而去米，加花粉、竹茹等，其力不同科矣。濂仲大悟，服之寻愈。此可以见服药不可徒有汤头之名也。
黄鼎如令堂，年七十七岁，季秋患间疟，每发加剧，寒甚微而热必昏痉，舌不能伸。三发之后，人皆危之。孟
英视之，颧赤目垂，鼻冷，额颏微汗。苔色黄腻，舌根纯红，口渴痰多，不思粥饮。
脉至弦数，重按少神。证属伏暑挟痰，而（已）阴虚阳越。先与∶苁蓉 鳖甲 楝（实） （石）斛 （竹）茹
贝（母） 燕窝 藕（汁），二剂，而颧红颏汗皆蠲。继佐（人）参、（竹）沥、薤（白）、麦（冬）、枇杷叶、
旋复，去竹茹、苁蓉，投三帖，而昏痉不作。又去薤（白）、楝（实），加生地、花粉，服五日，而疟休。饮食渐
加，而居然告愈。方疟势披猖之际，鼎如、上水两昆仲，颇以为忧。延诸名家议治，有主人参白
虎汤者；有用犀角地黄汤者；有欲大剂温补者，有执小柴胡（汤）加减者，赖孟英力排众议，病家始有把握。与孟英
意见相合者，何君新之也。怂恿参赞，与有功焉。
韩妪，年近花甲，患三疟于仲冬，朱某主温散，并以姜枣汤恣饮。旬日后，粒米不粘，疟至大吐。黄某以
热补进，势益甚。又浃旬，孟英视之，胸中痞结如 ，苔黄苦渴，溲如热汤，脉弦滑右甚，带下如注。投小陷胸（汤）
合温胆（汤）加薤白，服后大吐胶痰，十余日，胸痞始消。改授甘凉，疟亦渐罢。递参滋阴，遂以霍然。
陈舜廷，患疟，久不愈，其体素亏，医皆束手。孟英视（之）曰∶舌绛无津，微寒溲赤，原属春温化疟，体与病
皆不是小柴胡（汤）之例，过投温散，热炽阴伤，与∶竹叶石膏汤撤热存津而愈。
庄芝阶舍人三令媳，患搐搦，间日而作。孟英诊脉，弦数。泛泛欲呕，口苦不饥，凛寒头痛，汛事愆期。溲热
如火。乃厥阴暑疟也。投以大剂∶犀（角） 羚（羊角） 元参 栀（子） 菊（花） 木通 知母 楝（实）
花粉 银花之药，数日而愈。
赵子善，患疟，畏冷不饥。孟英诊之，脉滑数，苔黄溲赤，脘闷善（喜）呕。投∶竹叶石膏汤加减，以清伏
暑而痊。
王一峰之次郎，患疟，多服姜枣温散之药，因致壮热耳聋，谵语殿屎，不寐昏狂，见人欲咬。
顾听泉从伏暑治，亦不效。延至初冬，吴爱棠嘱其求诊于孟英，按脉皆滑。即以顾（听泉所）疏犀角等药内，加（石）
菖蒲、胆星、竹沥、珍珠、牛黄为剂，吞白金丸，一服即减，旬日霍然。
继而，其令堂发热善呕，频吐粘沫，头痛如劈，口苦耳聋，神识昏瞀，脉弦而数。乃伏暑挟内风之鸱张，与∶
犀角 元参 竹茹 花粉 知（母） （连）翘 （黄）芩 （石）斛 栀（子） 菊（花） 雪羹等药，七日而瘳。
高瑞生令弟，疟久不痊，形消不食，医谓虚也。投补药而更增自汗。孟英诊之，脉弦滑，脘下聚气，投小陷胸
加竹茹、旋（复）、枳（实）以开痰结，渐能纳谷，继以清养，病去肌充。
闻氏妇，孟夏患间疟，而妊娠八月。数发后，热炽神昏，腰痛欲堕。张养之嘱援于孟英，脉来洪滑且数，
苔色黄腻垢浊。与∶黄芩 知母 竹茹 竹叶 银花 桑叶 丝瓜络 石斛 石膏 石菖蒲，一剂而痊。
朱佳木令尊，患间疟，年逾七旬，人颇忧之。孟英切脉，弦滑，脘闷苔黄。曰∶无恐也。投清热涤痰药，
数剂霍然。
李明府令正，年逾花甲，素患痰嗽，近兼哺热不饥，头痛不食。医治罔效。姚小荷荐孟英视之，脉滑数。乃痰
火内伏，温热外侵。投∶石膏药二服，而热退知饥；又数剂，并宿恙均愈。
余朗斋，形瘦体弱，患间日疟，寒少热多，二便涩滞，脘膈闷极，苔腻不渴。孟英切脉，缓滑而上溢。曰∶
素秉虽阴亏，而痰湿阻痹，既不可以提表助其升逆，亦未宜以
凉润碍其枢机。投以∶滑（石） （浓）朴 （竹）茹 旋（复） 通草 枇杷叶 苇茎 郁金 兰叶之方，苔色
渐退。即去（浓）朴、郁（金），加（黄）连、枳（实）、半夏，胸闷渐开，疟亦减，便乃畅。再去滑（石）、
半（夏）、（黄）连、枳（实），加沙参、石斛、橘皮、黄芩，浃旬而愈。
许季眉室，归自维杨，仲秋患 （久虐曰 ），自作寒湿治，势益剧。其从子芷卿，以为挟风暑
也，连进清解，病不减。邀孟英诊之，脉弦滑而洪，体丰多汗，苔黄便血，呕渴妄言，彻夜不瞑，欲卧于地。乃伏
痰内盛，暑扰阳明也。投大剂∶石膏 知母 犀角 元参 石斛 银花 黄芩 花粉 兰叶 竹沥，三帖，证始平。
芷卿随以多剂整肃而愈。
庄芝阶舍人，年七十矣。患间虐，寒则颤栗，热则妄言。孟英视之∶脉弦数而促，苔黑口干。是素有热痰，暑
邪内伏。与∶知母 花粉 元参 石斛 黄芩 竹茹 连翘 海 芦菔 莲子心等药，数啜而瘳。
至仲冬，因泛湖宴客，感冒风邪，嗽痰头痛，不饥寒栗。自服羌活、紫苏、荆芥等药二剂，势益甚，而口渴无
溺。孟英切其脉，与季秋无异，但兼浮耳。证属风温。既服温散，所谓“热得风而更炽也”。舌绛无津，亟
宜清化。以∶桑叶 枇杷叶 栀子 知母 冬瓜子 元参 菊花 花粉 贝母 梨汁为剂，投匕即减，旬日而痊。
锁容亭姊，自太仑归宁，即患时疟，顾听泉一手清解，业已安谷下榻。忽然气逆肢寒，神疲欲寐，耳聋
舌謇，杳不知饥，大便仍行，别无痛苦。顾听泉知其素患脱血，元气久虚，改用参、附等药，势愈剧，以为欲
脱矣。所亲吴久山嘱拉孟英图之，切脉弦缓，视苔黄腻，乃胎之初孕，（邪未尽而）阻气凝痰，窒碍枢机，治
当宣豁。以∶石菖蒲 枳实 旋复 半夏 黄连 茯苓 橘皮 葱白 海 竹沥为方，投匕即效，三啜霍然。
锁绳先室人，患疟，而驯至脘痞呕呃，鼻冷自汗，不食不眠，脉来歇止，医者危之。孟英视之，亦痰为患耳。
即以此方（治锁容亭姊之方）去∶葱白、海 、竹沥，加薤白、蒌仁、竹茹，投之果验。
许芷卿， 起季秋，孟英尝清其伏暑而将愈。其从母亦知医，强投以小柴胡一剂，势复剧。孟英以∶温胆汤
去甘草，加生石膏、黄芩、知母、花粉、芦菔而安。
继因作劳太早而复发，适孟英丁忧（母丧），赵君笛楼，仍用清解而痊。
迨季冬，因移居劳顿，疟忽间作。且面浮跗肿，喘嗽易嗔。人皆以为大虚之候。孟英切脉，左弦劲而数，右滑
大不调，苔黄且腻，口渴溺多。乃胃肺之热痰有余，肝胆之风阳上僭。畏虚率补，必不能瘳。用∶西洋参 知
母花粉 竹茹 蛤壳 石斛 枇杷叶 青蒿 秦艽 白薇 银花 海 为方，连投四剂，大吐胶痰，而各恙悉除。
瓯镇孙总戌令郎孙楚楼，自镇江来浙，主于石北涯家，途次患寒热如疟，胁痛痰嗽，北涯见其面黧形瘦，颇以为忧。
即延医与诊。医谓“秋疟”，予疏散方。北涯犹疑其药不胜病，复邀孟英
视之。曰∶阴亏也，勿从虐治。以苇茎汤加北沙参、熟地、桑叶、丹皮、海石、旋复、贝母、枇杷叶为剂。北
涯见用熟地，大为骇然。孟英曰∶君虑彼药之不胜病，吾恐此病之不胜药，赠此肃肺润燥，滋肾清肝之法，病
必自安。楚楼闻之叹曰∶妙手也，所谓深合病情。前在姑苏，服疏散药甚不相安，居停（居处，谓住处主人之
称）毋疑，我服王公之药矣。果数日而痊，逾旬即东渡越瓯去。
Remove the rice, add Trichosanthis Radix (Tianhuafen) and Bambusae Caulis in Sterilization (Zhuru), etc., and its therapeutic power will be vastly different. Huang Lianzhong had a great realization, took the medicine, and recovered soon after. This shows that taking medicine should not merely rely on the name of the decoction.
Madam Huang Dingru, aged seventy-seven, suffered from intermittent malaria in late autumn. Each episode worsened; chills were slight, but fever was invariably accompanied by coma and convulsions, with an inability to extend the tongue. After three episodes, everyone considered her condition critical. Wang Mengying examined her: malar flush, drooping eyelids, cold nose, and slight sweating on the forehead and chin. The tongue coating was yellow and greasy, the root purely red, with thirst, profuse phlegm, and no desire for porridge or drinks. The pulse was wiry and rapid, lacking spirit when pressed heavily. The syndrome belonged to latent summerheat complicated by phlegm, with yin deficiency and floating yang. Initially, he prescribed Cistanche Ramul (Rongrong), Testudinis Carapax et Plastrum (Biejia), Toosendan Fructus (Lianshi), Dendrobii Caulis (Shihu), Zhuru, Fritillariae Bulbus (Beimu), Swallow's Nest (Yanwo), and Lotus Rhizome Juice (Ou Zhi). After two doses, the malar flush and chin sweating disappeared. Subsequently, he added Ginseng Radix et Rhizoma (Renshen), Bamboo Sap (Zhuli), Allii Macrostemonis Bulbus (Xiebai), Ophiopogonis Radix (Maidong), Loquat Leaf (Pipaye), and Inulae Flos (Xuanfu), removing Zhuru and Rongrong. After three doses, the coma and convulsions ceased. He then removed Xiebai and Lianshi, adding Rehmanniae Radix (Shengdi) and Tianhuafen. After five days, the malaria subsided. Her diet gradually increased, and she declared recovery. During the height of the malaria's rampant course, Dingru and his brother Shangshui were very worried. They invited several renowned physicians to discuss treatment. Some advocated Ren Shen Bai Hu Tang; others used Xi Jiao Di Huang Tang; some desired large doses of warming tonics; others insisted on modifying Xiao Chai Hu Tang. Fortunately, Mengying firmly refuted these opinions, giving the family confidence. Mr. He Xinzhi agreed with Mengying, encouraging and assisting, contributing to the cure.
Old Madam Han, nearly sixty years old, suffered from tertian malaria (three-year malaria) in mid-winter. Physician Zhu advocated warming and dispersing, allowing her to drink Ginger and Jujube Decoction freely. Ten days later, she could not eat a grain of rice, and vomiting occurred severely upon malaria onset. Physician Huang administered hot tonics, worsening the condition. Ten days later, Mengying examined her: chest oppression and stagnation felt like blockage, yellow bitter tongue coating, thirst, urine as hot as boiling water, wiry and slippery pulse, more pronounced on the right, and leukorrhea pouring down. He prescribed Xiao Xian Xiong Tang combined with Wen Dan Tang plus Xiebai. After ingestion, she vomited copious gelatinous phlegm. After ten-plus days, the chest oppression subsided. He switched to sweet-cool herbs, and the malaria gradually ceased. Gradually incorporating yin-nourishing methods, she recovered completely.
Chen Shunting suffered from malaria that persisted for a long time. His constitution was inherently deficient, and doctors were at a loss. Mengying examined him and said: "The tongue is crimson without fluids, slight chills, and red urine. Originally, this is Spring Warmth transforming into malaria. Neither the constitution nor the disease fits the pattern for Xiao Chai Hu Tang. Overuse of warming dispersants has led to blazing heat and yin injury." He prescribed Zhu Ye Shi Gao Tang to clear heat and preserve fluids, resulting in recovery.
The third daughter-in-law of Scholar Zhuang Zhijie suffered from spasms occurring every other day. Mengying palpated the pulse: wiry and rapid. She felt nauseous, had a bitter taste, no appetite, severe chills, headache, and delayed menstruation. Urine was hot as fire. This was Jueyin Summerheat Malaria. He prescribed a large dose of Rhinoceros Horn (Xi Jiao - note: substitute with legal alternatives in practice), Antelope Horn (Lingyangjiao), Scrophulariae Radix (Yuanshen), Gardeniae Fructus (Zhizi), Chrysanthemi Flos (Juhua), Akebiae Caulis (Mutong), Anemarrhenae Rhizoma (Zhimu), Lianshi, Tianhuafen, and Lonicerae Japonicae Flos (Jinyinhua). She recovered in a few days.
Zhao Zishan suffered from malaria, fearing cold and lack of appetite. Mengying palpated: slippery and rapid pulse, yellow coating, red urine, epigastric fullness, and frequent vomiting. He prescribed modified Zhu Ye Shi Gao Tang to clear latent summerheat, leading to recovery.
Wang Yifeng's second son suffered from malaria. Due to excessive use of Ginger and Jujube warming dispersants, he developed high fever, deafness, delirium, incontinence of stool and urine, insomnia, confusion, mania, and aggression towards people. Gu Tingquan treated it as latent summerheat without effect. By early winter, Wu Aitang advised seeking Mengying. The pulse was slippery throughout. Mengying added Calami Rhizoma (Shichangpu), Arisaematis Rhizoma cum Bile (Danning), Zhuli, Pearl (Zhenzhu), and Calculus Bovis (Niuhuang) to Gu's prescription of Xi Jiao, etc., along with swallowing Baijin Wan. One dose brought relief; he recovered completely in ten days.
Subsequently, his mother developed fever and frequent vomiting of sticky saliva, splitting headache, bitter taste, deafness, and confused consciousness. The pulse was wiry and rapid. This was latent summerheat complicated by aggressive internal wind. He prescribed Xi Jiao, Yuanshen, Zhuru, Tianhuafen, Zhimu, Lianqiao, Huang Qin, Shihu, Zhizi, Juhua, and Xue Geng. She recovered in seven days.
Gao Ruisheng's younger brother suffered from persistent malaria, emaciation, and anorexia. Doctors attributed it to deficiency. Tonics exacerbated spontaneous sweating. Mengying palpated: wiry and slippery pulse, qi accumulation below the epigastrium. He prescribed Xiao Xian Xiong Tang plus Zhuru, Xuanfu, and Zhishi to resolve phlegm stagnation. Appetite gradually returned. Follow-up with clearing and nourishing methods led to recovery and flesh gain.
Madam Wen, in early summer, suffered from intermittent malaria while eight months pregnant. After several episodes, intense heat caused coma, lower back pain, and threatened miscarriage. Zhang Yangzhi referred her to Mengying. Pulse: surging, slippery, and rapid. Tongue coating: yellow, greasy, and turbid. He prescribed Huang Qin, Zhimu, Zhuru, Zhuye, Jinyinhua, Sangye, Luoguo Si Gua (Si Gualuo), Shihu, Shigao, and Shichangpu. One dose cured her.
Mr. Zhu Jiamu's father, over seventy, suffered from intermittent malaria. People were worried. Mengying palpated: wiry and slippery pulse, epigastric fullness, yellow coating. He said, "Do not worry." He prescribed heat-clearing and phlegm-resolving herbs. He recovered completely after a few doses.
Madam Li Mingfu, over sixty, had chronic phlegm-cough, recently compounded by afternoon fever, anorexia, headache, and inability to eat. Previous treatments failed. Yao Xiaoh recommended Mengying. Pulse: slippery and rapid. This was internal latent phlegm-fire with external warm-heat invasion. Two doses of Shi Gao cleared the heat and restored appetite. Several more doses cured both the current illness and the chronic condition.
Yu Langzhai was thin and weak, suffering from intermittent malaria with less chills and more heat, difficult urination and defecation, extreme epigastric diaphragmatic oppression, greasy coating, and no thirst. Mengying palpated: slow, slippery, and overflowing pulse. He said, "Although your constitution is yin-deficient, phlegm-dampness obstruction prevents using lifting/dispersing methods that might aggravate rebellious qi, nor is it suitable to use cooling/moistening methods that might hinder the pivot mechanism." He prescribed Huashi, Houpo, Zhuru, Xuanfu, Tongcao, Pipaye, Weijing, Yujin, and Lan Ye. The coating faded. He then removed Houpo and Yujin, adding Huanglian, Zhishi, and Banxia. Chest oppression opened, malaria reduced, and bowels unblocked. Finally, he removed Huashi, Banxia, Huanglian, and Zhishi, adding Shashen, Shihu, Ju Pi, and Huang Qin. He recovered in ten days.
Madam Xu Jimi, returning from Weiyang, suffered from chronic malaria in mid-autumn. Treating it herself as cold-dampness worsened the condition. Her nephew Zhiqing thought it was wind-summerheat complicated, prescribing clearing/resolving herbs without effect. Mengying palpated: wiry, slippery, and surging pulse. She was plump, sweaty, had yellow coating, bloody stools, vomiting, thirst, delirium, insomnia, and wanted to lie on the floor. This was abundant latent phlegm with summerheat disturbing the Yangming channel. He prescribed a large dose of Shigao, Zhimu, Xi Jiao, Yuanshen, Shihu, Jinyinhua, Huang Qin, Tianhuafen, Lan Ye, and Zhuli. Three doses stabilized the condition. Zhiqing followed up with consolidating herbs for complete recovery.
Scholar Zhuang Zhijie, aged seventy, suffered from intermittent malaria with trembling chills and delirious speech during fever. Mengying palpated: wiry, rapid, and hurried pulse, black tongue coating, dry mouth. This was latent heat-phlegm with internal latent summerheat. He prescribed Zhimu, Tianhuafen, Yuanshen, Shihu, Huang Qin, Zhuru, Lianqiao, Haizhe, Lufu, and Lianzi Xin. Several sips led to recovery.
In mid-winter, after hosting guests on a lake, he caught wind-pathogens, causing cough with phlegm, headache, anorexia, and chills. Self-medicating with Qianghuo, Zisu, and Jingjie for two doses worsened the condition, leading to thirst and anuria. Mengying palpated: similar to late autumn but with floating quality. The syndrome was Wind-Warmth. Having taken warming dispersants, "the heat became fiercer with wind." The tongue was crimson without fluids, requiring immediate clearing and transformation. He prescribed Sangye, Pipaye, Zhizi, Zhimu, Dongguazi, Yuanshen, Juhua, Tianhuafen, Beimu, and Lizhi. Relief was immediate; he recovered in ten days.
Sister Suo Rongting, returning from Taicang, contracted seasonal malaria. Gu Tingquan's clearing treatment allowed her to eat and rest. Suddenly, she developed rebellious qi, cold limbs, fatigue, drowsiness, deafness, slurred speech, anorexia, normal bowel movements, and no other pain. Knowing her history of blood-loss and chronic qi deficiency, Gu used Renshen and Fuzi, worsening the condition, suspecting collapse. Relative Wu Jiushan summoned Mengying. Pulse: wiry and slow. Tongue: yellow and greasy. It was early pregnancy; (pathogen未尽) obstructed qi and condensed phlegm, blocking the pivot. Treatment required dispersing and resolving. He prescribed Shichangpu, Zhishi, Xuanfu, Banxia, Huanglian, Fuling, Ju Pi, Congbai, Haizhe, and Zhuli. Immediate effect; three doses brought recovery.
Madam Suo Shengxian suffered from malaria progressing to epigastric fullness, vomiting, hiccup, cold nose, spontaneous sweating, anorexia, insomnia, and intermittent pulse. Doctors feared for her life. Mengying diagnosed it as phlegm pathology. He used the formula for Sister Suo Rongting, removing Congbai, Haizhe, and Zhuli, adding Xiebai, Louren, and Zhuru. It proved effective.
Xu Zhiqing started in late autumn. Mengqing had cleared his latent summerheat, nearing recovery. His aunt, knowing medicine, forced a dose of Xiao Chai Hu Tang, worsening the condition. Mengqing prescribed Wen Dan Tang minus Gancao, plus Sheng Shigao, Huang Qin, Zhimu, Tianhuafen, and Lufu, stabilizing the patient.
Relapse occurred due to premature exertion. Mengying was in mourning. Dr. Zhao Dilou used clearing/resolving methods, leading to recovery.
In late winter, moving house caused exhaustion, and intermittent malaria recurred. Facial edema, ankle swelling, asthma, cough, and irritability appeared. People thought it was severe deficiency. Mengying palpated: left wiry, forceful, and rapid; right slippery, large, and irregular. Tongue: yellow and greasy. Thirst and polyuria. This was excess heat-phlegm in Stomach/Lungs and hyperactive wind-yang in Liver/Gallbladder. Fear of deficiency and indiscriminate tonification would not cure. He prescribed Xiyangshen, Zhimu, Tianhuafen, Zhuru, Geke, Shihu, Pipaye, Qinghao, Qinjiao, Baiwei, Jinyinhua, and Haizhe. Four doses induced vomiting of gelatinous phlegm, curing all symptoms.
Sun Chulou, son of Commander Sun Ou Zhen, came from Zhenjiang to Zhejiang, staying at Shi Beiya's home. En route, he developed chills and fever like malaria, hypochondriac pain, cough with phlegm. Beiya saw his dark complexion and emaciation and was worried. A doctor diagnosed "Autumn Malaria" and gave dispersing herbs. Beiya doubted their efficacy and invited Mengying. Mengying said, "It is yin deficiency. Do not treat it as malaria." He prescribed Weijing Tang plus Beishashen, Shudi, Sangye, Danpi, Haishi, Xuanfu, Beimu, and Pipaye. Beiya was shocked by the use of Shudi. Mengying said, "You fear the medicine won't handle the disease; I fear the disease can't handle the medicine. This method clears the lungs, moistens dryness, nourishes kidneys, and clears liver. The disease will settle." Chulou sighed, "Skillful hands! Deeply fitting the condition. In Suzhou, dispersing herbs made me uncomfortable. Host, do not doubt; I will take Dr. Wang's medicine." He recovered in a few days and left for Yue'ou after ten days.