兰叶为方。煎以冬瓜汤。服之偏身赤疹。而左眼胞忽肿。右臂酸疼不举。耳聋神不清爽。亟
以元参丹皮菊花栀子桑枝丝瓜络石斛竹叶。煎调神犀丹为剂。偶邀疡科视外患。亦知病因湿
热。连进木通等药。脉更细弱。神益昏惫。饮食不进。溲涩愈疼。孟英论曰∶急救阴液。尚
可转机。授复脉汤去姜桂麻仁。易西洋参。加知母花粉竹叶蔗浆灌之。一剂神苏脉起。
再服苔退知饥。三啜身凉溺畅。六帖后肤蜕安眠。目开舌润。或疑甘柔滑腻之药。何以能清
湿
热。孟英曰∶阴虚内热之人。蕴湿易于化火。火能烁液。濡布无权。频溉甘凉。津回气达。
徒知利湿。阴气先亡。须脉证详参。法难执一也。又服数剂后。忽然肢肿遍发风块。瘙痒异
常。孟英论曰∶此阴液充而余邪自寻出路耳。予轻清药数帖果瘥。（周身肤赤。湿化热蒸于
肌肤。满舌苔黄。湿化热气不肃降。头疼肝热。腰痛肾虚。肺金不制肝木。则肝阳上逆。肺
肾子母之脏。肺阴不能荫庇肾阴则肾虚。便溏为热寻出路。溲痛为热结肺胃。脉弦为肝热。
细为阴虚。 为肺痰阻气。茯苓兰草渗湿化浊。犀角先煎四钱。羚角先煎四钱。云茯苓三钱
。酒炒银花次入一两五钱。连翘壳三钱。冬桑叶四钱。鲜芦根一两。建兰叶次入三钱。方通
草一钱。连皮冬瓜先煨去渣煎药二两。耳聋神不清爽。元参片泡煎去渣一两。粉丹皮二钱。
杭白菊四钱。黑栀皮一钱半。酒炒桑枝次入三钱。丝瓜络三钱。石斛先煎一两。鲜竹叶次入
二钱。煎调神犀丹一钱。疡医连进木通等药。渗湿伤阴。西洋参三钱。花麦冬四钱。生粉草
三钱。大生地八钱。大枣擘先一枚。清阿胶炖和服二钱。酒炒知母三钱。南花粉五钱。鲜竹
叶次入二钱。连皮青蔗二两。榨汁冲。轻清药方。酒炒栀皮三钱。酒炒枯芩一钱。姜汁拌芦
根一两。酒炒桑枝三钱。薄橘红一钱半。银花次入八钱。建兰叶次入三钱。丝瓜络三钱。)
赵菊斋媳素患阴虚内热。时或咯血。去年孟英已为治愈。既而汛事偶愆。孟英诊曰∶病去而
孕矣今春娩后患泻。专科进以温热之方而咳嗽乃作。更医改授养营之剂则滑泄必加。签药乩
方。备尝莫效。孟英投以甘麦大枣配梅连之法。证渐轻减。继为姻党尼之。多方蛮补。遂腹
痛减餐。日下数十行。皆莹白坚圆。如白葡萄之形。上萦血丝，乞援孟英。予仲景当归生姜
羊肉汤。每剂吞鸦胆仁二十一粒。以龙眼肉为衣。果两服而便转为溏。痛即降序。再予温养
奇经之龟板鹿角霜归苓杞菟甘芍乌 苁蓉蒲桃藕粉等药调理而痊。（温养奇经方。醋炙龟板
八钱。醋炙乌贼骨五钱。同杵先。鹿角霜炖和服三钱。厢归身三钱。云茯苓三钱。炒杞子二
钱。炒菟丝饼三钱。炒粉草一钱。酒洗葡萄干三钱。酒炒赤芍一钱半。藕粉包煎三钱。)
任斐庭季夏患感。黄某闻其身热而时有微寒也。进以姜萸紫枣等药数帖。热愈壮而二便不行
。更医连用渗剂。初服溲略通。既而益 。孟英视焉。证交十四日。骨瘦如柴。脉弦细而涩
。舌色光紫。满布白糜。夜不成寐。渴不多饮。粒米不进。少腹拒按。势将喘逆。虽属下证
。而形证如斯。法难直授。先令取大田蠃一枚。鲜车前草一握。大蒜六瓣。共捣烂。加麝香
少许罨脐下水分穴。方以元参紫菀栀子知母花粉海 凫茈苁蓉牛膝天冬为剂。加鲜地黄汁服
之。其夜小溲即行。气平略寐。又两剂。大解始下。热退而渐进稀糜。乃去雪羹栀菀苁膝地
黄汁。加西洋参麦冬石斛干生地竹茹银花等药。又服十余帖。凡三解黑矢而舌色复于红润。
眠食渐安而起。（此证系阴虚挟热，外罨方。田蠃车前滑润清凉。以大蒜辛温反佐开导。内
服方。元参片八钱。紫菀茸一钱半。黑栀皮一钱半。酒炒知母三钱。南花粉三钱。淡海 先
煎二两。整荸荠打一两。淡苁蓉一钱半。酒炒牛膝八分。明天冬切六钱。鲜地黄切开水绞汁
冲一两。嗣去雪羹栀菀苁膝地黄汁。加西洋参花麦冬四钱。石斛先煎一两。干生地五钱。姜
竹茹四钱。济银花八钱。)
庄芝阶女孀居在室。陡患气冲欲厥。脘痛莫当。自服沉香吴萸等药。病益剧。而呕吐发热。
略有微寒。孟英按脉弦滑且数。苔色滑腻微黄。而渴喜冷冻饮料。便秘溲热。眠食皆废。是伏痰
内盛，肝逆上升。而兼吸受暑热也。予吴萸水炒黄连枳实竹茹栝蒌石膏旋复赭石知母半夏雪
羹。服二剂吐止痛减。五剂热退而解犹不畅。旬日始得豁然。乃去石膏知母旋赭调之而愈。
（气冲欲厥。脘痛莫当。本系肝阳侮胃。自服辛温。愈助肝阳。略有微寒。热极似寒。非真
寒也。脉弦滑为肝热煽痰。数为兼挟阴虚。苔滑腻微黄为痰浊尚未全行披露。汤喜冷冻饮料二句
。为肺有实热。眠食皆废。为肝热侵凌心脯。呕吐非苦辛并用不开不降。故用知母半夏。肝
阳非重镇不可。故用旋赭以引药下行。脉数非补阴不可。故用雪羹。吴萸水炒川连八分。炒
枳实一钱半姜竹茹三钱。姜蒌皮三钱。生石膏先煎八钱。旋复包先三钱。生赭石杵先一两六
钱。姜炒知母三钱。姜半夏研次一钱。淡海 先煎二两。整荸荠打一两。雪羹兼治误药。)
陈书伯弟妇娩后三日。发热汗多。苔黄眩悸。孟英切脉。弦细虚数。乃营阴素亏。酷热外烁
。风阳浮动。痉厥之萌也。予元参白薇青蒿生地小麦 豆衣石斛鳖甲竹叶。两剂热退知饥。
悸汗不止。去蒿薇。加龙牡莲心龟板石英而安。继又暑风外袭。壮热如焚。渴饮不饥。睹物
尽赤。改授白虎加西洋参竹叶莲杆。一啜而瘳。仍予镇摄滋潜善其后而愈。（元参片一两。
大生地八钱。开水同泡去渣。用汤先炭煨血鳖甲三两。石斛一两。至六句钟。再入各药。鲜
青蒿一钱半。香白薇三钱。北小麦四钱。 豆衣四钱。鲜竹叶次入二钱。更方去蒿薇。加
龙骨杵一两。 牡蛎杵四两。血龟板杵二两。紫石英杵三钱。合鳖斛同先煨六句钟。暑风外
袭方。生石膏先煎一两六钱。酒炒知母四钱。西洋参三钱。鲜竹叶次入二钱。鲜莲杆三钱。
)
顾氏妇半产后。因吃饭脘痛。人以为停食也。进以消导。痛甚发热。卧则右胁筋掣难忍。孟
英曰∶此非发散攻消可疗。予旋复丝瓜络冬瓜子莲杆苇茎竹茹贝母枇杷叶通草为方。一剂知
。二剂已。（消导亦分温凉。半产血去阴伤。此必误用温剂消导贼肺之阴。故卧则右胁筋掣
难忍。清养肺阴则愈。旋复包先一钱半。丝瓜络一钱半。生冬瓜子四钱。鲜莲杆三钱。蜜水
拌鲜芦根二两。鲜竹茹三钱。蜜水炒枇叶刷包三钱。方通草一钱。)
高氏妇因戒鸦片而服外洋丸药。诸无所苦。惟便秘不通。医两月迄不能下。且仍安谷。而面
赤龈胀欲挑。每以银针嵌入齿缝。拔出时银色已如煤黑。孟英诊脉滑数。予犀角石膏硝黄升
麻蜣螂为剂。和以鲜银花汁一杯。服后夜间登圊三四行而病去及半。再予清解化毒而痊。（
辨中热毒。在银针拔出色如煤黑。辨实证在脉滑数兼便秘两月。便秘脉不滑数。仍不宜下。
以
升麻升苦寒于至高之分。肺与大肠相表里。肺肃然后便通。犀角四钱。生石膏一两六钱。同
先煎。生厢黄四钱。元明粉一钱。生升麻一钱半。蜣螂一对。三味同次入。鲜银花二两。开
水泡绞汁冲。)
陆竹琴妻陡患心悸。肢冷如冰。孟英察其脉。浮弦而数。视其舌。尖赤无苔。乃阴虚阳越。
煎
厥根萌。予元参二至三甲龙齿石英生地牛膝茯神莲子心而愈。（悸分寒热。水凌心下为寒。
肝阳勃升为热。脉浮弦数。舌尖浮赤。悸为煎厥根萌。煎厥者。阴虚阳越。热似煎熬而四肢
冷厥也。 牡蛎杵六两。血龟板杵四两。血鳖甲杵二两。 龙齿杵一两。紫石英四钱。五味
先炭煨六句钟。取汤煎药。元参片一两。女贞子杵五钱。旱莲草四钱。酒炒牛膝七分。云茯
神三钱。莲子心一钱。)
赵子循室娩后。服生化汤二帖。更因惊吓。三朝发热。连投四物六合汤。病日以甚。半月后
。孟英诊之。脉象左弦急。右洪滑数。苔黄大渴。谵语嗽痰。恶露仍行。唇齿干燥。是因阴
虚之体。血去过多。木火上浮。酷暑外烁。津液大耗。兼有伏痰之候也。亟予营卫两清。冀
免他变。母家极畏石膏。坚不予服。越三日势益剧。径以白虎汤加减投之。证有转机。翼日
且以西瓜汁助其药力。热始日渐下行。二便如火。又数日渐安粥食。神气亦清。夜能静寐。
然热蕴太多。下焦患痈。脓虽即溃。阴液漏伤。脉复空数浮大。便泄善嗔。口干多梦。皆木
少水涵。烁津侮胃之见证也。孟英以白头翁汤加龙骨三甲甘草木瓜以育阴潜阳。余粮石脂丸
中加梅连以息风镇胃。果得疮口脓干。餐加泻止。脉柔热净。苔退神怡。正须善后。甫授滋
填。不期酷热兼旬。甘霖忽降。窗开彻夜。复感风邪。身热微寒。鼻流清涕。而阴液久夺。
外患未痂。塔养碍投。又难发汗。肝气内应。 噤旋形。然此案自堪传也。（生石膏先煎一
两六钱。犀角先煎四钱。济银花一两五钱。酒炒知母四钱。姜竹沥两大酒杯冲。石斛先煎一
两。大生地一两泡冲去渣。生冬瓜子八钱。石菖蒲次入二钱。青果杵先一枚。两头尖三钱。
木
少水涵。烁津侮胃方。酒炒白头翁一钱半。酒炒川连一钱。楝核杵先三钱。 龙骨杵先一两
。牡蛎杵先六两。血鳖甲杵先四两。血龟板杵先二两。生粉草三钱。陈木瓜二钱。乌梅肉
杵先四钱。药调送余粮赤石脂末各一钱。)
陈某患嗽嗽则先吐稀痰。次则黄浓甜浊之痰。继之以深红带紫之血。仍能安谷。别无所苦。
多药不愈。孟英切其脉。缓大而右关较甚。乃劳倦伤阳。而兼湿热蕴积也。予沙参生薏苡木
瓜
茯杏竹茹桑叶枇杷叶生扁豆苇茎花粉为剂。吞松石猪肚丸而愈。（劳倦伤阳为本病。湿热蕴
积为标病。常法先治标。故方中治标之药。多于治本以救吐血。北沙参八钱。生苡仁杵八钱
。陈木瓜一钱半。云苓三钱。苦杏泥一钱半。姜竹茹三钱。冬桑叶四钱。酒炒枇叶刷包三钱
。生扁豆杵一钱半。鲜芦根一两。南花粉三钱。)
王瘦石夫人患滞下。腹痛微呕。不饥口苦。溲短耳鸣。孟英诊曰∶脉见细弱之形。肌无华泽
之色汛不行而早断。舌紫黯以无津。是素质阴亏。情怀悒郁。二阳默炽。五液潜消。虽吸暑
邪。莫投套药。予白头翁汤加雪羹银花栀子楝实数剂而减。继去雪羹。加生地苁蓉柿饼藕汁
而安。改授甘麦大枣加西洋参生地苁蓉竹茹归芍蒲桃干。而以藕汤煎服。调养体质以痊。（
二
阳指心肝之阳。五液指五脏阴液。液消则阳炽。酒炒白头翁一钱半。酒炒川连一钱。楝核杵
先三钱。淡海 先煎二两。整荸荠打入二两。济银花一两五钱。黑栀皮三钱。酒炒黄柏二钱
。)
用兰叶作为主药，用冬瓜汤煎煮。服用后全身出现红色皮疹，左眼睑突然肿胀，右臂酸痛无法抬起，耳聋且神志不清爽。急忙用玄参、丹皮、菊花、栀子、桑枝、丝瓜络、石斛、竹叶煎煮，调服神犀丹作为药剂。偶然邀请外科医生查看外部病症，也知道病因是湿热。连续服用木通等药物后，脉象更加细弱，神志更加昏沉疲惫，饮食不进，小便涩痛加剧。王孟英论述说：急救阴液，还可以有转机。给予复脉汤去掉干姜、桂枝、火麻仁，改用西洋参，加入知母、花粉、竹叶、蔗浆灌服。一剂后神志清醒，脉象恢复；再服用舌苔退去，知道饥饿；三次服药后身体凉爽，小便通畅。六帖之后皮肤脱屑，安睡，眼睛睁开，舌头滋润。有人怀疑甘柔滑腻的药物，怎么能清除湿热？王孟英说：阴虚内热的人，蕴藏的湿气容易化火，火能灼烧津液，导致濡布（津液输布）无力，频繁灌溉甘凉之品，津液回复，气机通达。只知道利湿，阴气先亡。必须详细参考脉证，治法不能固执一端。又服用几剂后，突然四肢浮肿，遍发风团，瘙痒异常。王孟英论述说：这是阴液充足而余邪自然寻找出路。给予轻清药物数帖果然痊愈。（周身皮肤赤红，湿气化为热气蒸腾于肌肤，满舌苔黄，湿气化为热气不肃降，头疼为肝热，腰痛为肾虚，肺金不能制约肝木，则肝阳上逆，肺肾为子母之脏，肺阴不能荫庇肾阴则肾虚，便溏为热寻找出路，尿痛为热结在肺胃，脉弦为肝热，细为阴虚，[此处原文缺字，推测为“濡”或类似描述]为肺痰阻气。茯苓、兰草渗湿化浊，犀角先煎四钱，羚羊角先煎四钱，云茯苓三钱，酒炒银花次入一两五钱，连翘壳三钱，冬桑叶四钱，鲜芦根一两，建兰叶次入三钱，方通草一钱，连皮冬瓜先煨去渣煎药二两。耳聋神不清爽，元参片泡煎去渣一两，粉丹皮二钱，杭白菊四钱，黑栀皮一钱半，酒炒桑枝次入三钱，丝瓜络三钱，石斛先煎一两，鲜竹叶次入二钱，煎调神犀丹一钱。疡医连续进用木通等药，渗湿伤阴。西洋参三钱，花麦冬四钱，生粉草三钱，大生地八钱，大枣擘开先一枚，清阿胶炖和服二钱，酒炒知母三钱，南花粉五钱，鲜竹叶次入二钱，连皮青蔗二两，榨汁冲服。轻清药方：酒炒栀皮三钱，酒炒枯芩一钱，姜汁拌芦根一两，酒炒桑枝三钱，薄橘红一钱半，银花次入八钱，建兰叶次入三钱，丝瓜络三钱。）
赵菊斋的儿媳平时患有阴虚内热，时常咯血。去年王孟英已经治愈。不久月经偶尔失调，王孟英诊察说：病去而怀孕了吧。今年春天分娩后患腹泻，专科医生进用温热方剂，于是咳嗽发作。更换医生给予养营剂，则滑泄必定加重。求签问卜，尝试各种方法无效。王孟英投以甘麦大枣配伍梅连的方法，症状逐渐减轻。随后被姻亲尼姑劝阻，多方蛮补，于是腹痛减少进食，每天腹泻数十次，排泄物皆晶莹洁白坚硬圆润，如白葡萄形状，上面缠绕血丝，请求援助王孟英。给予张仲景的当归生姜羊肉汤，每剂吞服鸦胆子仁二十一粒，以龙眼肉为衣。果然两服后大便转为溏薄，疼痛随即按顺序下降。再给予温养奇经的龟板、鹿角霜、归苓、杞菟、甘草、芍药、乌、苁蓉、蒲桃、藕粉等药物调理而痊愈。（温养奇经方：醋炙龟板八钱，醋炙乌贼骨五钱，同捣碎先煎。鹿角霜炖和服三钱，厢归身三钱，云茯苓三钱，炒杞子二钱，炒菟丝饼三钱，炒粉草一钱，酒洗葡萄干三钱，酒炒赤芍一钱半，藕粉包煎三钱。）
任斐庭在季夏时节患感冒。黄某听说他身体发热而时有微寒，进用姜萸紫枣等药物数帖，热势更壮而大小便不通。更换医生连续使用渗利剂，初服小便略通，继而更加不利。王孟英诊视，病情已交十四日，骨瘦如柴，脉弦细而涩，舌色光紫，满布白糜，夜间不能入睡，口渴但不多饮，粒米不进，少腹拒按，势将喘逆，虽然属于下焦实证，但形体证候如此，治法难以直接攻下。先令取大田螺一枚，鲜车前草一握，大蒜六瓣，共捣烂，加麝香少许敷贴脐下水分穴。方用玄参、紫菀、栀子、知母、花粉、海浮石、荸荠、苁蓉、牛膝、天冬为剂，加鲜地黄汁服用。当晚小便即行，气平略寐。又两剂，大便始下，热退而渐进稀糜，于是去掉雪羹、栀子、紫菀、苁蓉、牛膝、地黄汁，加入西洋参、麦冬、石斛、干生地、竹茹、银花等药物。又服用十余帖，凡三次排出黑色硬屎而舌色恢复红润，眠食渐安而起。（此证系阴虚挟热，外敷方：田螺、车前草滑润清凉，以大蒜辛温反佐开导。内服方：玄参片八钱，紫菀茸一钱半，黑栀皮一钱半，酒炒知母三钱，南花粉三钱，淡海浮石先煎二两，整荸荠打碎一两，淡苁蓉一钱半，酒炒牛膝八分，明天冬切六钱，鲜地黄切开水绞汁冲服一两。嗣后去掉雪羹、栀子、紫菀、苁蓉、牛膝、地黄汁，加入西洋参、花麦冬四钱，石斛先煎一两，干生地五钱，姜竹茹四钱，济银花八钱。）
庄芝阶的女儿守寡在家，突然患气冲欲厥，脘痛难忍。自服沉香、吴茱萸等药，病情加剧，而呕吐发热，略有微寒。王孟英按脉弦滑且数，苔色滑腻微黄，而渴喜冷冻饮料，便秘溲热，眠食皆废。这是伏痰内盛，肝逆上升，而兼吸受暑热。给予吴茱萸水炒黄连、枳实、竹茹、栝蒌、石膏、旋覆花、赭石、知母、半夏、雪羹。服用二剂吐止痛减，五剂热退而解犹不畅，旬日始得豁然，于是去掉石膏、知母、旋覆、赭石调治而愈。（气冲欲厥，脘痛莫当，本系肝阳侮胃，自服辛温，愈助肝阳。略有微寒，热极似寒，非真寒也。脉弦滑为肝热煽痰，数为兼挟阴虚。苔滑腻微黄为痰浊尚未全行披露。汤喜冷冻饮料两句，为肺有实热。眠食皆废，为肝热侵凌心脯。呕吐非苦辛并用不开不降，故用知母、半夏。肝阳非重镇不可，故用旋覆、赭石以引药下行。脉数非补阴不可，故用雪羹。吴茱萸水炒川连八分，炒枳实一钱半，姜竹茹三钱，姜蒌皮三钱，生石膏先煎八钱，旋覆包先三钱，生赭石杵先一两六钱，姜炒知母三钱，姜半夏研次入一钱，淡海浮石先煎二两，整荸荠打碎一两，雪羹兼治误药。）
陈书伯的弟妇分娩后三日，发热汗多，苔黄眩悸。王孟英切脉，弦细虚数，乃营阴素亏，酷热外烁，风阳浮动，痉厥之萌也。给予玄参、白薇、青蒿、生地、小麦、大豆黄卷、石斛、鳖甲、竹叶。两剂热退知饥，悸汗不止，去掉蒿、薇，加入龙骨、牡蛎、莲心、龟板、石英而安。继又暑风外袭，壮热如焚，渴饮不饥，睹物尽赤，改授白虎加西洋参、竹叶、莲杆。一啜而瘳，仍予镇摄滋潜善其后而愈。（玄参片一两，大生地八钱，开水同泡去渣，用汤先炭煨血鳖甲三两，石斛一两，至六句钟，再入各药。鲜青蒿一钱半，香白薇三钱，北小麦四钱，大豆黄卷四钱，鲜竹叶次入二钱。更方去蒿薇，加龙骨杵一两，牡蛎杵四两，血龟板杵二两，紫石英杵三钱，合鳖斛同先煨六句钟。暑风外袭方：生石膏先煎一两六钱，酒炒知母四钱，西洋参三钱，鲜竹叶次入二钱，鲜莲杆三钱。）
顾氏妇人半产后，因吃饭脘痛，人以为停食，进以消导，痛甚发热，卧则右胁筋掣难忍。王孟英说：这不是发散攻消可疗。给予旋覆花、丝瓜络、冬瓜子、莲杆、苇茎、竹茹、贝母、枇杷叶、通草为方。一剂知，二剂已。（消导亦分温凉，半产血去阴伤，此必误用温剂消导贼肺之阴，故卧则右胁筋掣难忍，清养肺阴则愈。旋覆包先一钱半，丝瓜络一钱半，生冬瓜子四钱，鲜莲杆三钱，蜜水拌鲜芦根二两，鲜竹茹三钱，蜜水炒枇叶刷包三钱，方通草一钱。）
高氏妇人因戒鸦片而服外洋丸药，诸无所苦，惟便秘不通，医两月迄不能下，且仍安谷，而面赤龈胀欲挑，每以银针嵌入齿缝，拔出时银色已如煤黑。王孟英诊脉滑数，给予犀角、石膏、硝黄、升麻、蜣螂为剂，和以鲜银花汁一杯。服后夜间登圊三四行而病去及半。再予清解化毒而痊。（辨中热毒，在银针拔出色如煤黑。辨实证在脉滑数兼便秘两月。便秘脉不滑数，仍不宜下。以升麻升苦寒于至高之分，肺与大肠相表里，肺肃然后便通。犀角四钱，生石膏一两六钱，同先煎，生厢黄四钱，元明粉一钱，生升麻一钱半，蜣螂一对，三味同次入，鲜银花二两，开水泡绞汁冲。）
陆竹琴的妻子突然患心悸，肢冷如冰。王孟英察其脉，浮弦而数，视其舌，尖赤无苔，乃阴虚阳越，煎厥根萌。给予玄参、二至丸、三甲、龙齿、石英、生地、牛膝、茯神、莲子心而愈。（悸分寒热，水凌心下为寒，肝阳勃升为热。脉浮弦数，舌尖浮赤，悸为煎厥根萌。煎厥者，阴虚阳越，热似煎熬而四肢冷厥也。牡蛎杵六两，血龟板杵四两，血鳖甲杵二两，龙齿杵一两，紫石英四钱，五味子先炭煨六句钟，取汤煎药。玄参片一两，女贞子杵五钱，旱莲草四钱，酒炒牛膝七分，云茯神三钱，莲子心一钱。）
赵子循的妻子分娩后，服生化汤二帖，更因惊吓，三朝发热，连投四物六合汤，病日以甚。半月后，王孟英诊之，脉象左弦急，右洪滑数，苔黄大渴，谵语嗽痰，恶露仍行，唇齿干燥，是因阴虚之体，血去过多，木火上浮，酷暑外烁，津液大耗，兼有伏痰之候也。亟予营卫两清，冀免他变。母家极畏石膏，坚不予服。越三日势益剧，径以白虎汤加减投之，证有转机。翼日且以西瓜汁助其药力，热始日渐下行，二便如火，又数日渐安粥食，神气亦清，夜能静寐。然热蕴太多，下焦患痈，脓虽即溃，阴液漏伤，脉复空数浮大，便泄善嗔，口干多梦，皆木少水涵，烁津侮胃之见证也。孟英以白头翁汤加龙骨、三甲、甘草、木瓜以育阴潜阳，余粮石脂丸中加梅连以息风镇胃。果得疮口脓干，餐加泻止，脉柔热净，苔退神怡，正须善后，甫授滋填，不期酷热兼旬，甘霖忽降，窗开彻夜，复感风邪，身热微寒，鼻流清涕，而阴液久夺，外患未痂，塔养碍投，又难发汗，肝气内应，噤旋形。然此案自堪传也。（生石膏先煎一两六钱，犀角先煎四钱，济银花一两五钱，酒炒知母四钱，姜竹沥两大酒杯冲，石斛先煎一两，大生地一两泡冲去渣，生冬瓜子八钱，石菖蒲次入二钱，青果杵先一枚，两头尖三钱。木少水涵，烁津侮胃方：酒炒白头翁一钱半，酒炒川连一钱，楝核杵先三钱，龙骨杵先一两，牡蛎杵先六两，血鳖甲杵先四两，血龟板杵先二两，生粉草三钱，陈木瓜二钱，乌梅肉杵先四钱，药调送余粮赤石脂末各一钱。）
陈某患嗽，嗽则先吐稀痰，次则黄浓甜浊之痰，继之以深红带紫之血，仍能安谷，别无所苦，多药不愈。孟英切其脉，缓大而右关较甚，乃劳倦伤阳，而兼湿热蕴积也。给予沙参、生薏苡仁、木瓜、茯苓、杏仁、竹茹、桑叶、枇杷叶、生扁豆、苇茎、花粉为剂，吞松石猪肚丸而愈。（劳倦伤阳为本病，湿热蕴积为标病，常法先治标，故方中治标之药，多于治本以救吐血。北沙参八钱，生苡仁杵八钱，陈木瓜一钱半，云苓三钱，苦杏泥一钱半，姜竹茹三钱，冬桑叶四钱，酒炒枇叶刷包三钱，生扁豆杵一钱半，鲜芦根一两，南花粉三钱。）
王瘦石夫人患滞下，腹痛微呕，不饥口苦，溲短耳鸣。孟英诊曰：脉见细弱之形，肌无华泽之色，汛不行而早断，舌紫黯以无津，是素质阴亏，情怀悒郁，二阳默炽，五液潜消，虽吸暑邪，莫投套药。给予白头翁汤加雪羹、银花、栀子、楝实数剂而减。继去雪羹，加生地、苁蓉、柿饼、藕汁而安。改授甘麦大枣加西洋参、生地、苁蓉、竹茹、归芍、蒲桃干，而以藕汤煎服，调养体质以痊。（二阳指心肝之阳，五液指五脏阴液。液消则阳炽。酒炒白头翁一钱半，酒炒川连一钱，楝核杵先三钱，淡海浮石先煎二两，整荸荠打入二两，济银花一两五钱，黑栀皮三钱，酒炒黄柏二钱。）
Prescribed Lanye (Callicarpa Leaf) as the main ingredient, decocted with Donggua Tang (Winter Melon Decoction). After ingestion, red rashes appeared all over the body, the left eyelid suddenly swelled, the right arm was sore and unable to lift, deafness occurred, and the spirit was unclear. Urgently, Yuanshen (Scrophulariae Radix), Danpi (Moutan Cortex), Juhua (Chrysanthemi Flos), Zhizi (Gardeniae Fructus), Sangzhi (Mori Ramulus), Sigualuo (Luffae Fructus Retinervus), Shihu (Dendrobii Caulis), and Zhuye (Bambusae Folium) were decocted, and Shenxi Dan (Divine Rhinoceros Pill) was mixed in as a dosage. An偶然 (accidentally) invited a surgeon to examine the external lesions; he also knew the cause was damp-heat. Continuously taking Mutong (Akebiae Caulis) and other herbs, the pulse became finer and weaker, the spirit more confused and exhausted, food intake ceased, and painful, difficult urination worsened. Wang Mengying commented: Emergency rescue of Yin fluids can still turn the situation around. He prescribed Fumai Tang (Restore the Pulse Decoction), removing Jiang (Zingiberis Rhizoma), Gui (Cinnamomi Cortex), and Maren (Cannabis Semen), replacing them with Xiyangshen (American Ginseng), and adding Zhimu (Anemarrhenae Rhizoma), Huafen (Trichosanthis Radix), Zhuye (Bambusae Folium), and Zhejiang (Sugarcane Juice) for administration. After one dose, the spirit recovered, and the pulse returned; after another dose, the coating retreated, and hunger was felt; after three doses, the body cooled, and urination flowed smoothly. After six doses, skin peeled off, sleep was peaceful, eyes opened, and the tongue was moist. Some doubted how sweet, soft, and greasy medicines could clear damp-heat. Wang Mengying said: In individuals with Yin deficiency and internal heat, accumulated dampness easily transforms into fire. Fire scorches fluids, impairing their distribution. Frequent irrigation with sweet and cool substances restores fluids and unblocks Qi. Merely knowing to promote diuresis leads to the prior loss of Yin Qi. One must carefully consult pulse and symptoms; methods cannot be rigid. After taking a few more doses, sudden limb swelling and widespread wind wheals (urticaria) appeared with extreme itching. Wang Mengying commented: This is when Yin fluids are sufficient, and residual pathogens find their own exit. Prescribed light and clear medicines for several doses, and indeed recovered. (Whole body skin red, dampness transforming into heat steaming on the skin, full tongue yellow coating, dampness transforming into heat failing to descend, headache due to Liver Heat, lower back pain due to Kidney Deficiency, Lung Metal failing to control Liver Wood causing Liver Yang to rebel upward, Lung and Kidney being mother-child organs, Lung Yin failing to nourish Kidney Yin leading to Kidney Deficiency, loose stool as heat seeking an exit, painful urination as heat binding in Lung and Stomach, wiry pulse indicating Liver Heat, fine pulse indicating Yin Deficiency, [missing character] indicating Lung phlegm obstructing Qi. Fu Ling (Poria) and Lancea Herb (Herba Lagochili) drain dampness and transform turbidity. Xi Jiao (Rhinocerotis Cornu) decocted first 4 qian, Ling Yang Jiao (Caprae Hircus Cornu) decocted first 4 qian, Yun Fu Ling (Poria) 3 qian, Jiu Chao Yin Hua (Flos Lonicerae Japonicae) added later 1 liang 5 qian, Lianqiao Qiao (Forsythiae Fructus) 3 qian, Dong Sang Ye (Mori Folium) 4 qian, Xian Lu Gen (Phragmitis Rhizoma) 1 liang, Jian Lan Ye (Callicarpae Folium) added later 3 qian, Fang Tong Cao (Tetrapanacis Medulla) 1 qian, Dong Gua (Benincasae Exocarpium) with peel simmered first, dregs removed, decoction liquid 2 liang. Deafness and unclear spirit: Yuan Shen Pian (Scrophulariae Radix) soaked and decocted, dregs removed 1 liang, Fen Dan Pi (Moutan Cortex) 2 qian, Hang Bai Ju (Chrysanthemi Indici Flos) 4 qian, Hei Zhi Pi (Gardeniae Fructus Pericarpium) 1.5 qian, Jiu Chao Sang Zhi (Mori Ramulus) added later 3 qian, Si Gua Luo (Luffae Fructus Retinervus) 3 qian, Shi Hu (Dendrobii Caulis) decocted first 1 liang, Xian Zhu Ye (Bambusae Folium) added later 2 qian, decocted and mixed with Shen Xi Dan 1 qian. Surgeon continuously administered Mutong (Akebiae Caulis) etc., draining dampness and injuring Yin. Xi Yang Shen (American Ginseng) 3 qian, Hua Mai Dong (Ophiopogonis Tuber) 4 qian, Sheng Fen Cao (Glycyrrhizae Radix et Rhizoma) 3 qian, Da Di Huang (Rehmanniae Radix) 8 qian, Da Zao (Jujubae Fructus) split open first 1 piece, Qing E Jiao (Asini Corii Colla) stewed and taken together 2 qian, Jiu Chao Zhi Mu (Anemarrhenae Rhizoma) 3 qian, Nan Hua Fen (Trichosanthis Radix) 5 qian, Xian Zhu Ye (Bambusae Folium) added later 2 qian, Lian Pi Qing Zhe (Sacchari Sinaris Caudex cum Corte) 2 liang, juice squeezed and mixed. Light and clear prescription: Jiu Chao Zhi Pi (Gardeniae Fructus Pericarpium) 3 qian, Jiu Chao Ku Qin (Scutellariae Radix) 1 qian, Jiang Zhi Ban Lu Gen (Phragmitis Rhizoma) 1 liang, Jiu Chao Sang Zhi (Mori Ramulus) 3 qian, Bo Ju Hong (Citri Reticulatae Pericarpium) 1.5 qian, Yin Hua (Flos Lonicerae Japonicae) added later 8 qian, Jian Lan Ye (Callicarpae Folium) added later 3 qian, Si Gua Luo (Luffae Fructus Retinervus) 3 qian.)
Zhao Juzhai's daughter-in-law had always suffered from Yin deficiency with internal heat, occasionally coughing up blood. Last year, Wang Mengying had already cured her. Soon after, her menstruation was irregular. Wang Mengying diagnosed: The disease has gone, and she is pregnant. This spring, after delivery, she suffered from diarrhea. Specialists prescribed warm-tonifying formulas, which caused coughing. Changing doctors and prescribing blood-nourishing agents aggravated the slippery diarrhea. Seeking answers from talismans and spirits, various methods failed. Wang Mengying administered Gan Mai Da Zao Tang (Licorice, Wheat, and Jujube Decoction) combined with Mei Lian (Mume Fructus and Coptidis Rhizoma), and symptoms gradually subsided. Subsequently dissuaded by relatives/nuns, who used various blind tonifications, leading to abdominal pain, reduced appetite, and dozens of bowel movements daily consisting of bright white, hard, round stools like white grapes with blood threads. She sought help from Wang Mengying. He prescribed Zhang Zhongjing's Dang Gui Sheng Jiang Yang Rou Tang (Angelica, Ginger, and Lamb Meat Decoction), swallowing 21 Ya Dan Ren (Brucea Javanica Seed) kernels per dose, coated with Long Yan Rou (Longan Aril). Indeed, after two doses, stools turned loose, and pain decreased in sequence. Then prescribed Gu Ban (Testudinis Carapax et Plastrum), Lu Jiao Shuang (Cervi Cornus Degelatinatum), Gui (Angelicae Sinensis Radix), Fu Ling (Poria), Qi (Canni Fructus), Tu Si Zi (Cuscutae Semen), Gan Cao (Glycyrrhizae Radix et Rhizoma), Shao Yao (Paeoniae Radix Rubra), Wu (Sepiae Endoconcha), Cong Rong (Cistanches Herba), Pu Tao (Vitis Vinifera Fruit), Ou Fen (Nymphaeae Semen) to nourish the extraordinary vessels, resulting in recovery. (Nourishing Extraordinary Vessels Formula: Cu Zhi Gu Ban (Testudinis Carapax et Plastrum Vinegar-fried) 8 qian, Cu Zhi Wu Ze Gu (Sepiae Endoconcha Vinegar-fried) 5 qian, pounded together and decocted first. Lu Jiao Shuang (Cervi Cornus Degelatinatum) stewed and taken together 3 qian, Gui Shen (Angelicae Sinensis Radix) 3 qian, Yun Fu Ling (Poria) 3 qian, Chao Qi Zi (Canni Fructus Stir-fried) 2 qian, Chao Tu Si Bing (Cuscutae Semen Stir-fried cake) 3 qian, Chao Fen Cao (Glycyrrhizae Radix et Rhizoma Stir-fried) 1 qian, Jiu Xi Pu Tao Gan (Vitis Vinifera Fruit Wine-washed) 3 qian, Jiu Chao Chi Shao (Paeoniae Radix Rubra Wine-stir-fried) 1.5 qian, Ou Fen (Nymphaeae Semen) wrapped and decocted 3 qian.)
Ren Feiting contracted a pathogen in mid-summer. Huang heard of his fever with occasional slight chills and prescribed several doses of Jiang (Zingiberis Rhizoma), Yu (Evodiae Fructus), Zi (Perillae Folium), Zao (Jujubae Fructus). The heat intensified, and both urine and stool stopped. Another doctor continuously used diuretic/damp-draining agents. Initially, urine passed slightly, but then became even more difficult. Wang Mengying examined him. The condition had lasted fourteen days; he was emaciated, pulse wiry, fine, and choppy, tongue glossy purple with white plaques, unable to sleep at night, thirsty but drinking little, unable to eat rice, lower abdomen tender to pressure, impending asthma/reversal. Although it belonged to excess syndrome in the lower jiao, given the physical state, direct purgation was difficult. First, he instructed to take one large field snail, a handful of fresh Che Qian Cao (Plantaginis Herba), and six cloves of garlic, pound them together, add a little She Xiang (Moschus), and apply to the umbilicus/Shui Fen acupoint. The internal formula used Yuan Shen (Scrophulariae Radix), Zi Wan (Asteris Radix), Zhi Zi (Gardeniae Fructus), Zhi Mu (Anemarrhenae Rhizoma), Hua Fen (Trichosanthis Radix), Hai Piao Xiao (Sepiae Endoconcha - *Note: Text says 'Hai ', likely Hai Piao Xiao or Hai Mao Ge, context suggests clearing heat/phlegm, possibly Hai Mao Ge/Fucus*), Bi Qi (Dioscoreae Bulbus), Cong Rong (Cistanches Herba), Niu Xi (Achyranthis Bidentatae Radix), Tian Dong (Asparagi Radix) as the base, adding Xian Di Huang Zhi (Fresh Rehmanniae Juice). That night, urination started, breathing calmed, and he slept slightly. After two more doses, stool finally passed, heat receded, and he slowly progressed to thin porridge. Then Xue Geng (Snow Soup ingredients), Zhi Zi, Zi Wan, Cong Rong, Niu Xi, Di Huang Zhi were removed, and Xi Yang Shen (American Ginseng), Mai Dong (Ophiopogonis Tuber), Shi Hu (Dendrobii Caulis), Gan Di Huang (Dried Rehmanniae Radix), Zhu Ru (Bambusae Caulis in Taenia), Yin Hua (Flos Lonicerae Japonicae) were added. After ten-plus doses, three black hard stools were passed, tongue color returned to rosy-red, sleep and appetite gradually stabilized, and he rose. (This case is Yin deficiency with heat. External application: Snail and Plantago are slippery, cool, and refreshing; Garlic is pungent and warm, used as an antithesis to guide opening. Internal prescription: Yuan Shen Pian 8 qian, Zi Wan Rong 1.5 qian, Hei Zhi Pi 1.5 qian, Jiu Chao Zhi Mu 3 qian, Nan Hua Fen 3 qian, Dan Hai [Piao Xiao/Mao Ge] decocted first 2 liang, whole Bi Qi crushed 1 liang, Dan Cong Rong 1.5 qian, Jiu Chao Niu Xi 0.8 fen, Ming Tian Dong cut 6 qian, Xian Di Huang cut and juice squeezed with boiling water 1 liang. Later removed Xue Geng, Zhi Zi, Zi Wan, Cong Rong, Niu Xi, Di Huang Zhi, added Xi Yang Shen, Hua Mai Dong 4 qian, Shi Hu decocted first 1 liang, Gan Di Huang 5 qian, Jiang Zhu Ru 4 qian, Ji Yin Hua 8 qian.)
Zhuang Zhijie's daughter, living as a widow, suddenly experienced Qi rushing up towards fainting, unbearable epigastric pain. Self-medicating with Chen Xiang (Aquilariae Lignum Resinatum) and Wu Zhu Yu (Evodiae Fructus) worsened the condition, causing vomiting, fever, and slight chills. Wang Mengying palpated a wiry, slippery, and rapid pulse, slippery-yellowish coating, thirst preferring cold drinks, constipation, hot urine, and loss of sleep/appetite. This indicated abundant latent phlegm internally, rebellious Liver Qi rising, combined with absorbing summer-heat pathogen. He prescribed Wu Zhu Yu water-fried Huang Lian (Coptidis Rhizoma), Zhi Shi (Aurantii Fructus), Zhu Ru (Bambusae Caulis in Taenia), Gua Lou (Trichosanthis Fructus), Shi Gao (Gypsum Fibrosum), Xuan Fu Hua (Inulae Flos), Zhe Shi (Hematitum), Zhi Mu (Anemarrhenae Rhizoma), Ban Xia (Pinelliae Rhizoma), and Xue Geng (Snow Soup). After two doses, vomiting stopped, pain decreased. After five doses, heat receded, but resolution was incomplete; only after ten days did he feel completely relieved. Then Shi Gao, Zhi Mu, Xuan Fu, Zhe Shi were removed, and modulation continued until cure. (Qi rushing/fainting and epigastric pain originally due to Liver Yang insulting Stomach. Self-administered pungent-warm herbs further aided Liver Yang. Slight chills indicate extreme heat mimicking cold, not true cold. Wiry-slippery pulse indicates Liver heat stirring phlegm; rapid indicates concurrent Yin deficiency. Slippery-yellow coating indicates turbid phlegm not yet fully discharged. Thirst for cold drinks indicates excess heat in Lung. Loss of sleep/appetite indicates Liver heat invading Heart/Lungs. Vomiting requires bitter-pungent combination to open and descend, hence Zhi Mu and Ban Xia. Liver Yang requires heavy sedation, hence Xuan Fu and Zhe Shi to guide medicine downward. Rapid pulse requires Yin tonification, hence Xue Geng. Wu Zhu Yu water-fried Chuan Lian 0.8 fen, Chao Zhi Shi 1.5 qian, Jiang Zhu Ru 3 qian, Jiang Lou Pi 3 qian, Sheng Shi Gao decocted first 8 qian, Xuan Fu wrapped first 3 qian, Sheng Zhe Shi pounded first 1 liang 6 qian, Jiang Chao Zhi Mu 3 qian, Jiang Ban Xia ground and added later 1 qian, Dan Hai [Piao Xiao/Mao Ge] decocted first 2 liang, whole Bi Qi crushed 1 liang, Xue Geng also treats medication error.)
Chen Shubo's sister-in-law, three days postpartum, had fever and profuse sweating, yellow coating, vertigo, and palpitations. Wang Mengying palpated a wiry, fine, deficient, and rapid pulse, indicating chronic Ying-Yin deficiency, scorched by intense heat, floating Wind-Yang, budding convulsion/fainting. He prescribed Yuan Shen (Scrophulariae Radix), Bai Wei (Cynanchi Atrati Radix), Qing Hao (Artemisiae Annuae Herba), Di Huang (Rehmanniae Radix), Xiao Mai (Tritici Fructus), Dou Yi (Sojae Semen Preparatum), Shi Hu (Dendrobii Caulis), Bie Jia (Trionychis Carapax), Zhu Ye (Bambusae Folium). After two doses, heat receded, hunger returned, but palpitations and sweating persisted. Qing Hao and Bai Wei were removed, and Long Gu (Fossilia Ossis Mastodi), Mu Li (Ostreae Concha), Lian Xin (Nelumbinis Plumula), Gui Ban (Testudinis Carapax et Plastrum), Shi Ying (Fluoritum) were added, bringing peace. Subsequently, summer-wind attacked externally, high fever like burning, thirst without hunger, seeing everything as red. Changed to Bai Hu Tang (White Tiger Decoction) plus Xi Yang Shen (American Ginseng), Zhu Ye (Bambusae Folium), Lian Gan (Nelumbinis Nucleus Pedunculus). One dose brought relief. Continued with sedative and Yin-nourishing/submerging treatments for recovery. (Yuan Shen Pian 1 liang, Da Di Huang 8 qian, soaked in boiling water, dregs removed, use liquid to first charcoal-simmer Xue Bie Jia (Blood Turtle Shell) 3 liang, Shi Hu 1 liang, for six hours, then add other herbs. Xian Qing Hao 1.5 qian, Xiang Bai Wei 3 qian, Bei Xiao Mai 4 qian, Dou Yi 4 qian, Xian Zhu Ye added later 2 qian. Revised formula removed Hao/Wei, added Long Gu pounded 1 liang, Mu Li pounded 4 liang, Xue Gui Ban pounded 2 liang, Zi Shi Ying 3 qian, combined with Bie/Ji decocted first for six hours. Summer-wind attack formula: Sheng Shi Gao decocted first 1 liang 6 qian, Jiu Chao Zhi Mu 4 qian, Xi Yang Shen 3 qian, Xian Zhu Ye added later 2 qian, Xian Lian Gan 3 qian.)
Mrs. Gu, after a miscarriage, suffered epigastric pain after eating. Others thought it was food stagnation and prescribed digestive agents. Pain worsened with fever. When lying down, spasms in the right hypochondrium were unbearable. Wang Mengying said: This cannot be treated with dispersing or attacking-digestive methods. He prescribed Xuan Fu Hua (Inulae Flos), Si Gua Luo (Luffae Fructus Retinervus), Dong Gua Zi (Benincasae Semen), Lian Gan (Nelumbinis Nucleus Pedunculus), Wei Jing (Imperatae Rhizoma), Zhu Ru (Bambusae Caulis in Taenia), Bei Mu (Fritillariae Bulbus), Pi Pa Ye (Eriobotryae Folium), Tong Cao (Tetrapanacis Medulla). One dose showed improvement, two doses cured. (Digestives are divided into warm and cool. Miscarriage loses blood and injures Yin; this must be misused warm digestives stealing Lung Yin, hence unbearable spasms when lying down. Clearing and nourishing Lung Yin cures it. Xuan Fu wrapped first 1.5 qian, Si Gua Luo 1.5 qian, Sheng Dong Gua Zi 4 qian, Xian Lian Gan 3 qian, Mi Shui Ban Xian Lu Gen (Honey-water mixed Fresh Imperatae Rhizoma) 2 liang, Xian Zhu Ru 3 qian, Mi Shui Chao Pi Ye Brush-wrapped 3 qian, Fang Tong Cao 1 qian.)
Mrs. Gao, quitting opium, took foreign pills. No discomfort except constipation. Doctors treated for two months without success, though appetite remained. Face red, gums swollen wanting piercing, silver needles inserted between teeth turned coal-black upon removal. Wang Mengying palpated slippery-rapid pulse, prescribed Xi Jiao (Rhinocerotis Cornu), Shi Gao (Gypsum Fibrosum), Xiao Huang (Mirabilits/Niter & Sulfur mix?), Sheng Ma (Cimicifugae Rhizoma), Bian Lang (Staphylinidae), mixed with one cup of fresh Yin Hua (Flos Lonicerae Japonicae) juice. After ingestion, defecated 3-4 times at night, half the illness gone. Again prescribed clearing-resolving and detoxifying agents until cure. (Differentiating middle-heat toxin: silver needle turning coal-black. Differentiating excess syndrome: slippery-rapid pulse plus two-month constipation. Constipation without slippery-rapid pulse should not be purged. Sheng Ma raises bitter-cold to the highest point; Lung and Large Intestine are exterior-interior; Lung descending allows bowel movement. Xi Jiao 4 qian, Sheng Shi Gao 1 liang 6 qian, decocted first together. Sheng Xiang Huang 4 qian, Yuan Ming Fen 1 qian, Sheng Sheng Ma 1.5 qian, Bian Lang 1 pair, three items added later together. Xian Yin Hua 2 liang, boiled water soaked, squeezed juice mixed.)
Lu Zhuqin's wife suddenly had palpitations, limbs cold as ice. Wang Mengying observed a floating-wiry-rapid pulse, tongue tip red without coating. This was Yin deficiency with Yang floating, budding Jian Jue (Frying Fainting). He prescribed Yuan Shen (Scrophulariae Radix), Er Zhi Wan (Two Solstice Pill), San Jia (Three Shells: Gui Ban, Bie Jia, Mu Li), Long Chi (Fossilia Ossis Mastodi), Shi Ying (Fluoritum), Di Huang (Rehmanniae Radix), Niu Xi (Achyranthis Bidentatae Radix), Fu Shen (Poria with Hostwood), Lian Xin (Nelumbinis Plumula). Recovered. (Palpitations distinguished by cold/heat: Water flooding below Heart is cold; Liver Yang surging is heat. Floating-wiry-rapid pulse, red tongue tip, palpitations indicate budding Jian Jue. Jian Jue is Yin deficiency with Yang floating, heat like frying with cold limbs. Mu Li pounded 6 liang, Xue Gui Ban pounded 4 liang, Xue Bie Jia pounded 2 liang, Long Chi pounded 1 liang, Zi Shi Ying 4 qian, Wu Wei Zi first charcoal-simmered for six hours, use liquid to decoct herbs. Yuan Shen Pian 1 liang, Nu Zhen Zi pounded 5 qian, Han Lian Cao 4 qian, Jiu Chao Niu Xi 0.7 fen, Yun Fu Shen 3 qian, Lian Xin 1 qian.)
Zhao Zixun's wife, postpartum, took two doses of Sheng Hua Tang. Further frightened, developed fever on the third day. Continuously given Si Wu Liu He Tang, condition worsened daily. Half a month later, Wang Mengying diagnosed: Left pulse wiry-tight, right pulse洪-slippery-rapid, yellow coating, great thirst, delirium, coughing phlegm, lochia still flowing, dry lips/teeth. Due to Yin deficiency constitution, excessive blood loss, Wood-Fire floating upward, scorching summer heat, major fluid consumption, combined with latent phlegm. Urgently prescribed clearing both Ying and Wei, hoping to avoid complications. Mother's family feared Shi Gao (Gypsum Fibrosum) greatly, firmly refusing it. Three days later, condition worsened. Directly administered modified Bai Hu Tang (White Tiger Decoction). Condition turned. Next day, helped medicine power with Watermelon Juice. Heat began descending daily, urination/stool like fire. After several more days, stable with congee, spirit clear, quiet sleep at night. However, too much heat accumulated, abscess formed in lower jiao. Pus drained, but Yin fluids leaked. Pulse became empty-rapid-floating-large, diarrhea, irritability, dry mouth, many dreams—all signs of insufficient Wood-Water nourishment, scorching fluids insulting Stomach. Mengying used Bai Tou Weng Tang (Pulsatillae Decoction) plus Long Gu (Fossilia Ossis Mastodi), San Jia (Three Shells), Gan Cao (Glycyrrhizae Radix et Rhizoma), Mu Gua (Chaenomelis Fructus) to nourish Yin and submerge Yang. Yu Liang Shi Zhi Wan (Limonis/Hematitum Pill) plus Mei Lian (Mume/Coptis) to calm wind and settle Stomach. Indeed, wound pus dried, appetite increased, diarrhea stopped, pulse soft, heat clean, coating retreated, spirit refreshed. Just needed follow-up. Newly prescribed filling-nourishing, unexpectedly intense heat for ten days, sudden rain, windows open all night, re-contracted wind pathogen. Fever, slight chills, runny nose. Yin fluids long depleted, external wound not healed, tonic feeding hindered, sweating difficult. Liver Qi responding internally, jaw clenching/spinning form. Yet this case is worthy of transmission. (Sheng Shi Gao decocted first 1 liang 6 qian, Xi Jiao decocted first 4 qian, Ji Yin Hua 1 liang 5 qian, Jiu Chao Zhi Mu 4 qian, Jiang Zhu Li (Ginger-infused Bamboo Sap) two large wine cups mixed, Shi Hu decocted first 1 liang, Da Di Huang 1 liang soaked mixed dregs removed, Sheng Dong Gua Zi 8 qian, Shi Chang Pu added later 2 qian, Qing Guo pounded first 1 piece, Liang Tou Jian 3 qian. Wood-insufficient-Water-nourishing, Scorching-fluids-Insulting-Stomach Formula: Jiu Chao Bai Tou Weng 1.5 qian, Jiu Chao Chuan Lian 1 qian, Lian He pounded first 3 qian, Long Gu pounded first 1 liang, Mu Li pounded first 6 liang, Xue Bie Jia pounded first 4 liang, Xue Gui Ban pounded first 2 liang, Sheng Fen Cao 3 qian, Chen Mu Gua 2 qian, Wu Mei Rou pounded first 4 qian, medicine delivered with Yu Liang Chi Shi Zhi powder each 1 qian.)
Chen suffered from cough, first spitting thin phlegm, then yellow-thick-sweet-turbid phlegm, followed by dark-red-purple blood. Still able to eat, no other discomfort. Many medicines failed. Mengying palpated slow-large pulse, stronger at Right Guan. This was fatigue injuring Yang, combined with damp-heat accumulation. Prescribed Sha Shen (Glehniae Radix), Sheng Yi Yi Ren (Coicis Semen), Mu Gua (Chaenomelis Fructus), Fu Ling (Poria), Xing Ren (Armeniacae Semen Amarum), Zhu Ru (Bambusae Caulis in Taenia), Sang Ye (Mori Folium), Pi Pa Ye (Eriobotryae Folium), Sheng Bian Dou (Phaseoli Tomentosii Semen), Wei Jing (Imperatae Rhizoma), Hua Fen (Trichosanthis Radix) as formula, swallowing Song Shi Zhu Du Wan (Pine-Stone Pig Stomach Pill). Recovered. (Fatigue injuring Yang is root disease, damp-heat accumulation is branch disease. Standard method treats branch first, hence branch-clearing herbs in formula exceed root-treating ones to save from hemoptysis. Bei Sha Shen 8 qian, Sheng Yi Ren pounded 8 qian, Chen Mu Gua 1.5 qian, Yun Ling 3 qian, Ku Xing Ni 1.5 qian, Jiang Zhu Ru 3 qian, Dong Sang Ye 4 qian, Jiu Chao Pi Ye Brush-wrapped 3 qian, Sheng Bian Dou pounded 1.5 qian, Xian Lu Gen 1 liang, Nan Hua Fen 3 qian.)
Wang Shoushi's wife suffered from dysentery (Zhi Xia), abdominal pain, slight vomiting, no hunger, bitter taste, short urine, tinnitus. Mengying diagnosed: Fine-weak pulse, lackluster skin, menstruation stopped early, purple-dark tongue without moisture. Constitutionally Yin deficient, depressed mood, Two Yang silently blazing, Five Fluids secretly consuming. Though absorbing summer-heat pathogen, do not use routine drugs. Prescribed Bai Tou Weng Tang (Pulsatillae Decoction) plus Xue Geng (Snow Soup), Yin Hua (Flos Lonicerae Japonicae), Zhi Zi (Gardeniae Fructus), Lian Shi (Meliae Fructus) for several doses, reducing symptoms. Then removed Xue Geng, added Di Huang (Rehmanniae Radix), Cong Rong (Cistanches Herba), Shi Bing (Persimmon Cake), Ou Zhi (Lotus Root Juice), bringing peace. Changed to Gan Mai Da Zao Tang (Licorice, Wheat, Jujube Decoction) plus Xi Yang Shen (American Ginseng), Di Huang (Rehmanniae Radix), Cong Rong (Cistanches Herba), Zhu Ru (Bambusae Caulis in Taenia), Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix), Pu Tao Gan (Vitis Vinifera Fruit), decocted in Lotus Root Soup, regulating constitution until cure. (Two Yang refers to Heart-Liver Yang. Five Fluids refers to Yin fluids of Five Zang. Fluid consumption leads to Yang blazing. Jiu Chao Bai Tou Weng 1.5 qian, Jiu Chao Chuan Lian 1 qian, Lian He pounded first 3 qian, Dan Hai [Piao Xiao/Mao Ge] decocted first 2 liang, whole Bi Qi added 2 liang, Ji Yin Hua 1 liang 5 qian, Hei Zhi Pi 3 qian, Jiu Chao Huang Bai 2 qian.)