高若舟偶患腹胀。医投温运。渐至有形如痞。时欲冲逆吐酸。误信虚寒。温补之药备尝。饮
食日减。其痞日增。肌肉渐消。卧榻半载。孟英春诊。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。予栀楝萸连元胡乌药旋枳鸡金鳖甲茹橘苓
夏等药。（脉弦滑为肝热挟痰。脉沉软为肝郁气结。黑栀皮一钱五分。川楝核杵先三钱。淡
吴萸六分。姜炒川连八分。元胡索八分。台乌药一钱。旋复花绢包三钱。炒枳实一钱五分。
炙鸡金研四钱。血鳖甲杵先八钱。姜竹茹三钱。蛀陈皮一钱五分。白茯苓三钱。半夏曲三钱
。)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蚕砂桑枝之类迎而导之。（前方当去栀连鳖甲。
加左秦艽三钱。春柴胡一钱五分。大豆卷三钱。三味同次入。羚角磨冲八分。晚蚕砂三钱。
酒炒桑枝次入三钱。)寒热渐息。攻冲亦止。按其腹尚坚硬。时以龙荟滚痰丸缓导之。饮
食递加。渐次向愈。（此坚硬必在大腹。滚痰丸二钱。龙荟丸一钱作一服。)
赵听樵妻去冬偶患脘痛。黄某治之。渐增头疼眩晕。气逆呕吐。痰多不寐。便溏不食。经事
不行。始疑其虚。继疑其娠。诸药遍试。病日以进。孟英脉之。左弦而数。右滑以驶。曰∶
病药耳。旬余可瘳。盖病者体质虽丰。阴虚有素。是以木少水涵。肝阳偏盛。上侮于胃。则
为脘痛。斯时投以酸苦泄肝。甘凉养胃。数日而愈矣。乃温补妄施。油添火上。肺津胃液。
灼烁无余。怒木直升。枢机窒塞。水饮入胃。凝结为痰。虽见证多端。皆气失下降。岂可指
眠食
废以为劳。月汛爽以为妊耶。予以大剂清淡之品整肃气道。俾一身治节之令。肝胆逆升之火
。胃腑逗留之浊。枢机郁遏之热。水饮凝滞之痰。咸得下趋。自可向愈。投匕即效。逾旬果
安。又一月经至。（方用活水芦根二两。生冬瓜子四钱。生苡仁杵八钱。川贝母杵一两。南
花粉四钱。花麦冬三钱。姜炒枯芩三钱。旋复花绢包三钱。连皮荸荠二两。连皮北梨一两。
鲜青果两个。连核杵。生蛤壳一两。海浮石五钱。三味同先煨。)马某年三十余。素用力。
患发热恶寒。肢振自汗。少腹气上冲胸。头疼口渴。孟英诊曰。卫虚风袭。而络脉久伤。肝
风内动。予建中去饧加龙牡石英苁蓉楝实桑枝数帖而痊。（劳力伤阳。此证卫虚。必另有脉
情可据。至论证则以恶寒为卫虚。肢振自汗三句。皆阴虚肝风内动之象。生西 三钱。大生
地八钱。酒炒白芍一钱五分。花麦冬四钱。 龙骨杵一两。 牡蛎杵四两。紫石英杵五钱。
三味先炭煨八句钟。淡苁蓉三钱。三楝核杵先四钱。酒炒桑枝次入三钱。黄 治卫虚。冬地
治液虚口渴。龙牡石英医法重以镇怯。治自汗气逆头疼。酒炒白芍上行止汗。酒炒桑枝入肢
治肢振之标。)
李燕标夏项患疽。外科佥云不治。朱嵩年疗之渐安。孟英诊脉。谓李证可愈难享年。左尺坚
搏。真阴已伤。非善象也。痊后春卒。（脉诀久病生死察左尺脉之盛衰。)
李叟年越古稀。意欲纳外家。子孙不敢从。因此渐病狂惑。群医广投热补。愈服愈剧。孟英诊
之
。脉劲搏指。面赤不言。口涎自流。力大无制。曰∶此禀赋过强。阳气偏盛。故前欲纳外家。
医不知既享大寿。得天必浓。况人年五十。阴气先衰。徐灵胎所谓千年之木往往自焚。阴尽
火然。万物皆然。去冬吾治邵可亭孤阳喘逆。壮水清火之外。以天生甘露饮（即梨汁。)灌至
二百余斤。病已渐平。仅误于两盏姜汤。前功尽堕。可见禀赋偏阳者。阴难充长。火易燎原
。今附桂仙茅鹿茸参戟河车等药。服之已久。更将何物以生其涸竭之水而和其亢极之阳乎。
寻果不起。
程芷香今春病温。而精关不固。旬日后陡然茎缩寒颤。自问不支。医疑虚疟。欲投参附。孟
英曰。非疟也。平日体丰多湿。浓味酿痰。是以苔腻不渴。善噫易吐。而吸受风温。即以痰
湿为窠巢。乘其阴亏阳扰。流入厥阴甚易。岂容再投温补。以劫液锢邪而速其痉厥耶。（温
邪阑入肝肾之阴。是以精关不固。茎缩者。肝热则玉茎易缩。长幼皆然。寒颤者。真热假寒
。热深厥亦深。浓衣被而寒颤如故。)午后进整肃肺胃方。以解客邪蠲痰湿而斡枢机。（方用
酒炒川连八分。酒炒枯芩三钱。黑栀皮一钱五分。炒香豉三钱。活水芦根一两。生苡仁杵八
钱。生冬瓜子四钱。姜竹茹三钱。川贝母杵四钱。旋复花三钱。赖橘红一钱。)早晨投凉肾
舒肝法。以靖浮越搜隧络而守关键。（酒炒知母一钱五分。酒炒川黄柏三钱。生白蒺去刺三
钱。鲜青果连核杵先两个。姜竹沥一大酒杯冲服。济银花一两。鲜荷梗五钱。青铅炭先煨八
句钟三两。)病果降序。奈善生嗔怒。易招外感。不甘淡泊。反复多次。每复必茎缩寒颤。
甚至齿缝见紫血瓣。指甲有微红色。溺短而浑黑极臭。孟英曰。幸上焦已清。中枢已运。亟
宜填肾阴。清肝热。以西洋参二冬二地苁蓉花粉知柏连楝斛芍石英牡蛎龟板鳖甲阿胶鸡子黄
之
类相迭为方。大剂连服二十余帖。各恙渐退。（西洋参三钱。花麦冬四钱。钗石斛杵先一两
。酒炒知母三钱。酒炒雅连一钱。南花粉四钱。整白芍杵先二两。紫石英五钱。 牡蛎八两
。芍斛石英牡蛎四味先炭煨八句钟。取汤代水煎药。更方去洋参麦冬知连花粉。加大熟地一
两。大生地八钱。明天冬切六钱。淡苁蓉三钱。血鳖甲四两。同石英牡蛎先炭煨八句钟。取
汤代水煎药。酒炒黄柏一钱五分，川楝核三钱杵先。再更方去斛芍牡蛎。加血龟板二两 同
石英鳖甲先炭煨八句钟 取汤代水煎药。清阿胶二钱炖和服。鸡子黄沥去清一个入药先煎。
)继以此药熬膏晨服。午用
缪氏资生丸。各品不炒。皆生晒研末。竹沥为丸。枇叶汤送下。入秋始康。孟英曰。古人丸
皆用蜜。最属无谓。宜各因其证而变通之。此其一法也。
翁嘉顺妻娩后发热。竹林寺僧治之不应。温龚二医皆主生化汤加减。病益剧。孟英诊之。脉
软滑微数。曰∶素体阴亏。热自内生。新产血去。是以发热。憔谵妄昏瞀。最是吓医之证。
渴喜热饮。宛似虚寒之据。宜其猜风寒而表散。疑瘀血以攻通。帖帖炮姜。人人桃桂。阴愈
受劫。病乃日加。幸而津液内盛。痰饮未致涸竭。予蠲饮六神汤去橘半。加西洋参生地花粉
竹茹知母生白芍为剂。数日而瘳。（脉软为阳虚。脉滑为痰实。脉数为阴虚挟热。石菖蒲次
入一钱。陈胆星炖和服七分。旋复花绢包三钱。白茯苓三钱。西洋参三钱。大生地八钱。
南花粉四钱。姜竹茹三钱。酒炒知母三钱。生白芍四钱。)逾旬复发热。仍乞诊。孟英曰。
脉浮数而弦。是风温也。与前病异。便泻无溺。肺热所迫。大渴无苔。胃汁受烁。亟与天生建
中汤频灌。即蔗汁也。药主大剂甘凉。果得津回舌润。渐以痊可。（脉数为阴虚挟热。兼浮
弦
为津枯风动。活水芦根二两。酒炒知母三钱。酒炒枯芩一钱。南花粉五钱。花麦冬四钱。连
皮北梨三两。鲜竹茹三钱。鲜荷根五钱。济银花八钱。钗石斛杵先一两。乌梅肉三钱。青蔗
汁一大酒杯和服。)
翁嘉顺母染温病。孟英诊曰。高年阴气太亏。邪气偏盛。玉版论要云。病温虚甚死。言人之
真阴甚虚。曷足以御邪热而息燎原。可虞在两候之期。至十四日果殒。
翁嘉顺亦染温病。初发热即舌赤而渴。脉数且涩。孟英曰。非善证也。盖阴虚有素。值此忧
劳哀痛之余。五志内燔。温邪外迫。不必由卫及气自气而营。急予清营。继投凉卫。病来颇
恶。治虽合法。势必转重。病果日重。昏瞀耳聋。自利红水。目赤妄言。孟英惟以晋三犀角
地黄汤加银花石膏知母石斛栀贝花粉兰草菖蒲竹沥竹茹竹叶凫茈海 等出入互用。（治法先
气后营为正治。先营后气为变法。昏瞀目赤。营阴素虚。温邪径伤营分。若执先气后营常法
。治必无及。此证可生。全在妄言。盖妄言则热邪虽渐侵营分。尚未全离气分。若热邪全入
营分。则并无所谓言。方用镑犀角磨冲二钱。大生地八钱。元参片一两。二味开水泡汤去渣
。用汤煎药。济银花一两五钱。酒炒知母三钱。生石膏八钱先煎。黑栀皮三钱。石菖蒲次入
一
钱。建兰叶次入三钱。更方去生地加钗石斛杵先一两。再更方去石膏栀皮。加川贝母杵一两
。南花粉五钱。再更方去元参。加姜竹沥二两。再更方去银花入姜竹茹四钱。鲜竹叶二钱。
再更方去花粉。加连皮荸荠打三两。泡淡陈海 二两。)至十余剂。舌上忽布秽浊垢苔。口
气喷出。臭难向迩。手冷如冰。头面自汗。孟英曰。生机也。阴虚热邪深入。予一以清营凉
卫之法。服已逾旬。始得营阴渐振。推邪外出。乃现此苔。惟本元素弱。不能战解。故显肢
冷，而汗仅出于头面。非阳虚欲脱也。（阳虚欲脱。则上半身全有汗。)复予甘寒频灌。越三
日。汗收热退。苔花肢温。（阴虚之质。最重津液。甘寒频灌。津回液复。周身气机乃得伸
其用。与阳虚补阳。气机乃能有权。初无二理。)自始至终。犀角共享三两许。未犯一毫相悖
之药。继以滋填肾阴而康。
吴翁氏亦病温。初不服药。七日外孟英诊之。曰∶此病邪虽不盛。第频吐涎沫。不能退场门。
须以手撩。不饮不食。不便不眠。或多言不倦。或久问不答。是七情郁结。气久不舒。津液
凝痰。邪得根据附。治之中肯。尚难即愈。不药而待。病从何去。遂于清解方中寓蠲痰流气通
胃舒肝之品。（因七情郁结而后气不舒。因气不舒而后津液凝痰。因津液凝痰而后邪得根据附
。七情郁结为远因。津液凝痰为近因。治法先近因。后远因。方用姜炒枯芩一钱五分。姜炒
雅连六分。黑栀皮一钱五分。炒香豉一钱五分。川贝母杵四钱。姜竹茹四钱。炒枳实一钱。
陈
胆星炖和服八分。石菖蒲次入六分。赖橘红八分。姜炒枇叶刷包三钱。生白蒺一钱五分。)
交十四日而热退。又数日痰沫渐少。又旬日大解始行。粥食日加而愈。
沈东屏年逾八秩。患腹胀便秘。孟英诊曰。耄年脉实。天畀独浓。证属阳结。法宜清火。予
西洋参石膏白芍知母花粉桑皮橘皮枳壳甘草送更衣丸四剂而愈。（西洋参三钱。生石膏先煎
八钱。整大白芍杵先二两。酒炒知母三钱。南花粉五钱。生桑白皮四钱。甜杏仁三钱。盐水
炒橘皮一钱。生枳壳二钱。生粉草三钱。药送更衣丸三钱。)
顾石甫患恙。医治日剧。求诊孟英。脉现左寸如钩。曰∶病不能夏矣。许医诘曰∶此证气逆
血溢。腹胀囊肿。宛似康伯侯前疾。胡彼可愈而此不治。孟英曰∶彼为邪气之壅塞。脉虽怪
而搏指不挠。此为真气之散漫。脉来瞥瞥如羹上肥。而左寸如钩。是心之真脏脉见矣。壅塞
可以疏通。散漫不能收拾。季春果殁。
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。（脉缓为脾脏挟湿。脉
滑为挟
热气不下行。气不下行则血上逆故齿衄。齿衄为血热。血上逆必挟瘀。故治以凉血行瘀。紫
丹参四钱。大生地五钱。生桃仁研三钱。白茯苓三钱。西滑石先煎五钱。香白薇一钱。茺蔚
子杵先四钱。酒炒淮牛膝一钱。)
余皆山患疟。范某云春寒所致。辛温散之。来某谓酒湿之 。治以五苓。且杂参归姜枣之类
。病乃日甚。旬日后脘闷腹胀。便秘气逆。躁渴自汗。昏瞀不瞑。孟英视之。曰∶蕴湿固然
。惟温风外袭。已从热化。何必夏秋始有热疟。清解之法。十剂可安。服之果效。旬日径瘥。
（脘闷腹胀四句。热邪皆在上焦气分。方用黑栀皮三钱。酒炒知母三钱。生石膏先煎八钱。
炒枳实一钱五分。陈胆星炖和服八分。生冬瓜子四钱。盐水炒橘皮一钱。活水芦根二两。生
苡仁杵八钱。石菖蒲次入一钱。姜竹茹次入三钱。浮石蛤壳各五钱杵先。芦菔一两煨汤煎药
。)
朱念民患泄泻。自谓春寒偶薄而饮烧酒。次日转为滞下。左腹起一痞块。痢时绞痛异常。孟
英曰。阴虚木燥。侮胃为泄。误饮火酒。怒木愈张。非寒也。亟屏辛温之物。用白头翁加芩楝
栀连海 银花草决明枳 子绿豆皮。十余剂而愈。（论证尽于原案。且左脉必浮弦数重按有
力。白头翁三钱。黑栀皮三钱。酒炒川连一钱。酒炒枯芩二钱。济银花次一两五钱。草决明
三钱。绿豆皮五钱。更方去连芩栀皮。加泡淡陈海 四两先煎。枳 子杵先八钱。以苦寒泻
热治标。以咸寒育阴治本。)
锁某弱冠吐血。医进归脾汤。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。（面有红光。为虚火上炎。脉形
高若舟偶然患腹胀。医生投用温运（温中运脾）之法。逐渐发展到腹部出现有形之痞块，时常有气上冲、反酸的症状。误信是虚寒证，各种温补药物都尝试过。饮食日渐减少，痞块日益增大，肌肉逐渐消瘦，卧床半年。孟英在春季诊察，脉象沉弦而软滑，大便不畅，小便浑浊短少，舌苔黄腻。这是肝郁气结，郁久生热，误用温补则凝滞成痰。给予黑栀皮、川楝核、淡吴萸、姜炒川连、元胡索、台乌药、旋复花、炒枳实、炙鸡金、血鳖甲、姜竹茹、蛀陈皮、白茯苓、半夏曲等药物。（脉弦滑为肝热挟痰，脉沉软为肝郁气结。黑栀皮一钱五分。川楝核捣碎先煎三钱。淡吴萸六分。姜炒川连八分。元胡索八分。台乌药一钱。旋复花绢布包煎三钱。炒枳实一钱五分。炙鸡内金研末四钱。血鳖甲捣碎先煎八钱。姜竹茹三钱。蛀陈皮一钱五分。白茯苓三钱。半夏曲三钱。）服用后症状虽逐渐下降，但时而发作寒热，四肢酸痛。有人怀疑是疟疾。孟英说：这是气机宣通畅达，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、豆卷、羚羊角、蚕砂、桑枝之类药物迎头引导。（前方应当去掉栀子、黄连、鳖甲，加入左秦艽三钱，春柴胡一钱五分，大豆卷三钱，这三味同次放入。羚角磨粉冲服八分，晚蚕砂三钱，酒炒桑枝次放入三钱。）寒热逐渐平息，气上攻冲也停止了。按压腹部仍然坚硬，不时用龙荟丸和滚痰丸缓慢导下。饮食逐渐增加，渐渐趋向痊愈。（这种坚硬一定在大腹部位。滚痰丸二钱，龙荟丸一钱作为一次服用。）
赵听樵的妻子去年冬天偶然患胃脘痛。黄某治疗她，病情逐渐加重，出现头痛眩晕，气逆呕吐，痰多失眠，大便溏薄不能进食，月经不来。开始怀疑是虚证，接着怀疑是怀孕。各种药物都试过了，病情日益进展。孟英诊脉，左手脉弦而数，右手脉滑且急。说：这是药误造成的病。十几天可以痊愈。大概病人虽然体质丰满，但素来阴虚，所以水不涵木，肝阳偏盛，向上侵犯胃腑，就导致胃脘痛。当时如果投用酸苦泄肝、甘凉养胃的药物，几天就好了。却妄施温补，如同油上浇火，肺津胃液被灼烧殆尽，肝气怒直升发，枢机窒塞不通，水饮进入胃中，凝结成痰。虽然症状表现多种多样，都是气失于下降所致，怎么能把睡眠和饮食废绝当作劳损，把月经通畅当作怀孕呢？给予大剂清淡的药物整肃气道，使全身治节之令畅通，肝胆逆升之火，胃腑逗留之浊气，枢机郁遏之热，水饮凝滞之痰，都能向下趋行，自然能够痊愈。用药即见效，超过十天果然平安。又一个月月经来潮。（方用活水芦根二两，生冬瓜子四钱，生薏苡仁捣碎八钱，川贝母捣碎一两，南花粉四钱，花麦冬三钱，姜炒枯芩三钱，旋复花绢布包煎三钱，带皮荸荠二两，带皮北梨一两，鲜青果两个，带核捣碎，生蛤壳一两，海浮石五钱，这三味同先煨煮。）
马某三十多岁，平时用力劳作，患发热恶寒，肢体震颤自汗，少腹气上冲胸，头痛口渴。孟英诊察说：卫气虚弱风邪侵袭，而且络脉久已受伤，肝风内动。给予建中汤去饴糖，加龙骨、牡蛎、紫石英、肉苁蓉、川楝实、桑枝等几帖而痊愈。（劳力伤阳，此证卫气虚，必定另有脉象情状可依据。至于论证则以恶寒为卫虚，肢体震颤自汗三句，都是阴虚肝风内动之象。生西洋参三钱，大生地八钱，酒炒白芍一钱五分，花麦冬四钱，龙骨捣碎一两，牡蛎捣碎四两，紫石英捣碎五钱，这三味先炭火煨煮八刻钟，淡肉苁蓉三钱，三颗川楝核捣碎先煎四钱，酒炒桑枝次放入三钱。西洋参治卫虚，冬地治液虚口渴。龙牡石英医法重以镇怯，治自汗气逆头疼。酒炒白芍上行止汗，酒炒桑枝入肢治肢体震颤之标。）
李燕标夏天颈部患疽疮。外科都说不能治愈。朱嵩年治疗他逐渐安定。孟英诊脉，认为李的证候可以痊愈但难以长寿。左尺脉坚搏，真阴已经损伤，不是好兆头。痊愈后春天突然去世。（脉诀记载久病生死观察左尺脉的盛衰。）
李叟年龄超过七十岁，想要娶外家女子为妾，子孙不敢顺从。因此逐渐病得狂乱迷惑。众医生广泛投用热性补药，越服用病情越严重。孟英诊察他的脉象劲急搏指，面色红赤不说话，口涎自流，力气大无法控制。说：这是禀赋过强，阳气偏盛，所以先前想娶外家女子。医生不知道既然享受了高寿，上天赋予的元气必然浓厚。况且人到了五十岁，阴气先衰退。徐灵胎所说的千年老树往往自焚，阴尽火燃，万物都是这样。去年冬天我治疗邵可亭的孤阳喘逆，在壮水清火之外，用天生甘露饮（就是梨汁）灌服到二百多斤，病情才逐渐平复。仅仅误喝了两盏姜汤，前功尽弃。可见禀赋偏阳的人，阴难充长，火容易燎原。现在附子、肉桂、仙茅、鹿茸、人参、戟药、河车等药物，已经服用了很久，还有什么东西能生出枯竭之水来调和亢极之阳呢？不久果然去世。
程芷香今年春天患温病，而精关不固。十天后突然阴茎收缩寒战，自己觉得支撑不住。医生怀疑是虚疟，想要投用参附。孟英说：不是疟疾。平日身体丰满是多湿体质，厚味酿生痰湿，所以舌苔腻不渴，喜欢打嗝容易呕吐。而吸受风温，就以痰湿为巢穴，趁着阴亏阳扰，流入厥阴很容易。怎么能再投用温补，来劫夺津液锢闭邪气而加速痉厥呢？（温邪阑入肝肾之阴，所以精关不固。阴茎收缩，是因为肝热则玉茎易缩，长幼皆然。寒战，是真热假寒，热深厥亦深，穿厚衣盖厚被而寒战依旧。）午后投用整肃肺胃方，以解客邪蠲除痰湿而斡旋枢机。（方用酒炒川连八分，酒炒枯芩三钱，黑栀皮一钱五分，炒香豉三钱，活水芦根一两，生薏苡仁捣碎八钱，生冬瓜子四钱，姜竹茹三钱，川贝母捣碎四钱，旋复花三钱，赖橘红一钱。）早晨投用凉肾舒肝法，以平定浮越搜剔隧络而守住关键。（酒炒知母一钱五分，酒炒川黄柏三钱，生白蒺藜去刺三钱，鲜青果带核捣碎先煎两个，姜竹沥一大酒杯冲服，济银花一两，鲜荷梗五钱，青铅炭先煨煮八刻钟三两。）病情果然逐渐下降，但他善于生气发怒，容易招致外感，不甘于淡泊，反复多次。每次复发必然阴茎收缩寒战，甚至齿缝见紫血瓣，指甲有微红色，尿短而浑浊黑极臭。孟英说：幸好上焦已清，中枢已运转，亟宜填肾阴，清肝热，用西洋参、二冬、二地、苁蓉、花粉、知柏、连楝、斛芍、石英、牡蛎、龟板、鳖甲、阿胶、鸡子黄之类交替组方，大剂连续服用二十多帖，各病渐退。（西洋参三钱，花麦冬四钱，钗石斛捣碎先煎一两，酒炒知母三钱，酒炒雅连一钱，南花粉四钱，整白芍捣碎先煎二两，紫石英五钱，牡蛎八两，芍斛石英牡蛎四味先炭火煨煮八刻钟，取汤代水煎药。更方去掉洋参麦冬知连花粉，加大熟地一两，大生地八钱，明天冬切六钱，淡肉苁蓉三钱，血鳖甲四两，同石英牡蛎先炭火煨煮八刻钟，取汤代水煎药。酒炒黄柏一钱五分，川楝核三钱捣碎先煎。再更方去掉斛芍牡蛎，加血龟板二两同石英鳖甲先炭火煨煮八刻钟，取汤代水煎药。清阿胶二钱炖化服，鸡子黄沥去清一个入药先煎。）随后以此药熬膏早晨服用，中午用缪氏资生丸，各品不炒，都生晒研末，竹沥为丸，枇杷叶汤送下。入秋才康复。孟英说：古人丸药都用蜜，最属无谓。应该根据各人的证候而变通。这是其中一种方法。
翁嘉顺的妻子分娩后发热。竹林寺僧人治疗无效。温龚两位医生都主张生化汤加减，病情更加严重。孟英诊察，脉软滑微数。说：素体阴亏，热自内生。新产失血，所以发热。憔悴谵语妄言昏瞀，是最吓唬医生的证候。口渴喜欢热饮，宛似虚寒的依据。难怪猜测风寒而表散，怀疑瘀血以攻通。片片炮姜，人人桃仁桂枝，阴液愈受劫夺，病情乃日益加重。幸好津液内盛，痰饮未致枯竭。给予蠲饮六神汤去掉橘半，加西洋参、生地、花粉、竹茹、知母、生白芍为剂。几天就好了。（脉软为阳虚，脉滑为痰实，脉数为阴虚挟热。石菖蒲次放入一钱，陈胆星炖化服七分，旋复花绢布包煎三钱，白茯苓三钱，西洋参三钱，大生地八钱，南花粉四钱，姜竹茹三钱，酒炒知母三钱，生白芍四钱。）超过十天又发热，仍请求诊察。孟英说：脉浮数而弦，是风温。与前病不同。便泻无尿，是肺热所迫，大渴无苔，胃汁受灼。亟与天生建中汤频繁灌服，就是蔗汁。药主大剂甘凉，果然得到津回舌润，渐渐痊愈。（脉数为阴虚挟热，兼浮弦为津枯风动。活水芦根二两，酒炒知母三钱，酒炒枯芩一钱，南花粉五钱，花麦冬四钱，带皮北梨三两，鲜竹茹三钱，鲜荷根五钱，济银花八钱，钗石斛捣碎先煎一两，乌梅肉三钱，青蔗汁一大酒杯和服。）
翁嘉顺的母亲感染温病。孟英诊察说：高龄阴气太亏，邪气偏盛。《玉版论要》说：病温虚甚死。是说人的真阴很虚，怎么足以抵御邪热而熄灭燎原之火。值得忧虑的是在两候的时期，到十四天果然死亡。
翁嘉顺也感染温病。初发热即舌赤而渴，脉数且涩。孟英说：不是好证候。大概阴虚素来存在，值此忧劳哀痛之余，五志内燔，温邪外迫。不必由卫及气自气而营，急予清营，继投凉卫。病来颇恶，治虽合法，势必转重。病情果然日益加重，昏瞀耳聋，自利红水，目赤妄言。孟英只用晋三犀角地黄汤加银花、石膏、知母、石斛、栀、贝、花粉、兰草、菖蒲、竹沥、竹茹、竹叶、凫茈、海 等出入互用。（治法先气后营为正治，先营后气为变法。昏瞀目赤，营阴素虚，温邪径伤营分，若执先气后营常法，治必无及。此证可生，全在妄言。盖妄言则热邪虽渐侵营分，尚未全离气分，若热邪全入营分，则并无所谓言。方用镑犀角磨冲二钱，大生地八钱，元参片一两，这两味开水泡汤去渣，用汤煎药。济银花一两五钱，酒炒知母三钱，生石膏八钱先煎，黑栀皮三钱，石菖蒲次放入一钱，建兰叶次放入三钱。更方去掉生地加钗石斛捣碎先煎一两。再更方去掉石膏栀皮，加川贝母捣碎一两，南花粉五钱。再更方去掉元参，加姜竹沥二两。再更方去掉银花入姜竹茹四钱，鲜竹叶二钱。再更方去掉花粉，加带皮荸荠打三两，泡淡陈海 二两。）到十多剂，舌上忽然布满秽浊垢苔，口气喷出，臭难向迩，手冷如冰，头面自汗。孟英说：这是生机。阴虚热邪深入，我用清营凉卫的方法，服用已超过十天，才开始营阴渐振，推邪外出，于是现出此苔。只因为本身体质弱，不能战解，所以显出肢冷，而汗仅出于头面，不是阳虚欲脱。（阳虚欲脱，则上半身全有汗。）再次给予甘寒频繁灌服，过了三天，汗收热退，苔花肢温。（阴虚之质，最重津液。甘寒频灌，津回液复，周身气机乃得伸其用。与阳虚补阳，气机乃能有权，初无二理。）自始至终，犀角共用三两许，未犯一毫相悖之药。随后以滋填肾阴而康复。
吴翁氏也患温病。起初不服药，七天后孟英诊察。说：此病邪虽不盛，只是频繁吐涎沫，不能退场门，须以手撩，不饮不食，不便不眠，或多言不倦，或久问不答，这是七情郁结，气久不舒，津液凝痰，邪得根据附。治之中肯，尚难即愈。不药而待，病从何去。于是在清解方中寓蠲痰流气通胃舒肝之品。（因七情郁结而后气不舒，因气不舒而后津液凝痰，因津液凝痰而后邪得根据附。七情郁结为远因，津液凝痰为近因。治法先近因，后远因。方用姜炒枯芩一钱五分，姜炒雅连六分，黑栀皮一钱五分，炒香豉一钱五分，川贝母捣碎四钱，姜竹茹四钱，炒枳实一钱，陈胆星炖化服八分，石菖蒲次放入六分，赖橘红八分，姜炒枇叶刷包三钱，生白蒺一钱五分。）交十四日而热退。又几天痰沫渐少。又十天大便才通行，粥食日加而愈。
沈东屏年龄超过八十岁，患腹胀便秘。孟英诊察说：耄年脉实，天畀独浓。证属阳结，法宜清火。给予西洋参、石膏、白芍、知母、花粉、桑皮、橘皮、枳壳、甘草送更衣丸四剂而愈。（西洋参三钱，生石膏先煎八钱，整大白芍捣碎先煎二两，酒炒知母三钱，南花粉五钱，生桑白皮四钱，甜杏仁三钱，盐水炒橘皮一钱，生枳壳二钱，生粉草三钱，药送更衣丸三钱。）
顾石甫患恙病，医治日益严重，求诊孟英。脉现左寸如钩。说：病不能度过夏天了。许医生质问说：此证气逆血溢，腹胀囊肿，宛似康伯侯前疾，为何彼可愈而此不治。孟英说：彼为邪气之壅塞，脉虽怪而搏指不挠。此为真气之散漫，脉来瞥瞥如羹上肥，而左寸如钩，是心之真脏脉见矣。壅塞可以疏通，散漫不能收拾。季春果然去世。
孙氏女儿将近十五岁，久患齿衄，多医莫疗。孟英诊察说：六脉缓滑，天癸将至耳。给予丹参、生地、桃仁、牛膝、茯苓、白薇、滑石、茺蔚子。一剂知，数日愈。随即月经来潮，略无他患。（脉缓为脾脏挟湿，脉滑为挟热气不下行，气不下行则血上逆故齿衄。齿衄为血热，血上逆必挟瘀，故治以凉血行瘀。紫丹参四钱，大生地五钱，生桃仁研三钱，白茯苓三钱，西滑石先煎五钱，香白薇一钱，茺蔚子捣碎先煎四钱，酒炒淮牛膝一钱。）
余皆山患疟疾。范某说是春寒所致，用辛温发散。来某说是酒湿之邪，治以五苓散，并且杂入参归姜枣之类。病情乃日益严重。十天后脘闷腹胀，便秘气逆，躁渴自汗，昏瞀不瞑。孟英视之，说：蕴湿固然，惟温风外袭，已从热化，何必夏秋始有热疟。清解之法，十剂可安。服用果然有效。十天径直痊愈。（脘闷腹胀四句，热邪皆在上焦气分。方用黑栀皮三钱，酒炒知母三钱，生石膏先煎八钱，炒枳实一钱五分，陈胆星炖化服八分，生冬瓜子四钱，盐水炒橘皮一钱，活水芦根二两，生薏苡仁捣碎八钱，石菖蒲次放入一钱，姜竹茹次放入三钱，浮石蛤壳各五钱捣碎先煎，芦菔一两煨汤煎药。）
朱念民患泄泻，自称春寒偶薄而饮烧酒。次日转为滞下痢疾，左腹起一痞块，痢时绞痛异常。孟英说：阴虚木燥，侮胃为泄。误饮火酒，怒木愈张，非寒也。亟屏辛温之物，用白头翁加芩楝栀连海 银花草决明枳 子绿豆皮。十余剂而愈。（论证尽于原案，且左脉必浮弦数重按有力。白头翁三钱，黑栀皮三钱，酒炒川连一钱，酒炒枯芩二钱，济银花次放入一两五钱，草决明三钱，绿豆皮五钱。更方去掉连芩栀皮，加泡淡陈海 四两先煎，枳 子捣碎先煎八钱，以苦寒泻热治标，以咸寒育阴治本。）
锁某年轻吐血，医生进用归脾汤，吐益甚。孟英视之，面有红光，脉形豁大，因而问：脚冷吗？探之果然。遂与六味地黄汤送饭丸肉桂心一钱，覆杯而愈。（面有红光，为虚火上炎，脉形
Gao Ruozhou suddenly suffered from abdominal distension. The physician administered warming and moving (warming the middle and promoting transportation) methods. Gradually, a tangible epigastric fullness developed, accompanied by frequent sensations of qi rushing upward and acid regurgitation. Misdiagnosed as deficiency-cold, he tried various warming and tonifying medicines. His food intake decreased daily, the fullness increased, muscles wasted away, and he remained bedridden for half a year. Mengying examined him in spring. The pulse was deep, wiry, soft, and slippery. Bowel movements were unsmooth, urination was turbid and scanty, and the tongue coating was yellow and greasy. This indicated liver qi stagnation and knotting; stagnation generates heat, while tonification condenses phlegm. He prescribed Black Gardenia Peel (Zhi Zi Pi), Sichuan Chinaberry Kernel (Chuan Lian Zi), Light Evodia Fruit (Dan Wu Zhu Yu), Ginger-fried Coptis Rhizome (Jiang Chao Huang Lian), Corydalis Tuber (Yan Hu Suo), Taizhou Lindera Root (Tai Wu Yao), Inula Flower (Xuan Fu Hua), Fried Immature Bitter Orange (Chao Zhi Shi), Honey-fried Chicken Gizzard Lining (Zhi Ji Jin), Blood Turtle Shell (Xue Bie Jia), Ginger Bamboo Shavings (Jiang Zhu Ru), Moldy Tangerine Peel (Zhu Chen Pi), White Poria (Bai Fu Ling), and Pinellia Paste (Ban Xia Qu). (A wiry-slippery pulse indicates liver-heat with phlegm; a deep-soft pulse indicates liver-stagnation and qi-knotting. Black Gardenia Peel 1.5 qian. Sichuan Chinaberry Kernel crushed and decocted first 3 qian. Light Evodia Fruit 0.6 qian. Ginger-fried Coptis Rhizome 0.8 qian. Corydalis Tuber 0.8 qian. Taizhou Lindera Root 1 qian. Inula Flower wrapped in silk and decocted 3 qian. Fried Immature Bitter Orange 1.5 qian. Honey-fried Chicken Gizzard Lining ground 4 qian. Blood Turtle Shell crushed and decocted first 8 qian. Ginger Bamboo Shavings 3 qian. Moldy Tangerine Peel 1.5 qian. White Poria 3 qian. Pinellia Paste 3 qian.) After taking the medicine, symptoms gradually subsided, but chills and fever occurred intermittently, along with soreness and pain in the four limbs. Some suspected malaria. Mengying said: This is the free flow of qi mechanism being promoted and stagnant heat escaping outward; it is the pathway for the disease to exit. How can it be blocked? He added drugs such as Gentian Root (Qin Jiao), Bupleurum Root (Chai Hu), Soybean Sprouts (Dou Juan), Antelope Horn (Ling Yang Jiao), Silkworm Excrement (Can Sha), and Mulberry Twig (Sang Zhi) to guide the pathogen. (The previous formula should remove Gardenia, Coptis, and Turtle Shell; add Left-side Gentian Root 3 qian, Spring Bupleurum Root 1.5 qian, and Soybean Sprouts 3 qian, all added at the same time. Antelope Horn ground and taken with water 0.8 qian. Evening Silkworm Excrement 3 qian. Wine-fried Mulberry Twig added later 3 qian.) Chills and fever gradually ceased, and the upward rushing of qi stopped. Palpation of the abdomen still revealed hardness. He occasionally used Longhui Pill (Long Hui Wan) and Gun Tan Pill (Gun Tan Wan) to gently guide downward. Food intake gradually increased, and recovery slowly ensued. (This hardness must be in the large abdomen. Gun Tan Pill 2 qian, Long Hui Pill 1 qian taken together once.)
Zhao Tingqiao’s wife suddenly suffered from epigastric pain last winter. Physician Huang treated her, but headaches and dizziness gradually increased, followed by rebellious qi, vomiting, excessive phlegm, insomnia, loose stools, anorexia, and amenorrhea. Initially suspected as deficiency, then suspected as pregnancy. Various medicines were tried, but the condition worsened daily. Mengying palpated the pulse: left side wiry and rapid, right side slippery and forceful. He said: This is iatrogenic illness. It will heal in over ten days. Although the patient has a robust constitution, she has had underlying yin-deficiency since childhood. Thus, water fails to nourish wood, causing liver-yang to hyperactivity and harass the stomach, leading to epigastric pain. At that time, sour-bitter herbs to drain liver and sweet-cool herbs to nourish stomach should have been used, resulting in cure within a few days. Instead, warming and tonifying were recklessly applied, adding oil to fire. Lung fluids and stomach juices were scorched away. Angry liver-qi rose straight up, blocking the pivot mechanism. Water-dampness entering the stomach condensed into phlegm. Although manifestations were diverse, they all resulted from qi failing to descend. How could one mistake the cessation of sleep and eating for consumption (lao), or regular menstruation for pregnancy? He prescribed large doses of light and clear substances to regulate the qi mechanism, allowing the governing commands of the whole body to function smoothly, so that rebellious fire of liver and gallbladder, turbidity lingering in the stomach, heat constrained by the pivot, and phlegm condensed from water-dampness could all descend, leading to natural recovery. The medicine took effect immediately, and peace returned after more than ten days. Menstruation arrived one month later. (Formula uses Living Reed Rhizome 2 liang, Raw Winter Melon Seed 4 qian, Raw Coix Seed crushed 8 qian, Fritillaria Bulb crushed 1 liang, Nanmu Pollen 4 qian, Flower Ophiopogon Tuber 3 qian, Ginger-fried Scutellaria Root 3 qian, Inula Flower wrapped in silk 3 qian, Water Chestnut with skin 2 liang, Northern Pear with skin 1 liang, Fresh Olive two pieces with core crushed, Raw Clam Shell 1 liang, Pumice Stone 5 qian. The latter three are simmered first.)
Mr. Ma, in his thirties, who usually engaged in strenuous labor, suffered from fever, aversion to cold, limb tremors, and spontaneous sweating. Qi rushed from the lower abdomen to the chest, accompanied by headache and thirst. Mengying diagnosed: Wei-deficiency with wind invasion, and long-term injury to collaterals, causing internal stirring of liver-wind. He prescribed Jianzhong Decoction without malt sugar, plus Dragon Bone (Long Gu), Oyster Shell (Mu Li), Purple Quartz (Zi Shi Ying), Cistanche Stem (Rou Cong Rong), Sichuan Chinaberry Fruit (Lian Shi), and Mulberry Twig (Sang Zhi) for several doses, resulting in cure. (Labor damages yang; this case shows wei-deficiency, supported by other pulse signs. Aversion to cold indicates wei-deficiency; limb tremors and sweating indicate yin-deficiency with internal liver-wind. Raw American Ginseng 3 qian, Large Rehmannia Root 8 qian, Wine-fried White Peony Root 1.5 qian, Flower Ophiopogon Tuber 4 qian, Dragon Bone crushed 1 liang, Oyster Shell crushed 4 liang, Purple Quartz crushed 5 qian. These three are charcoal-roasted first for eight quarter-hours. Pale Cistanche 3 qian. Three Sichuan Chinaberry kernels crushed and decocted first 4 qian. Wine-fried Mulberry Twig added later 3 qian. American Ginseng treats wei-deficiency; Winter and Earth (Ophiopogon and Rehmannia) treat fluid-deficiency and thirst. Dragon Bone, Oyster Shell, and Purple Quartz use heavy substances to calm fright, treating spontaneous sweating, rebellious qi, headache, and dizziness. Wine-fried White Peony moves upward to stop sweating; wine-fried Mulberry Twig enters the limbs to treat limb tremors as a symptomatic treatment.)
Li Yanbiao suffered from a carbuncle on the neck in summer. Surgeons declared it incurable. Zhu Songnian treated him, and he gradually stabilized. Mengying palpated the pulse and stated that Li’s condition could be cured but his lifespan would be short. The left chi pulse was firm and forceful, indicating damage to true yin, which is not a good omen. He recovered but died suddenly in spring. (Pulse classics state that life and death in chronic diseases are observed by the strength and weakness of the left chi pulse.)
Old Man Li, over seventy years old, wished to marry a woman from his wife's family. His descendants did not agree. Consequently, he gradually became delirious and confused. Many doctors widely administered hot tonics, worsening the condition with each dose. Mengying palpated the pulse: it was vigorous and forceful against the fingers. His face was red, he did not speak, saliva flowed freely, and his strength was uncontrollable. Mengying said: This is due to strong endowment and predominant yang, hence the desire for marriage. Doctors did not realize that having enjoyed longevity, heaven bestowed abundant qi. Moreover, at fifty, yin qi declines first. As Xu Lingtai said, ancient trees often burn themselves; when yin is exhausted, fire ignites. This applies to all things. Last winter, I treated Shao Keting’s isolated yang wheezing. Besides strengthening water and clearing fire, I administered Tian Sheng Gan Lu Yin (Pear Juice) totaling over two hundred jin, and the condition gradually stabilized. Merely mistakingly drinking two cups of ginger soup ruined all prior efforts. This shows that those with yang-predominant endowment find it hard to replenish yin, and fire easily spreads like a prairie fire. Now, with Aconite, Cinnamon Bark, Morinda Root, Deer Antler, Ginseng, Datura Seed, and Placenta already taken for a long time, what substance can generate dried-up water to harmonize extreme yang? Soon, he indeed passed away.
Cheng Zhixiang contracted warm-heat disease this spring, with insecure essence gate. Ten days later, sudden penile retraction and chills occurred. Feeling unable to endure, physicians suspected deficiency-malaria and wanted to administer Ginseng and Aconite. Mengying said: It is not malaria. Usually, a plump constitution implies dampness; rich flavors brew phlegm, hence greasy coating and no thirst, prone to belching and vomiting. Contracting wind-warmth, the phlegm-dampness becomes a nest. Taking advantage of yin-deficiency and yang-disturbance, pathogens easily enter the Jueyin channel. How can warming tonics be given again to deplete fluids, trap pathogens, and hasten convulsions? (Warm pathogens invading liver-kidney yin cause insecure essence gate. Penile retraction occurs because liver-heat causes easy retraction of the jade stem, regardless of age. Chills are true heat presenting as false cold; deeper heat leads to deeper cold; thick clothes and blankets do not stop the chills.) In the afternoon, he administered a formula to regulate lung and stomach to resolve external pathogens and dispel phlegm-dampness, pivoting the mechanism. (Formula: Wine-fried Coptis Rhizome 0.8 qian, Wine-fried Scutellaria Root 3 qian, Black Gardenia Peel 1.5 qian, Fried Fermented Soybean 3 qian, Living Reed Rhizome 1 liang, Raw Coix Seed crushed 8 qian, Raw Winter Melon Seed 4 qian, Ginger Bamboo Shavings 3 qian, Fritillaria Bulb crushed 4 qian, Inula Flower 3 qian, Lai Orange Peel 1 qian.) In the morning, he used Kidney-Cooling and Liver-Calming method to pacify floating yang, search collaterals, and guard key points. (Wine-fried Anemarrhena Rhizome 1.5 qian, Wine-fried Phellodendron Bark 3 qian, Raw Tribulus Fruit de-spined 3 qian, Fresh Olives with core crushed first 2 pieces, Ginger Bamboo Sap diluted in a large wine cup 1 serving, Silver Flower 1 liang, Fresh Lotus Stem 5 qian, Green Lead Charcoal charcoal-roasted first for eight quarter-hours 3 liang.) The condition gradually improved, but he was prone to anger, easily catching external pathogens, and unwilling to eat bland food, leading to multiple relapses. Each relapse brought penile retraction and chills, even purple blood clots in gum fissures, slight redness in fingernails, and short, turbid, black, foul-smelling urine. Mengying said: Fortunately, the upper jiao is cleared, and the central pivot is functioning. Urgent need to tonify kidney yin and clear liver-heat. Alternating formulas using American Ginseng, Two Winters (Ophiopogon and Asparagus), Two Earths (Rehmannia), Cistanche, Pollen, Anemarrhena, Phellodendron, Coptis, Chinaberry, Dendrobium, Peony, Quartz, Oyster Shell, Tortoise Shell, Turtle Shell, Donkey-hide Gelatin, and Egg Yolk were taken in large doses for over twenty doses, with symptoms gradually receding. (American Ginseng 3 qian, Flower Ophiopogon Tuber 4 qian, Hook Dendrobium crushed and decocted first 1 liang, Wine-fried Anemarrhena Rhizome 3 qian, Wine-fried Coptis Rhizome 1 qian, Nanmu Pollen 4 qian, Whole White Peony Root crushed and decocted first 2 liang, Purple Quartz 5 qian, Oyster Shell 8 liang. Peony, Dendrobium, Quartz, and Oyster Shell charcoal-roasted first for eight quarter-hours, decocted in their own liquid. Next formula removes American Ginseng, Ophiopogon, Anemarrhena, Coptis, and Pollen; adds Large Prepared Rehmannia 1 liang, Large Raw Rehmannia 8 qian, Bright Winter Tuber cut 6 qian, Pale Cistanche 3 qian, Blood Turtle Shell 4 liang, charcoal-roasted with Quartz and Oyster Shell first for eight quarter-hours, decocted in their own liquid. Wine-fried Phellodendron Bark 1.5 qian, Sichuan Chinaberry Kernel crushed and decocted first 3 qian. Next formula removes Dendrobium, Peony, and Oyster Shell; adds Blood Tortoise Shell 2 liang, charcoal-roasted with Quartz and Turtle Shell first for eight quarter-hours, decocted in their own liquid. Clear Donkey-hide Gelatin 2 qian stewed and mixed; Egg Yolk separated from white, one piece added to medicine and decocted first.) Subsequently, this medicine was boiled into a paste for morning consumption, and Miao’s Zisheng Pill was taken at noon. All ingredients were not fried but sun-dried and ground into powder, formed into pills with Bamboo Sap, and taken with Perilla Leaf Decoction. Recovery began in autumn. Mengying said: Ancients used honey for pills, which is meaningless. One should vary according to the syndrome. This is one method.
Weng Jiaoshun’s wife had fever after childbirth. A monk from Zhulin Temple failed to cure her. Physicians Wen and Gong both advocated modified Shenghua Decoction, worsening the condition. Mengying palpated the pulse: soft, slippery, slightly rapid. He said: Underlying yin-deficiency, heat generated internally. Postpartum blood loss causes fever. Emaciation, delirium, and confusion are conditions that frighten physicians. Thirst preferring hot drinks mimics deficiency-cold. No wonder they guessed wind-cold and released exterior, or suspected blood stasis and attacked with purgatives. Pieces of Roasted Ginger, everyone using Peach Kernel and Cinnamon Twig, further depleted yin, worsening the disease. Fortunately, internal fluids were abundant, and phlegm-fluids did not dry up. He prescribed Ju Yin Liu Shen Tang removing Tangerine Peel and Pinellia, adding American Ginseng, Rehmannia, Pollen, Bamboo Shavings, Anemarrhena, and Raw White Peony. Cure in a few days. (Soft pulse indicates yang-deficiency; slippery indicates phlegm-excess; rapid indicates yin-deficiency with heat. Acorus Root added later 1 qian, Aged Star Phellodendron Stewed and mixed 0.7 qian, Inula Flower wrapped in silk 3 qian, White Poria 3 qian, American Ginseng 3 qian, Large Rehmannia 8 qian, Nanmu Pollen 4 qian, Ginger Bamboo Shavings 3 qian, Wine-fried Anemarrhena Rhizome 3 qian, Raw White Peony 4 qian.) Over ten days later, fever recurred. Mengying was requested again. He said: Floating, rapid, and wiry pulse indicates wind-warmth, different from the previous illness. Diarrhea with no urination is forced by lung-heat. Great thirst with no coating indicates scorched stomach juice. Urgently administer Tian Sheng Jian Zhong Tang frequently, which is sugarcane juice. The medicine focuses on large doses of sweet-cool substances. Indeed, fluids returned, tongue moistened, and gradual recovery ensued. (Rapid pulse indicates yin-deficiency with heat; combined floating and wiry indicates fluid-depletion and wind-stirring. Living Reed Rhizome 2 liang, Wine-fried Anemarrhena Rhizome 3 qian, Wine-fried Scutellaria Root 1 qian, Nanmu Pollen 5 qian, Flower Ophiopogon Tuber 4 qian, Northern Pear with skin 3 liang, Fresh Bamboo Shavings 3 qian, Fresh Lotus Root 5 qian, Silver Flower 8 qian, Hook Dendrobium crushed and decocted first 1 liang, Sour Plum Meat 3 qian, Fresh Sugarcane Juice one large wine cup mixed.)
Weng Jiaoshun’s mother contracted warm-heat disease. Mengying diagnosed: Advanced age with severe yin-deficiency, pathogenic qi predominant. *Yu Ban Lun Yao* states: Warm disease with severe deficiency leads to death. It means true yin is too deficient to resist pathogenic heat and extinguish the prairie fire. Danger lay in the two-week period. Indeed, she died on the fourteenth day.
Weng Jiaoshun also contracted warm-heat disease. Initial fever presented with red tongue and thirst, rapid and choppy pulse. Mengying said: Not a favorable sign. Underlying yin-deficiency existed. Amidst worry, fatigue, grief, and pain, five emotions burned internally, and warm pathogens pressed externally. Pathogens need not follow the sequence from Wei to Qi to Ying. Urgently clear Ying level, then cool Wei level. The illness was severe initially. Although treatment was correct, the condition inevitably worsened. Indeed, it worsened daily: confusion, deafness, spontaneous bloody diarrhea, red eyes, and delirious speech. Mengying only used Jin San Xi Jiao Di Huang Tang adding Silver Flower, Gypsum, Anemarrhena, Dendrobium, Gardenia, Fritillaria, Pollen, Orchid Leaf, Acorus, Bamboo Sap, Bamboo Shavings, Bamboo Leaf, and Wild Rice Bulb, varying them. (Treating Qi before Ying is standard; treating Ying before Qi is variant. Confusion and red eyes indicate underlying Ying-yin deficiency; warm pathogens directly injure Ying level. Adhering to standard Qi-first treatment would fail. Survival depends on delirious speech, meaning heat has invaded Ying but not fully left Qi. If heat fully entered Ying, there would be no speech. Formula: Powdered Rhinoceros Horn ground and taken with water 2 qian, Large Rehmannia 8 qian, Scrophularia Slice 1 liang. These two soaked in boiling water, strained, and the liquid used to decoct medicine. Silver Flower 1.5 liang, Wine-fried Anemarrhena Rhizome 3 qian, Raw Gypsum 8 qian decocted first, Black Gardenia Peel 3 qian, Acorus Root added later 1 qian, Jian Lan Leaf added later 3 qian. Next formula removes Rehmannia, adds Hook Dendrobium crushed and decocted first 1 liang. Next removes Gypsum and Gardenia Peel, adds Fritillaria Bulb crushed 1 liang, Nanmu Pollen 5 qian. Next removes Scrophularia, adds Ginger Bamboo Sap 2 liang. Next removes Silver Flower, adds Ginger Bamboo Shavings 4 qian, Fresh Bamboo Leaf 2 qian. Next removes Pollen, adds Water Chestnut with skin smashed 3 liang, Soaked Old Sea Cucumber 2 liang.) After more than ten doses, a filthy turbid coating suddenly appeared on the tongue, foul breath, ice-cold hands, and sweating on head and face. Mengying said: This is a sign of life. Yin-deficiency with deep-seated heat. Using Ying-clearing and Wei-cooling method for over ten days, Ying-yin gradually revived, pushing pathogens out, hence this coating appears. Due to weak constitution, battle-resolution cannot occur, showing cold limbs and sweating only on head/face, not yang-collapse. (Yang-collapse causes sweating on entire upper body.) Re-administered sweet-cool substances frequently. After three days, sweating stopped, heat retreated, coating became floral, and limbs warmed. (Yin-deficient constitution values fluids most. Frequent sweet-cool administration restores fluids, allowing qi mechanism to function. This is no different from tonifying yang in yang-deficiency to empower qi mechanism.) Throughout, Rhinoceros Horn totaled about 3 liang, violating no contradictory herbs. Subsequently, kidney-yin tonification led to recovery.
Wu Wengshi also had warm-heat disease. Initially refused medicine. Seven days later, Mengying diagnosed: Pathogen not strong, but frequent salivation requiring hand wiping, inability to defecate, no drinking/eating, no bowel movement/sleep, or excessive talking without fatigue, or long questioning without answer. This is seven-emotion stagnation, qi long-unsoothed, fluids condensing into phlegm, pathogens attaching. Treatment hitting the mark still difficult for quick cure. Waiting without medicine, how will disease leave? Thus, phlegm-dispelling, qi-moving, stomach-unblocking, and liver-calming agents were embedded in clearing-resolving formula. (Seven-emotion stagnation leads to qi-unsoothing; qi-unsoothing leads to fluid-phlegm condensation; fluid-phlegm allows pathogen attachment. Seven-emotions is remote cause; fluid-phlegm is proximate cause. Treat proximate first, then remote. Formula: Ginger-fried Scutellaria Root 1.5 qian, Ginger-fried Coptis Rhizome 0.6 qian, Black Gardenia Peel 1.5 qian, Fried Fermented Soybean 1.5 qian, Fritillaria Bulb crushed 4 qian, Ginger Bamboo Shavings 4 qian, Fried Immature Bitter Orange 1 qian, Aged Star Phellodendron stewed and mixed 0.8 qian, Acorus Root added later 0.6 qian, Lai Orange Peel 0.8 qian, Ginger-fried Perilla Leaf brushed and wrapped 3 qian, Raw Tribulus Fruit 1.5 qian.) Heat subsided on the fourteenth day. Phlegm-saliva decreased after a few days. Bowel movement resumed after ten days. Porridge intake increased, and recovery ensued.
Shen Dongping, over eighty, suffered from abdominal distension and constipation. Mengying diagnosed: Elderly with solid pulse, heaven bestowed abundance. Syndrome belongs to Yang-Knotting, method suitable for clearing fire. American Ginseng, Gypsum, White Peony, Anemarrhena, Pollen, Mulberry Bark, Tangerine Peel, Immature Bitter Orange, Licorice sent with Geng Yi Wan for four doses, resulting in cure. (American Ginseng 3 qian, Raw Gypsum decocted first 8 qian, Whole Large White Peony crushed and decocted first 2 liang, Wine-fried Anemarrhena Rhizome 3 qian, Nanmu Pollen 5 qian, Raw Mulberry White Bark 4 qian, Sweet Almond 3 qian, Salt-fried Tangerine Peel 1 qian, Raw Immature Bitter Orange 2 qian, Raw Licorice 3 qian. Medicine sends Geng Yi Wan 3 qian.)
Gu Shifu suffered from Yang disease, worsening with treatment. Sought Mengying. Pulse left cun like a hook. Said: Disease will not survive summer. Physician Xu questioned: This case has rebellious qi and bleeding, abdominal distension, and scrotal swelling, similar to Kang Bohou’s previous illness. Why did he recover and this die? Mengying said: That was pathogen obstruction; pulse strange but forceful and unyielding. This is true qi scattering; pulse fleeting like fat on soup surface, left cun like hook, indicating heart’s true organ pulse appearance. Obstruction can be unblocked; scattering cannot be gathered. Died in late spring.
Miss Sun, nearing fifteen, suffered from gingival bleeding for a long time, unresponsive to many doctors. Mengying diagnosed: Six pulses slow and slippery, Tiangu approaching. Prescribed Salvia Root, Rehmannia, Peach Kernel, Achyranthes Root, Poria, Anemarrhena, Talcum, Leonurus Fruit. One dose effective, cured in days. Menstruation soon started, no other issues. (Slow pulse indicates spleen-damp; slippery indicates heat-q not descending. Qi not descending causes blood rebellion, hence gingival bleeding. Gingival bleeding is blood-heat; blood rebellion carries stasis. Hence treat with cooling-blood and moving-stasis. Red Salvia 4 qian, Large Rehmannia 5 qian, Raw Peach Kernel ground 3 qian, White Poria 3 qian, Western Talcum decocted first 5 qian, Fragrant Anemarrhena 1 qian, Leonurus Fruit crushed and decocted first 4 qian, Wine-fried Huai Achyranthes 1 qian.)
Yu Jieshan suffered from malaria. Fan claimed caused by spring cold, used acrid-warm dispersants. Lai claimed caused by alcohol-dampness, treated with Wu Ling San, mixing Ginseng, Angelica, Ginger, Jujube. Condition worsened. Ten days later: epigastric stuffiness, abdominal distension, constipation, rebellious qi, restlessness, thirst, sweating, confusion, insomnia. Mengying viewed: Dampness accumulation yes, but warm wind invasion transformed to heat. Why wait for summer/autumn for heat-malaria? Clearing-resolving method, ten doses safe. Effective indeed. Cured in ten days. (Epigastric stuffiness and distension indicate heat-pathogen in upper jiao qi-level. Formula: Black Gardenia Peel 3 qian, Wine-fried Anemarrhena Rhizome 3 qian, Raw Gypsum decocted first 8 qian, Fried Immature Bitter Orange 1.5 qian, Aged Star Phellodendron stewed and mixed 0.8 qian, Raw Winter Melon Seed 4 qian, Salt-fried Tangerine Peel 1 qian, Living Reed Rhizome 2 liang, Raw Coix Seed crushed 8 qian, Acorus Root added later 1 qian, Ginger Bamboo Shavings added later 3 qian, Pumice and Clam Shell each 5 qian crushed and decocted first, Radish 1 liang simmered for decoction liquid.)
Zhu Nianmin suffered from diarrhea, claiming caught slight spring cold and drank liquor. Next day turned into dysentery. Lump formed in left abdomen, excruciating pain during dysentery. Mengying said: Yin-deficiency, wood-dryness, harassing stomach causes diarrhea. Mistakenly drinking fire-liquor makes angry wood expand further. Not cold. Quickly discard acrid-warm substances. Use Bai Tou Weng Tang adding Scutellaria, Chinaberry, Gardenia, Coptis, Sea Cucumber, Silver Flower, Cassia Seed, Immature Bitter Orange, Mung Bean Peel. Cured in over ten doses. (Argument complete in original case, left pulse likely floating-wiry-rapid and forceful on deep pressure. Bai Tou Weng 3 qian, Black Gardenia Peel 3 qian, Wine-fried Coptis Rhizome 1 qian, Wine-fried Scutellaria Root 2 qian, Silver Flower added later 1.5 liang, Cassia Seed 3 qian, Mung Bean Peel 5 qian. Next formula removes Coptis, Scutellaria, Gardenia Peel; adds Soaked Old Sea Cucumber 4 liang decocted first, Immature Bitter Orange crushed and decocted first 8 qian. Acrid-bitter clears heat treating branch; salty-cold nourishes yin treating root.)
Suo, young adult, hematemesis. Doctor gave Gui Pi Tang, vomiting worsened. Mengying saw: Face red glow, pulse hollow and large. Asked: Feet cold? Confirmed. Prescribed Liu Wei Di Huang Tang sending Fan Wan Rou Gui Xin 1 qian. Cured in one cup. (Face red glow indicates deficiency-fire flaming upward, pulse