; after another dose, bowels moved, and he recovered.