豁大及足冷。为阴中之阳亦虚。肾气不能潜纳。归脾中参 性皆上升。故吐益甚。易以引火
归原之法斯愈矣。大熟地八钱。淮山药四钱。白茯苓三钱。山萸肉三钱。药送饭丸肉桂心一
钱。)
沈裕昆妻偶发脘痛。范某予逍遥法。痛颇止。而发热咽疼。顾听泉知感温邪。予
清
解法。疼已而热不退。七日后目闭鼻塞。耳聋肢搐。不言语。不饮食。孟英往诊。见其外候
如是。而左手诊毕即缩回。旋伸右手备诊。曰∶非神昏也。继挖牙关。察其苔色白滑。询知
大解未行。曰∶病是风温。然不逆传膻中而顺传胃腑。证可无恐。此证如是骇人。原素有痰
饮盘踞胸中。外邪入之得以凭借。苔色之不形黄燥。亦此故耳。不可误认为寒。脉象既形弦
滑以数。但令痰饮一降。苔必转黄。昔人于温证仅言逆传不言顺传。后世遂误执伤寒在足经
。温热在手经。不知经络贯穿。岂容界限。喻氏嘉言谓伤寒亦传手经。但足经先受之耳。吾
谓温热亦传足经。但手经先受之耳。盖自肺之心包。病机渐进而内陷。故曰逆。自肺之胃腑
。病机欲出而下行。故曰顺。今邪虽顺传。欲出不能。所谓胃病则九窍不和。与逆传神昏之
犀角地黄汤证大相径庭。郭云台云∶胃实不和。投滚痰而非峻。可谓治斯疾之真诠。遂书小
陷胸合蠲饮六神汤加枳朴以芦菔煮水煎药和入竹沥一杯送下礞石滚痰丸四钱。且谓既患骇人
之病。必服骇人之药。药不瞑眩。厥疾不瘳。（热邪逆传于膻中而神昏则宜犀角地黄汤。顿
传于胃腑而便结。则宜滚痰丸之类。此证右关脉必弦滑数重按有力。至此方佐蠲饮六神加朴
。因苔色白滑。苦寒中必佐以辛温。姜炒川连八分。制半夏米三钱。石菖蒲次入一钱。陈胆
星炖和一钱。旋复花绢包三钱。赖橘红一钱五分。炒枳实一钱五分。制根朴二钱。芦菔切一
两煮汤代水煎药。和入姜竹沥一酒杯。药送礞石滚痰丸四钱。)翼日诊。脉证不甚减。询知
昨药分数次服下。孟英曰∶是势分力缓之故。如法服之。黎明果解胶韧痰秽数升。各恙即
减。略吐语言。稍啜稀粥。苔转黄燥。药改轻清。渐以向安。嗣予育阴柔肝而愈。
朱氏妇素畏药。虽极淡之品。服之即吐。近患晡寒夜热。寝汗咽干。咳嗽胁疼。月余后渐至
减餐经少。肌削神疲。孟英诊之。左手弦而数。右部涩且弱。曰∶既多悒郁。又善思虑。所
谓病发心脾是也。而平昔畏药。岂可强药再戕其胃。以甘草小麦红枣藕四味。令其煮汤频饮
勿辍。病者日夜服之。逾旬复诊。脉证大减。孟英曰∶此仲景治脏燥之妙剂。吾以红枣易大
枣。取其色赤补心。气香悦胃。加藕以舒郁怡情。合之甘麦并能益气养血。润燥缓急。恪守
两月。竟得霍然。（生粉草三钱。连皮肥藕切先二两。北小麦杵四钱。红枣擘先四钱。)
江某年三十余。忽两目发赤。牙龈肿痛。奔走骂人。不避亲长。孟英诊之。脉大而数。重按
虚散。予东洋参熟地辰砂磁石龙齿菖蒲枣仁琥珀肉桂金箔龙眼肉为剂。投匕即安。（脉大为
虚。数为阴虚挟热。重按虚散。则阴中之阳尤虚。高丽参三钱。炒松熟地八钱。整辰砂五钱
。灵磁石一两。 龙齿八钱。三味同先炭煨八句钟。九节蒲研次入一钱。炒枣仁研三钱。西
毛珀研冲四分。肉桂心次入二钱。金箔次入七片。桂元肉去核三钱。)
金禄卿妻患温。顾听泉连进轻清凉解而病不减。气逆无味。咳吐粘痰。舌绛咽干。耳聋谵语
。旬日外孟英诊之。曰∶体瘦脉细数。尺中更乱。竟是阴气先伤。阳气独发。所谓伤寒偏
死
下虚人。再四研诘。乃知发热前一日陡然带下如崩。是真液早经漏泄矣。否则药治不讹。胡
勿燎原益炽。痉厥之变不须旋踵。勉以西洋参生地二冬二至元参犀角黄连鸡子黄知母为方。
另用石斛龟板鳖甲各四两。左牡蛎一斤。煮汤代水煎药。（西洋参三钱。大生地八钱。明天
冬切六钱。花麦冬四钱。女贞子杵五钱。旱莲草四钱。元参片一两。镑犀角磨冲二钱。淡盐
水炒川连二钱。淡盐水炒知母四钱。鸡子黄三个。沥去蛋白。另用石斛龟鳖甲各四两。牡蛎
一斤煮汤代水煎药。顾听泉又加清阿胶三钱。炖和服。)服两剂果不能减。后服签方温药。
四肢拘挛而逝。
一妪患右腰痛胀欲捶。多药不效。孟英视其形虽羸瘦。而脉滑痰多。苔黄舌绛。曰∶体虚病
实。温补非宜。苟不攻去其疾。徒以疲药因循。则病益实。体益虚。先以雪羹加竹茹楝实绿
萼梅杏仁花粉橘红茯苓旋复送控涎丹。服后果下胶痰。三进而病若失。嗣予调补获痊。（脉
滑苔黄舌绛。皆为热邪。舌绛为阴虚挟热。连皮荸荠打二两。泡淡海 先煎一两。姜竹茹三
钱。川楝核杵先三钱。绿萼梅二钱。苦杏泥一钱五分。南花粉四钱。赖橘红八分。白茯苓一
钱五分。旋复花绢包三钱。药送控涎丹三钱。)
杨氏妇孀居患泻。久治不瘥。孟英曰。风木行胃也。误招张某大进温补。乃致腹胀不食。夜
热不眠。吐酸经秘。头疼如劈。复乞孟英诊之。先投苦泄佐辛通以治其药。嗣以酸苦息风安
胃。匝月乃瘳。续予调补而安。（孀居抑郁伤肝。肝阳犯胃。胃不能胜而泻。为风木行胃。
温补愈助肝阳。故有腹胀不食四句现证。苦涩佐辛通方。白头翁三钱。姜炒川黄柏三钱。赖
橘红次入一钱五分。石菖蒲次入一钱。姜竹茹三钱。丝瓜络三钱。生莱菔子研三钱。晚蚕砂
五钱。酸苦息风安胃方。绿萼梅二钱。干桑葚杵三钱。鲜青果连核杵先三个。乌梅肉三钱。
整大白芍杵先二两。川楝核杵先四钱。酒炒胆草二钱。生粉草三钱。钗石斛杵先一两。生石
膏先煎八钱。花麦冬四钱。南花粉五钱。)
郁某热逾半月。自胸次胀及少腹。痛而不可抚摩。便秘溺赤。舌黑口干。自汗烦躁。六脉弦
强无胃。曰∶此恙酷似伤寒大结胸证。结胸烦躁。无药可治。越二日便行而殁。孟英论曰∶
伤寒之邪在表。误下则邪陷而成结胸。未经误下不为结胸。温热之邪在里。逆传于心包。误
汗则内闭以外脱。顺传于胃腑。误汗则盘踞而成结胸。前人但云误汗劫夺胃汁。而未及于
结胸。因结胸证不多见耳。然亦不可不知也。故谨识之。郁病初起。某医用葛根一剂。继则
胡某柴葛羌防十余剂。酿成是证。
施氏妇产后四肢串痛。药治罔效。膏药遍贴。呻吟不息。脉数而洪。舌绛大渴。此非风湿为
病。膏药亟为揭去。近日服药，谅皆温补祛风之剂。营血耗伤。内风欲动，向见体丰血旺。
何以娩后若是。必生化汤砂糖酒之类所酿。询悉果服生化汤二帖。赤砂糖八斤。幸素足于阴
。恢复尚易。若阴虚血少。虽不即死。难免不成蓐损。因投大剂凉润壮水之药。一剂知。旬
日安。匝月起。（脉数为阴虚挟热。洪为阴虚。舌绛大渴及呻吟。热已侵营。未离气分。大
生地八钱。济银花一两五钱。明天冬切六钱。元参片一两。钗石斛一两杵先。肥玉竹三钱。
酒炒知母三钱。白茯苓三钱。乌梅肉三钱。南花粉五钱。花麦冬四钱。酒炒桑枝三钱。)
王士干妻素多郁怒。气聚于腹。上攻脘痛。旋发旋安。花甲外病益甚。医治益剧。孟英诊不书
方。因论曰。腹中聚气为瘕。攻痛呕吐。原属于肝。第病已三十载。从前服药谅不外温补一
途
。如近服逍遥散最劫肝阴。理中汤极伤胃液。人但知呕吐为寒。未识风阳内煽。水自沸腾。
专用温补。津液渐形涸竭。医者妄谓水已不吐。病势渐轻。不察其水已吐尽。仅能哕逆空呕
所以
不能纳谷。便秘不行。脉弦无胃。舌痿难伸。可谓女人亦有孤阳之病矣。勉以西洋参肉苁
蓉麦冬玉竹生白芍石斛竹茹柏子霜紫石英为方。猪肉煮汤煎药和入青蔗浆人乳。服后呕哕皆
止。人以为转机。孟英譬草木干枯已久。骤加灌溉。枝叶似转青葱。根 已槁。生气不存。
奈何。继而糜粥渐进。颇思肉味。越数日大便颇畅。孟英曰∶脉不柔和。舌不润泽。虽谷进
便行。生津化液之源已绝。夏至后果殒。（呕分寒热两大门。此证本系肝阳犯胃热呕。迭误
温补戕阴。阴精已竭。西洋参三钱。淡苁蓉三钱。花麦冬五钱。肥玉竹三钱。整大白芍杵先
二两。钗石斛杵先一两。鲜竹茹四钱。柏子霜三钱。紫石英杵先五钱。干猪肉皮一斤。急火
煎汤。吹去浮油代水煎药。和入蔗浆两杯。人乳一杯。)
暑令产妇服生化汤砂糖酒死者甚多。孟英谓六一散既清暑热。又行瘀血溽暑之令。诚为产后
第一妙方。
储丽波酷热患疟。陆某率投平胃理中。渐至危殆。孟英诊之。热炽神昏。胸高气逆。苔若姜
黄。溺如赭赤。脉伏口渴。不食不便。曰∶舍现病之暑热。拘司气以论治。谓之执死书以困
活人。幸其体丰阴足。尚可救药。然非白虎汤十剂。不能愈也。遂以生石膏知母银花枳贝黄
连木通花粉茹芩杏斛海 等相迭为方。服旬日疟果断。（热炽神昏六句。热邪皆在气。心与
肺胃相近。温补伤肺胃之阴。则热炽神昏。此神昏非热传营也。生石膏先煎一两二钱。酒炒
知母四钱。炒枳壳一钱五分。川贝母杵一两。南花粉五钱。苦杏泥次入一钱五分。姜竹茹四
钱。济银花一两五钱。更方去知母银花。加酒炒川连一钱。酒炒枯芩三钱。细木通一钱。钗
石斛杵先一两。再更方去枳贝。加泡淡海 二两。再更方去竹茹。加鲜竹叶次入二钱。)
庄迪卿患疟。大渴而喜热饮。脘闷脉伏。苔腻欲呕。孟英曰∶蕴湿内盛。暑热外侵。法当清
解。然脉证如是。乃痰阻气道使然。清之无益。温之助桀。宜以礞石滚痰丸先为开导。（此
证脉伏必重按沉实有力搏指。若脉伏重按无力。大忌峻下。此证宜用滚痰丸三钱。)服后痰
出甚多。脉即现弦滑而数。呕止胸舒。苔引黄燥。予石膏知母连朴杏橘半茯滑斛菖蒲花粉等
药而安。（生石膏先煎八钱。姜炒知母三钱。姜炒川连一钱。制根朴八分。苦杏泥二钱。五
爪红一钱。半夏曲一钱五分。赤茯苓一钱五分。西滑石先煎四钱。钗石斛杵先八钱。石菖蒲
次入六分。南花粉四钱。)
庄晓村病疟。孟英曰∶吸受暑热。清涤即瘳。阅数日疟作甚剧。
目赤狂言。汗如雨下。按其脉洪滑无伦。视其舌深黄浓燥。询悉恣饮姜枣汤三日。令取西瓜
一枚任食之。方从白虎。而生石膏用一两六钱。（生石膏先煎一两六钱。酒炒知母四钱。活
水
芦根二两。生瓜子四钱。生苡仁杵八钱。炒枳壳二钱。川贝母杵八钱。南花粉五钱。鲜枇叶
刷毛次入三钱。)
陈姓小儿发热肢搐。幼科予惊风药。遂神昏气促。汗出无溺。孟英视之暑也。令取蕉叶铺于
泥地。予儿卧焉。投以辰砂六一散。加石膏知母西洋参竹叶荷花露。一剂而瘳。（小儿肢搐
。本系肝亢生风。市医治惊风多用温散。神昏气促。为肝阳逆升。无溺为肝阴将竭。最为危
险。整辰砂先煎三钱。西滑石先煎三钱。生粉草二钱。生石膏先煎六钱。酒炒知母二钱。西
洋参二钱。鲜竹叶一钱五分次入。荷花露大半酒杯候温和服。辰砂滑石石膏皆石药。取重以
镇怯之义。而辰砂镇心。滑石泻暑。石膏清胃。甘草缓中。知母泻暑。合之为苦甘化阴。兼
可息风。西洋参清其气热。竹叶清其表热。荷花露鲜泻以解暑息风。香泽以入心凉营。)
潘翼廷酷热。啜冷石膏一碗。遂致心下痞闷。四肢渐冷。上过肘膝。脉伏自汗。孟英往视。
曰∶既受暑热。复为冷冻饮料冰伏胸中。大气不能转旋。是以肢冷脉伏。二便不行。速取六一散
一两。以淡盐汤搅之澄去滓调下紫雪丹一钱。（六一散本受暑正治之药。调以紫雪。以辛香
通冰伏之气。以治误啜石膏。其先以淡盐汤搅之澄去滓者。治暑贵在去邪。尤贵功无旁挠。
紫雪少用。则辛香不足以通冰伏之气。用至一钱。恐辛通后挠六一散下行泻暑之权。故先以
淡
盐汤搅之。使辛通后无损六一散泻暑下行之效。其必澄去滓者。药虽泻暑下行。暑先伤气。
暑邪实侵气分最高之处。澄去滓则用其气不用其质。使之上而复下。尤为丝丝入扣。)翌日
再诊。脉现胸舒。溺行肢热。口干舌绛。暑象毕呈。化而为疟。予多剂白虎汤而愈。（脉现
胸舒五句。热邪皆在上焦气分。生石膏先煎八钱。酒炒知母三钱。活水芦根一两。生冬瓜子
四钱。生苡仁杵八钱。南花粉四钱。钗石斛杵先八钱。姜竹沥一大酒杯冲。细木通一钱。)
金晓耕发热二旬。医予表散。竟无汗泄。嗣投温补而大解泄泻。小水不行。口干肌削。孟英
诊之。右寸独见沉数。曰∶暑热锢于肺经耳。予白虎苇茎天水加芩桔杏贝为方。（表解无汗
。阴虚不能作汗故也。此病认证。在右寸独见沉数一语。数为阴虚挟热。沉则肺热有郁遏不
宣之象。生石膏先煎八钱。活水苇根二两。生冬瓜子四钱。生苡仁杵八钱。酒炒枯芩三钱。
苦桔梗三钱。苦杏泥一钱五分。三味同次入。川贝母杵五钱。西滑石四钱。生粉草三钱。)
服后头面喑疹遍发。密无针缝。明如水晶光。孟英曰。此肺邪得泄也。果肤润热退。泻止知
（前文接：）豁大及足冷。为阴中之阳亦虚。肾气不能潜纳。归脾中参 性皆上升。故吐益甚。易以引火
归原之法斯愈矣。大熟地八钱。淮山药四钱。白茯苓三钱。山萸肉三钱。药送饭丸肉桂心一
钱。)
沈裕昆的妻子偶尔发作胃脘疼痛。范某给予逍遥散，疼痛虽然停止，但出现发热、咽喉疼痛。顾听泉知道是感受了温邪，给予清解法治疗。疼痛已止而发热不退。七日后双眼闭合、鼻塞、耳聋、肢体抽搐、不说话、不进食。孟英前往诊察，见其外在症状如此严重，但左手诊脉完毕后随即缩回，接着伸出右手准备诊脉，说：“这不是神志昏迷。”随后撬开牙关，观察舌苔颜色白滑，询问得知大便未行，说：“这是风温病，然而没有逆传膻中而是顺传胃腑，证候可以不必惊恐。此证虽然看起来骇人，原本素有痰饮盘踞胸中，外邪侵入得以凭借，舌苔颜色不呈现黄燥，也是因为这个缘故。不可误认为是寒证。脉象既呈现弦滑且数，只要令痰饮下降，舌苔必然转黄。古人对于温证只言逆传不言顺传，后世于是错误地执着于伤寒在足经，温热在手经，不知道经络贯穿全身，岂容有界限。喻嘉言认为伤寒也传手经，只是足经先受邪罢了。我认为温热也传足经，只是手经先受邪罢了。大概自肺传入心包，病机渐进而内陷，所以叫逆；自肺传入胃腑，病机欲出而下行，所以叫顺。如今邪气虽然顺传，但欲出而不能，所谓胃病则九窍不和，与逆传神昏的犀角地黄汤证大相径庭。郭云台说：‘胃实不和，投滚痰丸而非峻猛’，可以说是治疗这种疾病的真义。”于是书写小陷胸汤合蠲饮六神汤加枳壳、厚朴，用芦菔煮水煎药，和入竹沥一杯送服礞石滚痰丸四钱。并且说：“既然患了骇人的病，必须服用骇人的药。药不引起瞑眩反应，重病不会痊愈。”（热邪逆传于膻中而神昏则宜犀角地黄汤，顿传于胃腑而便结，则宜滚痰丸之类。此证右关脉必弦滑数重按有力。至此方佐蠲饮六神加朴，因苔色白滑，苦寒中必佐以辛温。姜炒川连八分，制半夏米三钱，石菖蒲次入一钱，陈胆星炖和一钱，旋复花绢包三钱，赖橘红一钱五分，炒枳实一钱五分，制根朴二钱，芦菔切一两煮汤代水煎药，和入姜竹沥一酒杯，药送礞石滚痰丸四钱。）次日诊察，脉证没有明显减轻，询问得知昨天将药物分数次服下。孟英说：“这是势分力缓的缘故。”照此法服用。黎明果然排出胶韧痰秽数升，各种病症随即减轻，略微吐出语言，稍喝稀粥，舌苔转黄燥，药物改为轻清之剂，逐渐趋向安宁。后来给予育阴柔肝的药物而痊愈。
朱氏妇人平素害怕吃药，即使是极淡的药，服下即吐。最近患傍晚恶寒夜间发热，睡中出汗，咽干，咳嗽胁痛。月余后逐渐至减少饮食月经量少，肌肉消瘦精神疲惫。孟英诊察，左手脉弦而数，右部脉涩且弱，说：“既多忧郁，又善于思虑，这就是所谓的病发心脾。而平素害怕吃药，岂可强行用药再戕害其胃？”用甘草、小麦、红枣、藕四味，令其煮汤频频饮用不要停止。病人日夜服用，超过十天复诊，脉证大减。孟英说：“这是仲景治疗脏燥的妙剂。我用红枣代替大枣，取其色赤补心，气香悦胃。加藕以舒郁怡情。合之甘麦并能益气养血，润燥缓急。恪守两个月，竟然得以霍然痊愈。”（生粉草三钱，连皮肥藕切先二两，北小麦杵四钱，红枣擘先四钱。）
江某三十多岁，忽然两眼发红，牙龈肿痛，奔走骂人，不避亲长。孟英诊察，脉大而数，重按虚散，给予东洋参、熟地、辰砂、磁石、龙齿、菖蒲、枣仁、琥珀、肉桂、金箔、龙眼肉为剂，投下一匕即安。（脉大为虚，数为阴虚挟热，重按虚散，则阴中之阳尤虚。高丽参三钱，炒松熟地八钱，整辰砂五钱，灵磁石一两，龙齿八钱，三味同先炭煨八句钟，九节蒲研次入一钱，炒枣仁研三钱，西毛珀研冲四分，肉桂心次入二钱，金箔次入七片，桂元肉去核三钱。）
金禄卿的妻子患温病，顾听泉连续进用轻清凉解药而病不减，气逆无味，咳吐粘痰，舌绛咽干，耳聋谵语。旬日外孟英诊察，说：“身体瘦弱脉细数，尺中更乱，竟是阴气先伤，阳气独发，所谓伤寒偏死下虚之人。”再四详细探究，才知道发热前一天陡然带下如崩，是真液早经漏泄了。否则药治不讹，何至于燎原益炽？痉厥之变不须旋踵而至。勉强以西洋参、生地、二冬、二至、元参、犀角、黄连、鸡子黄、知母为方。另用石斛、龟板、鳖甲各四两，左牡蛎一斤，煮汤代水煎药。（西洋参三钱，大生地八钱，明天冬切六钱，花麦冬四钱，女贞子杵五钱，旱莲草四钱，元参片一两，镑犀角磨冲二钱，淡盐水炒川连二钱，淡盐水炒知母四钱，鸡子黄三个，沥去蛋白。另用石斛龟鳖甲各四两，牡蛎一斤煮汤代水煎药。顾听泉又加清阿胶三钱，炖和服。）服两剂果然不能减轻，后来服用签方的温药，四肢拘挛而死。
一位老妇人患右腰痛胀想捶打，多药不效。孟英看其形体虽然羸瘦，而脉滑痰多，苔黄舌绛，说：“体虚病实，温补不宜。如果不攻去其疾，徒以疲药因循，则病益实，体益虚。”先以雪羹加竹茹、楝实、绿萼梅、杏仁、花粉、橘红、茯苓、旋复送控涎丹，服后果然下胶痰，三次进服后病若失。后来给予调补而痊愈。（脉滑苔黄舌绛，皆为热邪，舌绛为阴虚挟热。连皮荸荠打二两，泡淡海 先煎一两，姜竹茹三钱，川楝核杵先三钱，绿萼梅二钱，苦杏泥一钱五分，南花粉四钱，赖橘红八分，白茯苓一钱五分，旋复花绢包三钱，药送控涎丹三钱。）
杨氏妇人寡居患腹泻，久治不愈。孟英说：“风木行胃也。误招张某大进温补，乃致腹胀不食，夜热不眠，吐酸经秘，头疼如劈。”再次请求孟英诊察。先投苦泄佐辛通以治其药，嗣以酸苦息风安胃，匝月乃瘳。续予调补而安。（寡居抑郁伤肝，肝阳犯胃，胃不能胜而泻，为风木行胃。温补愈助肝阳，故有腹胀不食四句现证。苦涩佐辛通方：白头翁三钱，姜炒川黄柏三钱，赖橘红次入一钱五分，石菖蒲次入一钱，姜竹茹三钱，丝瓜络三钱，生莱菔子研三钱，晚蚕砂五钱。酸苦息风安胃方：绿萼梅二钱，干桑葚杵三钱，鲜青果连核杵先三个，乌梅肉三钱，整大白芍杵先二两，川楝核杵先四钱，酒炒胆草二钱，生粉草三钱，钗石斛杵先一两，生石膏先煎八钱，花麦冬四钱，南花粉五钱。）
郁某热逾半月，自胸次胀及少腹，痛而不可抚摩，便秘溺赤，舌黑口干，自汗烦躁，六脉弦强无胃，说：“此恙酷似伤寒大结胸证。结胸烦躁，无药可治。”越二日便行而殁。孟英论曰：“伤寒之邪在表，误下则邪陷而成结胸。未经误下不为结胸。温热之邪在里，逆传于心包，误汗则内闭以外脱。顺传于胃腑，误汗则盘踞而成结胸。前人但云误汗劫夺胃汁，而未及于结胸，因结胸证不多见耳。然亦不可不知也。故谨识之。郁病初起，某医用葛根一剂，继则胡某柴葛羌防十余剂，酿成是证。”
施氏妇产后四肢串痛，药治罔效，膏药遍贴，呻吟不息，脉数而洪，舌绛大渴，说：“此非风湿为病，膏药亟为揭去。近日服药，谅皆温补祛风之剂。营血耗伤，内风欲动，向见体丰血旺，何以娩后若是？必生化汤砂糖酒之类所酿。”询悉果服生化汤二帖，赤砂糖八斤。幸素足于阴，恢复尚易。若阴虚血少，虽不即死，难免不成蓐损。因投大剂凉润壮水之药，一剂知，旬日安，匝月起。（脉数为阴虚挟热，洪为阴虚，舌绛大渴及呻吟，热已侵营，未离气分。大生地八钱，济银花一两五钱，明天冬切六钱，元参片一两，钗石斛一两杵先，肥玉竹三钱，酒炒知母三钱，白茯苓三钱，乌梅肉三钱，南花粉五钱，花麦冬四钱，酒炒桑枝三钱。）
王士干的妻子平素多郁怒，气聚于腹，上攻脘痛，旋发旋安。花甲外病益甚，医治益剧。孟英诊不书方，因论曰：“腹中聚气为瘕，攻痛呕吐，原属于肝。第病已三十载，从前服药谅不外温补一途。如近服逍遥散最劫肝阴，理中汤极伤胃液。人但知呕吐为寒，未识风阳内煽，水自沸腾。专用温补，津液渐形涸竭。医者妄谓水已不吐，病势渐轻，不察其水已吐尽，仅能哕逆空呕所以不能纳谷，便秘不行，脉弦无胃，舌痿难伸，可谓女人亦有孤阳之病矣。”勉以西洋参、肉苁蓉、麦冬、玉竹、生白芍、石斛、竹茹、柏子霜、紫石英为方，猪肉煮汤煎药和入青蔗浆人乳。服后呕哕皆止，人以为转机。孟英譬草木干枯已久，骤加灌溉，枝叶似转青葱，根已槁，生气不存，奈何。继而糜粥渐进，颇思肉味，越数日大便颇畅。孟英曰：“脉不柔和，舌不润泽，虽谷进便行，生津化液之源已绝，夏至后果殒。”（呕分寒热两大门，此证本系肝阳犯胃热呕，迭误温补戕阴，阴精已竭。西洋参三钱，淡苁蓉三钱，花麦冬五钱，肥玉竹三钱，整大白芍杵先二两，钗石斛杵先一两，鲜竹茹四钱，柏子霜三钱，紫石英杵先五钱，干猪肉皮一斤，急火煎汤，吹去浮油代水煎药，和入蔗浆两杯，人乳一杯。）
暑令产妇服生化汤砂糖酒死者甚多。孟英谓六一散既清暑热，又行瘀血溽暑之令，诚为产后第一妙方。
储丽波酷热患疟，陆某率投平胃理中，渐至危殆。孟英诊之，热炽神昏，胸高气逆，苔若姜黄，溺如赭赤，脉伏口渴，不食不便，说：“舍现病之暑热，拘司气以论治，谓之执死书以困活人。幸其体丰阴足，尚可救药。然非白虎汤十剂，不能愈也。”遂以生石膏、知母、银花、枳贝、黄连、木通、花粉、茹芩、杏斛、海 等相迭为方，服旬日疟果断。（热炽神昏六句，热邪皆在气，心与肺胃相近，温补伤肺胃之阴，则热炽神昏，此神昏非热传营也。生石膏先煎一两二钱，酒炒知母四钱，炒枳壳一钱五分，川贝母杵一两，南花粉五钱，苦杏泥次入一钱五分，姜竹茹四钱，济银花一两五钱。更方去知母银花，加酒炒川连一钱，酒炒枯芩三钱，细木通一钱，钗石斛杵先一两。再更方去枳贝，加泡淡海 二两。再更方去竹茹，加鲜竹叶次入二钱。）
庄迪卿患疟，大渴而喜热饮，脘闷脉伏，苔腻欲呕。孟英说：“蕴湿内盛，暑热外侵，法当清解。然脉证如是，乃痰阻气道使然。清之无益，温之助桀，宜以礞石滚痰丸先为开导。”（此证脉伏必重按沉实有力搏指，若脉伏重按无力，大忌峻下。此证宜用滚痰丸三钱。）服后痰出甚多，脉即现弦滑而数，呕止胸舒，苔引黄燥，予石膏、知母、连朴、杏橘、半茯、滑、斛、菖蒲、花粉等药而安。（生石膏先煎八钱，姜炒知母三钱，姜炒川连一钱，制根朴八分，苦杏泥二钱，五爪红一钱，半夏曲一钱五分，赤茯苓一钱五分，西滑石先煎四钱，钗石斛杵先八钱，石菖蒲次入六分，南花粉四钱。）
庄晓村病疟，孟英说：“吸受暑热，清涤即瘳。阅数日疟作甚剧，目赤狂言，汗如雨下。按其脉洪滑无伦，视其舌深黄浓燥，询悉恣饮姜枣汤三日，令取西瓜一枚任食之，方从白虎，而生石膏用一两六钱。”（生石膏先煎一两六钱，酒炒知母四钱，活水芦根二两，生瓜子四钱，生苡仁杵八钱，炒枳壳二钱，川贝母杵八钱，南花粉五钱，鲜枇叶刷毛次入三钱。）
陈姓小儿发热肢搐，幼科予惊风药，遂神昏气促，汗出无溺。孟英视之暑也，令取蕉叶铺于泥地，予儿卧焉，投以辰砂六一散，加石膏、知母、西洋参、竹叶、荷花露，一剂而瘳。（小儿肢搐，本系肝亢生风，市医治惊风多用温散，神昏气促，为肝阳逆升，无溺为肝阴将竭，最为危险。整辰砂先煎三钱，西滑石先煎三钱，生粉草二钱，生石膏先煎六钱，酒炒知母二钱，西洋参二钱，鲜竹叶一钱五分次入，荷花露大半酒杯候温和服。辰砂滑石石膏皆石药，取重以镇怯之义，而辰砂镇心，滑石泻暑，石膏清胃，甘草缓中，知母泻暑，合之为苦甘化阴，兼可息风。西洋参清其气热，竹叶清其表热，荷花露鲜泻以解暑息风，香泽以入心凉营。）
潘翼廷酷热，啜冷石膏一碗，遂致心下痞闷，四肢渐冷，上过肘膝，脉伏自汗。孟英往视，说：“既受暑热，复为冷冻饮料冰伏胸中，大气不能转旋，是以肢冷脉伏，二便不行。速取六一散一两，以淡盐汤搅之澄去滓调下紫雪丹一钱。”（六一散本受暑正治之药，调以紫雪，以辛香通冰伏之气，以治误啜石膏。其先以淡盐汤搅之澄去滓者，治暑贵在去邪，尤贵功无旁挠。紫雪少用，则辛香不足以通冰伏之气，用至一钱，恐辛通后挠六一散下行泻暑之权，故先以淡盐汤搅之，使辛通后无损六一散泻暑下行之效。其必澄去滓者，药虽泻暑下行，暑先伤气，暑邪实侵气分最高之处，澄去滓则用其气不用其质，使之上而复下，尤为丝丝入扣。）翌日再诊，脉现胸舒，溺行肢热，口干舌绛，暑象毕呈，化而为疟，予多剂白虎汤而愈。（脉现胸舒五句，热邪皆在上焦气分。生石膏先煎八钱，酒炒知母三钱，活水芦根一两，生冬瓜子四钱，生苡仁杵八钱，南花粉四钱，钗石斛杵先八钱，姜竹沥一大酒杯冲，细木通一钱。）
金晓耕发热二旬，医予表散，竟无汗泄。嗣投温补而大解泄泻，小水不行，口干肌削。孟英诊之，右寸独见沉数，说：“暑热锢于肺经耳。”予白虎苇茎天水加芩桔杏贝为方。（表解无汗，阴虚不能作汗故也。此病认证，在右寸独见沉数一语，数为阴虚挟热，沉则肺热有郁遏不宣之象。生石膏先煎八钱，活水苇根二两，生冬瓜子四钱，生苡仁杵八钱，酒炒枯芩三钱，苦桔梗三钱，苦杏泥一钱五分，三味同次入，川贝母杵五钱，西滑石四钱，生粉草三钱。）服后头面喑疹遍发，密无针缝，明如水晶光。孟英曰：“此肺邪得泄也。”果肤润热退，泻止知
(Continued from previous text:) Huo Da (a symptom of severe deficiency) and cold feet indicate that the Yang within Yin is also deficient. The Kidney Qi fails to descend and anchor. Since both Ginseng and Atractylodes in Guipi Tang (Restore the Spleen Decoction) have ascending properties, vomiting becomes even more severe. Changing to the method of Guiding Fire Back to its Source will lead to recovery. Prepared Rehmannia Root (Shu Di Huang) 8 qian, Huai Yam (Huai Shan Yao) 4 qian, White Poria (Bai Fu Ling) 3 qian, Cornus Fruit (Shan Yu Rou) 3 qian. Take with Rice Pills of Cinnamon Twig Heart (Rou Gui Xin) 1 qian.)
The wife of Shen Yukun occasionally suffered from epigastric pain. Fan Mou prescribed Xiaoyao San (Free and Easy Wanderer Powder), which stopped the pain, but fever and sore throat appeared. Gu Tingquan recognized it as an invasion by Warm Pathogens and prescribed a Clearing and Resolving method. Although the pain ceased, the fever persisted. Seven days later, her eyes were closed, nose was blocked, she was deaf, limbs were convulsing, she did not speak or eat. Meng Ying went to examine her. Seeing such severe external symptoms, he noted that after finishing the pulse diagnosis on the left hand, she immediately withdrew it, then extended her right hand for examination. He said: "This is not coma." Then he pried open her teeth and observed that the tongue coating was white and slippery. Upon inquiry, he learned that she had not had a bowel movement. He said: "This is Wind-Warmth disease. However, instead of transmitting reversely to the Pericardium, it transmitted sequentially to the Stomach Fu-organ. There is no need to fear this syndrome. Although this case appears terrifying, she originally had Phlegm-Fluids stagnating in the chest, allowing the external pathogen to take hold. The reason the tongue coating does not appear yellow and dry is due to this. It must not be mistaken for Cold. The pulse presents as wiry, slippery, and rapid. Once the Phlegm-Fluids descend, the tongue coating will surely turn yellow. Ancients only spoke of reverse transmission in Warm diseases, ignoring sequential transmission. Later generations erroneously held that Shanghan (Cold Damage) affects the Foot meridians while Warm diseases affect the Hand meridians, unaware that meridians are interconnected and cannot be strictly bounded. Yu Jiayan stated that Shanghan also affects the Hand meridians, but the Foot meridians are affected first. I argue that Warm diseases also affect the Foot meridians, but the Hand meridians are affected first. Generally, when the disease progresses from the Lung to the Pericardium, the pathological mechanism advances inward, hence called 'reverse'. When it progresses from the Lung to the Stomach, the pathological mechanism seeks to exit downward, hence called 'sequential'. Although the pathogen has transmitted sequentially now, it desires to exit but cannot. As the saying goes, 'When the Stomach is diseased, the nine orifices are discordant.' This is vastly different from the Xi Jiao Di Huang Tang (Rhino Horn and Rehmannia Decoction) syndrome of reverse transmission causing coma. Gu Yuntai said: 'Stomach excess and discordance, administering Meng Tan Wan (Rolling Phlegm Pill) is not overly harsh,' which can be considered the true principle for treating this illness." Thus, he prescribed Xiao Xian Xiong Tang (Minor Triumphant Chest Decoction) combined with Juan Yin Liu Shen Tang (Eliminate Fluids Six-God Decoction) plus Zhi Ke (Aurantium Fructus) and Hou Po (Magnolia Bark), decocted with Radish (Lu Fu) water, mixed with one cup of Bamboo Sap (Zhu Li) to swallow 4 qian of Meng Tan Wan. He also said: "Since one suffers a terrifying illness, one must take terrifying medicine. If the medicine does not cause dizziness/disorientation (Mingxuan), the serious illness will not heal." (If Heat pathogens transmit reversely to the Pericardium causing coma, Xi Jiao Di Huang Tang is appropriate. If they transmit suddenly to the Stomach causing constipation, Meng Tan Wan or similar formulas are appropriate. In this case, the Right Guan pulse must be wiry, slippery, rapid, and forceful upon heavy pressure. At this stage, Juan Yin Liu Shen is added with Hou Po. Because the coating is white and slippery, acrid-warm herbs must be added among the bitter-cold ones. Ginger-fried Chuan Lian Zi (Coptis Rhizome) 8 fen, Processed Ban Xia (Pinellia Tuber) Mi 3 qian, Shi Chang Pu (Acorus Rhizome) added next 1 qian, Chen Dan Xing (Areca Seed processed with bile) stewed and mixed 1 qian, Xuan Fu Hua (Inula Flower) wrapped in silk 3 qian, Lai Ju Hong (Citrus Peel) 1.5 qian, Fried Zhi Shi (Immature Bitter Orange) 1.5 qian, Processed Gen Po (Magnolia Bark) 2 qian, Lu Fu sliced 1 liang decocted as water substitute, mixed with Ginger-Zhu Li 1 wine glass, medicine delivers Meng Tan Wan 4 qian.) On the following day's examination, the pulse and symptoms had not decreased significantly. Inquiry revealed that yesterday's medicine was taken in several doses. Meng Ying said: "This is because the force is dispersed and slow." Follow this method of administration. At dawn, she indeed expelled several sheng of sticky, turbid phlegm, and all ailments immediately lessened. She could barely speak, drank a little thin porridge, and the tongue coating turned yellow and dry. The medication was changed to lighter and clearer agents, gradually leading to peace. Subsequently, nourishing Yin and softening the Liver herbs were given until recovery.
Madam Zhu feared medicine since childhood; even very mild preparations caused vomiting upon ingestion. Recently, she suffered from evening chills and night fevers, nocturnal sweating, dry throat, cough, and hypochondriac pain. After over a month, her appetite decreased, menstruation became scant, muscles wasted, and spirit fatigued. Meng Ying diagnosed: Left hand pulse wiry and rapid, right side pulse choppy and weak. He said: "Due to much depression and excessive thinking, this is what is called 'disease originating in Heart and Spleen'. Given her past fear of medicine, how can we force strong medicines to further damage her Stomach?" He used Gan Cao (Licorice Root), Xiao Mai (Wheat), Hong Zao (Jujube), and Ou (Lotus Root) four ingredients, instructing her to decoct them into soup and drink frequently without stopping. The patient took it day and night. After ten days, re-examination showed significant reduction in pulse and symptoms. Meng Ying said: "This is Zhong Jing's excellent formula for Zang Dryness. I replaced Da Zao (Large Jujube) with Hong Zao, taking advantage of its red color to tonify Heart and fragrant qi to please Stomach. Added Ou to relieve depression and soothe emotions. Combined, Gan Mai can tonify Qi and Blood, moisten dryness, and ease urgency. Adhering to this for two months, she recovered completely." (Sheng Fen Cao 3 qian, Lian Pi Fei Ou sliced first 2 liang, Bei Xiao Mai pounded 4 qian, Hong Zao split first 4 qian.)
Jiang Mou, in his thirties, suddenly developed red eyes, swollen and painful gums, ran about cursing people, disregarding elders. Meng Ying diagnosed: Pulse large and rapid, empty and scattered upon heavy pressure. He prescribed Dong Yang Shen (Korean Ginseng), Shu Di (Prepared Rehmannia), Chen Sha (Cinnabar), Ci Shi (Magnetite), Long Chi (Dragon Teeth), Chang Pu (Acorus), Zao Ren (Jujube Seed), Hu Po (Amber), Rou Gui (Cinnamon Bark), Jin Bo (Gold Leaf), and Long Yan Rou (Longan Aril) as a formula. One dose brought immediate relief. (Large pulse indicates deficiency; rapid indicates Yin deficiency with heat; empty/scattered upon heavy pressure indicates extreme deficiency of Yang within Yin. Gao Li Shen 3 qian, Fried Song Shu Di 8 qian, Whole Chen Sha 5 qian, Ling Ci Shi 1 liang, Long Chi 8 qian, these three charred and simmered for eight quarters, Jiu Jie Pu ground and added next 1 qian, Fried Zao Ren ground 3 qian, Xi Mao Po ground and flushed 4 fen, Rou Gui Xin added next 2 qian, Jin Bo added next 7 leaves, Gui Yuan Qu removed pits 3 qian.)
The wife of Jin Luqing suffered from Warm disease. Gu Tingquan continuously administered light cooling and resolving agents, but the illness did not subside. She experienced rebellious Qi, loss of taste, coughing up sticky phlegm, crimson tongue, dry throat, deafness, and delirious speech. Ten days later, Meng Ying examined her and said: "Body emaciated, pulse fine and rapid, even more chaotic at the Chi position. It is clearly Yin Qi injured first, with Yang Qi flaring alone. This is what is meant by 'Shanghan tends to kill those with lower deficiency'. After repeated inquiry, it was known that the day before fever started, she suddenly had leukorrhea like a flood; thus, true fluids had leaked early. Otherwise, the treatment would not have been erroneous, why did it spread like fire? Spasm and syncope would follow swiftly. Reluctantly prescribing Xi Yang Shen (American Ginseng), Sheng Di (Raw Rehmannia), Er Dong (Tian Dong and Mai Dong), Er Zhi (Nu Zhen Zi and Han Lian Cao), Yuan Shen (Scrophularia), Xi Jiao (Rhino Horn - note: use substitutes in modern practice), Chuan Lian Zi (Coptis), Ji Zi Huang (Egg Yolk), and Zhi Mu (Anemarrhena) as a formula. Additionally, using Shi Hu (Dendrobium), Gui Ban (Turtle Shell), Bie Jia (Softshell Turtle Shell) each 4 liang, and Zuo Mu Li (Oyster Shell) 1 jin, decocted as water substitute. (Xi Yang Shen 3 qian, Da Sheng Di 8 qian, Ming Tian Dong sliced 6 qian, Hua Mai Dong 4 qian, Nu Zhen Zi pounded 5 qian, Han Lian Cao 4 qian, Yuan Shen Pian 1 liang, Slashed Xi Jiao ground and flushed 2 qian, Light salt-water fried Chuan Lian Zi 2 qian, Light salt-water fried Zhi Mu 4 qian, Three Ji Zi Huangs, protein separated. Additionally, Shi Hu, Gui Ban, Bie Jia each 4 liang, Mu Li 1 jin decocted as water substitute. Gu Tingquan added Qing E Jiao 3 qian, stewed and mixed.) After two doses, there was indeed no improvement. Later, she took warm medicines from another prescription and died with limb spasms.
An old woman suffered from right lower back pain and distension, desiring to beat it. Many medicines failed. Meng Ying saw that although her body was emaciated, her pulse was slippery with much phlegm, coating yellow, tongue crimson. He said: "Body deficiency with pathogen excess, warming and tonifying is inappropriate. If the pathogen is not attacked and removed, merely using ineffective medicines leads to increased pathogen and worsened body deficiency." First, using Xue Geng (Watermelon Radish and Salted Seaweed) plus Zhu Ru (Bamboo Shavings), Lian Shi (Toosendan Fruit), Lv E Mei (Green Plum), Xing Ren (Apricot Seed), Hua Fen (Trichosanthes Root), Ju Hong (Citrus Peel), Fu Ling (Poria), and Xuan Fu Hua (Inula Flower) to deliver Kong Xian Dan (Control Fluid Pill). After taking it, sticky phlegm was discharged. After three doses, the illness seemed gone. Subsequently, conditioning and tonifying led to recovery. (Slippery pulse, yellow coating, crimson tongue all indicate Heat; crimson tongue indicates Yin deficiency with heat. Lian Pi Bi Qi pounded 2 liang, Pa Dan Hai Zao soaked lightly and decocted first 1 liang, Jiang Zhu Ru 3 qian, Chuan Lian Ke pounded first 3 qian, Lv E Mei 2 qian, Ku Xing Ni 1.5 qian, Nan Hua Fen 4 qian, Lai Ju Hong 8 fen, Bai Fu Ling 1.5 qian, Xuan Fu Hua wrapped in silk 3 qian, medicine delivers Kong Xian Dan 3 qian.)
Yang Shi, a widow, suffered from diarrhea, unhealed after long treatment. Meng Ying said: "Wind Wood attacks the Stomach. Mistakenly inviting Zhang Mou to heavily administer warming and tonifying herbs caused abdominal distension, inability to eat, night fever, insomnia, acid regurgitation, constipation, and splitting headache." Seeking Meng Ying again. First, bitter-draining with acrid-unblocking agents were used to treat the effects of the previous medication. Subsequently, sour-bitter wind-extinguishing and Stomach-peaceful methods cured her within a month. Continued conditioning and tonifying ensured stability. (Widowhood depression injures Liver, Liver Yang invades Stomach, Stomach cannot overcome it leading to diarrhea, termed Wind Wood attacking Stomach. Warming/tonifying further aids Liver Yang, hence the four symptoms of distension/anorexia. Bitter-astringent/acrid-unblocking formula: Bai Tou Weng 3 qian, Jiang fried Chuan Huang Bo 3 qian, Lai Ju Hong added next 1.5 qian, Shi Chang Pu added next 1 qian, Jiang Zhu Ru 3 qian, Si Gua Luo 3 qian, Sheng Lai Fu Zi ground 3 qian, Wan Can Sha 5 qian. Sour-bitter wind-extinguishing/Stomach-peaceful formula: Lv E Mei 2 qian, Gan Sang Shen pounded 3 qian, Xian Qing Guo with pits pounded first 3, Wu Mei Rou 3 qian, Zheng Da Bai Shao pounded first 2 liang, Chuan Lian Ke pounded first 4 qian, Wine-fried Dan Zhu Ye 2 qian, Sheng Fen Cao 3 qian, Cha Shi Hu pounded first 1 liang, Sheng Shi Gao decocted first 8 qian, Hua Mai Dong 4 qian, Nan Hua Fen 5 qian.)
Yu Mou had fever for over half a month, swelling from chest to lower abdomen, pain intolerable to touch, constipation, dark urine, black tongue, dry mouth, spontaneous sweating, irritability, six pulses wiry and strong lacking Stomach Qi. He said: "This illness closely resembles the Great Jie Xiong (Knotted Chest) syndrome of Shanghan. Knotted chest with irritability is untreatable." Two days later, she passed stool and died. Meng Ying commented: "Shanghan pathogens are in the exterior; mistaken purgation causes pathogens to sink forming Jie Xiong. Without mistaken purgation, it does not form Jie Xiong. Warm pathogens are in the interior; reverse transmission to Pericardium, mistaken sweating causes internal closure and external collapse. Sequential transmission to Stomach Fu, mistaken sweating causes stagnation forming Jie Xiong. Ancients only mentioned mistaken sweating depleting Stomach juices, neglecting Jie Xiong, because Jie Xiong cases are rare. Yet it must be known. Hence recorded carefully. Yu's illness began with Ge Gen (Kudzu Root) one dose, followed by Hu Mou's Chai Ge Qiang Fang for over ten doses, brewing this condition."
Shi Shi, postpartum, suffered from wandering limb pain, ineffective treatments, extensive plaster application, constant groaning. Pulse rapid and flooding, tongue crimson, great thirst. He said: "This is not Wind-Dampness. Plasters must be removed immediately. Recent medications were likely warming-tonifying wind-dispelling agents. Ying-Blood consumed, Internal Wind about to move. Previously seeing her plump and blood-abundant, why so after birth? Likely brewed by Sheng Hua Tang, Brown Sugar, and Wine." Inquiry confirmed she took two doses of Sheng Hua Tang and eight jin of Red Brown Sugar. Fortunately, her Yin was sufficient, recovery easy. If Yin-deficient and blood-scarce, though not immediately fatal, it would inevitably become a confinement injury. Therefore, large doses of cooling-moistening Water-nourishing drugs were given. One dose showed effect, ten days peace, one month recovery. (Rapid pulse indicates Yin deficiency with heat; flooding indicates Yin deficiency. Crimson tongue, great thirst, and groaning indicate Heat invading Ying, yet remaining in Qi level. Da Sheng Di 8 qian, Ji Yin Hua 1.5 liang, Ming Tian Dong sliced 6 qian, Yuan Shen Pian 1 liang, Cha Shi Hu pounded first 1 liang, Fei Yu Zhu 3 qian, Wine-fried Zhi Mu 3 qian, Bai Fu Ling 3 qian, Wu Mei Rou 3 qian, Nan Hua Fen 5 qian, Hua Mai Dong 4 qian, Wine-fried Sang Zhi 3 qian.)
Wang Shigan's wife often suffered from depression and anger, Qi gathering in abdomen, attacking epigastrium causing pain, recurring and resolving spontaneously. After age sixty, illness worsened, medical treatment aggravated it. Meng Ying diagnosed but did not prescribe, commenting: "Qi accumulation in abdomen forms Jia masses, attacking pain and vomiting belong to Liver. But the disease has lasted thirty years, past medications were likely all warming-tonifying. For instance, recent Xiaoyao San severely consumes Liver Yin, Lizhong Tang greatly damages Stomach fluids. People only know vomiting is Cold, unaware of Internal stirring of Wind-Yang causing water to boil. Exclusively using warming-tonifying, fluids gradually dry up. Physicians wrongly thought water vomiting stopped and illness lightened, failing to see water was exhausted, only hiccuping and empty retching remained, hence inability to accept food, constipation, wiry pulse lacking Stomach Qi, atrophic tongue difficult to extend. One could say women also suffer from Solitary Yang disease." Reluctantly prescribing Xi Yang Shen (American Ginseng), Rou Cong Rong (Cistanche), Mai Dong (Ophiopogon), Yu Zhu (Polygonatum), Sheng Bai Shao (Raw Peony), Shi Hu (Dendrobium), Zhu Ru (Bamboo Shavings), Bai Zi Shuang (Biota Seed Frost), Zi Shi Ying (Hematite) as a formula, decocted with Pork meat soup, mixed with Green Sugarcane Juice and Human Milk. After taking, vomiting and hiccups stopped, people thought it was a turning point. Meng Ying compared it to long-dried grass and trees: sudden irrigation makes branches look green, but roots are dead, life force gone, what can be done? Subsequently, millet porridge gradually increased, craving meat. Several days later, bowel movements were smooth. Meng Ying said: "Pulse not soft, tongue not moist, although food enters and bowels move, the source of generating fluids is cut off. After Summer Solstice, she will surely die." (Vomiting divided into Cold and Heat categories. This case is Liver Yang invading Stomach causing Heat vomiting, repeatedly mistreated with warming-tonifying damaging Yin, Yin essence exhausted. Xi Yang Shen 3 qian, Dan Rou Cong Rong 3 qian, Hua Mai Dong 5 qian, Fei Yu Zhu 3 qian, Zheng Da Bai Shao pounded first 2 liang, Cha Shi Hu pounded first 1 liang, Xian Zhu Ru 4 qian, Bai Zi Shuang 3 qian, Zi Shi Ying pounded first 5 qian, Gan Zhu Rou Pi 1 jin, quick-fire decocted soup, skimmed oil used as water substitute, mixed with Sugarcane Juice 2 cups, Human Milk 1 cup.)
Many puerperal women died during summer heat from taking Sheng Hua Tang with brown sugar and wine. Meng Ying stated that Liu Yi San (Six-to-One Powder) clears Summer-Heat and moves blood stasis, truly being the first wonderful formula for postpartum conditions.
Chu Libo suffered from Malaria during intense heat. Lu Mou routinely administered Ping Wei San and Lizhong Tang, gradually reaching critical danger. Meng Ying diagnosed: Intense heat, coma, chest fullness, rebellious Qi, ginger-yellow coating, reddish-brown urine, hidden pulse, thirst, anorexia, constipation. He said: "Ignoring current Summer-Heat pathology, rigidly adhering to seasonal Qi theory for treatment is called 'using dead books to trap living people'. Fortunately, her body is plump and Yin sufficient, still salvageable. However, ten doses of Bai Hu Tang are needed for cure." Thus, he alternated formulas using Sheng Shi Gao (Gypsum), Zhi Mu (Anemarrhena), Yin Hua (Jasmine/Honeysuckle - context implies Honeysuckle/Jin Yin Hua usually, here likely Jin Yin Hua or similar clearing herb), Zhi Bei (Aurantium/Fritillaria), Huang Lian (Coptis), Mu Tong (Akebia), Hua Fen (Trichosanthes), Zhu Ru (Bamboo Shavings), Huang Qin (Scutellaria), Xing Ren (Apricot Seed), Shi Hu (Dendrobium), Hai Zao (Seaweed) etc. After ten days, malaria decisively stopped. (Intense heat/coma six sentences: Heat pathogens all in Qi level. Heart is close to Lung/Stomach/Liver. Warming-tonifying damages Lung/Stomach Yin, causing intense heat/coma. This coma is not Heat transmitting to Ying. Sheng Shi Gao decocted first 1.2 liang, Wine-fried Zhi Mu 4 qian, Fried Zhi Ke 1.5 qian, Chuan Bei Mu pounded 1 liang, Nan Hua Fen 5 qian, Ku Xing Ni added next 1.5 qian, Jiang Zhu Ru 4 qian, Ji Yin Hua 1.5 liang. Next formula remove Zhi Mu/Yin Hua, add Wine-fried Chuan Lian Zi 1 qian, Wine-fried Ku Huang Qin 3 qian, Xi Mu Tong 1 qian, Cha Shi Hu pounded first 1 liang. Further change remove Zhi Bei, add Pa Dan Hai Zao 2 liang. Further change remove Zhu Ru, add Xian Zhu Ye added next 2 qian.)
Zhuang Diqing suffered from Malaria, great thirst preferring hot drinks, epigastric oppression, hidden pulse, greasy coating, desire to vomit. Meng Ying said: "Internal dampness abundance, external Summer-Heat invasion, method should be Clearing and Resolving. However, pulse and symptoms indicate Phlegm blocking Airway. Clearing is useless, Warming aids the villain. Should use Meng Tan Wan first to guide/open." (Hidden pulse here must be deep, solid, forceful upon heavy pressure. If hidden pulse is weak upon heavy pressure, harsh purgation is strictly forbidden. This case suits Meng Tan Wan 3 qian.) After taking, much phlegm was expectorated, pulse became wiry, slippery, and rapid, vomiting stopped, chest relaxed, coating turned yellow and dry. Given Shi Gao, Zhi Mu, Lian Po, Xing Ju, Ban Fu, Hua, Shi Hu, Chang Pu, Hua Fen etc., and recovered. (Sheng Shi Gao decocted first 8 qian, Jiang fried Zhi Mu 3 qian, Jiang fried Chuan Lian Zi 1 qian, Processed Gen Po 8 fen, Ku Xing Ni 2 qian, Wu Zhao Hong 1 qian, Ban Xia Qu 1.5 qian, Chi Fu Ling 1.5 qian, Xi Hua Shi decocted first 4 qian, Cha Shi Hu pounded first 8 qian, Shi Chang Pu added next 6 fen, Nan Hua Fen 4 qian.)
Zhuang Xiaocun suffered from Malaria. Meng Ying said: "Inhaling Summer-Heat, clearing and washing would heal. After a few days, Malaria acted severely, red eyes, delirious speech, sweat like rain. Palpating pulse flooding and slippery without order, viewing tongue deep yellow thick and dry, inquiring that she freely drank Ginger-Jujube Tea for three days, ordered her to eat one watermelon freely, formula follows Bai Hu Tang, using Sheng Shi Gao 1.6 liang." (Sheng Shi Gao decocted first 1.6 liang, Wine-fried Zhi Mu 4 qian, Huo Shui Lu Gen 2 liang, Sheng Gua Zi 4 qian, Sheng Yi Ren pounded 8 qian, Fried Zhi Ke 2 qian, Chuan Bei Mu pounded 8 qian, Nan Hua Fen 5 qian, Xian Pi Ye brushed hair added next 3 qian.)
Chen family child had fever and limb convulsions. Pediatrician gave Jing Feng (Convulsion) medicine, resulting in coma, shortness of breath, sweating, no urination. Meng Ying viewed it as Summer-Heat. Ordered banana leaves laid on mud ground for the child to lie on, administered Chen Sha Liu Yi San (Cinnabar Six-to-One Powder) plus Shi Gao, Zhi Mu, Xi Yang Shen, Zhu Ye, He Hua Lu (Lotus Dew). One dose healed. (Child limb convulsions stem from Liver Hyperactivity generating Wind. Market doctors often use warming-dispersing for Convulsion. Coma/shortness of breath indicates Liver Yang reversing upward. No urination indicates Liver Yin nearly exhausted, most dangerous. Whole Chen Sha decocted first 3 qian, Xi Hua Shi decocted first 3 qian, Sheng Fen Cao 2 qian, Sheng Shi Gao decocted first 6 qian, Wine-fried Zhi Mu 2 qian, Xi Yang Shen 2 qian, Xian Zhu Ye added next 1.5 qian, He Hua Lu half wine glass taken warm. Cinnabar, Alumen, Gypsum are mineral drugs, taking heaviness to calm fright. Cinnabar calms Heart, Alumen drains Summer-Heat, Gypsum clears Stomach, Licorice moderates middle, Anemarrhena drains Summer-Heat. Combined, Bitter-Sweet transforms Yin, also extinguishes Wind. American Ginseng clears Qi Heat, Bamboo Leaf clears Exterior Heat, Lotus Dew fresh-drains to resolve Summer-Heat and extinguish Wind, aromatic-sweet enters Heart cools Ying.)
Pan Yiting suffered intense heat, drank a bowl of cold Gypsum, resulting in epigastric fullness/stuffiness, limbs gradually cold, extending above elbows and knees, hidden pulse, spontaneous sweating. Meng Ying visited and said: "Having received Summer-Heat, additionally frozen beverages ice-sealed the chest, Grand Qi cannot rotate, hence limb cold, hidden pulse, no urination/defecation. Quickly take 1 liang of Liu Yi San, stir with light salt water, clarify removing dregs, mix down with Zi Xue Dan (Purple Snow Pill) 1 qian." (Liu Yi San is the correct treatment for Summer-Heat. Mixed with Zi Xue to use acrid-aromatic to open Ice-Sealed Qi, treating mistaken Gypsum ingestion. Stirring with light salt water clarifying dregs: treating Summer-Heat values expelling pathogen, especially valuing efficacy without interference. Small amount of Zi Xue insufficient to open Ice-Sealed Qi; using 1 qian fears acrid-opening might interfere with Liu Yi San's downward draining Summer-Heat authority. Hence stir with light salt water first, ensuring acrid-opening does not impair Liu Yi San's downward effect. Clarifying dregs is necessary: although medicine drains Summer-Heat downward, Summer-Heat first injures Qi, Summer-Pathogen actually invades the highest Qi level. Clarifying dregs uses Qi not substance, making it go up then down, fitting perfectly.) Next day re-examination, pulse appeared, chest relaxed, urination occurred, limbs warmed, dry mouth, crimson tongue, Summer-Heat signs fully presented, transformed into Malaria. Given multiple doses of Bai Hu Tang and recovered. (Pulse appearing/chest relaxing five sentences: Heat pathogens all in Upper Jiao Qi level. Sheng Shi Gao decocted first 8 qian, Wine-fried Zhi Mu 3 qian, Huo Shui Lu Gen 1 liang, Sheng Dong Gua Zi 4 qian, Sheng Yi Ren pounded 8 qian, Nan Hua Fen 4 qian, Cha Shi Hu pounded first 8 qian, Jiang Zhu Li one large wine glass flushed, Xi Mu Tong 1 qian.)
Jin Xiaogeng had fever for twenty days. Physician gave exterior-releasing agents, yet no sweating ensued. Subsequently administered warming-tonifying, leading to diarrhea, no urination, dry mouth, muscle wasting. Meng Ying diagnosed: Right Cun pulse uniquely deep and rapid. He said: "Summer-Heat imprisoned in Lung Meridian." Prescribed Bai Hu Wei Jing Tian Shui plus Huang Qin, Jie Geng, Xing Ren, Bei Mu as formula. (Exterior resolved no sweat, Yin deficiency unable to produce sweat. Diagnosis confirmation lies in 'Right Cun uniquely deep and rapid': Rapid indicates Yin deficiency with heat, Deep indicates Lung Heat with depression/blockage not venting. Sheng Shi Gao decocted first 8 qian, Huo Shui Wei Gen 2 liang, Sheng Dong Gua Zi 4 qian, Sheng Yi Ren pounded 8 qian, Wine-fried Ku Huang Qin 3 qian, Ku Jie Geng 3 qian, Ku Xing Ni 1.5 qian, these three added next together, Chuan Bei Mu pounded 5 qian, Xi Hua Shi 4 qian, Sheng Fen Cao 3 qian.) After taking, dark rashes covered head and face, dense without needle gaps, bright like crystal light. Meng Ying said: "This is Lung pathogen getting vented." Indeed, skin moist, heat retreated, diarrhea stopped, knowing...