费伯元分司，患烦躁不眠。医见其（舌）苔白也，投以温药，因而狂妄螈 ，多方不应。孟英视之，左脉
弦细而数，右软滑，乃阴虚之体，心火炽，肝风动，而痰盛于中也。先以∶犀（角）、羚（羊角）、桑（叶）、
菊（花）熄其风；元参、丹皮、莲心、童溲清其火；（竹）茹、贝（母）、雪羹化其痰。两剂而安。随与∶“
三甲”、二至（丸）、磁朱（丸）潜其阳，甘（草）、（小）麦、大枣缓其急；地黄、麦冬养其阴。渐次康复。
邵竹鱼给谏，起居饮食如常，唯仅能侧眠，略难仰卧。仰而寤，无恙也。稍一合眼，则惊窜而醒，虽再侧
眠，亦彻夜不得寐矣。多年莫能治。孟英以三才（汤）合枕中丹加黄连、肉桂（交泰丸）服之，良效。
一少年，骤患遗精，数日后，形肉大脱。连服滋阴涩精之药，如水投石。孟英与桂枝汤加（高丽）参、（
黄） 、龙（骨）、牡（蛎），服下即效，匝
月而瘳。
屠某，患梦遗，久治不愈。耳出脓水，目泪难开，肩胁胸背酸疼，微有寒热，食减神疲。孟英察脉，左弦数，
右虚软，以∶三才（汤）封髓（丹）加龙（骨）、牡（蛎）、黄 、丹（皮）、（山）栀、菊（花），旬日而瘳。
李某，戊年冬，醉饮夜归，为查段人员所吓，神志即以渐昏，治之罔效。至于不避亲疏，裸衣笑骂，力大
无制，粪秽不知。己年夏延孟英视之，用∶石菖蒲 远志 龙齿 龟板 犀角 羚羊角 元参 丹参 知（母
）（黄）柏 栀子 龙胆草 枳实 黄连 竺黄 竹沥 石膏 赭石 黑铅 铁落，出入为方，十余帖，
吐泻胶痰甚多。继予磁朱丸，渐以向愈。
李叟，年逾古稀，意欲纳外家，虽露其情，而子孙以其耄且瞽也，不敢从。因此渐病狂惑，群医咸谓神志不
足，广投热补之药，愈服愈剧。始延孟英诊之∶脉劲搏指，面赤不言，口涎自流，力大无制。曰∶此因秉赋过强，
阳气偏盛。姑勿论其脉证，即起病一端，概可见矣。如果命门火衰，早已萎靡不振，焉能兴此念头？医见其
老，辄疑其虚。
须知根本不坚实者，不能享长年。既享大寿，其得于天者必浓。况人年五十，阴年先衰。徐灵胎所谓∶“千年之木，
往往自焚”，夫阴尽火炎，万物皆然。去年冬，吾治邵可亭孤阳喘逆，壮水清火之外，天生甘露饮（即北梨汁）
灌至二百余斤，病已渐平。仅误于两盏姜汤，前功尽坠。可见阴难充长，火易燎原。今（肉）桂、附（片）、
仙茅、鹿茸、（人）参、（巴）戟、（紫）河车等药，服之已久。更将何物以生其涸竭之水，而和其亢极之阳
乎？寻果不起。
江某，年三十余，忽两目发赤，牙龈肿痛，渐至狂妄，奔走骂人，不避亲长，其父惶惶，求孟英诊之，脉
大而数，重按虚散。与∶东洋参 熟地黄 辰砂 磁石 龙齿 菖蒲 枣仁 琥珀 肉桂 金箔 龙眼肉为剂
，投匕即安，翼日能课徒矣。
王月锄令媳，于庙见（古时结婚仪式）时，忽然目偏左视，扬手妄言，诸亲骇然。诘其婢媵，
素无此恙。速
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。与∶
犀（角） 羚（羊角） 栀（子） （连）翘 元参 丹参 薄荷 花粉，送（服）礞石滚痰丸，三服而痰下
神清。改投清养遂愈。次年即诞子。
朱养心后人名大镛者，新婚后，神呆目瞪，言语失伦，或疑其体弱神怯，与镇补安神诸药，驯至善饥善怒，
骂詈如狂，其族兄已生邀孟英诊之，右脉洪滑。与∶犀角 石膏 菖蒲
胆星 竹沥 知母，吞礞石滚痰丸而愈。
Fe Boyuan, serving as a Branch Commissioner, suffered from irritability and insomnia. The physician observed his white tongue coating and administered warming medicines, which led to delirium and convulsions; multiple treatments proved ineffective. Meng Ying examined him and found the left pulse wiry, fine, and rapid, while the right pulse was soft and slippery. He diagnosed this as a Yin-deficient constitution with blazing Heart Fire, stirring Liver Wind, and abundant Phlegm obstructing the Middle Jiao. Initially, he prescribed Rhinoceros Horn (Xijiao), Antelope Horn (Lingyangjiao), Mulberry Leaf (Sangye), and Chrysanthemum Flower (Juhua) to extinguish the wind; Scrophularia Root (Xuanshen), Moutan Bark (Danpi), Lotus Plumule (Lianxin), and Child’s Urine (Tongsui) to clear the fire; Bamboo Shavings (Zhuru), Fritillaria Bulb (Beimu), and Xue Geng Decoction (Snow Soup, composed of Manxman Jellyfish and Water Chestnut) to resolve the phlegm. After two doses, the patient stabilized. Subsequently, he prescribed Sanjia Powder (Three Shells), Erzhi Pill (Two Solstices), and Cizhu Wan (Magnetite Pill) to submerge floating Yang; Licorice Root (Gancao), Wheat (Xiaomai), and Jujube (Dazao) to relieve urgency; Rehmannia Root (Dihuang) and Ophiopogon Tuber (Maidong) to nourish Yin. The patient gradually recovered.
Shao Zhuyu, serving as a Remonstrator, had normal daily routines and diet, but could only sleep on his side and found supine sleeping difficult. Upon waking in a supine position, he felt fine. However, closing his eyes briefly caused him to startle and wake up; even switching back to side-sleeping did not allow him to sleep through the night. This condition persisted for years without cure. Meng Ying prescribed Santang Tang (Three Talents Decoction) combined with Zhenzhong Dan (Pillow Center Pill), adding Coptis Rhizome (Huanglian) and Cinnamon Bark (Rougui) — effectively utilizing the principle of Jiaotai Wan (Interacting Pills). The effect was excellent.
A young man suddenly developed nocturnal emissions. After several days, his flesh and muscles wasted away significantly. Continuous administration of Yin-nourishing and astringent herbs for seminal loss proved as effective as pouring water on stone. Meng Ying prescribed Guizhi Tang (Cinnamon Twig Decoction) added with Korean Ginseng (Gaolishen), Scutellaria Root (Huangqin), Dragon Bone (Longgu), and Oyster Shell (Muli). The effect was immediate upon ingestion, and he recovered within a month.
Tu Mou suffered from dream-impregnation that resisted long-term treatment. He had purulent discharge from the ears, difficulty opening his eyes due to tearing, soreness and pain in the shoulders, hypochondrium, chest, and back, slight aversion to cold and fever, reduced appetite, and mental fatigue. Meng Ying palpated the pulse: wiry and rapid on the left, deficient and soft on the right. He prescribed Santang Tang combined with Fengsui Dan (Seal the Marrow Pill), added with Dragon Bone (Longgu), Oyster Shell (Muli), Scutellaria Root (Huangqin), Moutan Bark (Danpi), Gardenia Fruit (Shanzhi), and Chrysanthemum Flower (Juhua). He recovered within ten days.
Li Mou, in the winter of the Wu year, returned home drunk at night and was frightened by night-watch personnel. His consciousness gradually became clouded; treatments were ineffective. Eventually, he failed to distinguish between relatives and strangers, stripped naked, laughed and cursed, possessed uncontrollable strength, and was unaware of defecating or soiling himself. In the summer of the Ji year, he invited Meng Ying to treat him. The prescription included Acorus Rhizome (Shichangpu), Polygala Root (Yuanzhi), Dragon Teeth (Longchi), Turtle Shell (Guiban), Rhinoceros Horn (Xijiao), Antelope Horn (Lingyangjiao), Scrophularia Root (Xuanshen), Salvia Root (Danshen), Anemarrhena Rhizome (Zhimu), Phellodendron Bark (Huangbai), Gardenia Fruit (Zhizi), Gentian Root (Longdancao), Immature Bitter Orange (Zhishi), Coptis Rhizome (Huanglian), Pinellia Paste (Zhuhu), Bamboo Juice (Zhulü), Gypsum (Shigao), Hematite (Zhesi), Black Lead (Heiqian), and Iron Filings (Tielluo), adjusted according to symptoms. After more than ten doses, copious sticky phlegm was vomited and purged. Subsequently, Cizhu Wan (Magnetite Pill) was given, and the condition gradually improved.
Elder Li, over seventy years old, desired to take a concubine. Although he expressed this desire, his descendants refused due to his advanced age and blindness. Consequently, he gradually developed madness and confusion. All physicians attributed this to deficiency of Spirit and Mind, administering extensive warming and tonifying drugs, which exacerbated the condition. When Meng Ying finally examined him, the pulse was strong and pounding against the fingers, the face was red, he did not speak, saliva flowed involuntarily, and his strength was uncontrollable. Meng Ying stated: “This is due to excessive innate endowment and hyperactive Yang. Regardless of the pulse and signs, the onset itself reveals the nature of the disease. If it were decline of Mingmen Fire (Gate of Life Fire), he would have long been listless and weak; how could he harbor such desires? Physicians see an old person and immediately suspect deficiency.”
It must be known that those whose foundation is not solid cannot enjoy longevity. Since he enjoyed a long life, his congenital essence must have been abundant. Moreover, after age fifty, Yin declines first. As Xu Lingtai said: “Millennium-old trees often burn themselves,” illustrating that when Yin is exhausted, Fire flares up—a universal law. Last winter, I treated Shao Keting for rebellious Qi wheezing due to solitary Yang. Besides nourishing Water and clearing Fire, I administered Tian Sheng Gan Lu Yin (Natural Sweet Dew Drink, i.e., Northern Pear Juice) totaling over 200 jin. The illness had gradually subsided. However, mistakenly consuming just two bowls of Ginger Decoction ruined all previous efforts. This demonstrates that Yin is hard to replenish, while Fire easily spreads like a prairie fire. He had already taken Cinnamon Bark (Rougui), Prepared Aconite (Fupian), Curculigo Rhizome (Xianmao), Deer Antler (Lurong), Ginseng (Renshen), Morinda Root (Bajitian), and Placenta (Ziheche) for a long time. What substance could now generate depleted Water and harmonize extreme Yang? Ultimately, he died.
Jiang Mou, in his thirties, suddenly developed red eyes and swollen, painful gums, progressing to delirium, running about cursing, and disrespecting elders. His father, panicked, sought Meng Ying’s consultation. The pulse was large and rapid, but empty and scattered upon deep pressure. The prescription consisted of Japanese Ginseng (Dongyangshen), Prepared Rehmannia Root (Shudihuang), Cinnabar (Chensha), Magnetite (Cishi), Dragon Teeth (Longchi), Acorus Rhizome (Changpu), Jujube Seed (Zaoren), Amber (Hupo), Cinnamon Bark (Rougui), Gold Leaf (Jinbo), and Longan Aril (Longyanrou). One dose brought immediate calm; by the next day, he was able to teach students.
The daughter-in-law of Wang Yuechu, during the temple viewing ceremony (ancient wedding ritual), suddenly looked deviated to the left, raised her hands and spoke nonsensically, alarming her relatives. Inquiry revealed she had no history of such symptoms. Meng Ying was summoned urgently. The pulse was wiry, slippery, and slightly rapid; the tongue coating was yellow, and there was epigastric stuffiness. Although it was late spring, the weather was intensely hot. Combined with labor-induced rising of Fire and her inherent Phlegm, this condition arose. He prescribed Rhinoceros Horn (Xijiao), Antelope Horn (Lingyangjiao), Gardenia Fruit (Zhizi), Forsythia Fruit (Lianqiao), Scrophularia Root (Xuanshen), Salvia Root (Danshen), Mint (Bohe), and Trichosanthes Root (Huafen), administered with Mengshi Gutan Wan (Magnesium Chloride Phlegm-Rolling Pill). After three doses, Phlegm was expelled, and clarity of mind returned. Treatment was then changed to clearing and nourishing methods, leading to full recovery. She gave birth to a child the following year.
Da Yong, a descendant of Zhu Yangxin, after his new marriage, became mentally dull, stared blankly, and lost coherence in speech. Suspecting physical weakness and timid spirit, others administered sedative and tonifying安神 (calming Spirit) herbs. This gradually worsened into polyphagia, irritability, and狂躁 (mad-like) cursing. His clan brother, Yi Sheng, invited Meng Ying to diagnose. The right pulse was surging and slippery. The prescription included Rhinoceros Horn (Xijiao), Gypsum (Shigao), Acorus Rhizome (Shichangpu), Pinellia with Bile (Danning), Bamboo Juice (Zhulü), and Anemarrhena Rhizome (Zhimu), along with swallowing Mengshi Gutan Wan (Magnesium Chloride Phlegm-Rolling Pill). He recovered.