次入一钱。姜竹沥一酒杯冲。芦菔一两。切煨煎药。三帖后便行能卧。自言胸中迷闷。改用
姜汁炒川连八分。栝蒌仁研三钱。制半夏一钱。生白芥子研。生莱菔子研。生苏子研。各一
钱半。北沙参四钱。姜炒知母三钱。旋复包先一钱半。姜竹茹三钱。姜枇叶刷包一片。王炳
华
子右脉弦大而强。为痰热窒肺。舌根黑苔如煤。肺肾为子母之脏。此为肺热注肾。简单论证
为温补窒肺。旋复包先三钱。生赭石杵先一两六钱。姜炒川连二钱。炒枳实一钱半。栝蒌仁
研四钱。生苏子研次入二钱。苦杏泥一钱半。紫菀茸一钱。生石膏先煎一两二钱。鲜芦菔一
两。打自然汁冲。更方去旋赭。加生白芥子研二钱。制半夏一钱半。鲜薤白打一钱半。终更
方
西洋参三钱。苦杏泥二钱。川贝母杵八钱。鲜芦根一两。姜汁炒知母三钱。生冬瓜子三钱。
南花粉四钱。柿霜一钱。姜枇叶刷包三钱。姜竹沥两酒杯冲。)
高汉芳患滞下色酱。日数十行。年已七十七岁。自去秋以来。渐形疲惫。即服补药。驯致见
痢。黄某径用温补。势乃剧。孟英诊之。右脉弦细芤迟。口渴溲涩。时时面赤自汗。乃吸受
暑邪。误作虚治。幸其所禀极坚。尚能转痢。一误再误。邪愈盛而正反虚矣。以白头翁汤加
参
术银花芩芍楝斛延胡。二剂即减。五剂而安。继予调补。竟得霍然。（滞下色酱。本挟热邪
。补药留邪。素禀极坚。尚能运邪下行作痢。脉弦为肝热。细为阴虚。芤迟为阳弱。酒炒白
头翁一钱半。炒潞党三钱。炒白术三钱。济银花八钱。酒炒枯芩一钱。酒炒白芍一钱半。楝
核杵先二钱。石斛先煎四钱。酒炒元胡索次入一钱半。)
朱叶氏上年四月分娩。七月患赤痢。其家谓产后之病。不敢服药。延至今春。肌消膝软。见
食欲呕。孟英诊之。左细软。右滑数。伏暑为病。幸未误药。予沙参陈仓米归芍续断木瓜扁
豆连斛石莲荷蒂柿蒂枇杷叶橘皮为方。送驻车丸而愈。（脉左细软为血分阴虚。右滑数为暑
邪壅遏气分。故方中泻暑清气之药较多。北沙参四钱。陈仓米洗三钱。酒炒白芍一钱半。箱
归身一钱。陈木瓜一钱半。生扁豆杵三钱。川续断一钱半。酒炒川连二钱。石斛先煎五钱。
陈石莲杵先二钱。干荷蒂三钱。干柿蒂十个。鲜枇叶刷包三钱。陈橘皮次入一钱半。药送驻
车丸三钱。驻车丸黄连阿胶干姜当归。木瓜合黄连为酸苦泄肝。黄连合橘皮为苦辛治呕。驻
车内黄连阿胶针治脉右滑数。干姜当归针治左细软。)
郑芷塘妻母年逾花甲。仲春患右手足不遂。舌謇不语。面赤便秘。医予疏风不效。延诊孟英
。右洪滑。左弦数。为阳明腑实之候。书石菖蒲胆星知母花粉枳实蒌仁秦艽旋复麻仁竹沥为
方。盖古人中脏宜下之脏字。乃腑字之讹。柯韵伯云。读书无眼。病患无命。书方未服。延
至二旬。苔裂舌绛。米饮不沾。腹胀息粗。阴津欲竭。非急下不可。即以前方加大黄四钱绞
汁服。连下黑矢五次。舌謇顿减。渐啜稀糜。乃去大黄加西洋参生地麦冬丹皮薄荷。服五剂
。复更衣。语言乃清。专用甘凉。充津涤热。又旬日。舌色始淡。纳谷如常。改以滋阴。渐
收全绩。（石菖蒲次入二钱。陈胆星炖和服一钱。酒炒知母五钱。南花粉四钱。姜蒌仁四钱
。左秦艽次入一钱半。旋复包先三钱。大麻仁研三钱。姜竹沥二大酒杯冲。方延半月未服。
加大黄四钱。绞汁冲服。此证右脉洪滑。必重按搏指不挠。嗣去大黄。加西洋参三钱。大生
地
八钱。花麦冬四钱。粉丹皮四钱。蒲荷尖次入一钱半。连下黑矢五次。气分暑邪略尽。重加
凉血之品。针治左脉弦数阴虚。仍加薄荷。使升浮凉润于上焦气分。斯为丝丝入扣。)
章养云室患感。适遇猝惊。黄包二医皆主温补。乃至昏谵痉厥。势极危殆。求诊孟英。证
交三十八日。脉至细数无伦。两手拘挛。宛如角弓之反张。痰升自汗。渴饮苔黄。面赤臀穿
。昼夜不能合眼。先予犀羚贝斛元参连翘知母花粉胆星牛黄鳖甲珍珠竹黄竹叶竹茹竹沥为方
。三剂两手渐柔。汗亦渐收。又五剂。热退痰降。脉较和。而自言自答。日夜不休。乃去羚
斛珠黄。加西洋参生地大块朱砂两许。服之聒絮不减。复于方中加青黛龙牡。服二剂。仍喋
喋不已。孟英苦思数四。径于前方加木通一钱。投匕即效。次日。病者自云前此小溲业已通
畅。不甚觉热。昨药服后。似有一团热气从心头直趋于下。由溺而泄。从此神气安谧。粥食
渐加。两腿能动。大解亦坚。忽咽肿大痛。水饮不下。孟英曰。余火上炎也。仍予前方。更
吹锡类散而安。惟臀疮未敛。腿痛不已。乃下焦气血伤残。改用参 归芍生地合欢山药麦冬
牛膝石斛木瓜桑枝藕肉。数服痛止餐加。又予峻补生肌而愈。（病情为温补助邪。肝风大
动。血鳖甲四两。镑犀角羚次尖各四钱。石斛一两。开水先炭煨八句钟。取汤代水煎药。川
贝母杵四钱。元参片开水泡冲去渣八钱。连翘壳三钱。酒炒知母四钱。南花粉四钱。陈胆星
炖和服八分。西牛黄研和服二厘。濂珠粉舌 药送一分。天竹黄三钱。鲜竹叶次入二钱。
姜
竹茹三钱。姜竹沥两大酒杯冲。嗣去羚斛珠黄。加西洋参三钱。大生地八钱。大块朱砂一两
二钱。复加飞青黛一钱。 龙骨杵一两。 牡蛎杵四两。终加细木通一钱。下焦气血伤残方
。潞党参三钱。生西 三钱。箱归身二钱。酒炒白芍一钱半。大生地八钱。合欢皮一钱半。
淮山药三钱。花麦冬四钱。制牛膝七分。石斛先煎一两。陈木瓜三钱。酒炒桑枝三钱。连皮
藕肉切先一两。)
吴女患感。诸医首以升散。继进温补。至三月下旬。证交三十五日。昏痉谵语。六昼夜不交
睫。旬日不沾米饮。孟英会诊。脉弦滑而微数。齿不能开。窥其舌缩苔垢。孟英曰∶尖虽卷
。色犹红润。且二便不秘。尚有一线生机未绝。揆其受病。原不甚重。只因谬治逾月。并谓
病已逾月。腰以下得毋磨坏。书方以犀角四钱石菖蒲二钱贝母二两整块朱砂两许竹沥碗许。
佐以竹叶竹黄竹茹知母花粉元参旋复丝瓜络苇茎银花鳖甲。调下紫雪丹。次日渠母云。王君
明视隔垣。小女腰下果已磨穿。糜溃如 。昨药服后证亦少减。孟英仍主原方。四服后夜
始
眠。痉才息。舌甫伸。苔乃黑。孟英于前方去鳖甲朱砂菖蒲。加生地栀子。数服后。苔转黄
。大便黑如胶漆。且有痰色。盖从前大解黄色。似乎无甚大热。不知热由补药所酿。滞于肠
胃曲折之地而不能下行。势必熏蒸于上。致有内陷入脏之逆也。黑矢下而神识渐清。余热复
从气分而达。痰嗽不爽。右脉滑搏。孟英主用竹叶石膏汤加减。四剂渐安。而外患痛楚。彻
夜呻吟。虽敷以珠黄。滋以甘润。未能向愈。孟英令以大蟾蜍治净煎汤。煎育阴充液之药服
之
。果痛止肌生。眠食渐进。汛事如期而瘳。（舌色红润。阴液未竭。二便不秘。热有出路。
且正气亦能推邪下行。方中应佐鲜竹叶二钱。天竹黄四钱。姜竹茹四钱。酒炒知母四钱。南
花粉五钱。元参片一两。泡冲去渣。旋复花包先三钱。丝瓜络三钱。鲜芦根二两。济银花一
两五钱。药调紫雪丹一钱。嗣于前方去鳖甲朱砂菖蒲。加大生地八钱。黑栀皮三钱。)
吴酝香仆患感鼻衄数升。苔黄大渴。脉滑而洪。孟英投白虎汤二剂而安。遽食肥甘。复发壮
热。脘闷昏倦。孟英以枳实栀豉汤而瘥。数日后。又昏沉欲寐。发热自汗。舌绛溺涩。孟英
诊之。左尺细数而芤。右尺洪大。是女劳复也。细诘之。果然。予大剂滋阴清热药。吞 鼠
矢而愈。（羚次尖四钱先煎。生石膏先煎一两六钱。酒炒知母四钱。石斛先煎一两。西洋参
三钱。济银花一两五钱。川贝母杵四钱。南花粉五钱。晚蚕砂五钱。建兰叶三钱。鲜芦根二
两。枳实栀豉汤加味。炒枳实二钱。黑栀皮三钱。炒豆豉三钱。酒炒枯芩三钱。丝瓜络三钱
。生冬瓜子八钱。连翘壳三钱。鲜薤白打一钱半。焦楂肉杵一钱半。整荸荠打入煎一两。女
劳复方。元参片一两。大生地八钱。明天冬切六钱。女贞子杵五钱。淡苁蓉一钱半。山萸肉
一钱半。石斛先煎一两。酒炒知母四钱。血龟板杵四两。血鳖甲杵二两。紫石英五钱。同先
煨六句钟。药送鼠矢二钱。)王月锄媳于庙见时。忽目偏左视。扬手妄言。孟英视之。脉弦
滑而微数。苔黄脘闷。盖时虽春暮。天气酷热。兼以劳则火升。挟其素有之痰而使然也。予
犀羚栀翘元参丹参薄荷花粉送礞石滚痰丸。三服而痰下神清。改投清养遂愈。（脉必弦滑有
力。弦为肝热。滑为痰实。数兼阴虚。犀角羚角同先煎八句钟各四钱。元参片八钱。黑栀皮
连翘壳紫丹参各三钱。南花粉四钱。薄荷尖次入一钱半。药送滚痰丸四钱。犀羚元参息风顾
阴。花粉滚痰丸清肺豁痰。栀翘薄荷轻解浮热。丹参清营安神。)
单左患右胁痛。医予温运药。病益甚。至于音喑不能出声。仰卧不能反侧。坐起则气逆如奔
。便溺不行。汤饮不进者。已三日矣。孟英诊其脉。沉而弦。予旋复赭石薤白蒌仁连夏茹贝
枳实紫菀加雪羹服之。一剂知。数剂愈。（脉弦为肝热。沉为热邪锢闭。旋复包先三钱。生
赭石杵一两同先煎。鲜薤白次入三钱。栝蒌仁研四钱。酒炒川连二钱。制半夏研次二钱。姜
竹茹三钱。川贝母杵四钱。炒枳实一钱。紫菀茸次入一钱半淡海 先煎二两。整荸荠打入一
两。)
一妇患带下腰痛。足心如烙。不能移步。孟英投大剂甘露饮而瘳。（大生地一两。大熟地八
钱。天冬切六钱。花麦冬四钱。石斛先煎一两。酒炒西茵陈一钱。酒炒知母三钱。血龟板杵
炭先煨六句钟四两。淡苁蓉一钱半。川乌梅肉炭一钱。清阿胶二钱炖和。)
赵女患发热呕吐。口渴便秘。而年甫三龄。不能自言病苦。孟英视其舌。微绛而苔色干黄。
因予海蜇鼠矢竹茹知母花粉杏贝栀斛之药二剂。果下未化宿食。色酱粘腻。（淡海 先煎五
钱。两头尖二钱。姜竹茹一钱半。姜知母一钱半。南花粉二钱。苦杏泥次入一钱半。川贝杵
二钱。黑栀皮一钱半。石斛先煎三钱。)
许某于醉饱后。复中胀闷。大解不行。自恃强壮。仍饮酒食肉。二日后腹痛。犹疑为寒
。又饮火酒。兼吸洋烟。并小溲不通。继而大渴引饮。饮而即吐。而起居如常也。四朝孟英
诊
之。脉促歇止。满舌黄苔。极其秽腻。而体丰肉颤。证颇可危。因婉言告之曰∶不过停食耳
。且饮山楂神曲汤可也。午后始觉指冷倦怠气逆。夜分痰升。比晓胸腹额上俱胀裂而死。
盖知下之不及。故不予药也。（证为阳证。脉促歇止为阴脉。阳证阴脉。命必危殆。正气伤
残。不任苦寒峻下。)
何新之患感旬日。胡某诊谓势欲内陷。孟英视之。呃忒苔腻。便秘痰多。心下拒按。持其脉
。右手洪大滑数。予小陷胸加沙参菖贝菀薤茹杏旋杷之类。数剂而安。继以甘凉。二旬后得
大
解而痊。（姜川连二钱。制半夏一钱半。蒌仁三钱。北沙参四钱。石菖蒲八分。川贝母杵四
钱。紫菀茸一钱。鲜薤白打一钱半。姜竹茹三钱。苦杏泥一钱半。旋复绢包一钱半。姜枇叶
刷包三钱。)
翁氏妇患目疾。自春徂夏。治不能瘳。渐至腹中痞胀。痛不可当。食不能下。便秘形消。
孟英视之。乃肝郁痰滞。而误补以致殆也。脉弦数而滑。予金铃子散合雪羹煎吞当归龙荟丸
暨礞石滚痰丸。三投即效。服至二十余日。各恙皆蠲。（川楝核杵先四钱。元胡索次入二钱
。淡海 二两。整荸荠一两。药送滚痰丸三钱。龙荟丸一钱。)
仲夏 疹流行。幼科执用套药。夭折实多。刘某子甫五龄。陆某见其 点不绽。连进柽柳等
药。壮热无汗。面赤静卧。二便不行。孟英视之。投犀羚白虎汤而转机。陆某力沮石膏不可
再饵。仍进温散。以至气喘痰升。复加麻黄八分。欲图定喘。而喘汗濒危。二便复秘。再恳
孟英救之。投白虎加西洋参竹叶而愈。继有房氏子亦为陆某误用温散致剧。痰喘便秘。口渴
神昏。溲碧肢 。孟英予大剂白虎汤加犀角元参竹叶木通调紫雪。四剂始安。（犀角羚角各
二钱。先炭煨六句钟。生石膏先煎六钱。酒炒知母一钱半。西洋参一钱。冬瓜皮三钱。鲜地
骨皮三钱。济银花三钱。姜竹茹二钱。鲜竹叶一钱。整荸荠洗打一个。房氏予方。生石膏先
煎六钱。酒炒知母一钱半。犀角先煎二钱。元参片泡冲去渣三钱。鲜竹叶一钱。细木通五分
。药调送紫雪一分。)
李子 未齐。而痰嗽气喘。苔色白滑。小溲不赤。或主犀角地黄汤加柴雪。服而不效。孟英
诊之。右脉洪滑而口渴。乃天时酷热。暑邪薄肺。挟其素有之痰。而阻其治节。所以气机不
行。而疹不能达。苔不能化。溺不能赤也。温散大忌。凉血亦非。予竹叶石膏汤合苇茎加杏
菀旋杷海石投之。气平疹透。苔退舌红。小溲亦赤。数日而愈。（鲜竹叶一钱。生石膏先煎
接着加入一钱（药量）。用一杯姜汁竹沥冲服。芦菔一两，切片煨熟后煎煮入药。服用三帖后，患者能够排便并平卧。患者自述胸中迷闷，改用姜汁炒黄连八分，栝蒌仁研末三钱，制半夏一钱，生白芥子研末，生莱菔子研末，生苏子研末，各一钱半，北沙参四钱，姜汁炒知母三钱，旋覆花包先煎一钱半，姜竹茹三钱，枇杷叶刷去毛包煎一片。
王炳华之子右脉弦大而强，这是痰热阻滞肺脏。舌根黑苔如煤色，肺与肾为子母之脏，此为肺热传入肾脏。简单论证认为此前误用温补导致肺气窒塞。处方：旋覆花包先煎三钱，生赭石杵碎先煎一两六钱，姜汁炒黄连二钱，枳实炒一钱半，栝蒌仁研末四钱，生苏子研末后下二钱，苦杏仁泥一钱半，紫菀茸一钱，生石膏先煎一两二钱，鲜芦菔一两，捣取自然汁冲服。更方去掉旋覆花和代赭石，加入生白芥子研末二钱，制半夏一钱半，鲜薤白捣取一钱半。最终处方：西洋参三钱，苦杏仁泥二钱，川贝母杵碎八钱，鲜芦根一两，姜汁炒知母三钱，生冬瓜子三钱，南花粉四钱，柿霜一钱，枇杷叶刷去毛包煎三钱，姜竹沥两酒杯冲服。
高汉芳患有痢疾，大便颜色酱红，每天腹泻数十次，年龄已七十七岁。自去年秋天以来，逐渐显得疲惫，便服用补药，结果导致痢疾加重。黄某直接采用温补法治疗，病情反而加剧。孟英诊察时，见其右脉弦细芤迟，口渴，小便涩痛，时时面色发红，自汗出。这是吸受了暑邪，却被误当作虚证治疗。幸好他体质极其坚固，尚能将邪气通过痢疾排出体外。一误再误，邪气愈盛而正气愈虚。给予白头翁汤加人参、白术、金银花、黄芩、白芍、川楝子、石斛、延胡索。服用两剂即减轻，五剂后安定。随后予以调补，竟然痊愈。（滞下色酱，本夹杂热邪，补药留住了邪气。素体极坚，尚能运化邪气下行作痢。脉弦为肝热，细为阴虚，芤迟为阳弱。酒炒白头翁一钱半，炒潞党参三钱，炒白术三钱，济银花八钱，酒炒枯芩一钱，酒炒白芍一钱半，川楝核杵碎先煎二钱，石斛先煎四钱，酒炒元胡索后下一钱半。）
朱叶氏去年四月分娩，七月患赤痢。家属认为是产后疾病，不敢服药，拖延到今年春天，肌肉消瘦，膝盖酸软，看见食物就想呕吐。孟英诊察，左脉细软，右脉滑数，诊断为伏暑致病。幸好没有误服药物。给予沙参、陈仓米、当归、白芍、续断、木瓜、扁豆、黄连、石斛、石莲子、荷蒂、柿蒂、枇杷叶、橘皮组成的方剂，送服驻车丸而痊愈。（脉左细软为血分阴虚，右滑数为暑邪壅遏气分，所以方中泻暑清气的药物较多。北沙参四钱，陈仓米洗净三钱，酒炒白芍一钱半，箱归身一钱，陈木瓜一钱半，生扁豆杵碎三钱，川续断一钱半，酒炒黄连二钱，石斛先煎五钱，陈石莲子杵碎先煎二钱，干荷蒂三钱，干柿蒂十个，鲜枇杷叶刷去毛包煎三钱，陈橘皮后下一钱半，药送驻车丸三钱。驻车丸由黄连、阿胶、干姜、当归组成。木瓜合黄连为酸苦泄肝，黄连合橘皮为苦辛治呕。驻车丸内黄连阿胶针对脉右滑数，干姜当归针对左细软。）
郑芷塘的岳母年过六十，仲春时节患右手足不遂，舌强语謇，面色红赤，便秘。医生给予疏风药无效，延请孟英诊治。右脉洪滑，左脉弦数，为阳明腑实证候。书写石菖蒲、胆星、知母、花粉、枳实、瓜蒌仁、秦艽、旋覆花、麻仁、竹沥为方。盖古人所谓“中脏宜下之”，这个“脏”字，乃是“腑”字的讹误。柯韵伯说：“读书无眼，病患无命。”开出的方子未服用，拖延至二十天，舌苔裂开，舌质绛红，连米汤都喝不下，腹胀呼吸粗重，阴津即将枯竭，非急下不可。立即以前方加大黄四钱，绞汁服用。连续排出黑色粪便五次，舌强语謇顿时减轻，逐渐能喝稀粥。于是去掉大黄，加入西洋参、生地、麦冬、丹皮、薄荷。服用五剂，再次排便，语言才清晰。专用甘凉药物，充养津液，涤除热邪。又过了十天，舌色才变淡，饮食如常。改为滋阴疗法，渐渐取得全功。（石菖蒲后下二钱，陈胆星炖化和服一钱，酒炒知母五钱，南花粉四钱，姜瓜蒌仁四钱，左秦艽后下一钱半，旋覆花包先煎三钱，大麻仁研末三钱，姜竹沥两大酒杯冲服。因方子拖延半月未服，加大黄四钱，绞汁冲服。此证右脉洪滑，必重按搏指有力。后来去掉大黄，加西洋参三钱，大生地八钱，花麦冬四钱，粉丹皮四钱，蒲荷尖后下一钱半。连续排出黑色粪便五次，气分暑邪基本清除。重加凉血药物，针对左脉弦数阴虚。仍加薄荷，使升浮凉润之气达于上焦气分，这才丝丝入扣。）
章养云的妻子患外感病，恰逢突然受惊，黄姓和包姓两位医生都主张温补，以至于出现昏谵、痉厥，形势极其危殆。求诊于孟英。病程已三十八天，脉象细数无比，两手拘挛，宛如角弓反张，痰升自汗，口渴饮水，舌苔黄，面红臀烂，昼夜不能合眼。先给予犀角、羚羊角、贝母、石斛、玄参、连翘、知母、花粉、胆星、牛黄、鳖甲、珍珠、竹黄、竹叶、竹茹、竹沥组成的方剂。三剂后两手逐渐柔和，汗也逐渐收敛。又五剂，热退痰降，脉较平和，但患者自言自语，日夜不休。于是去掉羚羊角、石斛、珍珠、牛黄，加入西洋参、生地、大块朱砂约一两。服用后唠叨不停不减。又在方中加入青黛、龙骨、牡蛎。服用两剂，仍然喋喋不休。孟英苦苦思考数次，直接在前方中加入木通一钱，投药即见效。第二天，病人自己说之前小便已经通畅，不太觉得热。昨天服药后，似乎有一团热气从心头直趋向下，从小便排出。从此神气安谧，粥食渐增，双腿能动，大便也成形。忽然咽喉肿大疼痛，水饮难下。孟英说：“余火上炎也。”仍予前方，更吹锡类散而安定。只有臀部疮口未愈合，腿痛不止，这是下焦气血伤残。改用党参、当归、白芍、生地、合欢、山药、麦冬、牛膝、石斛、木瓜、桑枝、藕肉。服用几剂后痛止餐增。又给予峻补生肌药而痊愈。（病情为温补助长邪气，肝风大动。鳖甲四两，镑犀角、羚羊角各四钱，石斛一两，开水先炭煨八小时，取汤代水煎药。川贝母杵碎四钱，玄参片开水泡冲去渣八钱，连翘壳三钱，酒炒知母四钱，南花粉四钱，陈胆星炖和服八分，西牛黄研末和服二厘，真珠粉舌药送一分，天竹黄三钱，鲜竹叶后下二钱，姜竹茹三钱，姜竹沥两大酒杯冲服。后来去掉羚羊角、石斛、珍珠、牛黄，加西洋参三钱，大生地八钱，大块朱砂一两二钱，再加飞青黛一钱，龙骨杵碎一两，牡蛎杵碎四两。最后加细木通一钱。下焦气血伤残方：潞党参三钱，生西洋参三钱，箱归身二钱，酒炒白芍一钱半，大生地八钱，合欢皮一钱半，淮山药三钱，花麦冬四钱，制牛膝七分，石斛先煎一两，陈木瓜三钱，酒炒桑枝三钱，连皮藕肉切块先煎一两。）
吴女患外感病，众医首先使用升散药，继而又进温补药，到了三月下旬，病程已三十五天，昏痉谵语，六昼夜不闭眼睡觉，十天没沾米汤。孟英会诊，脉弦滑而微数，牙齿不能张开，窥视其舌缩苔垢。孟英说：“舌尖虽卷曲，颜色还红润，而且二便不通秘，尚有一线生机未绝。推测其受病，原本不重，只因错误治疗超过一个月，还说病已逾月，腰以下难道不会磨坏吗？”书写方子以犀角四钱、石菖蒲二钱、贝母二两、整块朱砂约一两、竹沥一碗，佐以竹叶、竹黄、竹茹、知母、花粉、玄参、旋覆花、丝瓜络、苇茎、银花、鳖甲，调下紫雪丹。第二天她母亲说，王先生明察秋毫，小女儿腰下果然已磨穿，糜烂溃破如... 昨天服药后症状也稍减。孟英仍主原方，四服后夜间才开始睡眠，痉挛才平息，舌头才伸出，舌苔乃变黑。孟英在前方去掉鳖甲、朱砂、菖蒲，加入生地、栀子。数服后，舌苔转黄，大便黑如胶漆，且有痰色。盖从前大便黄色，似乎没有很大热，不知热是由补药酿成，停滞于肠胃曲折之地而不能下行，势必熏蒸于上，导致内陷入脏的逆证。黑便排出后神识逐渐清醒，余热又从气分透出。痰嗽不爽，右脉滑搏。孟英主用竹叶石膏汤加减，四剂渐安。而外患痛楚，彻夜呻吟，虽然敷以珠黄，滋以甘润，未能向愈。孟英令以大蟾蜍洗净煎汤，煎育阴充液的药服用。果然痛止肌生，眠食渐进，月经如期而至而痊愈。（舌色红润，阴液未竭，二便不秘，热有出路，且正气亦能推邪下行。方中应佐鲜竹叶二钱，天竹黄四钱，姜竹茹四钱，酒炒知母四钱，南花粉五钱，玄参片一两，泡冲去渣，旋复花包先煎三钱，丝瓜络三钱，鲜芦根二两，济银花一两五钱，药调紫雪丹一钱。后来在前方去掉鳖甲、朱砂、菖蒲，加大生地八钱，黑栀皮三钱。）
吴酝香的仆人患外感病，鼻衄出血数升，苔黄大渴，脉滑而洪。孟英投白虎汤两剂而安。突然吃肥甘厚味，又发壮热，脘闷昏倦。孟英以枳实栀豉汤而瘥。数日后，又昏沉欲睡，发热自汗，舌绛溺涩。孟英诊之，左尺细数而芤，右尺洪大，这是女劳复。仔细询问，果然如此。给予大剂滋阴清热药，吞服鼠矢而愈。（羚羊角尖四钱先煎，生石膏先煎一两六钱，酒炒知母四钱，石斛先煎一两，西洋参三钱，济银花一两五钱，川贝母杵碎四钱，南花粉五钱，晚蚕砂五钱，建兰叶三钱，鲜芦根二两。枳实栀豉汤加味：炒枳实二钱，黑栀皮三钱，炒豆豉三钱，酒炒枯芩三钱，丝瓜络三钱，生冬瓜子八钱，连翘壳三钱，鲜薤白捣取一钱半，焦山楂肉杵碎一钱半，整荸荠打入煎一两。女劳复方：玄参片一两，大生地八钱，明天冬切六钱，女贞子杵碎五钱，淡苁蓉一钱半，山萸肉一钱半，石斛先煎一两，酒炒知母四钱，血龟板杵碎四两，血鳖甲杵碎二两，紫石英五钱，同先煨六小时，药送鼠矢二钱。）
王月锄的媳妇在庙见时，忽然眼睛向左偏视，扬手妄言。孟英视之，脉弦滑而微数，苔黄脘闷。盖时虽春末，天气酷热，兼以劳累则火升，挟其素有之痰所致。给予犀角、羚羊角、栀子、连翘、玄参、丹参、薄荷、花粉，送礞石滚痰丸。三服后痰下神清。改投清养药遂愈。（脉必弦滑有力，弦为肝热，滑为痰实，数兼阴虚。犀角、羚羊角同先煎八小时各四钱，玄参片八钱，黑栀皮、连翘壳、紫丹参各三钱，南花粉四钱，薄荷尖后下一钱半，药送滚痰丸四钱。犀角、羚羊角、玄参息风顾阴，花粉、滚痰丸清肺豁痰，栀子、连翘、薄荷轻解浮热，丹参清营安神。）
单某患右胁痛，医生给予温运药，病更严重，以至于声音嘶哑不能出声，仰卧不能翻身，坐起则气逆如奔，大小便不行，汤饮不进者，已三天了。孟英诊其脉，沉而弦，给予旋覆花、代赭石、薤白、瓜蒌仁、黄连、半夏、竹茹、贝母、枳实、紫菀，加雪羹服之。一剂知效，数剂痊愈。（脉弦为肝热，沉为热邪锢闭。旋覆花包先煎三钱，生赭石杵碎一两同先煎，鲜薤白后下三钱，栝蒌仁研末四钱，酒炒黄连二钱，制半夏研末后下二钱，姜竹茹三钱，川贝母杵碎四钱，炒枳实一钱，紫菀茸后下一钱半，淡海藻先煎二两，整荸荠打入一两。）
一妇人患带下腰痛，足心如烙，不能移步。孟英投大剂甘露饮而瘳。（大生地一两，大熟地八钱，天冬切六钱，花麦冬四钱，石斛先煎一两，酒炒西茵陈一钱，酒炒知母三钱，血龟板杵碎炭先煨六小时四两，淡苁蓉一钱半，川乌梅肉炭一钱，清阿胶二钱炖化和服。）
赵女患发热呕吐，口渴便秘，而年仅三岁，不能自言病苦。孟英视其舌，微绛而苔色干黄。因此给予海蜇、鼠矢、竹茹、知母、花粉、杏仁、贝母、栀子、石斛之药两剂。果然排出未消化的宿食，颜色酱红粘腻。（淡海藻先煎五钱，两头尖二钱，姜竹茹一钱半，姜知母一钱半，南花粉二钱，苦杏仁泥后下一钱半，川贝母杵碎二钱，黑栀皮一钱半，石斛先煎三钱。）
许某在醉饱后，又患胀闷，大便不行。自恃强壮，仍饮酒食肉。二日后腹痛，犹疑为寒，又饮火酒，兼吸洋烟，并小便不通。继而大渴引饮，饮而即吐，而起居如常。四天孟英诊之，脉促歇止，满舌黄苔，极其秽腻，而体丰肉颤，证颇可危。因而婉言告诉他：“不过是停食罢了。且饮用山楂神曲汤即可。”午后始觉手指冷倦怠气逆，夜分痰升，比晓胸腹额上俱胀裂而死。盖知下之不及，故不予药也。（证为阳证，脉促歇止为阴脉。阳证阴脉，命必危殆。正气伤残，不任苦寒峻下。）
何新之患外感十天，胡某诊谓势欲内陷。孟英视之，呃忒苔腻，便秘痰多，心下拒按，持其脉，右手洪大滑数。给予小陷胸汤加沙参、菖蒲、贝母、紫菀、薤白、竹茹、杏仁、旋覆花、枇杷叶之类。数剂而安。继以甘凉，二十天后得大便而痊愈。（姜黄连二钱，制半夏一钱半，瓜蒌仁三钱，北沙参四钱，石菖蒲八分，川贝母杵碎四钱，紫菀茸一钱，鲜薤白捣取一钱半，姜竹茹三钱，苦杏仁泥一钱半，旋覆花绢包一钱半，姜枇杷叶刷去毛包煎三钱。）
翁氏妇患目疾，自春徂夏，治不能愈。渐至腹中痞胀，痛不可当，食不能下，便秘形消。孟英视之，乃肝郁痰滞，而误补以致殆也。脉弦数而滑，给予金铃子散合雪羹煎吞当归龙荟丸暨礞石滚痰丸。三投即效。服至二十余日，各恙皆蠲。（川楝核杵碎先煎四钱，元胡索后下二钱，淡海藻二两，整荸荠一两，药送滚痰丸三钱，龙荟丸一钱。）
仲夏痘疹流行，幼科执用套药，夭折实多。刘某子甫五龄，陆某见其痘点不绽，连进柽柳等药，壮热无汗，面赤静卧，二便不行。孟英视之，投犀羚白虎汤而转机。陆某力沮石膏不可再饵，仍进温散，以至气喘痰升，复加麻黄八分，欲图定喘，而喘汗濒危，二便复秘。再恳孟英救之，投白虎加西洋参竹叶而愈。继有房氏子亦为陆某误用温散致剧，痰喘便秘，口渴神昏，溲碧肢冷。孟英予大剂白虎汤加犀角、玄参、竹叶、木通调紫雪。四剂始安。（犀角、羚羊角各二钱，先炭煨六小时，生石膏先煎六钱，酒炒知母一钱半，西洋参一钱，冬瓜皮三钱，鲜地骨皮三钱，济银花三钱，姜竹茹二钱，鲜竹叶一钱，整荸荠洗打一个。房氏予方：生石膏先煎六钱，酒炒知母一钱半，犀角先煎二钱，玄参片泡冲去渣三钱，鲜竹叶一钱，细木通五分，药调送紫雪一分。）
李子痘疹未齐，而痰嗽气喘，苔色白滑，小溲不赤。或主犀角地黄汤加柴胡雪羹，服而不效。孟英诊之，右脉洪滑而口渴，乃天时酷热，暑邪薄肺，挟其素有之痰，而阻其治节，所以气机不行，而疹不能达，苔不能化，溺不能赤也。温散大忌，凉血亦非。给予竹叶石膏汤合苇茎加杏仁、紫菀、旋覆花、枇杷叶、海浮石投之。气平疹透，苔退舌红，小溲亦赤，数日而愈。（鲜竹叶一钱，生石膏先煎）
Next, add one qian of the medicine. Mix with one wine cup of ginger juice and bamboo sap (Zhu Li). Use one liang of Raphanus sativus (Lufu), sliced and stewed for decoction. After three doses, the patient can defecate and lie down flat. The patient complains of chest confusion and oppression. Change prescription to: Coptis chinensis (Chuanlian) stir-fried with ginger juice, 8 fen; Trichosanthis Semen (Gualou Ren), ground, 3 qian; Pinellia praeparata (Banxia), prepared, 1 qian; Sinapis alba (Baijiezi), raw, ground; Raphani Semen (Laifuzi), raw, ground; Perillae Fructus (Suzi), raw, ground; each 1.5 qian; Glehniae Radix (Beishashen), 4 qian; Anemarrhenae Rhizoma (Zhimu) stir-fried with ginger juice, 3 qian; Inulae Flos (Xuanfu), wrapped and decocted first, 1.5 qian; Bamboo Shavings (Zhuru) with ginger juice, 3 qian; Eriobotryae Folium (Pipaye), brushed and wrapped, one slice.
Wang Binghua's son has a wiry, large, and strong right pulse, indicating Phlegm-Heat obstructing the Lung. The root of the tongue has black coating like coal. Lung and Kidney are mother and child organs; this is Lung Heat transmitting to Kidney. A simple argument suggests previous misuse of warming tonification caused Lung Qi obstruction. Prescription: Inulae Flos (Xuanfu), wrapped and decocted first, 3 qian; Ostracoderm (Heshi), raw, pounded and decocted first, 1 liang 6 qian; Coptidis Rhizoma (Chuanlian) stir-fried with ginger juice, 2 qian; Aurantii Fructus Immaturus (Zhishi), fried, 1.5 qian; Trichosanthis Semen (Gualou Ren), ground, 4 qian; Perillae Fructus (Suzi), raw, added later, 2 qian; Armeniacae Amarum Semen (Kuxingren), paste, 1.5 qian; Asteris Radix et Rhizoma (Ziwan), 1 qian; Gypsum Fibrosum (Shigao), decocted first, 1 liang 2 qian; Fresh Raphanus Sativus (Lufu), 1 liang, crushed for natural juice to mix. Revised prescription removes Inulae Flos and Ostracoderm, adds Sinapis alba (Baijiezi), raw, ground, 2 qian; Pinellia praeparata (Banxia), prepared, 1.5 qian; Allii Macrostemonis Bulbus (Xiebai), fresh, crushed, 1.5 qian. Final prescription: Panax quinquefolius (Xiyangshen), 3 qian; Armeniacae Amarum Semen (Kuxingren), paste, 2 qian; Fritillariae Cirrhosae Bulbus (Chuanbeimu), pounded, 8 qian; Phragmitis Rhizoma (Luxgen), fresh, 1 liang; Anemarrhenae Rhizoma (Zhimu) stir-fried with ginger juice, 3 qian; Benincasae Semen Exsiccatum (Dongguazi), raw, 3 qian; Puerariae Radix (Huafen), 4 qian; Diospyros Fruit Frost (Shishuang), 1 qian; Eriobotryae Folium (Pipaye), brushed and wrapped, 3 qian; Bamboo Sap (Zhuli), two wine cups to mix.
Gao Hanfang suffers from dysentery (Zhixia) with sauce-colored stool, defecating dozens of times daily. He is seventy-seven years old. Since last autumn, he has gradually become fatigued. He took tonic medicines, which led to worsening dysentery. Dr. Huang used warming tonification directly, causing the condition to deteriorate. Mengying diagnosed him: right pulse is wiry, fine, knotted, and slow; thirst, dysuria, occasional facial flushing, and spontaneous sweating. This is Summerheat pathogen inhalation, mistakenly treated as deficiency. Fortunately, his constitution is extremely robust, allowing him to expel pathogens through dysentery. One error after another, pathogens became stronger while righteous qi weakened. Prescribed Baitouweng Tang plus Ginseng, Atractylodes, Honeysuckle, Scutellaria, Paeonia, Melia, Dendrobium, and Corydalis. Two doses reduced symptoms; five doses brought stability. Subsequently, regulation and tonification were given, leading to complete recovery. (Sauce-colored stool indicates heat pathogen mixed in; tonics retained the pathogen. Robust constitution allowed pathogen expulsion downward via dysentery. Wiry pulse indicates Liver Heat; fine indicates Yin deficiency; knotted/slow indicates Yang weakness. Wine-fried Baitouweng, 1.5 qian; Fried Lushen, 3 qian; Fried Baizhu, 3 qian; Jinyinhua, 8 qian; Wine-fried Kuting, 1 qian; Wine-fried Baishao, 1.5 qian; Melia seed pounded and decocted first, 2 qian; Dendrobium decocted first, 4 qian; Wine-fried Yuanhusuo added later, 1.5 qian.)
Ms. Zhu Ye delivered in April last year and developed bloody dysentery in July. Her family believed it was a postpartum disease and dared not give medicine. It dragged until this spring; muscles wasted, knees soft, seeing food causes nausea. Mengying diagnosed: left pulse fine and soft, right pulse slippery and rapid. Diagnosed as latent Summerheat disease. Fortunately, no wrong medicines were taken. Prescribed Glehniae Radix, aged rice, Angelicae Sinensis Radix, Paeoniae Radix Alba, Dipsaci Radix, Chaenomelis Fructus, Dolichoris Semen, Coptidis Rhizoma, Dendrobium, Nelumbinis Plumula, Nelumbinis Petiolus, Diospyri Calyx, Eriobotryae Folium, and Citri Reticulatae Pericarpium formula, sent with Zhuche Wan, resulting in cure. (Left fine/soft pulse indicates Blood-Yin deficiency; right slippery/rapid pulse indicates Summerheat pathogen stagnating in Qi level, hence more clearing Summerheat/Qi medicines in the formula. Beishashen 4 qian, aged rice washed 3 qian, wine-fried Baishao 1.5 qian, Gui Shen 1 qian, Chen Mugua 1.5 qian, raw Baidou dou pounded 3 qian, Xu Duan 1.5 qian, wine-fried Chuanlian 2 qian, Dendrobium decocted first 5 qian, Chen Shilian pounded and decocted first 2 qian, dried Helidi 3 qian, dried Shidi 10 pieces, fresh Pipaye brushed and wrapped 3 qian, aged Ju Pi added later 1.5 qian, medicine sent with Zhuche Wan 3 qian. Zhuche Wan contains Huanglian, Ejiao, Ganjiang, Danggui. Mugua + Huanglian is sour-bitter to drain Liver; Huanglian + Ju Pi is bitter-pungent to treat vomiting. Zhuche Wan's Huanglian/Ejiao targets right slippery/rapid pulse; Ganjiang/Danggui targets left fine/soft pulse.)
Mrs., mother-in-law of Zheng Zhitang, over sixty years old, suffered right hand/foot paralysis in mid-spring, stiff tongue unable to speak, red face, constipation. Doctors gave wind-dispelling medicines without effect. Mengying was consulted. Right pulse surging and slippery, left pulse wiry and rapid, indicating Yangming Fu organ excess syndrome. Prescribed Shichangpu, Danxing, Zhimu, Huafen, Zhishi, Gualouren, Qinjiao, Xuanfu, Maren, Zhuli. Ancient texts say "internal organ involvement requires purgation"; this "organ" character is an error for "Fu". Ke Yunbo said, "Reading without eyes, patients lose their lives." The prescription was not taken for twenty days. Tongue coating cracked, tongue body crimson, unable to even drink rice water, abdominal distension, coarse breathing, Yin fluids about to exhaust. Urgent purgation is necessary. Immediately added Da Huang 4 qian to the previous formula, taken as squeezed juice. Defecated black stools five times consecutively; tongue stiffness significantly reduced, gradually able to drink thin porridge. Then removed Da Huang, added Xiyangshen, Shengdi, Maidong, Danpi, Bohe. Five doses later, bowel movement occurred again, speech cleared. Used sweet-cool medicines exclusively to replenish fluids and clear heat. Ten days later, tongue color lightened, appetite normal. Changed to nourishing Yin therapy, gradually achieving full recovery. (Shichangpu added later 2 qian, Chen Danxing stewed and mixed 1 qian, wine-fried Zhimu 5 qian, Nan Huafen 4 qian, Jiang Gualouren 4 qian, Zuo Qinjiao added later 1.5 qian, Xuanfu wrapped and decocted first 3 qian, Damaren ground 3 qian, Jiang Zhuli two large wine cups to mix. Formula delayed half a month before taking, added Da Huang 4 qen, squeezed juice to mix. Right pulse surging/slippy implies forceful rebound on heavy pressure. Later removed Da Huang, added Xiyangshen 3 qian, Dashengdi 8 qian, Huamaidong 4 qian, Fen Danpi 4 qian, Puhejian added later 1.5 qian. Black stools passed five times, Qi-level Summerheat pathogens mostly cleared. Heavily added blood-cooling herbs to target left wiry/rapid pulse indicating Yin deficiency. Added Bohe to allow ascending cool-moist nature to upper Jiao Qi level, fitting perfectly.)
Mrs. Zhang Yangyun suffered exogenous pathogen invasion, coinciding with sudden fright. Drs. Huang and Bao both advocated warming tonification, leading to coma, delirium, convulsions, and syncope, critical condition. Sought Mengying's diagnosis. Illness lasted thirty-eight days. Pulse extremely fine and rapid, hands contracted, resembling opisthotonos, phlegm rising, spontaneous sweating, thirst drinking, yellow coating, red face, buttock ulceration, unable to sleep day or night. First prescribed Xijiao, Lingyangjiao, Beimu, Shihu, Yuanshen, Lianqiao, Zhimu, Huafen, Danxing, Niuhuang, Biejia, Zhenzhu, Zhuhuang, Zhuye, Zhuru, Zhuli. Three doses: hands gradually relaxed, sweat收. Another five doses: heat receded, phlegm descended, pulse harmonized, but patient talked to self day and night non-stop. Removed Lingyangjiao, Shihu, Zhenzhu, Niuhuang; added Xiyangshen, Shengdi, large piece of Zhusha approx. 1 liang. Took it, chatter unchanged. Added Qingdai, Longgu, Muli to formula. Two doses, still incessant. Mengying pondered deeply, directly added Mutong 1 qian to front formula. Effect immediate upon administration. Next day, patient said urination had been smooth before, didn't feel much heat. After yesterday's medicine, felt a ball of hot air go straight down from heart, discharged via urine. From then on, spirit calm, food intake increased, legs moved, stool formed. Suddenly throat swollen painful, unable to swallow water. Mengying said: "Residual fire flaming upward." Continued front formula, blew Xi Lei San powder, stabilized. But buttock sore unhealed, leg pain continued, indicating lower Jiao Qi/Blood injury. Changed to Dangshen, Danggui, Baishao, Shengdi, Hehuan, Shanyao, Maidong, Niu Xi, Shihu, Mugua, Sangzhi, Outou. Several doses: pain stopped, appetite increased. Given strong tonification for flesh regeneration, cured. (Condition: warming tonification aided pathogen, Liver Wind stirring violently. Biejia 4 liang, shaved Xijiao/Lingyangjiao 4 qian each, Shihu 1 liang, boiled in water for 8 hours, use soup to decoct. Chuanbeimu pounded 4 qian, Yuanshen soaked in boiling water, dregs removed, 8 qian, Lianqiao 3 qian, wine-fried Zhimu 4 qian, Nan Huafen 4 qian, Chen Danxing stewed/mixed 8 fen, Western Niuhuang ground/mixed 2 li, Zhenzhufen mixed with medicine 1 fen, Tianzhuhuang 3 qian, fresh Zhuye added later 2 qian, Jiang Zhuru 3 qian, Jiang Zhuli two large wine cups to mix. Later removed Lingyangjiao/Shihu/Zhenzhu/Niuhuang, added Xiyangshen 3 qian, Dashengdi 8 qian, large Zhusha 1 liang 2 qian, Fei Qingdai 1 qian, Longgu pounded 1 liang, Muli pounded 4 liang. Finally added Ximutong 1 qian. Lower Jiao Qi/Blood injury formula: Lushen 3 qian, Sheng Xiyangshen 3 qian, Gui Shen 2 qian, wine-fried Baishao 1.5 qian, Dashengdi 8 qian, Hehuanpi 1.5 qian, Huaishanyao 3 qian, Huamaidong 4 qian, Zhi Niu Xi 7 fen, Shihu decocted first 1 liang, Chen Mugua 3 qian, wine-fried Sangzhi 3 qian, Outou with skin sliced/decocted first 1 liang.)
Miss Wu suffered exogenous pathogen invasion. Physicians first used ascending/dispersing drugs, then warming tonics. By late March, illness lasted thirty-five days, coma, convulsions, delirium, six days/nights without closing eyes, ten days without rice water. Mengying joined consultation: pulse wiry, slippery, slightly rapid; teeth cannot open; tongue retracted with dirty coating. Mengying said: "Tip curled but color still ruddy; bowels/bladder not blocked; still a thread of life remaining. Pathogen acquisition was originally mild, only worsened by erroneous treatment over a month. They say illness lasted over a month, isn't waist below ground?" Prescribed Xijiao 4 qian, Shichangpu 2 qian, Beimu 2 liang, whole Zhusha approx. 1 liang, Zhuli one bowl, assisted by Zhuye, Zhuhuang, Zhuru, Zhimu, Huafen, Yuanshen, Xuanfu, Sigualuo, Weijing, Yinhua, Biejia, mixed with Zixue Dan. Next day, mother said Mr. Wang saw clearly through walls, daughter's waist indeed ground through, ulcerated. Symptoms reduced after medicine. Meng Ying stuck to original formula. Four doses: slept at night, convulsions ceased, tongue extended, coating turned black. Mengying removed Biejia, Zhusha, Shichangpu from front formula, added Shengdi, Zhizi. Several doses: coating turned yellow, stool black like pitch, with phlegm color. Previously yellow stool seemed no severe heat, unknown that heat brewed by tonics, stagnated in intestinal folds, steamed upward, causing internal collapse into Zang organs. Black stool passed, consciousness cleared, residual heat reached Qi level from outside. Phlegm cough unsatisfactory, right pulse slippery and pounding. Meng Ying primarily used Zhuye Shigao Tang modified. Four doses: gradually stable. External wound painful, groaning all night. Although applied ZHUHUANG, moistened with sweet-cool, not healing. Meng Ying ordered large toad cleaned and decocted, decocted Yin-nourishing/fluid-replenishing medicine. Indeed pain stopped, flesh grew, sleep/food gradually resumed, menstruation came on time, cured. (Tongue ruddy, Yin fluids not exhausted, bowels/bladder not blocked, heat has exit, righteous qi pushes pathogen down. Formula should assist fresh Zhuye 2 qian, Tianzhuhuang 4 qian, Jiang Zhuru 4 qian, wine-fried Zhimu 4 qian, Nan Huafen 5 qian, Yuanshen slice 1 liang, soak/discard dregs, Xuanfu flower wrapped/decocted first 3 qian, Sigualuo 3 qian, fresh Luxgen 2 liang, Jinyin 1 liang 5 qian, medicine mixed with Zixue Dan 1 qian. Later removed Biejia/Zhusha/Shichangpu from front formula, added Dashengdi 8 qian, Hei Zhipi 3 qian.)
Wu Yunxiang's servant suffered exogenous pathogen invasion, nasal bleeding several sheng, yellow coating, great thirst, slippery and surging pulse. Meng Ying gave Baihu Tang two doses, stabilized. Suddenly ate rich/greasy food, fever returned, epigastric oppression, drowsiness/fatigue. Meng Ying used Zhishi Zhichi Tang, recovered. Days later, drowsy, fever, spontaneous sweating, crimson tongue, dysuria. Meng Ying diagnosed: left Chi fine/rapid/knotted, right Chi surging/large. This is female labor relapse. Carefully questioned, confirmed. Gave large dose Yin-nourishing/clearing heat medicine, swallowed Shushi, cured. (Lingyangjiao tip 4 qian decocted first, Shigao decocted first 1 liang 6 qian, wine-fried Zhimu 4 qian, Shihu decocted first 1 liang, Xiyangshen 3 qian, Jinyin 1 liang 5 qian, Chuanbeimu pounded 4 qian, Nan Huafen 5 qian, Wancangsha 5 qian, Jianlan Ye 3 qian, fresh Luxgen 2 liang. Zhishi Zhichi Tang modified: Chao Zhishi 2 qian, Hei Zhipi 3 qian, Chao Douchi 3 qian, wine-fried Kuqing 3 qian, Sigualuo 3 qian, raw Dongguazi 8 qian, Lianqiao 3 qian, fresh Xiebai crushed 1.5 qian, Jiao Zharon pounded 1.5 qian, whole Qibi decocted 1 liang. Female Labor Relapse Formula: Yuanshen slice 1 liang, Dashengdi 8 qian, Mingtiandong cut 6 qian, Nvzhenzi pounded 5 qian, Dan Congrong 1.5 qian, Shanyurou 1.5 qian, Shihu decocted first 1 liang, wine-fried Zhimu 4 qian, Xue Guiban pounded 4 liang, Xue Biejia pounded 2 liang, Ziqingshi 5 qian, all decocted first for 6 hours, medicine sent with Shushi 2 qian.)
Wang Yuechu's daughter-in-law, during temple viewing, suddenly looked left, raised hands, spoke wildly. Meng Ying viewed: pulse wiry, slippery, slightly rapid, yellow coating, epigastric oppression. Though late spring, weather hot, plus exertion raising fire, carrying inherent phlegm caused this. Gave Xijiao, Lingyangjiao, Zhizi, Lianqiao, Yuanshen, Danshen, Bohe, Huafen, sent Mengshi Guntan Wan. Three doses: phlegm down, spirit clear. Changed to clearing/nourishing, cured. (Pulse must be wiry/slippery forceful; wiry is Liver Heat, slippery is Phlegm excess, rapid combines Yin deficiency. Xijiao/Lingyangjiao decocted first 8 hours, 4 qian each; Yuanshen slice 8 qian; Hei Zhipi, Lianqiao, Zi Danshen 3 qian each; Nan Huafen 4 qian; Bohejian added later 1.5 qian; medicine sent with Guntan Wan 4 qian. Xijiao/Lingyangjiao/Yuanshen calm wind/nourish Yin; Huafen/Guntan Wan clear Lung/resolve phlegm; Zhizi/Lianqiao/Bohe lightly clear floating heat; Danshen clears Ying/calms spirit.)
Single Left (Patient Name) suffered right hypochondriac pain. Doctor gave warming/moving medicine, illness worsened. Voice lost, unable to speak, supine unable to turn, sitting up gas rushes like running. Bowel/urine blocked, soup/drink refused for three days. Meng Ying diagnosed pulse: deep and wiry. Gave Xuanfu, Zheshi, Xiebai, Gualouren, Lianxia, Zhuru, Beimu, Zhishi, Ziwan, plus Xue Geng. One dose effective, several doses cured. (Wiry pulse is Liver Heat; deep is heat pathogen trapped. Xuanfu wrapped/decocted first 3 qian, raw Zheshi pounded 1 liang decocted together, fresh Xiebai added later 3 qian, Gualouren ground 4 qian, wine-fried Chuanlian 2 qian, prepared Banxia ground added later 2 qian, Jiang Zhuru 3 qian, Chuanbeimu pounded 4 qian, Chao Zhishi 1 qian, Ziwan added later 1.5 qian, Dan Haizao decocted first 2 liang, whole Qibi decocted 1 liang.)
A woman suffered leukorrhea and lower back pain, soles burning like iron, unable to walk. Meng Ying gave large dose Ganlu Yin, cured. (Dashengdi 1 liang, Dashudi 8 qian, Tiandong cut 6 qian, Huamaidong 4 qian, Shihu decocted first 1 liang, wine-fried Xiyinchen 1 qian, wine-fried Zhimu 3 qian, Xue Guiban pounded/charred/decocted first 6 hours 4 liang, Dan Congrong 1.5 qian, Chuan Wumei rou char 1 qian, Qing Ejiao 2 qian stewed/mixed.)
Miss Zhao suffered fever, vomiting, thirst, constipation. Age three, unable to speak pain. Meng Ying viewed tongue: slightly crimson, dry yellow coating. Gave Haizhe, Shushi, Zhuru, Zhimu, Huafen, Xingbei, Zhiji, Shihu. Two doses: expelled undigested food, sauce-colored sticky. (Dan Haizao decocted first 5 qian, Liangtoujian 2 qian, Jiang Zhuru 1.5 qian, Jiang Zhimu 1.5 qian, Nan Huafen 2 qian, Kuxingni added later 1.5 qian, Chuanbeimu pounded 2 qian, Hei Zhipi 1.5 qian, Shihu decocted first 3 qian.)
Mr. Xu, after drunken feast, suffered bloating, no stool. Proud of strength, drank alcohol, ate meat. Two days later abdominal pain, suspected cold, drank liquor, smoked opium, urine blocked. Then great thirst drinking, vomited immediately after drinking, daily life normal. Four days Meng Ying diagnosed: pulse hurried with pauses, full tongue yellow coating, extremely foul, plump body trembling, condition critical. Told gently: "Just food stagnation. Drink Hawthorn/Fermented Rice Dough soup." Afternoon fingers cold, fatigue, qi rebellion. Night phlegm rose. Morning chest/abdomen/forehead burst with distension, died. Knew purgation too late, so did not give medicine. (Condition Yang syndrome, pulse hurried/pause is Yin pulse. Yang syndrome Yin pulse, life critical. Righteous qi injured, cannot bear bitter-cold harsh purgation.)
He Xinzhi suffered exogenous pathogen ten days. Dr. Hu diagnosed impending internal collapse. Meng Ying viewed: hiccups, greasy coating, constipation, much phlegm, epigastric tenderness/rebound, right hand surging/slippery/rapid. Gave Xiaoxianxiong Tang plus Shashen, Changpu, Beimu, Ziwan, Xiebai, Zhuru, Xingren, Xuanfu, Pipa. Several doses stable. Followed by sweet-cool. Twenty days later, stool passed, recovered. (Jiang Chuanlian 2 qian, prepared Banxia 1.5 qian, Gualouren 3 qian, Beishashen 4 qian, Shichangpu 8 fen, Chuanbeimu pounded 4 qian, Ziwan 1 qian, fresh Xiebai crushed 1.5 qian, Jiang Zhuru 3 qian, Kuxingni 1.5 qian, Xuanfu silk-wrapped 1.5 qian, Jiang Pipaye brushed/wrapped 3 qian.)
Mrs. Weng suffered eye disease, spring to summer, treatment failed. Gradually abdominal distension, unbearable pain, unable to eat, constipation, emaciation. Meng Ying viewed: Liver depression/phlegm stagnation, worsened by wrong tonification. Pulse wiry/rapid/slippery. Gave Jinlingzi San combined with Xue Geng decoction, swallowed Danggui Longhui Wan and Mengshi Guntan Wan. Three doses effective. Taken twenty-plus days, all ailments cleared. (Chuanliann pounded/decocted first 4 qian, Yuansuo added later 2 qian, Dan Haizao 2 liang, whole Qibi 1 liang, medicine sent with Guntan Wan 3 qian, Longhui Wan 1 qian.)
Mid-summer smallpox/measles epidemic. Pediatricians used standard formulas, many deaths. Liu's son, five years old. Lu saw spots not erupting, continuously gave Chengliu etc., high fever no sweat, red face quiet lying, bowels/bladder blocked. Meng Ying viewed, gave Xiling Baihu Tang, turning point. Lu strongly opposed Shigao, continued warming dispersal, leading to panting/phlegm rise, added Mahuang 8 fen to stop wheezing, but panting/sweating near death, bowels/bladder blocked again. Begged Meng Ying to save, gave Baihu plus Xiyangshen/Zhuye, cured. Fang's son also misused warming dispersal by Lu, worsened, phlegm/wheezing/constipation/thirst/coma, green urine cold limbs. Meng Ying gave large Baihu Tang plus Xijiao, Yuanshen, Zhuye, Mutong mixed with Zixue. Four doses stable. (Xijiao/Lingyangjiao 2 qian each, charcoal-decocted 6 hours, Shigao decocted first 6 qian, wine-fried Zhimu 1.5 qian, Xiyangshen 1 qian, Dongguapi 3 qian, fresh Digupi 3 qian, Jinyin 3 qian, Jiang Zhuru 2 qian, fresh Zhuye 1 qian, whole Qibi crushed 1. Fang's formula: Shigao decocted first 6 qian, wine-fried Zhimu 1.5 qian, Xijiao decocted first 2 qian, Yuanshen slice soaked/dregs removed 3 qian, fresh Zhuye 1 qian, Ximutong 5 fen, medicine mixed with Zixue 1 fen.)
Li Zi, measles not complete, phlegm cough wheezing, white slippery coating, urine not red. Some suggested Xijiao Dihuang Tang plus Chai/Xue, ineffective. Meng Ying diagnosed: right pulse surging/slippery, thirsty. Weather hot, Summerheat pathogen attacking Lung, carrying inherent phlegm, obstructing governance, so Qi mechanism stagnant, measles cannot reach, coating cannot transform, urine cannot redden. Warming dispersal taboo, blood cooling incorrect. Gave Zhuye Shigao Tang combined with Weijing plus Xingren, Ziwan, Xuanfu, Pipa, Haishi. Qi calmed, measles emerged, coating receded, tongue red, urine red, cured in days. (Fresh Zhuye 1 qian, Shigao decocted first)