。吞礞石滚痰丸及当归龙荟丸。四剂大泻数十次。臭韧异常。筋掣即已。乃去二丸。加栀连
羊藿。服六剂即健饭而可扶掖以行矣。（整荸荠打一两淡海 先煎二两。羚次尖先炭煨八句
钟四钱。楝核杵先四钱。陈胆星炖和服八分。净橘络次入一钱。姜竹沥两大酒杯冲。丝瓜
络三钱药送滚痰丸三钱。龙荟丸一钱。)
姚子 后。两腿筋掣。卧则更痛。幼科作风治而愈剧。孟英以犀角生地木通豆卷葳蕤桑枝丹
皮栀子丝瓜络投之而效。（镑犀角先煎八句钟二钱。大生地泡煎去渣五钱。细木通五分。大
豆卷一钱。肥玉竹一钱半。酒炒桑枝二钱。粉丹皮一钱。黑栀皮一钱半。丝瓜络一钱半。)
徐艮生室年四十余。于酷暑之进患 。沉悦亭连予清解。不能杀其势。孟英视之。体浓痰多
。脉甚滑数。扬掷谵妄。舌绛面赤。渴饮便涩。乃予大剂白虎加犀角元参银花花粉贝母竹黄
竹叶竹茹竹沥送滚痰丸。服后大便下如胶漆。脉证渐和。数日后去丸药。其势复剧。甚至发
厥。仍加丸药乃平。如是者三次。险浪始息。悦亭复以白金丸涤其膈下留痰。续用甘凉濡润
法。充津液而搜余热。渐以告愈。（生石膏先煎一两六钱。酒炒知母四钱。镑犀角先煎四钱
。济银花一两五钱。南花粉五钱。川贝母杵一两。天竹黄四钱。鲜竹叶二钱。姜竹茹四钱。
姜竹沥二大酒杯冲。姜汁按竹沥二成。药送滚痰丸四钱。元参片泡冲去渣八钱。)
沈新予妻母陡患昏厥。孟英视之。病者楼居。酷热如蒸。因曰∶此阴虚肝阳素盛之体。暑邪
吸入包络。亟宜移榻清凉之地。随以紫雪丹一钱。新汲水调下可安。如法灌药。果即帖然。
徐氏妇重身而患四肢痛不可屈伸。药之罔效。孟英诊曰∶暑热入于隧络耳。吾室人曾患此。
愈以桑枝竹叶扁豆叶丝瓜络羚羊豆卷知母黄芩白薇栀子者。照方服之。果愈。（酒炒桑枝四
钱。鲜竹叶二钱。扁豆叶三钱。丝瓜络三钱。羚次尖先煎四钱。大豆卷次入三钱。酒炒知母
三钱。酒炒枯芩一钱半。香白薇一钱半。黑栀皮三钱。)
陈氏妇素无病。娩后甚健。乳极多而善饭。六月初形忽遽瘦。犹疑天热使然。渐至减餐。孟
英视之。脉细数。舌光绛。曰∶急劳也。无以药为。夫乳者。血之所化也。乳之多寡。可征
血之盛衰。兹乳溢过中。与草木将枯精华尽发于外者何异。即令断乳。亦不及矣。即日断乳
服药。及秋而逝。
吴孙患发热洞泻。大渴溲少。涕泪全无。孟英曰∶暑风行于脾胃也。以沙参生薏苡生扁豆
银花石斛滑石甘草竹叶冬瓜皮。澄地浆煎服。数日而痊。按此等证。幼科无不作惊风治。因
而
夭折者多矣。（北沙参三钱。生苡仁杵四钱。生扁豆杵先一钱半。济银花石斛先煎各五钱。
西滑石包先三钱。生粉草二钱。鲜竹叶一钱。冬瓜皮四钱。澄地浆煎服。)
蒋某患疟。医予小柴胡平胃散而渐甚。继以大剂温补。势濒于危。复用桂枝白虎。狂乱如故
。孟英视之。曰∶暑疟也。桂枝白虎用于起病之时。则妙矣。今为温散补燥诸药。助邪烁液
。脉数无伦。汗渴不已。虽宜白虎。岂可监以桂枝。助热耗津而自掣其肘邪。因予大剂白虎
加花粉竹叶西洋参元参石斛。服之即安。至十余帖。疟始瘳。而舌尚无苔。渴犹不止。予甘
凉濡润三十余剂始告痊。（生石膏先煎一两六钱。酒炒知母五钱。南花粉五钱。鲜竹叶二钱
。西洋参三钱。元参片泡冲去渣八钱。石斛先煎一两。)
孙心言以七十之年患滞下。胡某知为暑热。以清麟丸下之。治颇不谬。继则连投术朴夏葛等
药。渐至咽疼口糜。呃忒噤口。诸医进补。其势孔亟。孟英诊之。右脉滑数上溢。身热面赤
。溲涩无眠。体浓痰多。时欲出汗。在痢疾门中。固为危候。第以脉证参之。岂是阳虚欲脱
。实由升散温燥之剂。烁其阴液。肺胃之气。窒塞而不能下行也。予大剂整肃之药。一剂知
。二剂已。随以生津药溉之。痢亦寻愈。（鲜芦根二两。黑栀皮三钱。酒炒枯芩一钱半。酒
炒知母三钱。整荸荠一两。淡海 二两。石斛先煎一两。南花粉五钱。元参片泡冲去渣八钱
。海浮石生蛤壳各五钱。同先煎。旋复包先三钱。生石膏先煎一两二钱。)
曹左患疟痢并作。寒少热多。滞下五色。孟英视之。面垢苔黄。干呕口渴。痛胀溺赤。汗出
神疲。脉至洪数不清。予大剂芩连滑朴知母花粉银花石膏连翘竹茹等药。投匕即减。三服而
起。（面垢苔黄五句。证属实热。惟干呕为阳郁不舒。神疲为阳因汗泄。故方中参用浓朴。
脉洪数为阴虚挟热。故方中参用花粉。酒炒枯芩一钱半。酒炒川连一钱。酒炒知母三钱。制
浓朴一钱。南花粉五钱。济银花一两五钱。生石膏先煎一两二钱。连翘壳三钱。姜竹茹四钱
。)
陈子孟秋患感。医予表散温补。病随药剧。至八月初。孟英视之。目瞪神呆。气喘时作。舌
绛不语。便泻稀水。肢搐而厥。察其脉。弦而软数。乃阴亏肝盛之质。提表助其升逆。温补
滞其枢机。痰饮 。风阳肄横。予鳖甲龙牡旋赭芩连楝贝菖茹胆星犀羚等药。息风镇逆。
清热蠲痰。数帖而平。（血鳖甲杵二两。 牡蛎杵四两。 龙骨杵一两。醋 赭石杵八钱。
镑犀角羚次尖各四钱。五味同先煨八句钟。取汤代水煎药。旋复绢包三钱。酒炒枯芩一钱。
酒炒川连二钱。楝核杵先二钱。川贝母杵八钱。石菖蒲次入二钱。姜竹茹三钱。陈胆星炖和
服八分。)
龚妇患秋感。服温散药而日重。请孟英诊之。脉见弦数软滑。苔黑肢 。书方用沙参元参知
母花粉犀羚茹贝栀菖等药。曰∶亟饵之。否将厥矣。灌之遂得生机。次日复诊。脉较和。一
致清凉。渐以向愈。（北沙参八钱。元参片泡冲去渣一两。酒炒知母四钱。南花粉五钱。镑
犀角羚次尖各四钱。先煨八句钟。黑栀皮三钱。石菖蒲次入二钱。)
吴某乡试后患恙。孟英切脉甚数。溲赤苔黄。口渴燥呛。病由暑湿。而体极阴亏。已从热化
。不可以便泄。而稍犯温燥之药。先予轻清肃解。继用甘凉撤热。渐能安谷。半月后热始退
尽
。而寝汗不眠投以大剂滋填潜摄之药。兼吞五味子磁朱丸。数十帖乃得康复。（轻清肃解方
。
北沙参八钱。元参片泡冲去渣一两。南花粉五钱。鲜芦根二两。鲜枇叶刷包三钱。鲜竹叶二
钱。酒炒知母四钱。淡海 先煎二两。冬瓜皮四钱。甘凉撤热方。蜜水拌芦根二两。蜜水炒
枇叶刷包三钱。鲜茅根五钱。济银花一两。鲜竹叶二钱。整荸荠打一两。酒炒知母三钱。青
果连核杵先一个。大剂滋填潜摄方。大熟地八钱。大生地一两。明天冬切六钱。花麦冬四钱
。青果杵先三钱。柿饼肉去霜五钱。山萸肉一钱半。 牡蛎六两。 龙骨杵一两。血鳖甲杵
三两。紫石英五钱。四味先煨八句钟。取汤代水煎药。药送五味子三分。磁朱丸二钱。)
张室自春间半产后。发热有时。迄于季秋。广服滋阴之药。竟不能愈。延孟英诊脉。按之豁
然。投当归补血汤而热退。继以小建中愈之。（炒西 五钱。箱归身二钱。炒白术三钱。炒
云
苓三钱。炒潞党三钱。制半夏三钱。炒陈皮一钱。乌梅肉三钱。夜交藤三钱。炒玉竹三钱。
继以小建中炒粉
草三钱。大枣擘三枚。潞党参三钱。云茯苓三钱。箱归身二钱。酒炒白芍一钱半。炒枣仁三
钱。夜交藤三钱。陈木瓜三钱。山萸肉三钱。)
俞子患感。即兼腹痛而胀。胡某投以温散。二便不行。昏谵大渴。舌苔黑刺。孟英以犀翘楝
薄栀连花粉元参大黄服之。便下神清。为去犀角加丹皮。二帖苔化热退。惟少腹梗胀。不甚
知饥。改投栀连楝蒺延胡橘核苁蓉花粉制军诸药。连解黑矢。渐以向安。（此证孟英用下。
必有脉情可据。断非仅以证论。镑犀角先煎四钱。连翘壳三钱。楝核杵先四钱。薄荷尖次入
一钱半。酒炒川连一钱。南花粉五钱。元参片泡冲去渣一两。生厢黄泡绞冲四钱。嗣去犀角
。加粉丹皮二钱。此证少腹梗胀必拒按。故以辛温行苦寒之制军。改投黑栀皮三钱。酒炒川
连八分。楝核杵先三钱。生白蒺三钱。延胡索一钱半。橘核杵一钱。淡苁蓉一钱半。药泡制
军四钱。)
周同甫患疟多汗。医恐其脱。予救逆汤而势剧。孟英视之。曰∶湿疟耳。湿家多汗无恐也。
况口渴溺赤。温补勿投。予清解药渐安。继而乃翁秋叔病。初服温补病进。更医知为伏暑。
予药数剂。热果渐退。偶延孟英诊之。尺中甚乱。因谓其侄曰∶令叔之证。必不能起。吾不
能药也。已而果然。（清解方。冬瓜皮四钱黑栀皮三钱。鲜芦根二两。酒炒枯芩一钱半。酒
炒川连八分。楝核杵先二钱。薄荷尖次入八分。鲜枇叶刷包三钱。南花粉五钱。细木通一钱
。淡海 先煎二两。周秋叔尺中甚乱。必系左尺。左尺热炽阴竭。必不起。)
许守存久患痰嗽。孟英主滋水舒肝法。以阴亏而兼郁也。业已向愈。所亲某亦涉猎医书。
谓滋阴药不可过服。投以温补。已而咳嗽复作。渐至咽痛。冬初又延诊于孟英。曰∶六脉皆
数。见于水令。其不能春乎。果验。世人不辨证之阴阳。但论药之凉热。因而偾事者多矣。
朱妇屡患半产。每怀妊服保胎药。卒无效。今秋受孕后病嗽。孟英视之。尽屏温补。纯予清
肺。或诘其故。曰∶胎之不固。由元气之弱者宜补正。由病气之侵者宜治病。今右寸脉滑大
搏
指。吾治其病。正所以保其胎。苟不知其所以然。而徒以俗尚保胎之药投之。则肺气愈壅。
咳逆愈甚。震动胞系。其胎必堕矣。服之良效。（脉滑为痰实。脉大在此证为阴虚。酒炒知
母四钱。陈胆星炖和服八分。鲜芦根二两。鲜枇叶刷包三钱。旋复包先三钱。淡海 先煎二
两。南花粉五钱。青果核先一枚。北沙参八钱。方通草三钱。石斛先煎一两。)
项肖卿家拥浓资。人极好善。年甫三十五岁。体甚壮伟。微感冬温。门下医者进以姜桂之剂
。即觉躁扰。更医迎媚。径用大剂温补。两帖后发狂莫制。又招多医会诊。仅以青麟丸数钱
服之。孟英视之。业已决裂。不可救药。甚矣。服药之不可不慎也。
邵奕堂室以花甲之年。仲冬患喘嗽。药之罔效。坐而不能卧者。旬日矣。乞诊孟英。邵述病
原云。每进参汤。则喘稍定。虽服补剂。仍易出汗。虑其欲脱。及察脉。弦滑右甚。孟英曰
∶甚矣。望闻问切之难。不可胸无权衡也。此证当凭脉设治。参汤切勿沾唇。以栝蒌薤白旋
复苏子花粉杏仁蛤壳茯苓青黛海 为方。而以竹沥菔汁和服。（脉弦为肝热挟虚。脉滑为痰
热。右甚痰热在肺。蒌仁研四钱。薤白打次入一钱半。旋复包先三钱。生苏子研一钱半。花
粉四钱。苦杏泥二钱。云茯苓一钱半。蛤壳杵先五钱。飞青黛一钱。淡海 先煎二两。姜竹
沥一酒杯。菔汁半酒杯和服。)投匕即减。十余帖全愈。同时有石媪者。患此极相似。脉见
虚弦细滑。孟英于沙参蛤壳旋复杏仁苏子贝母桑枝茯苓中。重加熟地而瘳 。所谓病同体异
。难
执成方也。（脉见虚弦细滑。为阴虚中兼挟阳虚痰浊。北沙参四钱。生蛤壳杵先五钱。旋复
花包先三钱。苦杏泥二钱。生苏子研二钱。川贝母杵四钱。酒炒桑枝二钱。云茯苓三钱。大
熟地八钱。开水泡汤去渣煎药。)
许妇患腿痛。而素多噫气。若指头一搓。或眉间一抹。其噫即不已。向以为虚。时服补剂。
竟不能愈。孟英诊脉弦滑。乃痰阻于络。气不得宣也。以丝瓜络竹茹旋复橘络羚羊茯苓豆卷
金铃柿蒂海 荸荠藕为方。吞当归龙荟丸而安。其媳因丧子悲哀。患发厥屡服补剂。以致汛
愆
。或疑为娠。孟英曰∶脉弦数以滑。乃痰挟风阳而为厥也。予大剂蠲痰息风舒郁清营之剂。
渐以获愈。（噫即不已。为内风暗动。脉弦滑为肝风煽痰。此病温补灼津。痰乘风上。雪羹
羚楝。救液息风。丝瓜络三钱。姜竹茹三钱。旋复绢包三钱。净橘络次入一钱。羚次尖先煎
八钟四钱。云苓三钱。大豆卷次入三钱。楝核杵先四钱。干柿蒂十个。淡海 先煎二两。整
荸荠一两。藕切二两。药送龙荟丸三钱。其媳 脉弦数以滑。文义注重滑字。前证吃紧在肝
。此证吃紧在肺。此编次者教人辨证苦心。蠲痰息风舒郁清营方。川贝杵八钱。生冬瓜子四
钱
。酒炒知母四钱。鲜竹叶二钱。济银花一两五钱。石斛先煎一两。鲜薤白打一钱半。制半夏
二钱。黄郁金一钱。整荸荠打一两。)
吴永言于十年前。读论语不撤姜食之文。因日服之。虽盛夏不辍。至三年前。患大溢血。虽
以凉药治瘳。而时时火升。迄今不愈。季冬就诊孟英。身不衣绵。头面之汗蓬蓬也。且云∶
服芩连则烦渴益甚。以苦能化燥也。用生地即闷滞不饥。以甘能缓中也。蔗梨入口亦然。按
其脉。沉取滑数。是从前之积热深伏于内。予白虎汤去草米。加竹叶竹茹花粉海 荸荠银花
绿豆恣服。渐吐胶痰而愈。（治法在脉。沉取滑数。沉字注意。沉取滑数。则气失升降可知
吞服礞石滚痰丸和当归龙荟丸。服用四剂后，大便剧烈泻下数十次，粪便臭秽且质地坚韧异常。筋脉抽搐的症状随即停止。于是去掉这两种丸药，加入栀子、黄连、藿香。再服用六剂后，患者食欲恢复，能够被人搀扶着行走。（配方：打碎的荸荠一两，淡海蜇先煎二两；羚羊角尖先炭煨八分钟四钱；川楝子核捣碎先煎四钱；陈胆星炖好后兑入服用八分；净橘络后下一钱；姜竹沥两大酒杯冲服；丝瓜络三钱，用药汤送服滚痰丸三钱、龙荟丸一钱。）
姚姓患者的儿子。双腿筋脉抽搐，躺下时疼痛加剧。儿科医生按惊风治疗，病情反而加重。孟英用犀角、生地、木通、豆卷、玉竹、桑枝、丹皮、栀子、丝瓜络投药，效果显著。（配方：镑制的犀角先煎八分钟二钱；大生地泡煎去渣五钱；细木通五分；大豆卷一钱；肥玉竹一钱半；酒炒桑枝二钱；粉丹皮一钱；黑栀皮一钱半；丝瓜络一钱半。）
徐艮生的妻子，四十多岁。在酷暑时节患病。沉悦亭连续给予清热解表药，但不能遏制病势。孟英诊视后，见患者体态丰腴、痰多，脉象非常滑数，躁动不安、胡言乱语，舌质深红、面色赤红，口渴饮水、小便涩滞。于是给予大剂量的白虎汤加犀角、元参、银花、花粉、贝母、竹黄、竹叶、竹茹，并用此药汤送服滚痰丸。服药后大便排出如胶漆状的物质，脉象和症状逐渐平和。几天后去掉丸药，病势再次加剧，甚至出现昏厥。重新加上丸药才平息。像这样反复了三次，险情才结束。悦亭又用白金丸涤除膈下的留痰，随后继续用甘凉濡润的方法，补充津液并搜刮余热，逐渐痊愈。（配方：生石膏先煎一两六钱；酒炒知母四钱；镑制的犀角先煎四钱；济银花一两五钱；南花粉五钱；川贝母捣碎一两；天竹黄四钱；鲜竹叶二钱；姜竹茹四钱；姜竹沥两大酒杯冲服，姜汁占竹沥的两成；药汤送服滚痰丸四钱；元参片泡开冲服去渣八钱。）
沈新予的岳母突然患昏厥。孟英诊视后，发现病人住在楼上，酷热如蒸笼。于是说：“这是阴虚肝阳素来旺盛的体质，暑邪吸入包络心经，急需将床榻移到清凉的地方。”随即用紫雪丹一钱，用新汲取的凉水调服，可以安定。按照方法灌药，果然立即安静下来。
徐氏妇女怀孕期间患四肢疼痛，不能屈伸。用药无效。孟英诊察后说：“这是暑热进入经络所致。我的家人曾患此病，用桑枝、竹叶、扁豆叶、丝瓜络、羚羊角、豆卷、知母、黄芩、白薇、栀子治愈。”照方服用，果然痊愈。（配方：酒炒桑枝四钱；鲜竹叶二钱；扁豆叶三钱；丝瓜络三钱；羚羊角尖先煎四钱；大豆卷后下三钱；酒炒知母三钱；酒炒枯芩一钱半；香白薇一钱半；黑栀皮三钱。）
陈氏妇女平时没有病，分娩后身体很健康，乳汁极多且胃口好。六月初突然消瘦，还怀疑是天热所致。逐渐减少进食。孟英诊视后，脉象细数，舌面光红无苔。说：“这是急劳症，无法用药物治疗。乳汁是血液化生的。乳汁的多寡，可以反映血液的盛衰。现在乳汁溢出过多，与草木即将枯萎时精华全部发散于外有什么不同？即使立刻断奶，也来不及了。”当天断奶并服药，到了秋天去世。
吴姓孙子患发热伴严重腹泻，极度口渴，尿少，鼻涕眼泪全无。孟英说：“这是暑湿风气行于脾胃。”用沙参、生薏苡仁、生扁豆、银花、石斛、滑石、甘草、竹叶、冬瓜皮，用地浆水澄清后煎服。几天后痊愈。按：这类病症，儿科医生无不按惊风治疗，因而导致夭折的很多。（配方：北沙参三钱；生苡仁捣碎四钱；生扁豆捣碎先煎一钱半；济银花、石斛先煎各五钱；西滑石包煎先煎三钱；生粉草二钱；鲜竹叶一钱；冬瓜皮四钱；用地浆水澄清煎服。）
蒋某患疟疾。医生给予小柴胡汤和平胃散，病情逐渐加重。继而又用大剂量温补药，病势接近危险。又复用桂枝白虎汤，狂乱如故。孟英诊视后说：“这是暑疟。桂枝白虎汤用在起病之时，是很巧妙的。现在被温散、补燥等药物助长邪气、耗伤津液，脉象数乱无度，出汗口渴不止。虽然适宜用白虎汤，岂可夹杂桂枝？这会助热耗津而自相掣肘吗？”于是给予大剂量白虎汤加花粉、竹叶、西洋参、元参、石斛。服用后即安宁。到十余帖，疟疾才缓解，但舌上还没有苔，口渴仍不止。给予甘凉濡润药三十余剂才告痊愈。（配方：生石膏先煎一两六钱；酒炒知母五钱；南花粉五钱；鲜竹叶二钱；西洋参三钱；元参片泡开冲服去渣八钱；石斛先煎一两。）
孙心言七十岁，患痢疾。胡某知道是暑热，用清麟丸攻下，治疗颇为正确。接着连续投用白术、厚朴、半夏、葛根等药，逐渐发展到咽痛、口舌生疮、呃逆、噤口痢。各位医生进补，病势危急。孟英诊察后，右脉滑数上溢，身热面赤，小便涩滞、失眠，体态丰腴、痰多，时常想出汗。在痢疾病门中，这确实是危重证候。但以脉证参合来看，难道是阳虚欲脱吗？实际上是由于升散、温燥的药物，烧灼阴液，导致肺胃之气窒塞而不能下行。给予大剂清肃的药，一剂见效，二剂病愈。随后用生津药灌溉滋润，痢疾也随之痊愈。（配方：鲜芦根二两；黑栀皮三钱；酒炒枯芩一钱半；酒炒知母三钱；整荸荠一两；淡海蜇二两；石斛先煎一两；南花粉五钱；元参片泡开冲服去渣八钱；海浮石、生蛤壳各五钱，同先煎；旋复花包煎先煎三钱；生石膏先煎一两二钱。）
曹左患疟疾和痢疾并作。寒少热多，痢下五色脓血。孟英诊视后，见面垢苔黄，干呕口渴，腹痛胀满、尿赤，出汗神疲，脉象洪大数不清。给予大剂量黄芩、黄连、滑石、厚朴、知母、花粉、银花、石膏、连翘、竹茹等药。投药即减轻，三服后起身。（注：面垢苔黄五句，证明属实热。只有干呕是因为阳气郁结不舒，神疲是因为阳气随汗泄出，所以方中参用厚朴。脉洪数为阴虚挟热，所以方中参用花粉。酒炒枯芩一钱半；酒炒川连一钱；酒炒知母三钱；制厚朴一钱；南花粉五钱；济银花一两五钱；生石膏先煎一两二钱；连翘壳三钱；姜竹茹四钱。）
陈子孟秋患感冒。医生给予表散、温补药，病情随药加重。到八月初，孟英诊视后，见患者目瞪神呆，气喘时作，舌绛不语，便泻稀水，肢体抽搐而厥冷。察其脉，弦而软数。这是阴亏肝盛的体质，发表助长了升逆，温补阻滞了枢机，痰饮内停，风阳肆虐横行。给予鳖甲、龙牡、旋覆花、代赭石、黄芩、黄连、川楝子、贝母、菖蒲、竹茹、胆星、犀角、羚羊角等药。息风镇逆，清热蠲痰，数帖后平复。（配方：血鳖甲捣碎二两；牡蛎捣碎四两；龙骨捣碎一两；醋煅赭石捣碎八钱；镑制的犀角、羚羊角尖各四钱，五味同先煨八分钟，取汤代水煎药；旋复花绢包三钱；酒炒枯芩一钱；酒炒川连二钱；川楝子核捣碎先煎二钱；川贝母捣碎八钱；石菖蒲后下二钱；姜竹茹三钱；陈胆星炖好后兑入服用八分。）
龚妇患秋季感冒。服用温散药后日益加重。请孟英诊视。脉见弦数软滑，苔黑，肢体抽搐。开方用沙参、元参、知母、花粉、犀角、羚羊角、竹茹、贝母、栀子、菖蒲等药。说：“赶紧服用，否则将要发生昏厥。”灌药后遂得生机。次日复诊，脉较平和，一致用清凉药，逐渐向愈。（配方：北沙参八钱；元参片泡开冲服去渣一两；酒炒知母四钱；南花粉五钱；镑制的犀角、羚羊角尖各四钱，先煨八分钟；黑栀皮三钱；石菖蒲后下二钱。）
吴某乡试后患恙病（类似伤寒或温热病）。孟英切脉甚数，尿赤苔黄，口渴燥呛。病由暑湿引起，但体质极阴亏，已从热化。不可以用通便泄下法，而稍犯温燥药物。先给予轻清肃解药，继用甘凉撤热药，逐渐能安谷进食。半月后热才退尽。而出现盗汗不眠，投以大剂滋填潜摄药，兼吞五味子磁朱丸，数十帖后才康复。（轻清肃解方：北沙参八钱；元参片泡开冲服去渣一两；南花粉五钱；鲜芦根二两；鲜枇杷叶刷毛包煎三钱；鲜竹叶二钱；酒炒知母四钱；淡海蜇先煎二两；冬瓜皮四钱。甘凉撤热方：蜜水拌芦根二两；蜜水炒枇杷叶刷毛包煎三钱；鲜茅根五钱；济银花一两；鲜竹叶二钱；整荸荠打碎一两；酒炒知母三钱；青果连核捣碎先煎一个。大剂滋填潜摄方：大熟地八钱；大生地一两；明天冬切六钱；花麦冬四钱；青果捣碎先煎三钱；柿饼肉去霜五钱；山萸肉一钱半；煅牡蛎六两；煅龙骨捣碎一两；血鳖甲捣碎三两；紫石英五钱。四味先煨八分钟，取汤代水煎药。药送服五味子三分、磁朱丸二钱。）
张氏妻子自春间半产后，有时发热，直到季秋。广服滋阴药，竟不能愈。延请孟英诊脉，按之豁然空虚。投用当归补血汤而热退。继用小建中汤治愈。（配方：炒西黄芪五钱；当归身二钱；炒白术三钱；炒云茯苓三钱；炒潞党参三钱；制半夏三钱；炒陈皮一钱；乌梅肉三钱；夜交藤三钱；炒玉竹三钱。继以小建中汤：炒粉甘草三钱；大枣掰开三枚；潞党参三钱；云茯苓三钱；当归身二钱；酒炒白芍一钱半；炒枣仁三钱；夜交藤三钱；陈木瓜三钱；山萸肉三钱。）
俞子患感冒，即兼腹痛而胀。胡某投以温散药，二便不通，昏谵大渴，舌苔黑刺。孟英用犀角、连翘、川楝子、薄荷、栀子、黄连、花粉、元参、大黄服用。便下后神志清醒，为去掉犀角加丹皮。二帖后苔化热退，只有少腹梗胀，不太知饥。改投栀子、黄连、川楝子、白蒺藜、延胡索、橘核、肉苁蓉、花粉、制军等药。连解黑屎，逐渐向安。（注：此证孟英用下法，必有脉情可据，断非仅以证论。镑制的犀角先煎四钱；连翘壳三钱；川楝子核捣碎先煎四钱；薄荷尖后下1.5钱；酒炒川连一钱；南花粉五钱；元参片泡开冲服去渣一两；生大黄泡绞冲服四钱。嗣后去掉犀角，加粉丹皮二钱。此证少腹梗胀必拒按，故以辛温行苦寒之制军。改投黑栀皮三钱；酒炒川连八分；川楝子核捣碎先煎三钱；生白蒺藜三钱；延胡索一钱半；橘核捣碎一钱；淡肉苁蓉一钱半；药泡制军四钱。）
周同甫患疟疾多汗。医生恐其虚脱，给予救逆汤，病势加剧。孟英诊视后说：“这是湿疟。湿家多汗无需恐惧。况且口渴尿赤，不可投温补药。”给予清解药逐渐安宁。继而他的父亲秋叔生病。初服温补药病进，换医知道是伏暑，给药数剂，热果渐退。偶然延请孟英诊视，尺脉甚乱。因此对他的侄子说：“令叔的病，必定不能起死回生，我不能治了。”后来果然如此。（清解方：冬瓜皮四钱；黑栀皮三钱；鲜芦根二两；酒炒枯芩一钱半；酒炒川连八分；川楝子核捣碎先煎二钱；薄荷尖后下八分；鲜枇杷叶刷毛包煎三钱；南花粉五钱；细木通一钱；淡海蜇先煎二两。周秋叔尺脉甚乱，必系左尺。左尺热炽阴竭，必定不起。）
许守存久患痰嗽。孟英主用滋水舒肝法，因为阴亏而兼有郁结。业已向愈。亲戚某人略涉猎医书，认为滋阴药不可过服，投以温补药。不久咳嗽复发，逐渐至咽痛。冬初又延请孟英诊视。说：“六脉皆数，见于水令（冬季），其不能度过春天吗？”果然应验。世人不辨证候的阴阳，只论药物的凉热，因而败事者很多。
朱妇人屡患半产。每次怀孕服保胎药，最终无效。今年秋天受孕后患咳嗽。孟英诊视后，完全摒弃温补药，纯予清肺药。有人诘问原因。说：“胎之不固，由元气虚弱者宜补正，由病气侵扰者宜治病。现在右寸脉滑大搏指，我治其病，正是为了保其胎。如果不知其所以然，而徒以俗尚保胎之药投之，则肺气愈壅，咳逆愈甚，震动胞系，其胎必堕矣。”服用后良效。（注：脉滑为痰实，脉大在此证为阴虚。酒炒知母四钱；陈胆星炖好后兑入服用八分；鲜芦根二两；鲜枇杷叶刷毛包煎三钱；旋复花包煎先煎三钱；淡海蜇先煎二两；南花粉五钱；青果核先煎一枚；北沙参八钱；方通草三钱；石斛先煎一两。）
项肖卿家拥巨资，人极好善。年仅三十五岁，体格壮伟。微感冬温，门下医者进以姜桂之剂，即觉躁扰。更医迎合媚意，径用大剂温补。两帖后发狂莫制。又招多医会诊，仅以青麟丸数钱服之。孟英诊视后，业已决裂，不可救药。服药之不可不慎啊！
邵奕堂的妻子六十岁，仲冬患喘嗽。用药无效，坐而不能卧者，旬日矣。乞诊孟英。邵述病原云：每进参汤，则喘稍定，虽服补剂，仍易出汗，虑其欲脱。及察脉，弦滑右甚。孟英说：“望闻问切之难，不可胸无权衡也。此证当凭脉设治，参汤切勿沾唇。”以栝蒌、薤白、旋覆花、苏子、花粉、杏仁、蛤壳、茯苓、青黛、海蜇为方，而以竹沥、萝卜汁和服。（注：脉弦为肝热挟虚，脉滑为痰热。右甚痰热在肺。栝楼仁研四钱；薤白打碎后下一钱半；旋复花包煎先煎三钱；生苏子研一钱半；花粉四钱；苦杏泥二钱；云茯苓一钱半；蛤壳捣碎先煎五钱；飞青黛一钱；淡海蜇先煎二两；姜竹沥一杯，萝卜汁半杯和服。）投药即减，十余帖全愈。同时有石媪者，患此极相似。脉见虚弦细滑。孟英于沙参、蛤壳、旋复花、杏仁、苏子、贝母、桑枝、茯苓中，重加熟地而瘳。所谓病同体异，难执成方也。（注：脉见虚弦细滑，为阴虚中兼挟阳虚痰浊。北沙参四钱；生蛤壳捣碎先煎五钱；旋复花包煎先煎三钱；苦杏泥二钱；生苏子研二钱；川贝母捣碎四钱；酒炒桑枝二钱；云茯苓三钱；大熟地八钱，开水泡汤去渣煎药。）
许妇患腿痛，而素多噫气。若指头一搓，或眉间一抹，其噫即不已。向以为虚，时服补剂，竟不能愈。孟英诊脉弦滑，乃痰阻于络，气不得宣也。以丝瓜络、竹茹、旋复花、橘络、羚羊角、茯苓、豆卷、金铃子、柿蒂、海蜇、荸荠、藕为方，吞当归龙荟丸而安。其媳因丧子悲哀，患发厥，屡服补剂，以致月经愆期。或疑为娠。孟英说：“脉弦数以滑，乃痰挟风阳而为厥也。”予大剂蠲痰息风舒郁清营之剂，渐以获愈。（注：噫即不已，为内风暗动。脉弦滑为肝风煽痰。此病温补灼津，痰乘风上。雪羹羚楝，救液息风。丝瓜络三钱；姜竹茹三钱；旋复花绢包三钱；净橘络后下一钱；羚羊角尖先煎八分钟四钱；云苓三钱；大豆卷后下三钱；川楝子核捣碎先煎四钱；干柿蒂十个；淡海蜇先煎二两；整荸荠一两；藕切二两。药送龙荟丸三钱。其媳脉弦数以滑，文义注重滑字。前证吃紧在肝，此证吃紧在肺。此编次者教人辨证苦心。蠲痰息风舒郁清营方：川贝母捣碎八钱；生冬瓜子四钱；酒炒知母四钱；鲜竹叶二钱；济银花一两五钱；石斛先煎一两；鲜薤白打一钱半；制半夏二钱；黄郁金一钱；整荸荠打碎一两。）
吴永言于十年前，读《论语》“不撤姜食”之文，因日服之，虽盛夏不辍。至三年前，患大溢血，虽以凉药治瘳，而时时火升，迄今不愈。季冬就诊孟英。身不衣绵，头面之汗蓬蓬也。且云：“服芩连则烦渴益甚，以苦能化燥也。用生地即闷滞不饥，以甘能缓中也。蔗梨入口亦然。”按其脉，沉取滑数，是从前之积热深伏于内。予白虎汤去草米，加竹叶、竹茹、花粉、海蜇、荸荠、银花、绿豆恣服。渐吐胶痰而愈。（治法在脉，沉取滑数，沉字注意。沉取滑数，则气失升降可知）
Swallowing Mengshi Guntan Wan (Lapis Malachitis Phlegm-Draining Pill) and Danggui Longhui Wan (Angelica Sinensis Gardenia Bile Pill). After four doses, severe diarrhea occurred dozens of times, with feces that were exceptionally foul-smelling and tough in texture. The muscle twitching ceased immediately. Then the two pills were removed, and Zhi Zi (Gardeniae Fructus), Lian Zi (Coptidis Rhizoma), and Huo Xiang (Agastaches Herba) were added. After taking six more doses, the patient's appetite recovered, and they could walk while being supported. (Prescription: Crushed Dioscoreae Hypoglaucae Rhizoma one liang; fresh Metulae Aurea prepared first for two liang; Antilopis Cornu Caprae Acutum prepared first with charcoal for eight minutes, four qian; Toosendan Fructus core crushed and prepared first, four qian; Chen Dan Xing (Arisaema cum Bile) stewed and mixed for administration, eight fen; Jing Ju Luo (Citri Reticulatae Pericarpium Viride network) added later, one qian; Jiang Zhu Li (Zingiberis Recens汁 mixed with Bamboo Sap) two large wine cups diluted; Siguo Luo (Bambusae Caulis Retinamen) three qian, taken with the decoction to deliver Guntan Wan three qian and Longhui Wan one qian.)
Son of Patient Yao. Muscle twitching in both legs, pain worsening when lying down. Pediatricians treated it as wind-stroke (convulsions), but the condition deteriorated. Meng Ying prescribed Xi Jiao (Rhinocerotis Cornu), Sheng Di Huang (Rehmanniae Radix), Mu Tong (Akebiae Caulis), Dou Juan (Sojae Semen Praeparatum), Wei Yu (Polygonati Odorati Rhizoma), Sang Zhi (Mori Ramulus), Dan Pi (Moutan Cortex), Zhi Zi (Gardeniae Fructus), and Siguo Luo (Bambusae Caulis Retinamen), resulting in efficacy. (Prescription: Slashed Xi Jiao (Rhinocerotis Cornu) prepared first for eight minutes, two qian; Da Sheng Di Huang (Rehmanniae Radix) soaked and decocted, dregs discarded, five qian; Xi Mu Tong (Akebiae Caulis) five fen; Da Dou Juan (Sojae Semen Praeparatum) one qian; Fei Yu Zhu (Polygonati Odorati Rhizoma) one and a half qian; Wine-fried Sang Zhi (Mori Ramulus) two qian; Fen Dan Pi (Moutan Cortex) one qian; Hei Zhi Pi (Gardeniae Fructus pericarpium) one and a half qian; Siguo Luo (Bambusae Caulis Retinamen) one and a half qian.)
Wife of Xu Gensheng, over forty years old. Contracted illness during intense summer heat. Chen Yueting consecutively administered Qingjie (clearing and resolving) herbs, but failed to curb the pathogenic force. Meng Ying examined the patient, noting a robust physique, abundant phlegm, a very slippery and rapid pulse, restlessness, delirium, crimson tongue, red face, thirst with desire to drink, and scanty, difficult urination. A large dose of Baihu Tang (White Tiger Decoction) was prescribed with added Xi Jiao (Rhinocerotis Cornu), Yuan Shen (Scrophulariae Radix), Yin Hua (Lonicerae Japonicae Flos), Hua Fen (Puerariae Radix), Bei Mu (Fritillariae Bulbus), Zhu Huang (Bambusae Caulis in Taenia), Zhu Ye (Bambusae Folium), Zhu Ru (Bambusae Caulis in Taenia), delivered via decoction along with Guntan Wan (Phlegm-Draining Pill). After ingestion, stool resembling glue and lacquer was passed, and the pulse and symptoms gradually harmonized. Several days later, the pill was discontinued, but the condition worsened again, even leading to syncope. The pill was reinstated, and the condition stabilized. This cycle repeated three times before the danger subsided. Yueting then used Baijin Wan (Platinum Pill) to eliminate retained phlegm below the diaphragm, followed by continuous use of Ganliang Runrun (Sweet-Cool Moistening) methods to replenish body fluids and search out residual heat, leading to gradual recovery. (Prescription: Sheng Shi Gao (Gypsum Fibrosum) prepared first, one liang six qian; Wine-fried Zhi Mu (Anemarrhenae Rhizoma) four qian; Slashed Xi Jiao (Rhinocerotis Cornu) prepared first, four qian; Ji Yin Hua (Lonicerae Japonicae Flos) one liang five qian; Nan Hua Fen (Puerariae Radix) five qian; Chuan Bei Mu (Fritillariae Cirrhosae Bulbus) crushed, one liang; Tian Zhu Huang (Bambusae Caulis in Taenia) four qian; Xian Zhu Ye (Bambusae Folium) two qian; Jiang Zhu Ru (Bambusae Caulis in Taenia) four qian; Jiang Zhu Li (Zingiberis Recens汁 mixed with Bamboo Sap) two large wine cups diluted, ginger juice comprising 20% of the bamboo sap; decoction used to deliver Guntan Wan four qian; Yuan Shen Pian (Scrophulariae Radix slice) soaked and diluted, dregs discarded, eight qian.)
Mother-in-law of Shen Xinyu suddenly suffered from syncope. Upon examination, Meng Ying noted the patient lived on an upper floor where the heat was stifling. He stated, "This is a constitution with yin deficiency and inherent hyperactivity of liver yang. Summer-heat pathogen has entered the pericardium. It is urgent to move the bed to a cool place." Immediately, Yixue Dan (Purple Snow Pill) one qian was administered, mixed with newly drawn cold water, which brought peace. Following this method, the medicine was forced down, and the patient indeed calmed down instantly.
Xu family woman, pregnant, suffered from limb pain so severe she could not flex or extend her limbs. Medications were ineffective. Meng Ying diagnosed, "Summer-heat pathogen has entered the collaterals. My wife once suffered from this and was cured using Sang Zhi (Mori Ramulus), Zhu Ye (Bambusae Folium), Bian Dou Ye (Phaseoli Cordati Folium), Siguo Luo (Bambusae Caulis Retinamen), Ling Yang Jiao (Caprae Cornu), Dou Juan (Sojae Semen Praeparatum), Zhi Mu (Anemarrhenae Rhizoma), Huang Qin (Scutellariae Radix), Bai Wei (Cynanchi Atrati Radix), and Zhi Zi (Gardeniae Fructus)." She took the prescription as directed and recovered. (Prescription: Wine-fried Sang Zhi (Mori Ramulus) four qian; Fresh Zhu Ye (Bambusae Folium) two qian; Bian Dou Ye (Phaseoli Cordati Folium) three qian; Siguo Luo (Bambusae Caulis Retinamen) three qian; Ling Yang Jiao (Caprae Cornu) prepared first, four qian; Da Dou Juan (Sojae Semen Praeparatum) added later, three qian; Wine-fried Zhi Mu (Anemarrhenae Rhizoma) three qian; Wine-fried Ku Qin (Scutellariae Radix) one and a half qian; Xiang Bai Wei (Cynanchi Atrati Radix) one and a half qian; Hei Zhi Pi (Gardeniae Fructus pericarpium) three qian.)
Chen family woman, previously healthy, was vigorous after childbirth, with abundant lactation and good appetite. In early June, she suddenly emaciated. Initially suspected to be due to hot weather, she gradually reduced food intake. Meng Ying examined her, finding a fine and rapid pulse, and a glossy, crimson tongue without coating. He said, "This is Ji Lao (Acute Consumption). There is no medicine for it. Milk is transformed from blood. The quantity of milk reflects the abundance or scarcity of blood. Now, excessive lactation is like a plant expelling all its essence outward just before withering. Even if we stop lactation now, it will be too late." Lactation was stopped immediately, and medicine was given. She died in autumn.
Grandson of Wu, suffering from fever and profuse diarrhea, extreme thirst, scanty urine, and absence of nasal discharge and tears. Meng Ying said, "Summer-heat and dampness are affecting the spleen and stomach." He prescribed Sha Shen (Glehniae Radix), Sheng Yi Yi Ren (Coicis Semen), Sheng Bian Dou (Phaseoli Tostrei Semen), Yin Hua (Lonicerae Japonicae Flos), Shi Hu (Dendrobii Caulis), Hua Shi (Talcum), Gan Cao (Glycyrrhizae Radix et Rhizoma), Zhu Ye (Bambusae Folium), and Dong Gua Pi (Benincasae Exocarpium), decocted in Cheng Di Jiang (Clarified Earth Water). The patient recovered in a few days. Note: Such cases are invariably treated by pediatricians as Jing Feng (Wind-Stroke/Convulsions), leading to many premature deaths. (Prescription: Bei Sha Shen (Glehniae Radix) three qian; Sheng Yi Yi Ren (Coicis Semen) crushed, four qian; Sheng Bian Dou (Phaseoli Tostrei Semen) crushed and prepared first, one and a half qian; Ji Yin Hua (Lonicerae Japonicae Flos) and Shi Hu (Dendrobii Caulis) prepared first, each five qian; Xi Hua Shi (Talcum) bagged and prepared first, three qian; Sheng Fen Cao (Glycyrrhizae Radix et Rhizoma) two qian; Fresh Zhu Ye (Bambusae Folium) one qian; Dong Gua Pi (Benincasae Exocarpium) four qian; Decocted in clarified earth water.)
Jiang, suffering from malaria. The physician prescribed Xiao Chai Hu Tang (Minor Bupleurum Decoction) and Ping Wei San (Peaceful Stomach Powder), but the condition worsened. Subsequently, large doses of warming tonics were given, bringing the condition to the brink of danger. Gui Zhi Bai Hu Tang (Cinnamon Twig White Tiger Decoction) was reused, but mania persisted. Meng Ying examined and said, "This is Shu Nüe (Summer-heat Malaria). Gui Zhi Bai Hu Tang would have been excellent at the onset. Now, warming dispersants and drying tonics have aided the pathogen and scorched the fluids. The pulse is uncontrolled and rapid, with incessant sweating and thirst. Although Baihu Tang is indicated, how can Gui Zhi be added? This aids heat and consumes fluids, hindering oneself." He prescribed a large dose of Baihu Tang (White Tiger Decoction) with added Hua Fen (Puerariae Radix), Zhu Ye (Bambusae Folium), Xi Yang Shen (American Ginseng), Yuan Shen (Scrophulariae Radix), and Shi Hu (Dendrobii Caulis). The patient felt better immediately. After more than ten doses, the malaria subsided, but the tongue remained coating-less, and thirst persisted. Sweet-cool moistening agents were given for over thirty doses until full recovery. (Prescription: Sheng Shi Gao (Gypsum Fibrosum) prepared first, one liang six qian; Wine-fried Zhi Mu (Anemarrhenae Rhizoma) five qian; Nan Hua Fen (Puerariae Radix) five qian; Fresh Zhu Ye (Bambusae Folium) two qian; Xi Yang Shen (American Ginseng) three qian; Yuan Shen Pian (Scrophulariae Radix slice) soaked and diluted, dregs discarded, eight qian; Shi Hu (Dendrobii Caulis) prepared first, one liang.)
Sun Xinyan, aged seventy, suffered from dysentery. Hu knew it was summer-heat and purged with Qing Lin Wan (Clear Forest Pill), which was appropriate. However, consecutive administration of Bai Zhu (Atractylodis Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Ban Xia (Pinelliae Rhizoma), and Ge Gen (Puerariae Radix) led to sore throat, oral ulcers, hiccups, and inability to open the mouth (Jin Kou). Physicians administered tonics, and the condition became critical. Meng Ying examined, finding the right pulse slippery, rapid, and surging upward, body heat, red face, scanty urination, insomnia, robust physique, and abundant phlegm, with frequent sweating. In the category of dysentery, this is indeed a critical sign. But correlating pulse and symptoms, is this yang deficiency with impending collapse? No, it is actually caused by ascending, dispersing, warming, and drying agents scorching yin fluids, causing qi of the lung and stomach to stagnate and fail to descend. Large doses of clearing and肃ifying (purifying/clearing) medicines were given. One dose showed improvement, two doses resolved the issue. Subsequently, fluids were nourished, and the dysentery healed. (Prescription: Fresh Lu Gen (Phragmitis Rhizoma) two liang; Hei Zhi Pi (Gardeniae Fructus pericarpium) three qian; Wine-fried Ku Qin (Scutellariae Radix) one and a half qian; Wine-fried Zhi Mu (Anemarrhenae Rhizoma) three qian; Whole Bi Qi (Dioscoreae Hypoglaucae Rhizoma) one liang; Dan Hai Zhe (Metulae Aurea) two liang; Shi Hu (Dendrobii Caulis) prepared first, one liang; Nan Hua Fen (Puerariae Radix) five qian; Yuan Shen Pian (Scrophulariae Radix slice) soaked and diluted, dregs discarded, eight qian; Hai Fu Shi (Pumex) and Sheng Ge Qiao (Tridacnae Concha) each five qian, prepared first together; Xuan Fu Hua (Inulae Flos) bagged and prepared first, three qian; Sheng Shi Gao (Gypsum Fibrosum) prepared first, one liang two qian.)
Cao Zuo, suffering from simultaneous malaria and dysentery. Less chills, more fever, passing five-colored dysenteric stools. Meng Ying examined, noting a dirty complexion, yellow coating, dry retching, thirst, painful distension, red urine, sweating, mental fatigue, and a洪大 (surging-large) pulse uncountable. He prescribed a large dose of Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Hua Shi (Talcum), Hou Po (Magnoliae Officinalis Cortex), Zhi Mu (Anemarrhenae Rhizoma), Hua Fen (Puerariae Radix), Yin Hua (Lonicerae Japonicae Flos), Shi Gao (Gypsum Fibrosum), Lian Qiao (Forsythiae Fructus), and Zhu Ru (Bambusae Caulis in Taenia). The effect was immediate upon administration, and the patient rose after three doses. (Note: Dirty complexion and yellow coating indicate excess-heat. Dry retching indicates yang depression; mental fatigue indicates yang loss through sweat, hence Hou Po is included. Surging-large rapid pulse indicates yin deficiency with heat, hence Hua Fen is included. Wine-fried Ku Qin (Scutellariae Radix) one and a half qian; Wine-fried Chuan Lian (Coptidis Rhizoma) one qian; Wine-fried Zhi Mu (Anemarrhenae Rhizoma) three qian; Prepared Hou Po (Magnoliae Officinalis Cortex) one qian; Nan Hua Fen (Puerariae Radix) five qian; Ji Yin Hua (Lonicerae Japonicae Flos) one liang five qian; Sheng Shi Gao (Gypsum Fibrosum) prepared first, one liang two qian; Lian Qiao Ke (Forsythiae Fructus shell) three qian; Jiang Zhu Ru (Bambusae Caulis in Taenia) four qian.)
Chen Zi, contracted a cold in early autumn. Physicians prescribed exterior-releasing and warming tonics, worsening the disease. By early August, Meng Ying examined him: eyes staring, spirit dull, intermittent panting, crimson tongue, muteness, watery diarrhea, limb twitching, and cold extremities. The pulse was wiry, soft, and rapid. This is a constitution of yin deficiency and liver excess. Exterior release aided rising rebellion; warming tonics obstructed the pivot. Phlegm-fluid retention and wind-yang rampant ensued. He prescribed Bie Jia (Testudinis Carapax et Plastrum), Long Gu (Fossilia Ossis Mastodi), Mu Li (Ostreae Concha), Xuan Fu Hua (Inulae Flos), Zhe Shi (Haematitum), Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Chuan Lian (Toosendan Fructus), Bei Mu (Fritillariae Bulbus), Shi Chang Pu (Acori Tatarinowii Rhizoma), Zhu Ru (Bambusae Caulis in Taenia), Dan Xing (Arisaema cum Bile), Xi Jiao (Rhinocerotis Cornu), and Ling Yang Jiao (Caprae Cornu). These extinguished wind, anchored rebellion, cleared heat, and dispelled phlegm. After several doses, the condition stabilized. (Prescription: Blood Bie Jia (Testudinis Carapax et Plastrum) crushed, two liang; Mu Li (Ostreae Concha) crushed, four liang; Long Gu (Fossilia Ossis Mastodi) crushed, one liang; Vine-processed Zhe Shi (Haematitum) crushed, eight qian; Slashed Xi Jiao (Rhinocerotis Cornu) and Ling Yang Jiao (Caprae Cornu) each four qian, these five items prepared first with charcoal for eight minutes, decoction used as water for brewing other herbs; Xuan Fu Hua (Inulae Flos) silk-bagged, three qian; Wine-fried Ku Qin (Scutellariae Radix) one qian; Wine-fried Chuan Lian (Coptidis Rhizoma) two qian; Chuan Lian (Toosendan Fructus) core crushed and prepared first, two qian; Chuan Bei Mu (Fritillariae Cirrhosae Bulbus) crushed, eight qian; Shi Chang Pu (Acori Tatarinowii Rhizoma) added later, two qian; Jiang Zhu Ru (Bambusae Caulis in Taenia) three qian; Chen Dan Xing (Arisaema cum Bile) stewed and mixed for administration, eight fen.)
Gong Fu, contracted an autumnal cold. Condition worsened daily after taking warming dispersants. Meng Ying examined: pulse wiry, rapid, soft, and slippery; black coating; limb twitching. He prescribed Sha Shen (Glehniae Radix), Yuan Shen (Scrophulariae Radix), Zhi Mu (Anemarrhenae Rhizoma), Hua Fen (Puerariae Radix), Xi Jiao (Rhinocerotis Cornu), Ling Yang Jiao (Caprae Cornu), Zhu Ru (Bambusae Caulis in Taenia), Bei Mu (Fritillariae Bulbus), Zhi Zi (Gardeniae Fructus), and Shi Chang Pu (Acori Tatarinowii Rhizoma). He said, "Take this urgently, or syncope will occur." After administration, life was saved. Next day re-examination: pulse more harmonious. Consistent cooling therapy led to gradual recovery. (Prescription: Bei Sha Shen (Glehniae Radix) eight qian; Yuan Shen Pian (Scrophulariae Radix slice) soaked and diluted, dregs discarded, one liang; Wine-fried Zhi Mu (Anemarrhenae Rhizoma) four qian; Nan Hua Fen (Puerariae Radix) five qian; Slashed Xi Jiao (Rhinocerotis Cornu) and Ling Yang Jiao (Caprae Cornu) each four qian, prepared first with charcoal for eight minutes; Hei Zhi Pi (Gardeniae Fructus pericarpium) three qian; Shi Chang Pu (Acori Tatarinowii Rhizoma) added later, two qian.)
Wu Mou, fell ill after the provincial examination. Meng Ying found the pulse very rapid, red urine, yellow coating, thirst, and dry coughing. The disease originated from summer-heat and dampness, but the constitution was extremely yin-deficient, transforming into heat. Purging was contraindicated, and any contact with warming-drying herbs should be avoided. First, light-clearing and肃ifying (purifying/clearing) agents were given, followed by sweet-cool heat-removing agents. Gradually, the patient could eat. Half a month later, the heat completely subsided. Night sweats and insomnia appeared, treated with large doses of nourishing-filling and anchoring-subduing agents, combined with swallowing Wu Wei Zi Ci Zhu Wan (Schisandra Magneta Pil). After dozens of doses, recovery was achieved. (Light-clearing formula: Bei Sha Shen (Glehniae Radix) eight qian; Yuan Shen Pian (Scrophulariae Radix slice) soaked and diluted, dregs discarded, one liang; Nan Hua Fen (Puerariae Radix) five qian; Fresh Lu Gen (Phragmitis Rhizoma) two liang; Fresh Pi Ye (Eriobotryae Folium) brushed and bagged, three qian; Fresh Zhu Ye (Bambusae Folium) two qian; Wine-fried Zhi Mu (Anemarrhenae Rhizoma) four qian; Dan Hai Zhe (Metulae Aurea) prepared first, two liang; Dong Gua Pi (Benincasae Exocarpium) four qian. Sweet-cool heat-removing formula: Honey-mixed Lu Gen (Phragmitis Rhizoma) two liang; Honey-fried Pi Ye (Eriobotryae Folium) brushed and bagged, three qian; Fresh Mao Gen (Imperatae Rhizoma) five qian; Ji Yin Hua (Lonicerae Japonicae Flos) one liang; Fresh Zhu Ye (Bambusae Folium) two qian; Whole Bi Qi (Dioscoreae Hypoglaucae Rhizoma) crushed, one liang; Wine-fried Zhi Mu (Anemarrhenae Rhizoma) three qian; Qing Guo (Canarii Fructus) with core crushed and prepared first, one. Large nourishing-filling formula: Da Shu Di (Rehmanniae Radix Preparata) eight qian; Da Sheng Di (Rehmanniae Radix) one liang; Ming Tian Dong (Asparagi Radix) cut, six qian; Hua Mai Dong (Ophiopogonis Radix) four qian; Qing Guo (Canarii Fructus) crushed and prepared first, three qian; Shi Bing Rou (Datiscae Fructus flesh) de-rimed, five qian; Shan Yu Rou (Corni Fructus) one and a half qian; Mu Li (Ostreae Concha) six liang; Long Gu (Fossilia Ossis Mastodi) crushed, one liang; Blood Bie Jia (Testudinis Carapax et Plastrum) crushed, three liang; Zi Shi Ying (Pyritum) five qian. Four items prepared first with charcoal for eight minutes, decoction used as water for brewing other herbs. Medicine delivered Wu Wei Zi (Schisandrae Chinensis Fructus) three fen and Ci Zhu Wan (Magneta Pil) two qian.)
Zhang Shi, since mid-pregnancy abortion in spring, had intermittent fever until late autumn. Extensive use of yin-nourishing herbs failed. Meng Ying examined the pulse, feeling empty upon pressure. He prescribed Dang Gui Bu Xue Tang (Angelica Tonify-Qi Decoction), and the fever subsided. Subsequently, Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) cured the condition. (Prescription: Fried Xi Huang Qi (Astragali Radix) five qian; Dang Gui Shen (Angelicae Sinensis Radix) two qian; Fried Bai Zhu (Atractylodis Rhizoma) three qian; Fried Yun Ling (Poria) three qian; Fried Lu Dang (Codonopsis Radix) three qian; Prepared Ban Xia (Pinelliae Rhizoma) three qian; Fried Chen Pi (Citri Reticulatae Pericarpium) one qian; Wu Mei Rou (Mume Fructus flesh) three qian; Ye Jiao Teng (Polygoni Multiflori Caulis) three qian; Fried Yu Zhu (Polygonati Odorati Rhizoma) three qian. Followed by Xiao Jian Zhong Tang: Fried Fen Cao (Glycyrrhizae Radix et Rhizoma) three qian; Da Zao (Jujubae Fructus) split, three pieces; Lu Dang Shen (Codonopsis Radix) three qian; Yun Ling (Poria) three qian; Dang Gui Shen (Angelicae Sinensis Radix) two qian; Wine-fried Bai Shao (Paeoniae Radix Alba) one and a half qian; Fried Suan Zao Ren (Ziziphi Spinosae Semen) three qian; Ye Jiao Teng (Polygoni Multiflori Caulis) three qian; Chen Mu Gua (Chaenomelis Fructus) three qian; Shan Yu Rou (Corni Fructus) three qian.)
Yu Zi, contracted a cold, accompanied by abdominal pain and distension. Hu prescribed warming dispersants, leading to obstruction of urination and defecation, delirium, extreme thirst, and black prickly tongue coating. Meng Ying prescribed Xi Jiao (Rhinocerotis Cornu), Lian Qiao (Forsythiae Fructus), Chuan Lian (Toosendan Fructus), Bo He (Menthae Haplocalycis Herba), Zhi Zi (Gardeniae Fructus), Huang Lian (Coptidis Rhizoma), Hua Fen (Puerariae Radix), Yuan Shen (Scrophulariae Radix), and Da Huang (Rhei Radix et Rhizoma). After bowel movement, spirit cleared. Xi Jiao was removed, and Dan Pi (Moutan Cortex) added. After two doses, coating dissolved and heat receded, leaving only lower abdominal stiffness and distension, and lack of hunger. The prescription was changed to Zhi Zi (Gardeniae Fructus), Huang Lian (Coptidis Rhizoma), Chuan Lian (Toosendan Fructus), Bai Ji Li (Tribuli Fructus), Yan Hu Suo (Corydalis Rhizoma), Ju He (Citri Reticulatae Fructus), Rong Rong (Cynomorii Herba), Hua Fen (Puerariae Radix), and Zhi Jun (Prepared Da Huang). Black stools were passed continuously, and the patient gradually stabilized. (Note: Meng Ying's use of purgation here must have been based on pulse evidence, not just symptoms. Slashed Xi Jiao (Rhinocerotis Cornu) prepared first, four qian; Lian Qiao Ke (Forsythiae Fructus shell) three qian; Chuan Lian (Toosendan Fructus) core crushed and prepared first, four qian; Bo He Jian (Menthae Haplocalycis Herba tip) added later, one and a half qian; Wine-fried Chuan Lian (Coptidis Rhizoma) one qian; Nan Hua Fen (Puerariae Radix) five qian; Yuan Shen Pian (Scrophulariae Radix slice) soaked and diluted, dregs discarded, one liang; Raw Da Huang (Rhei Radix et Rhizoma) soaked and pressed, diluted, four qian. Subsequently, Xi Jiao removed, Fen Dan Pi (Moutan Cortex) added, two qian. Lower abdominal stiffness implies tenderness to pressure, hence Zhi Jun (Prepared Da Huang) is used with acrid-warm moving agents. Changed to Hei Zhi Pi (Gardeniae Fructus pericarpium) three qian; Wine-fried Chuan Lian (Coptidis Rhizoma) eight fen; Chuan Lian (Toosendan Fructus) core crushed and prepared first, three qian; Sheng Bai Ji Li (Tribuli Fructus) three qian; Yan Hu Suo (Corydalis Rhizoma) one and a half qian; Ju He (Citri Reticulatae Fructus) crushed, one qian; Dan Rong Rong (Cynomorii Herba) one and a half qian; Medicine soaked with Zhi Jun (Prepared Da Huang) four qian.)
Zhou Tongfu, suffering from malaria with profuse sweating. Doctors feared collapse and prescribed Niujin Tang (Rescue Reversal Decoction), worsening the condition. Meng Ying examined and said, "This is Shi Nüe (Damp Malaria). Damp patients often sweat; there is no need to fear. Moreover, with thirst and red urine, warming tonics are contraindicated." Clearing and resolving agents were given, leading to gradual peace. Later, his father Qiu Shu fell ill. Initial warming tonics worsened the condition. Another doctor identified it as Fu Shu (Latent Summer-heat). After several doses of appropriate medicine, the heat gradually receded. Meng Ying was consulted, finding the chi pulse chaotic. He told the nephew, "Your uncle's condition cannot be cured; I cannot treat it." This proved true. (Clearing formula: Dong Gua Pi (Benincasae Exocarpium) four qian; Hei Zhi Pi (Gardeniae Fructus pericarpium) three qian; Fresh Lu Gen (Phragmitis Rhizoma) two liang; Wine-fried Ku Qin (Scutellariae Radix) one and a half qian; Wine-fried Chuan Lian (Coptidis Rhizoma) eight fen; Chuan Lian (Toosendan Fructus) core crushed and prepared first, two qian; Bo He Jian (Menthae Haplocalycis Herba tip) added later, eight fen; Fresh Pi Ye (Eriobotryae Folium) brushed and bagged, three qian; Nan Hua Fen (Puerariae Radix) five qian; Xi Mu Tong (Akebiae Caulis) one qian; Dan Hai Zhe (Metulae Aurea) prepared first, two liang. Zhou Qiu Shu's chi pulse was chaotic, likely left chi. Left chi blazing heat and yin exhaustion means inevitable death.)
Xu Shoucun, long suffering from phlegm-cough. Meng Ying advocated Zishui Shugan (Nourishing Water and Soothing Liver) method, due to yin deficiency with depression. The patient was recovering. An acquaintance, having read some medical books, claimed yin-nourishing herbs should not be overused, and administered warming tonics. Cough returned, progressing to sore throat. Early winter, Meng Ying was consulted again. He said, "All six pulses are rapid, appearing in the water season (winter). Can he survive spring?" It came true. Many people do not differentiate yin and yang of the syndrome, only discussing the coolness or warmth of herbs, leading to many failures.
Zhu Fu, repeatedly suffered miscarriages. Took fetal-protection herbs during pregnancy with no effect. This autumn, conceived and developed cough. Meng Ying abandoned all warming tonics, prescribing purely lung-clearing agents. When questioned, he said, "Fetal instability due to yuan qi weakness requires tonification; instability due to pathogenic invasion requires treating the disease. Now, the right cun pulse is slippery, large, and pounding against the finger. Treating the disease is precisely how we protect the fetus. If one does not understand this, and merely uses common fetal-protection herbs, lung qi will become more congested, cough worse, disturbing the uterus, and the fetus will abort." The treatment was highly effective. (Note: Slippery pulse indicates phlegm-excess; large pulse here indicates yin deficiency. Wine-fried Zhi Mu (Anemarrhenae Rhizoma) four qian; Chen Dan Xing (Arisaema cum Bile) stewed and mixed for administration, eight fen; Fresh Lu Gen (Phragmitis Rhizoma) two liang; Fresh Pi Ye (Eriobotryae Folium) brushed and bagged, three qian; Xuan Fu Hua (Inulae Flos) bagged and prepared first, three qian; Dan Hai Zhe (Metulae Aurea) prepared first, two liang; Nan Hua Fen (Puerariae Radix) five qian; Qing Guo (Canarii Fructus) core prepared first, one; Bei Sha Shen (Glehniae Radix) eight qian; Fang Tong Cao (Tetrapanacis Medulla) three qian; Shi Hu (Dendrobii Caulis) prepared first, one liang.)
Xiao Xiaoqing, wealthy and benevolent, aged thirty-five, robust. Mildly contracted winter-warmth. His doctor prescribed Ginger and Cinnamon, causing agitation. Another doctor flattered, prescribing large doses of warming tonics. After two doses, uncontrollable mania ensued. Multiple doctors were summoned, administering only a few qian of Qing Lin Wan (Clear Forest Pill). Meng Ying examined and declared the condition shattered and incurable. How important it is to be cautious with medication!
Sho Yitang's wife, aged sixty, contracted wheezing and coughing in mid-winter. Medications failed; she could not lie down for ten days. Meng Ying was consulted. Sho described that ginseng soup temporarily relieved wheezing, but sweating persisted despite tonics, fearing collapse. Pulse was wiry, slippery, and stronger on the right. Meng Ying said, "The difficulty of inspection, listening, inquiry, and palpation cannot be underestimated without internal balance. This case must be treated based on the pulse. Do not touch ginseng soup." He prescribed Gua Lou (Trichosanthis Fructus), Xie Bai (Allii Macrostemi Bulbus), Xuan Fu Hua (Inulae Flos), Su Zi (Perillae Fructus), Hua Fen (Puerariae Radix), Xing Ren (Armeniacae Semen Amarum), Ge Qiao (Tridacnae Concha), Fu Ling (Poria), Qing Dai (Azurite), and Hai Zhe (Metulae Aurea), mixed with Zhu Li (Bamboo Sap) and Fu Zhi (Radish Juice). (Note: Wiry pulse indicates liver-heat with deficiency; slippery pulse indicates phlegm-heat. Right dominance indicates phlegm-heat in the lung. Gua Lou Ren (Trichosanthis Fructus) ground, four qian; Xie Bai (Allii Macrostemi Bulbus) crushed, added later, one and a half qian; Xuan Fu Hua (Inulae Flos) bagged and prepared first, three qian; Sheng Su Zi (Perillae Fructus) ground, one and a half qian; Hua Fen (Puerariae Radix) four qian; Ku Xing Ni (Armeniacae Semen Amarum paste) two qian; Yun Ling (Poria) one and a half qian; Ge Qiao (Tridacnae Concha) crushed and prepared first, five qian; Fei Qing Dai (Azurite) one qian; Dan Hai Zhe (Metulae Aurea) prepared first, two liang; Jiang Zhu Li (Zingiberis Recens汁 mixed with Bamboo Sap) one cup, Fu Zhi (Radish Juice) half cup, mixed for administration.) Effect was immediate, fully cured after ten-plus doses. At the same time, Shi Ao suffered a very similar condition. Pulse was deficient, wiry, fine, and slippery. Meng Ying added heavy doses of Shu Di (Rehmanniae Radix Preparata) to Sha Shen (Glehniae Radix), Ge Qiao (Tridacnae Concha), Xuan Fu Hua (Inulae Flos), Xing Ren (Armeniacae Semen Amarum), Su Zi (Perillae Fructus), Bei Mu (Fritillariae Bulbus), Sang Zhi (Mori Ramulus), and Fu Ling (Poria), achieving cure. This illustrates that diseases may be the same, but constitutions differ, making fixed formulas inadequate. (Note: Deficient, wiry, fine, slippery pulse indicates yin deficiency with concurrent yang deficiency and phlegm-turbidity. Bei Sha Shen (Glehniae Radix) four qian; Sheng Ge Qiao (Tridacnae Concha) crushed and prepared first, five qian; Xuan Fu Hua (Inulae Flos) bagged and prepared first, three qian; Ku Xing Ni (Armeniacae Semen Amarum paste) two qian; Sheng Su Zi (Perillae Fructus) ground, two qian; Chuan Bei Mu (Fritillariae Cirrhosae Bulbus) crushed, four qian; Wine-fried Sang Zhi (Mori Ramulus) two qian; Yun Ling (Poria) three qian; Da Shu Di (Rehmanniae Radix Preparata) eight qian, decocted in hot water after discarding dregs.)
Xu Fu, suffering from leg pain, prone to belching. Rubbing fingertips or wiping eyebrows triggered incessant belching. Previously considered deficiency, treated with tonics without success. Meng Ying found wiry and slippery pulse, diagnosing phlegm obstructing collaterals preventing qi diffusion. Prescription: Siguo Luo (Bambusae Caulis Retinamen), Zhu Ru (Bambusae Caulis in Taenia), Xuan Fu Hua (Inulae Flos), Ju Luo (Citri Reticulatae Pericarpium Viride network), Ling Yang Jiao (Caprae Cornu), Fu Ling (Poria), Dou Juan (Sojae Semen Praeparatum), Jin Ling (Meliosmae Fructus), Shi Di (Diospyri Calyx), Hai Zhe (Metulae Aurea), Bi Qi (Dioscoreae Hypoglaucae Rhizoma), Ou (Nelumbinis Rhizoma). Swallowed Danggui Longhui Wan (Angelica Sinensis Gardenia Bile Pill) for relief. His daughter-in-law, grieving son's death, suffered syncope. Repeated tonic use caused menstrual delay. Pregnancy was suspected. Meng Ying said, "Wiry, rapid, and slippery pulse indicates phlegm with wind-yang causing syncope." Prescribed large doses of phlegm-dispelling, wind-extinguishing, depression-soothing, and nutritive-clearing agents, leading to gradual recovery. (Note: Incessant belching indicates latent internal wind. Wiry-slippery pulse indicates liver wind stirring phlegm. Warming tonics scorched fluids, phlegm riding wind upward. Xue Geng (Snow Soup: Hai Zhe and Bi Qi), Ling Yang Jiao, and Chuan Lian save fluids and extinguish wind. Siguo Luo (Bambusae Caulis Retinamen) three qian; Jiang Zhu Ru (Bambusae Caulis in Taenia) three qian; Xuan Fu Hua (Inulae Flos) silk-bagged, three qian; Jing Ju Luo (Citri Reticulatae Pericarpium Viride network) added later, one qian; Ling Yang Jiao (Caprae Cornu) prepared first for eight minutes, four qian; Yun Ling (Poria) three qian; Da Dou Juan (Sojae Semen Praeparatum) added later, three qian; Chuan Lian (Toosendan Fructus) core crushed and prepared first, four qian; Dried Shi Di (Diospyri Calyx) ten pieces; Dan Hai Zhe (Metulae Aurea) prepared first, two liang; Whole Bi Qi (Dioscoreae Hypoglaucae Rhizoma) one liang; Cut Ou (Nelumbinis Rhizoma) two liang. Medicine delivered Longhui Wan (Gardenia Bile Pill) three qian. Daughter-in-law's wiry-rapid-slippery pulse emphasizes slipperiness. Previous case focused on liver; this case focuses on lung. Editor's intent to teach differentiation. Phlegm-dispelling, wind-extinguishing, depression-soothing, nutritive-clearing formula: Chuan Bei Mu (Fritillariae Cirrhosae Bulbus) crushed, eight qian; Sheng Dong Gua Zi (Benincasae Semen) four qian; Wine-fried Zhi Mu (Anemarrhenae Rhizoma) four qian; Fresh Zhu Ye (Bambusae Folium) two qian; Ji Yin Hua (Lonicerae Japonicae Flos) one liang five qian; Shi Hu (Dendrobii Caulis) prepared first, one liang; Fresh Xie Bai (Allii Macrostemi Bulbus) crushed, one and a half qian; Prepared Ban Xia (Pinelliae Rhizoma) two qian; Huang Yu Jin (Curcumae Radix) one qian; Whole Bi Qi (Dioscoreae Hypoglaucae Rhizoma) crushed, one liang.)
Wu Yongyan, ten years ago, read the Analects passage "not removing ginger from meals," and consumed ginger daily, even in midsummer. Three years ago, suffered massive hemorrhage. Cooled with cold herbs, but fire surged intermittently, unresolved. Late winter, consulted Meng Ying. Body did not wear cotton; head and face perspired profusely. Said, "Taking Qin Lian (Scutellaria and Coptis) worsens irritability and thirst because bitterness transforms into dryness. Using Sheng Di (Rehmannia) causes stuffiness and loss of appetite because sweetness slows the middle. Sugarcane and pear are the same." Pulse deep and slippery-rapid upon deep pressure indicates accumulated heat deeply lodged within. Prescribed Baihu Tang (White Tiger Decoction) removing Gan Cao (Licorice) and Mi (Rice), adding Zhu Ye (Bambusae Folium), Zhu Ru (Bambusae Caulis in Taenia), Hua Fen (Puerariae Radix), Hai Zhe (Metulae Aurea), Bi Qi (Dioscoreae Hypoglaucae Rhizoma), Yin Hua (Lonicerae Japonicae Flos), and Lu Dou (Phaseoli Radiati Semen), allowed free consumption. Gradually expectorated glue-like phlegm and recovered. (Treatment principle lies in the pulse. Deep pressure reveals slippery-rapid. Emphasis on 'deep'. Deep slippery-rapid indicates loss of qi ascent and descent.)