婺人罗元奎,丁亥夏,卒发寒热,旋即呕吐不能立,自言胯间痛不可当。孟英视其痛处∶ 赤肿硬,形如肥皂
荚,横梗于毛际之左。乃曰∶此证颇恶,然乘初起,可一击去之也。用∶金银花(六两) 生甘草(一两) 皂角刺(五
钱),水煎和酒服之,一剂减其势,再剂病若失。
逾年,患伤寒。孟英切脉∶虚细已极。曰,此不可徒攻其病者,以阴分太亏耳,与景岳法。以∶熟地 当归
酒炒白芍 炙甘草 橘皮 柴胡等药,一剂而瘳。
李燕标参戎,于癸夏将赴都,馆于石北涯家,项后患疽,外科佥云不治。孟英荐老医朱嵩年疗之渐安。孟英偶
诊其脉,谓北涯曰∶李证有可愈之机,脉难久享其年。北涯惊问所以?孟英曰∶左尺坚抟,真阴已伤,非善象也!
既而告痊北上,今春果卒于京。
茅家埠翁嘉润,患腰疽,愈而复发者五年,费用不资,诸疡医治之不效。盛少云嘱其求治于孟英,切其脉,弦细
以数。曰∶子之幸也。此内损证,外科恶(乌)乎知?与大剂甘润滋填之药,匝月而痊,至今不发。
翁嘉顺,去年秋间,从梯半跌扑,初无所伤,旬日外,陡发寒热,膝旁肿痛。外科汪某治之,溃后不能收功。另
招许某疗之,识为伤络,应手渐效,翁极信服。然培补年余,虽纳食不减,而肌肉渐削,面色黧黑,步履蹇滞。且
一旬半月之间,必患处疼痛,大发寒热,卧榻数日,始能强起,大费不资,愈发愈剧。至冬间,咽糜龈腐,睛赤音
嘶。乃恳孟英以决吉凶。按脉滑数,舌绛,便艰,口臭,溲少,蕴隆虫虫。良由疡医仅知温托一法,既溃之后,更
以温补收功善后,竟未察其体气病情,以致平时所有之湿热痰火,一齐关住,病犹自寻出路,寒热频作。而医者不
识,妄指为虚,补其逾年,人财两瘠。真谚所云∶将钱买憔悴也。与∶元参 黄柏 知母 甘草 银花 花粉 绿
豆栀子 海 荸荠,为大剂投之,吹以锡类散,且令日啖梨、蔗、麒麟菜、柿饼等物,至五十日,诸恙悉蠲,
体腴善步。
Luo Yuan Kui, a native of Wuzhou, suddenly developed chills and fever in the summer of the Dinghai year, followed immediately by vomiting so severe that he could not stand. He reported unbearable pain in his groin area. Wang Mengying examined the painful site: it was red, swollen, and hard, resembling a soap pod, protruding horizontally to the left at the pubic hairline. He stated, "This condition is quite malignant; however, since it has just begun, it can be eliminated with a single strike." The prescription used was: Jin Yin Hua (Lonicerae Japonicae Flos, 6 liang), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma, 1 liang), and Zao Jiao Ci (Gleditsiae Spina, 5 qian). These were decocted in water, mixed with wine, and taken orally. After one dose, the severity of the illness decreased; after two doses, the disease seemed to vanish.
A year later, he contracted Shang Han (Cold Damage Syndrome). Wang Mengying palpated the pulse and found it extremely deficient and thin. He said, "This condition cannot be treated solely by attacking the pathogen, as the Yin aspect is severely depleted." He adopted the method of Zhang Jingyue, prescribing: Shu Di Huang (Prepared Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Bai Shao fried with wine (Paeoniae Radix Alba), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Ju Pi (Citri Reticulatae Pericarpium), and Chai Hu (Bupleuri Radix), among other herbs. One dose resulted in recovery.
Li Yan Biao Canrong, while preparing to travel to the capital in the summer of the Gui year, stayed at the home of Shi Beiya. He developed Ju (carbuncle) on the back of his neck. Surgeons all claimed it was incurable. Wang Mengying recommended an old physician, Zhu Songnian, who treated him until he gradually stabilized. Wang Mengying occasionally palpated his pulse and told Shi Beiya, "Mr. Li's condition shows signs of potential recovery, but the pulse indicates he will not enjoy a long life." Shi Beiya asked in surprise for the reason. Wang Mengying replied, "The left Chi pulse is firm and knotted, indicating damage to True Yin; this is not a favorable sign!" Later, Mr. Li recovered and traveled north. Indeed, he passed away in Beijing that spring.
Weng Jiarun from Maojiabu suffered from a lumbar Ju (carbuncle) that recurred over five years despite healing. Expenses were immense, and numerous surgeons failed to achieve efficacy. Sheng Shaoyun advised him to seek treatment from Wang Mengying. Upon palpation, the pulse was wiry, thin, and rapid. Wang said, "This is your fortune. This is an internal depletion syndrome; how could surgeons understand it?" He prescribed large doses of sweet, moistening, and nourishing tonics. Recovery occurred within a month, and there has been no recurrence since.
Weng Jiashun fell from a ladder in the autumn of the previous year. Initially, there was no apparent injury. However, ten days later, he suddenly developed chills and fever with swelling and pain beside the knee. A surgeon named Wang treated him, but after ulceration, the wound failed to heal. Another doctor, Xu, was invited, identified it as collateral damage, and the condition gradually improved with treatment, earning Weng's trust. However, after more than a year of tonic supplementation, although his appetite remained unchanged, his muscles wasted away, his complexion turned dark, and his gait became stiff and slow. Furthermore, every ten to fifteen days, the affected area would become painful, accompanied by severe chills and fever, confining him to bed for several days before he could勉强 rise. Costs were high, and the condition worsened with each episode. By winter, he developed throat erosion, gingival decay, red eyes, and hoarseness. He earnestly requested Wang Mengying to determine the prognosis. Palpation revealed a slippery and rapid pulse; the tongue was crimson; defecation was difficult; there was halitosis and oliguria; and there was a sensation of internal heat accumulation like insects wriggling. This was primarily because surgeons only knew the method of warming and supporting. After ulceration, they continued using warming tonics for recovery, failing to observe the patient's constitution and pathology. Consequently, the damp-heat, phlegm, and fire accumulated normally were trapped. The pathogenic factors sought an outlet, causing frequent chills and fever. The physicians, failing to recognize this, erroneously diagnosed deficiency and supplemented for over a year, resulting in both financial loss and physical deterioration. As the proverb says, "Buying emaciation with money." The prescription included: Xuan Shen (Scrophulariae Radix), Huang Bo (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Yin Hua (Lonicerae Japonicae Flos), Hua Fen (Trichosanthis Radix), Lu Dou (Phaseoli Semen), Zhi Zi (Gardeniae Fructus), Hai Fu Shi (Pumex), and Bi Qi (Dioscoreae Hypoglaucae Rhizoma), administered in large doses. Xi Lei San (Xi Lei Powder) was blown into the lesion. He was also instructed to consume pears, sugarcane, Qilin Cai (Gracilaria lemaneiformis), and dried persimmons daily. After fifty days, all ailments disappeared, his body regained plumpness, and his walking ability improved.