陈秋槎大便骤下黑血数升。继即大吐鲜红之血。而汗出神昏。肢冷搐搦。躁乱妄言。孟英察
其脉。左手如无。右弦 。按之数。高年阴分久亏。肝血大去。风阳陡动。殆由忿怒兼服热
药所致。其妻云。日来颇有郁。冬间久服姜枣汤。且饮都中药烧酒一瓶。孟英曰∶是矣。以
西洋参犀角生地银花绿豆栀子元参茯苓羚羊茅根为剂。冲入热童溲灌之。（脉以沉分为主。
按之数。阴虚挟热。此方系脉证互参。西洋参三钱。镑犀角羚次尖各四钱。同炭煨八句钟。
元参片一两。大生地八钱。泡煎去渣。济银花一两五钱。生绿豆一两。黑栀皮三钱。云茯苓
三钱。鲜茅根五钱。童便一大酒杯煎去头尾冲。)外以烧铁淬醋令吸其气。龙牡研粉扑汗。
生附子捣贴涌泉穴。引纳浮阳。两服血止。左脉渐起。又加以龟板鳖甲（血龟板杵四两。血
鳖甲杵二两。二味同先炭煨六句钟。)服三帖神气始清。各恙渐息。稍能啜粥。乃去犀羚。
加麦冬天冬女贞旱莲投之。（花麦冬四钱。明天冬切六钱。女贞子杵五钱。旱莲草四钱。)眠
食日安。半月后始解黑燥矢。两旬外便溺之色始正。予滋补药调痊。
姚令舆室素患喘嗽。而病春温。医知其本元久亏。投以温补。痉厥神昏。耳聋谵语。面青舌
绛。痰嗽不眠。孟英诊之。脉犹弦滑。曰∶证虽危险。生机未绝。予犀角羚羊元参沙参知母
花粉石膏。以清热息风救阴生液。（镑犀角羚次尖同先煎各四钱。元参片泡煎去渣一两。北
沙参八钱酒炒知母四钱。南花粉四钱。生石膏先煎一两六钱。)佐苁蓉石英鳖甲金铃旋复贝
母竹沥。以潜阳镇逆。通络蠲痰。（淡苁蓉一钱半。作潜阳反佐。紫石英杵三钱。血鳖甲杵
二两。楝核杵三钱。旋复包先三钱。四味同先煨八句钟。川贝母杵一两。姜竹沥两大酒杯冲
。以咸苦潜镇之品。引药力下行。合贝沥为降中有升。)三剂而平。继去犀羚石膏。加生地
。（大生地泡煎去渣八钱。)服旬日而愈。
马香谷患溺秘欲死。孟英视之。脉坚体浓。口渴苔黄。（脉坚则阳实。阳实则能任苦寒。)投
知柏栀楝犀苑蒌茹之药。送当归龙荟丸而瘳。竟不复发。（酒炒知母三钱。酒炒川黄柏一钱
。黑栀皮三钱。川楝核杵先三钱。镑犀角先煨八钟四钱。蒌仁研四钱。姜竹茹四钱。药送龙
荟
丸三钱。肝为风脏。肝热极为风升。风升则周身之气不降。溺秘欲死者。内风升也。犀角靖
内风。)
谢某患嗽。卧难偏左。孟英切其脉。右寸 滑。曰∶此肺虚而痰贮于络。以苇茎丝瓜络生蛤
粉贝母冬瓜子茯苓玉竹枇叶燕窝梨肉投之果愈。（脉 正虚。脉滑痰实。姜汁拌芦根八钱。
丝瓜络三钱。生蛤粉包先四钱。川贝母杵八钱。生冬瓜子四钱。云茯苓三钱。肥玉竹三钱。
姜枇叶刷包三钱。燕窝包先三钱。连皮梨肉四钱。)
许叔超祖母患疟。孟英治之。脉弦滑而数。脘闷便秘。合目汗出。口渴不饥。或虑高年欲脱
。孟英曰∶此温邪挟素盛之痰所化。补药断不可投。予知芩蒌杏翘贝旋茹连斛雪羹为方。服
果渐效。（脉弦为肝热。滑为痰。数为阴虚挟热姜汁炒知母三钱。姜枯芩一钱。姜川连八分
。
蒌仁研三钱。苦杏泥次入二钱。连翘壳三钱。川贝母杵四钱。旋复包先三钱。姜竹茹三钱。
石斛先煎一两。淡海 先煎二两。整荸荠一两。合目汗出为阴虚阳浮。阴不复则阳不靖。阳
不靖则气不降。气不降则痰亦不行。故用石斛雪羹。)
蒲艾田年逾花甲。陡患鼻衄。诸法不止。孟英诊之。面色黑黯而有红光。脉弦洪而芤。询知
冬间广服助阳药。是热亢阴虚之质。予大剂犀角元参茅根女贞旱莲石斛茯苓泽泻天冬知母。
（脉情为热实阴虚。镑犀角先煎八钟四钱。元参片一两。明天冬切八钱。开水泡冲去渣鲜茅
根五钱。女贞杵先五钱。旱莲草四钱。石斛先煎一两。生泽泻一钱。酒炒知母四钱。投匕而
安。续予滋阴药填补而康。鼻衄不止。则风升而肝血随之。故以救液息风为要。)
许少卿妻夏初患感。何某十进清解。病不略减。邀诊孟英。脉至弦洪豁大。左手为尤。大渴
大汗。能食妄言。
面赤足冷。彻夜不瞑。孟英曰∶证虽属温。而真阴素亏。久伤思虑。心阳外越。内风鸱张。
幸未投温散。尚可无恐。予龙牡犀珠龟板鳖甲贝母竹沥竹叶辰砂小麦元参丹参生地麦冬为大
剂投之。（十进清解。下虚而治其上。故病不略减。弦洪豁大左手为尤。血分之阴虚也。大
渴为热灼肺阴。大汗为阴虚阳越。能食为风消。妄言为肝热侵营。足冷为热邪伤肺。气不下
行。彻夜不瞑。则尤为风升阳浮确据。煎龙骨杵一两。 牡蛎杵六两。镑犀角四钱。血龟板
杵四两。血鳖甲杵二两。整辰砂杵一两二钱。六味先炭煨八钟。取汤代水煎药。川贝母杵四
钱。姜竹沥一大酒杯冲。竹叶次入二钱。北小麦四钱。紫丹参三钱。元参片一两。大生地八
钱
。花麦冬五钱。开水泡冲去渣。)外以烧铁淬醋令吸其气。蛎粉扑止其汗。生附子捣贴涌泉
穴（引纳浮阳。)渐以向愈。而阴不易复。频灌甘柔滋镇。月余始能起榻。季夏汛行。惟情
志不怡。易生惊恐。予麦参熟地石英茯神龙眼甘麦大枣三甲等药善其后。（ 牡蛎杵六两。
血鳖甲杵四两。血龟板杵二两。紫石英杵三钱。四味先煨六钟。取汤代水煎药。花麦冬四钱
。北沙参五钱。大熟地八钱。云茯神三钱。桂元肉一钱半。生粉草三钱。北小麦四钱。)秋
杪归宁。微吸客邪。孟英投以清解。已得向安。（清解方。酒炒知母四钱。黑栀皮三钱。炒
豆豉一钱半。鲜枇叶刷包三钱。鲜芦根一两。西滑石先煎四钱。枯茅杆三钱。石斛先煎八钱
。淡海 先煎八钱。苦杏泥次入一钱半。)
周鹤亭子年甫五龄。痘后月余。清凉药尚未辍。忽发壮热。幼科治之。势益张。肢 面赤。
呕吐苔黄。渴而溺清。时或昏厥。证交六日。孟英诊之。脉甚弦洪滑数。心下拒按。便秘汗
多。投小陷胸加石膏知母花粉竹叶枇叶贝母雪羹。（玩溺清及时或昏厥。痰热全在肺经气分
。洪数为阴虚挟热。故用雪羹。半夏合石膏辛凉解表。合知连辛苦豁痰。姜炒川连四分。制
半夏研次一钱半。蒌仁研一钱半。生石膏先煎五钱。姜炒知母一钱半。南花粉一钱半。鲜竹
叶八分。川贝母杵三钱。姜枇叶刷包一片。整荸荠四钱。淡海蜇先煎八钱。)二剂各恙皆减
。溲赤便行。继予清养而安。（清养方。去蒌连石膏竹叶。加西洋参一钱。北沙参二钱。石
斛先煎三钱。旋复包先一钱。炒冬瓜子一钱半。北梨肉三钱。)
费伯元患烦躁不眠。医见苔白。投以温药。因而狂妄螈 。多方不应。孟英视之。左脉弦细
而数。右 滑乃阴虚之体。心火炽肝风动而痰盛于中也。先以犀羚桑菊息其风。元参丹皮莲
心童溲清其火。茹贝雪羹化其痰。（左细数为血分阴虚左弦细合狂妄螈 。为阴虚而心火炽
肝风动。右 滑为痰盛于中。镑犀角羚次尖。同先煨八钟各四钱。冬桑叶四钱。杭白菊三钱
。元参片泡冲去渣一两。粉丹皮二钱。莲子心一钱。姜竹茹四钱。川贝母杵八钱。整荸荠一
两。淡海蛰二两先煎。)随与三甲二至磁朱潜其阳。甘麦大枣缓其急。地黄麦冬养其阴。渐
次康复。（续方去犀羚桑叶。加 牡蛎杵四两。血鳖甲杵二两。血龟板一两。女贞杵五钱。
旱莲草四钱。灵磁石一两。大辰砂八钱。三甲磁朱先煨八钟。取汤代水煎药。更方去丹皮竹
茹。加生粉草三钱。北小麦四钱。大枣擘先一枚。再更方去童溲贝母。加大生地八钱。花麦
冬四钱。)
何 阶妻素患肝厥。仲夏患感。沈樾亭按温证法治之。内风不致陡动。而大便泄泻。脉细而
弦。渴饮痰多。不饥不寐。孟英商投白头翁汤加三甲石斛茯苓竹茹而安。随以峻补善后而痊
。
（辨证在不饥不寐。不饥不寐为热炽阳浮。肝风暗动。白头翁一钱半。酒炒川连一钱。酒炒
黄柏三钱。云苓三钱。姜竹茹四钱。 牡蛎杵六两。血龟板杵四两。血鳖甲杵二两。三味同
先煨八钟。取汤代水煎药。峻补方。大生地八钱。明天冬切六钱。花麦冬四钱。女贞杵五
钱。川贝杵四钱。赖橘红一钱。云茯苓三钱。陈木瓜一钱半。楝核杵先四钱。血鳖甲杵四两
。血龟板杵一两。三味先煨八钟。取汤代水煎药。清阿胶炖和服二钱。)
许氏妇患间疟。寒少热多。不饥大渴。善呕无汗。脉滑而弦。孟英投白虎汤加花粉柴胡而愈
。（不饥大渴善呕。皆阳升不降之象。无汗为阳郁极不能自达。脉滑挟痰。脉弦阴虚挟热。
生石膏先煎一两六钱。酒炒知母四钱。南花粉一两。春柴胡次入三钱。)
吴酝香媳时患腹胀减餐。牙衄腿痛。久治不效。肌肉渐消。孟英诊脉。弦细而数。肝气虽滞
。而阴虚营热。岂辛通温运之可投耶。以乌梅黄连楝芍栀子木瓜首乌鳖甲茹贝服之果愈。（
脉弦数为阴虚挟热。细为阴虚中兼挟阳虚。腹胀减餐。为肝阳侮胃。牙衄腿痛为肝胃热结。
肌肉渐消。为肝风消烁。方义以酸苦泄肝治其标。以首乌鳖甲潜阳益肝治其本。乌梅肉杵三
钱。酒炒川连一钱。酒炒楝核先三钱。整大白芍杵先一两。黑栀皮三钱。陈木瓜一钱半。制
首乌
一钱半。血鳖甲杵先煨八钟二两。姜竹茹次入三钱。川贝母杵四钱。甘润滋镇方。大生地八
钱
。柿饼肉五钱。生粉草三钱。肥玉竹三钱。乌梅肉一钱半。楝核杵先四钱。青果杵先二钱。
生冬瓜子四钱。生苡仁杵八钱。山萸肉一钱半。血鳖甲二两杵。 赭石八钱。紫石英三钱。
同先煨八钟。)肌充胃旺。汛准脉和。积岁沉 若失。
顾云萝妻久患香港脚。屡治屡发。驯致周身筋掣。上及于巅。龈痛齿麻。腰酸目眩。口干食少
。夜不能眠。孟英察其脉。芤而弦数。真阴大亏。腿虽痛。从无赤肿之形。香港脚药岂徒无益
。予二地二冬二至知柏桑菊栀楝蒿薇龟板鳖甲藕等药。服之各恙渐减。盖因平素带下太甚。
阴液漏泄而筋骨失其濡养也。故治病须澄源以洁流。（大熟地八钱。干生地一两。明天冬切
六钱。花麦冬四钱。女贞杵五钱。旱莲草四钱。酒炒知母三钱。酒炒川黄柏一钱。鲜青蒿一
钱半。酒炒白薇一钱。醋炙血鳖甲二两。醋炙血龟板一两。同先煨八钟。藕二两切先。)秋
间以海螵蛸粉鱼膘黄柏阿胶为丸。服之全愈。（海螵蛸粉二两。炒川黄柏八两。线鱼胶一两
。阿胶四两。合溶搓丸梧子大。晚膳前稀米汤下四钱。)
石北涯妻久患龈痛。渐至身面浮肿。或以为虚。或以为湿。病日以剧。气逆不饥。孟英察脉
。左洪数。右弦滑。阴分虽虚。先当清其肺胃之痰热。投白虎加沙参花粉冬瓜皮枇叶栀子竹
茹芦根。服之肿即消。继佐滋阴。龈痛亦止。（此证右脉弦滑。必较甚于左脉。生石膏先
煎一两二钱。酒炒知母四钱。北沙参八钱。南花粉四钱。冬瓜皮三钱。姜枇叶刷包三钱。黑
栀皮三钱。姜竹茹三钱。姜汗拌芦根二两。继去石膏枇叶栀子冬瓜皮芦根。佐淡海 二两。
元参片泡冲去渣八钱。石斛先煎一两。花麦冬四钱。乌梅肉炭一钱。)
金畹香媳半产后营分不摄。淋漓数月。治之弗瘳。孟英季夏诊视。两尺皆浮。左寸关弦。予
三甲二至二地蒿薇柏叶螵蛸黄柏为方。服之渐愈。（上格原注两尺皆浮。肾失其闭藏之职。
左寸关弦。肝独行其疏泄之权。 牡蛎杵六两。血鳖甲杵四两。血龟板杵二两。醋炙乌 骨
杵四钱。四味先煨八钟。取汤代水煎药。女贞杵五钱。旱莲草四钱。大熟地八钱。大生地一
两。鲜青蒿一钱半。酒炒柏叶一钱。醋炒川黄柏三钱。)
蔡初泉陡发寒热。咽痛大渴。脘闷舌绛。孟英诊脉甚数。径投大剂犀羚元参丹皮桑栀银花花
粉翘蒡之药。服后遍身发赤疹。而热退知饥矣。（病情为阴虚风炽。镑犀角羚次尖。同先煨
八钟。各四钱。元参片泡冲去渣一两。冬桑叶四钱。酒炒栀皮三钱。酒炒银花八钱。南花粉
四钱。连翘壳三钱。姜汁炒牛子三钱。)
吴茂林患右颊肿痛。颏下结核。牙关仅能呷稀糜。外科称名不一。治若罔知。孟英投以天麻
僵蚕羚羊石膏省头草升麻当归秦艽花粉黄芩等药渐愈。（此证必系肝胃气分热结。以辛温反
佐。升发咸苦寒正治之品。明天麻八分。炙僵蚕一钱半。羚次尖先煎八钟四钱。生石膏先煎
八钱。省头草一钱半。生升麻一钱。箱归尾一钱。左秦艽一钱半。南花粉四钱。酒炒枯芩三
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吴诵青室年近五旬。天癸已绝。偶患腹胀。黄某知其体素羸。投以犀气汤而寒热渐作。改从
建中法。旬日后病剧而崩。愈补愈甚。乞援孟英。脉洪而数。渴饮苔黄。是吸受暑邪。得温
补而血下漏也。予犀角元参茅根柏叶栀楝知斛花粉白薇等药。（病情为温补助热。暑邪挟肝
阳由气侵营。脉洪数为阴虚挟热。渴饮苔黄。为肺胃痰热。镑犀角先煎四钱。鲜茅根五钱。
元参片泡冲去渣一两。酒炒柏叶一钱。黑栀皮三钱。楝核杵先二钱。酒炒知母三钱。石斛先
Chen Qiuzha suddenly passed several sheng of black blood from the bowels, followed by profuse vomiting of bright red blood. He then exhibited sweating, coma, cold limbs with convulsions, restlessness, confusion, and delirious speech. Mengying examined his pulse: the left hand pulse was faint as if absent, while the right hand pulse was wiry (Xian) and rapid (Shu) upon pressure. The patient was elderly with a long-standing deficiency of Yin (Yin Fen). The massive loss of Liver Blood (Gan Xue) caused a sudden hyperactivity of Wind-Yang (Feng Yang). This was likely caused by anger combined with the intake of hot-natured medicines. His wife stated that he had been somewhat depressed recently, had taken Ginger-Jujube Decoction (Jiang Zao Tang) for a long time during winter, and drank a bottle of Zhongyao liquor. Mengying said, "Indeed." He prescribed a formula containing American Ginseng (Xi Yang Shen), Rhinoceros Horn (Xi Jiao), Rehmannia Root (Sheng Di), Honeysuckle Flower (Yin Hua), Mung Bean (Lu Dou), Gardenia Fruit (Zhi Zi), Scrophularia Root (Yuan Shen), Poria (Fu Ling), Antelope Horn (Ling Yang), and Imperata Rhizome (Mao Gen), mixed with warm child's urine (Tong Sou) for administration. (The pulse focuses on the deep level; rapidity upon pressure indicates Yin deficiency with internal heat. This formula is based on the mutual reference of pulse and symptoms. Dosage: American Ginseng 3 qian, sliced Rhinoceros Horn and secondary tip of Antelope Horn each 4 qian, simmered in charcoal fire for 8 minutes; Scrophularia slices 1 liang, large Rehmannia 8 qian, soaked and decocted, dregs removed; Silver Flower 1.5 liang, raw Mung Bean 1 liang, black Gardenia peel 3 qian, Cloud Poria 3 qian, fresh Imperata Rhizome 5 qian, one large wine glass of child's urine, decocted removing head and tail, then mixed.) Externally, heated iron was quenched in vinegar for inhalation; Dragon Bone (Long Gu) and Oyster Shell (Mu Li) were ground into powder and applied to stop sweating; Raw Aconite (Sheng Fu Zi) was mashed and applied to Yongquan (KI-1) acupoint to guide floating Yang back to its source. After two doses, bleeding stopped, and the left pulse gradually recovered. Turtle Shell (Gui Ban) and Softshell Turtle Shell (Bie Jia) were added (Blood Turtle Shell pounded 4 liang, Blood Softshell Turtle Shell pounded 2 liang, these two ingredients simmered in charcoal fire for 6 minutes first). After three more doses, mental clarity returned, and various ailments subsided. He could slightly consume congee. Then Rhinoceros Horn and Antelope Horn were removed, and Ophiopogon Tuber (Mai Dong), Asparagus Tuber (Tian Dong), Privet Fruit (Nv Zhen Zi), and Eclipta Herba (Han Lian Cao) were added. (Flower Ophiopogon 4 qian, sliced Tian Dong 6 qian, pounded Nv Zhen Zi 5 qian, Han Lian Cao 4 qian.) Sleep and appetite improved daily. Half a month later, black dry feces were passed. After twenty days, the color of urine and stool normalized. Tonifying medicines were given to regulate and cure him.
Yao Lingyu's wife suffered from chronic wheezing and coughing, and contracted Spring-Warmth disease (Chun Wen). The physician knew her original essence was long depleted and administered warming tonics. This led to spasms, syncope, coma, deafness, and delirium. Her face was blue, tongue crimson, with phlegm-cough and insomnia. Mengying diagnosed her pulse as still wiry and slippery. He said, "Although the condition is dangerous, the vital energy has not perished." He prescribed Rhinoceros Horn, Antelope Horn, Scrophularia Root, Glehnia Root (Sha Shen), Anemarrhena Rhizome (Zhi Mu), Trichosanthes Root (Hua Fen), and Gypsum (Shi Gao) to clear heat, extinguish wind, save Yin, and generate fluids. (Sliced Rhinoceros Horn and secondary tip of Antelope Horn decocted first, 4 qian each; Scrophularia slices soaked and decocted, dregs removed, 1 liang; Bei Sha Shen 8 qian stir-fried with wine, Anemarrhena 4 qian, Nan Hua Fen 4 qian, raw Gypsum decocted first, 1.6 liang.) Assisted by Cistanche (Rong Rong), Purple Quartz (Shi Ying), Softshell Turtle Shell, Melia Seed (Jin Ling Zi), Inula Flower (Xuan Fu), Fritillaria Bulb (Bei Mu), and Bamboo Sap (Zhu Li) to subdue Yang, suppress rebellion, unblock collaterals, and eliminate phlegm. (Pale Cistanche 1.5 qian, used as a counter-agent for subduing Yang; crushed Purple Quartz 3 qian, crushed Blood Softshell Turtle Shell 2 liang, crushed Melia Seed 3 qian, wrapped Inula flower decocted first 3 qian, these four ingredients simmered in charcoal fire for 8 minutes first; crushed Chuan Bei Mu 1 liang, ginger-infused Bamboo Sap 2 large wine glasses mixed in. Using salty and bitter subduing agents to guide medicinal power downward, combining with Bei Mu and Zhu Li to achieve descending with ascending effects.) After three doses, the condition stabilized. Subsequently, Rhinoceros Horn, Antelope Horn, and Gypsum were removed, and Rehmannia Root (Sheng Di) was added. (Large Sheng Di soaked and decocted, dregs removed, 8 qian.) She recovered after ten days.
Ma Xianggu suffered from urinary retention, nearly dying. Mengying examined him: the pulse was firm, the body robust, with thirst and yellow coating. (A firm pulse indicates Yang excess; Yang excess can tolerate bitter-cold medicines.) He administered Anemarrhena, Phellodendron Bark (Huang Bai), Gardenia, Melia Seed, Rhinoceros Horn, Dodder Seed (Tu Si Zi), Trichosanthes Kernel (Lou Ren), and Ginger-processed Bamboo Sheath (Zhu Ru), sending it down with Danggui Longhui Wan. He recovered without recurrence. (Wine-stir-fried Anemarrhena 3 qian, wine-stir-fried Huang Bai 1 qian, black Gardenia peel 3 qian, crushed Melia seed decocted first 3 qian, sliced Rhinoceros Horn simmered in charcoal fire for 8 minutes 4 qian, crushed Lou Ren 4 qian, ginger-processed Zhu Ru 4 qian, medicine sent down with 3 qian of Longhui Wan. The Liver is the organ of Wind; extreme Liver heat causes Wind to rise. When Wind rises, the Qi of the whole body fails to descend. Urinary retention nearing death is due to rising internal Wind. Rhinoceros Horn calms internal Wind.)
Xie suffered from coughing and difficulty lying on the left side. Mengying palpated his pulse: the right Cun position was choppy and slippery. He said, "This is Lung deficiency with phlegm stored in the collaterals." He administered Eelgrass Stem (Wei Jing), Loofah Network (Si Gua Luo), Raw Concha Meretricis (Sheng Ge Fen), Fritillaria, Winter Melon Seed (Dong Gua Zi), Poria, Polygonatum Rhizome (Yu Zhu), Loquat Leaf (Pi Ye), Bird's Nest (Yan Wo), and Pear Flesh. He recovered. (Pulse choppy indicates deficiency; pulse slippery indicates phlegm excess. Ginger-processed Reed Rhizome 8 qian, Si Gua Luo 3 qian, raw Ge Fen wrapped and decocted first 4 qian, Chuan Bei Mu pounded 8 qian, raw Dong Gua Zi 4 qian, Cloud Poria 3 qian, fat Yu Zhu 3 qian, ginger-processed Pi Ye brushed and wrapped 3 qian, Bird's Nest wrapped and decocted first 3 qian, pear flesh with skin 4 qian.)
Grandmother of Xu Shuchao suffered from Malaria. Mengying treated her: the pulse was wiry, slippery, and rapid. There was epigastric stuffiness and constipation, sweating when closing eyes, thirst, and lack of appetite. Some worried about Qi collapse in an elderly person. Mengying said, "This is Warm pathogen transforming with abundant phlegm. Tonics must absolutely not be used." He prescribed Anemarrhena, Scutellaria Root (Huang Qin), Trichosanthes, Apricot Kernel (Xing Ren), Forsythia Fruit (Qiao), Fritillaria, Inula, Bamboo Sheath, Coptis Rhizome (Lian), Dendrobium Stem (Shi Hu), and Xue Geng (Snow Soup) as a formula. It took effect gradually. (Wiry pulse indicates Liver heat; slippery indicates phlegm; rapid indicates Yin deficiency with heat. Ginger-processed Anemarrhena 3 qian, ginger-processed Huang Qin 1 qian, ginger-processed Chuan Lian 0.8 fen, crushed Lou Ren 3 qian, bitter Xing Ni entered next 2 qian, Qiao Ke 3 qian, pounded Chuan Bei Mu 4 qian, wrapped Inula decocted first 3 qian, ginger-processed Zhu Ru 3 qian, Shi Hu decocted first 1 liang, pale Sea Cucumber (Hai Zhe) decocted first 2 liang, whole Water Chestnut 1 liang. Sweating when closing eyes indicates Yin deficiency with floating Yang. If Yin does not return, Yang does not settle. If Yang does not settle, Qi does not descend. If Qi does not descend, phlegm does not move. Hence, Shi Hu and Xue Geng are used.)
Pu Aitian, over sixty years old, suddenly suffered from epistaxis. Various methods failed to stop it. Mengying diagnosed: dark complexion with red luster, pulse wiry, flooding, and hollow. Inquiry revealed extensive use of Yang-assisting medicines in winter. This constitution features excessive Heat and Yin deficiency. He prescribed a large dose of Rhinoceros Horn, Scrophularia, Imperata Rhizome, Privet Fruit, Eclipta, Dendrobium, Poria, Alisma Rhizome (Ze Xie), Asparagus Tuber, and Anemarrhena. (Pulse condition shows Heat excess and Yin deficiency. Sliced Rhinoceros Horn decocted first 8 minutes 4 qian, Scrophularia slices 1 liang, sliced Tian Dong 8 qian, fresh Mao Gen soaked in boiling water, dregs removed 5 qian, pounded Nv Zhen Zi decocted first 5 qian, Han Lian Cao 4 qian, Shi Hu decocted first 1 liang, raw Ze Xie 1 qian, wine-stir-fried Anemarrhena 4 qian. One dose brought peace. Subsequent nourishing medicines filled the deficiency and restored health. Unstopping epistaxis leads to rising Wind and loss of Liver Blood, so saving fluids and extinguishing Wind is essential.)
Wife of Xu Shaoqing contracted external pathogen in early summer. Physician He used clearing and resolving methods ten times consecutively without relief. Mengying was invited. The pulse was wiry, flooding, empty, and large, especially on the left. Great thirst, profuse sweating, ability to eat but speaking nonsense, red face, cold feet, and all-night insomnia. Mengying said, "Although the syndrome belongs to Warmth, true Yin has been deficient since long ago. Long-term mental strain has caused Heart Yang to float outward and Internal Wind to rage. Fortunately, warming dispersants were not used, so there is no cause for fear." He prescribed a large dose of Dragon Bone, Oyster Shell, Rhinoceros Horn, Pearl, Turtle Shell, Softshell Turtle Shell, Fritillaria, Bamboo Sap, Bamboo Leaf, Cinnabar (Chen Sha), Wheat (Xiao Mai), Scrophularia, Salvia Root (Dan Shen), Rehmannia, and Ophiopogon. (Ten clearing treatments targeted the upper while the lower was deficient, hence no improvement. Wiry, flooding, empty, large pulse especially on the left indicates Yin deficiency in the Blood aspect. Great thirst indicates Heat scorching Lung Yin. Profuse sweating indicates Yin deficiency with Yang floating. Ability to eat indicates Wind consuming. Delirium indicates Liver Heat invading the Ying level. Cold feet indicate Heat pathogen injuring the Lung, preventing Qi from descending. All-night insomnia is definitive evidence of rising Wind and floating Yang. Decoct pounded Long Gu 1 liang, pounded Mu Li 6 liang, sliced Rhinoceros Horn 4 qian, pounded Blood Gui Ban 4 liang, pounded Blood Bie Jia 2 liang, whole Chen Sha pounded 1.2 liang. These six ingredients simmered in charcoal fire for 8 minutes first, using the decoction to replace water for brewing medicine. Pounded Chuan Bei Mu 4 qian, ginger-processed Zhu Li one large wine glass mixed in, Bamboo Leaf entered next 2 qian, Bei Xiao Mai 4 qian, Zi Dan Shen 3 qian, Yuan Shen slices 1 liang, large Sheng Di 8 qian, flower Mai Dong 5 qian, soaked in boiling water, dregs removed.) Externally, heated iron quenched in vinegar for inhalation, Oyster Shell powder applied to stop sweat, Raw Aconite mashed and applied to Yongquan acupoint (to guide floating Yang). Gradually improving, but Yin is hard to restore. Frequent administration of sweet, soft, nourishing, and sedating medicines allowed him to get out of bed after more than a month. Menstruation occurred in mid-summer, but emotional distress easily caused fright. He prescribed Mai Dong, Ren Shen, Shu Di, Shi Ying, Fu Shen, Long Yan, Gan Cao, Xiao Mai, Da Zao, and San Jia to conclude treatment. (Pounded Mu Li 6 liang, pounded Blood Bie Jia 4 liang, pounded Blood Gui Ban 2 liang, pounded Zi Shi Ying 3 qian. These four ingredients simmered in charcoal fire for 6 minutes first, using decoction to replace water. Flower Mai Dong 4 qian, Bei Sha Shen 5 qian, large Shu Di 8 qian, Yun Fu Shen 3 qian, Gui Yuan Rou 1.5 qian, raw Gan Cao 3 qian, Bei Xiao Mai 4 qian.) Late autumn, returning home, he slightly inhaled external pathogens. Mengying administered clearing and resolving medicines, and he became peaceful. (Clearing and resolving formula: wine-stir-fried Anemarrhena 4 qian, black Gardenia peel 3 qian, stir-fried Dou Chi 1.5 qian, fresh Pi Ye brushed and wrapped 3 qian, fresh Lu Gen 1 liang, Xi Hua Shi decocted first 4 qian, Ku Mao Gan 3 qian, Shi Hu decocted first 8 qian, pale Hai Zhe decocted first 8 qian, bitter Xing Ni entered next 1.5 qian.)
Son of Zhou Hetting, only five years old, one month after smallpox, cooling medicines had not ceased. Suddenly high fever developed. Pediatric treatment made the condition worse: stiff limbs, red face, vomiting, yellow coating, thirst with clear urine, occasional syncope. On the sixth day, Mengying diagnosed: pulse very wiry, flooding, slippery, and rapid. Rejection at the epigastrium, constipation, profuse sweating. He administered Xiao Xian Xiong Tang plus Gypsum, Anemarrhena, Trichosanthes Root, Bamboo Leaf, Loquat Leaf, Fritillaria, and Xue Geng. (Considering clear urine and occasional syncope, Phlegm-Heat is entirely in the Qi level of the Lung meridian. Flooding and rapid pulse indicate Yin deficiency with heat, hence Xue Geng is used. Pinellia combined with Gypsum releases the exterior with pungent-cool; combined with Anemarrhena and Coptis, it resolves phlegm with pungent-bitter. Ginger-processed Chuan Lian 4 fen, processed Ban Xia pounded and entered next 1.5 qian, crushed Lou Ren 1.5 qian, raw Gypsum decocted first 5 qian, ginger-processed Anemarrhena 1.5 qian, Nan Hua Fen 1.5 qian, fresh Zhu Ye 8 fen, pounded Chuan Bei Mu 3 qian, ginger-processed Pi Ye brushed and wrapped one piece, whole Water Chestnut 4 qian, pale Hai Zhe decocted first 8 qian.) After two doses, all symptoms decreased. Urine turned red, stool passed. Subsequently, clearing and nourishing medicines brought peace. (Clearing and nourishing formula: remove Lou, Lian, Shi Gao, Zhu Ye. Add Xi Yang Shen 1 qian, Bei Sha Shen 2 qian, Shi Hu decocted first 3 qian, wrapped Inula decocted first 1 qian, stir-fried Dong Gua Zi 1.5 qian, Bei Pear Flesh 3 qian.)
Fe Boyuan suffered from irritability and insomnia. The physician saw a white coating and administered warming medicines, leading to madness and convulsions. Many treatments failed. Mengying observed: left pulse wiry, fine, and rapid; right pulse choppy and slippery. This is a Yin-deficient constitution with blazing Heart Fire, stirring Liver Wind, and abundant Phlegm in the middle. First, Rhinoceros Horn, Antelope Horn, Mulberry Leaf (Sang Ye), and Chrysanthemum Flower (Ju Hua) were used to extinguish Wind. Scrophularia, Moutan Cortex (Dan Pi), Lotus Plumule (Lian Xin), and Child's Urine were used to clear Fire. Bamboo Sheath, Fritillaria, and Xue Geng were used to transform Phlegm. (Left fine-rapid indicates Yin deficiency in the Blood aspect. Left wiry-fine combined with madness and convulsions indicates Yin deficiency with blazing Heart Fire and stirring Liver Wind. Right choppy-slippery indicates abundant Phlegm in the middle. Sliced Rhinoceros Horn and secondary tip of Antelope Horn simmered in charcoal fire for 8 minutes first, 4 qian each. Dong Sang Ye 4 qian, Hang Bai Ju 3 qian. Yuan Shen slices soaked and mixed, dregs removed, 1 liang. Fen Dan Pi 2 qian. Lian Zi Xin 1 qian. Ginger-processed Zhu Ru 4 qian. Pounded Chuan Bei Mu 8 qian. Whole Water Chestnut 1 liang. Pale Hai Zhe 2 liang decocted first.) Then San Jia, Er Zhi, Ci Zhu were used to subdue Yang. Gan Mai Da Zao was used to relieve urgency. Di Huang and Mai Dong were used to nourish Yin. Gradual recovery ensued. (Continued formula: remove Rhinoceros Horn, Antelope Horn, Sang Ye. Add pounded Mu Li 4 liang, pounded Blood Bie Jia 2 liang, pounded Blood Gui Ban 1 liang, pounded Nv Zhen Zi 5 qian, pounded Han Lian Cao 4 qian, Ling Ci Shi 1 liang, large Chen Sha 8 qian. San Jia and Ci Zhu simmered in charcoal fire for 8 minutes first, using decoction to replace water. Further modification: remove Dan Pi, Zhu Ru. Add raw Gan Cao 3 qian, Bei Xiao Mai 4 qian, Da Zao split and decocted first one piece. Further modification: remove Tong Sou, Bei Mu. Add large Sheng Di 8 qian, flower Mai Dong 4 qian.)
Wife of He Jie suffered from Liver Jue chronically. In mid-summer, she contracted an external pathogen. Shen Yueting treated it according to Warm syndrome methods. Internal Wind did not surge suddenly, but diarrhea occurred. Pulse was fine and wiry, with thirst, drinking, abundant phlegm, lack of appetite, and insomnia. Mengying consulted and administered White Head Worm Decoction (Bai Tou Weng Tang) plus San Jia, Shi Hu, Poria, and Bamboo Sheath, bringing peace. Subsequently, strong tonics concluded treatment and cured her. (Differentiation lies in lack of appetite and insomnia. Lack of appetite and insomnia indicate blazing Heat and floating Yang, with hidden stirring of Liver Wind. Bai Tou Weng 1.5 qian, wine-stir-fried Chuan Lian 1 qian, wine-stir-fried Huang Bai 3 qian, Yun Ling 3 qian, ginger-processed Zhu Ru 4 qian, pounded Mu Li 6 liang, pounded Blood Gui Ban 4 liang, pounded Blood Bie Jia 2 liang. These three ingredients simmered in charcoal fire for 8 minutes first, using decoction to replace water. Strong tonic formula: large Sheng Di 8 qian, sliced Tian Dong 6 qian, flower Mai Dong 4 qian, pounded Nv Zhen Zi 5 qian, pounded Chuan Bei Mu 4 qian, Lai Ju Hong 1 qian, Yun Fu Ling 3 qian, aged Mu Gua 1.5 qian, pounded Melia seed decocted first 4 qian, pounded Blood Bie Jia 4 liang, pounded Blood Gui Ban 1 liang. These three ingredients simmered in charcoal fire for 8 minutes first, using decoction to replace water. Clear Ejiao stewed and taken with medicine 2 qian.)
Xu family woman suffered from intermittent malaria. Less chills, more fever, lack of appetite, great thirst, frequent vomiting, no sweat. Pulse was slippery and wiry. Mengying administered Bai Hu Tang plus Hua Fen and Chai Hu, resulting in recovery. (Lack of appetite, great thirst, and frequent vomiting are all signs of Yang rising and not descending. No sweat indicates extreme Yang depression unable to reach itself. Slippery pulse carries Phlegm; wiry pulse indicates Yin deficiency with heat. Raw Gypsum decocted first 1.6 liang, wine-stir-fried Anemarrhena 4 qian, Nan Hua Fen 1 liang, Spring Chai Hu entered next 3 qian.)
Daughter-in-law of Wu Yunxiang often suffered from abdominal distension and reduced meals, gum bleeding, and leg pain. Long-term treatment was ineffective, and muscles gradually wasted. Mengying diagnosed the pulse: wiry, fine, and rapid. Although Liver Qi was stagnant, Yin deficiency and Ying heat existed. How could pungent-unblocking and warming-moving medicines be used? He administered Sour Plum (W Mei), Coptis Rhizome, Melia Seed, White Peony Root (Bai Shao), Gardenia, Quince (Mu Gua), Polygonum Multiflorum (Shou Wu), and Softshell Turtle Shell, along with Bamboo Sheath and Fritillaria. He recovered. (Wiry-rapid pulse indicates Yin deficiency with heat; fine indicates Yin deficiency with concurrent Yang deficiency. Abdominal distension and reduced meals indicate Liver Yang insulting the Stomach. Gum bleeding and leg pain indicate Liver-Stomach Heat knotting. Muscle wasting indicates Liver Wind consuming. The prescription uses sour and bitter to drain Liver to treat the branch, and Shou Wu and Bie Jia to subdue Yang and benefit Liver to treat the root. Crushed Wu Mei 3 qian, wine-stir-fried Chuan Lian 1 qian, wine-stir-fried Melia seed decocted first 3 qian, whole Da Bai Shao pounded and decocted first 1 liang, black Gardenia peel 3 qian, aged Mu Gua 1.5 qian, processed Shou Wu 1.5 qian, pounded Blood Bie Jia simmered in charcoal fire for 8 minutes first 2 liang, ginger-processed Zhu Ru entered next 3 qian, pounded Chuan Bei Mu 4 qian. Sweet-moistening and sedating formula: large Sheng Di 8 qian, persimmon cake flesh 5 qian, raw Gan Cao 3 qian, fat Yu Zhu 3 qian, Wu Mei flesh 1.5 qian, pounded Melia seed decocted first 4 qian, Qing Guo pounded and decocted first 2 qian, raw Dong Gua Zi 4 qian, raw Yi Yi Ren pounded 8 qian, Shan Yu Rou 1.5 qian, pounded Blood Bie Jia 2 liang, Dai Zhe Shi 8 qian, Zi Shi Ying 3 qian. Simmered in charcoal fire for 8 minutes first.) Muscles filled, Stomach prospered, menstruation regular, pulse harmonious, accumulated chronic illness lost.
Wife of Gu Yunluo suffered from Hong Kong Foot (gout/erysipelas-like condition) for a long time, recurring despite multiple treatments. Eventually, whole-body tendon spasms extended to the vertex, gum pain, numb teeth, sore waist, dizzy eyes, dry mouth, poor appetite, and insomnia. Mengying diagnosed the pulse: hollow, wiry, and rapid. True Yin was greatly depleted. Although the legs hurt, there was never redness or swelling. Hong Kong Foot medicines are useless. He prescribed Two Di (Shu Di and Sheng Di), Two Dong (Tian Dong and Mai Dong), Two Zhi (Nv Zhen Zi and Han Lian Cao), Anemarrhena, Phellodendron, Mulberry Leaf, Chrysanthemum, Gardenia, Melia Seed, Artemisia (Qing Hao), Anemarrhena (Bai Wei), Turtle Shell, Softshell Turtle Shell, and Lotus Root. Symptoms gradually decreased. This was because excessive leukorrhea had leaked Yin fluids, causing bones and sinews to lose nourishment. Therefore, treating the disease requires clearing the source to purify the flow. (Large Shu Di 8 qian, dry Sheng Di 1 liang, sliced Tian Dong 6 qian, flower Mai Dong 4 qian, pounded Nv Zhen Zi 5 qian, pounded Han Lian Cao 4 qian, wine-stir-fried Anemarrhena 3 qian, wine-stir-fried Huang Bai 1 qian, fresh Qing Hao 1.5 qian, wine-stir-fried Bai Wei 1 qian, vinegar-processed Blood Bie Jia 2 liang, vinegar-processed Blood Gui Ban 1 liang. These two ingredients simmered in charcoal fire for 8 minutes first. Lotus Root 2 liang sliced and decocted first.) In autumn, pills were made from Cuttlefish Bone Powder, Fish Maw, Huang Bai, and Ejiao. Full recovery ensued. (Cuttlefish Bone Powder 2 liang, stir-fried Huang Bai 8 liang, Line Fish Maw 1 liang, Ejiao 4 liang. Melted together and rolled into pill size of wu zi. Taken with thin rice soup before dinner, 4 qian.)
Wife of Shi Beiya suffered from gum pain for a long time, gradually developing facial and body edema. Some considered it deficiency, others dampness. The condition worsened daily with rebellious Qi and lack of appetite. Mengying diagnosed the pulse: left flooding and rapid, right wiry and slippery. Although Yin deficiency exists, clearing Phlegm-Heat from Lung and Stomach should come first. He administered Bai Hu Tang plus Sha Shen, Hua Fen, Winter Melon Peel, Loquat Leaf, Gardenia, Bamboo Sheath, and Reed Rhizome. Edema subsided immediately. Subsequently, Yin-nourishing medicines were added, and gum pain stopped. (In this case, the right wiry-slippery pulse must be more severe than the left. Raw Gypsum decocted first 1.2 liang, wine-stir-fried Anemarrhena 4 qian, Bei Sha Shen 8 qian, Nan Hua Fen 4 qian, Dong Gua Pi 3 qian, ginger-processed Pi Ye brushed and wrapped 3 qian, black Gardenia peel 3 qian, ginger-processed Zhu Ru 3 qian, ginger-processed Lu Gen 2 liang. Subsequently, Gypsum, Pi Ye, Gardenia, Dong Gua Pi, and Lu Gen were removed. Assisted by pale Hai Zhe 2 liang, Yuan Shen slices soaked and mixed, dregs removed 8 qian, Shi Hu decocted first 1 liang, flower Mai Dong 4 qian, carbonized Wu Mei flesh 1 qian.)
Daughter-in-law of Jin Wanxiang suffered from post-abortion bleeding for months due to failure of Ying level to contain blood. Treatment was ineffective. Mengying examined in mid-summer: both Chi positions were floating, left Cun and Guan were wiry. He prescribed San Jia, Er Zhi, Er Di, Qing Hao, Bai Wei, Bo Ye, Hai Piao Xiao, and Huang Bai. She gradually improved. (Original note: Both Chi floating indicates Kidney failing its storing function; left Cun-Guan wiry indicates Liver acting alone in its draining function. Pounded Mu Li 6 liang, pounded Blood Bie Jia 4 liang, pounded Blood Gui Ban 2 liang, vinegar-processed Wu Gu Ji pounded 4 qian. These four ingredients simmered in charcoal fire for 8 minutes first, using decoction to replace water. Pounded Nv Zhen Zi 5 qian, pounded Han Lian Cao 4 qian, large Shu Di 8 qian, large Sheng Di 1 liang, fresh Qing Hao 1.5 qian, wine-stir-fried Bo Ye 1 qian, vinegar-processed Huang Bai 3 qian.)
Cai Chuquan suddenly developed chills and fever, sore throat, great thirst, epigastric stuffiness, and crimson tongue. Mengying diagnosed a very rapid pulse and directly administered a large dose of Rhinoceros Horn, Antelope Horn, Scrophularia, Moutan Cortex, Mulberry Leaf, Gardenia, Honeysuckle, Trichosanthes Root, Forsythia, and Bullace Seed (Niu Bang Zi). After taking it, red rashes appeared all over the body, and fever subsided with return of appetite. (Condition indicates Yin deficiency with blazing Wind. Sliced Rhinoceros Horn and secondary tip of Antelope Horn simmered in charcoal fire for 8 minutes first, 4 qian each. Yuan Shen slices soaked and mixed, dregs removed, 1 liang. Dong Sang Ye 4 qian, wine-stir-fried Zhi Pi 3 qian, wine-stir-fried Yin Hua 8 qian, Nan Hua Fen 4 qian, Qiao Ke 3 qian, ginger-processed Niu Zi 3 qian.)
Wu Maolin suffered from swelling and pain in the right cheek, tubercles under the chin, and trismus allowing only liquid diet. Surgeons gave various names, and treatment was confused. Mengying administered Gastrodia Tuber (Tian Ma), Silkworm (Jiang Can), Antelope Horn, Gypsum, Sheng Tou Cao, Cimicifuga Rhizome (Sheng Ma), Angelica Root (Dang Gui), Gentian Root (Qin Jiao), Trichosanthes Root, and Scutellaria Root. He gradually improved. (This condition must be Heat knotting in the Qi level of Liver and Stomach. Using pungent-warm as counter-agent, and ascending-salty-bitter-cold as correct treatment. Tian Ma 8 fen, roasted Jiang Can 1.5 qian, Antelope Horn secondary tip decocted first 8 minutes 4 qian, raw Gypsum decocted first 8 qian, Sheng Tou Cao 1.5 qian, raw Sheng Ma 1 qian, Xiang Gui Wei 1 qian, Zuo Qin Jiao 1.5 qian, Nan Hua Fen 4 qian, wine-stir-fried Ku Huang Qin 3 qian.)
Wife of Wu Songqing, near fifty, menopause already occurred, occasionally suffered from abdominal distension. Physician Huang knew her constitution was frail and administered Xi Qi Tang, leading to alternating chills and fever. Changed to Jian Zhong method, but after ten days the condition worsened with uterine bleeding. More tonification made it worse. Seeking Mengying's help. Pulse was flooding and rapid, with thirst and yellow coating. This was Summer-Heat pathogen absorption, and warming tonics caused blood leakage. He prescribed Rhinoceros Horn, Scrophularia, Imperata Rhizome, Bamboo Leaf, Gardenia, Melia Seed, Anemarrhena, Dendrobium, Trichosanthes Root, and Anemarrhena (Bai Wei). (Condition indicates warming tonics assisting Heat. Summer-Heat pathogen carrying Liver Yang invades Ying from Qi. Flooding-rapid pulse indicates Yin deficiency with heat. Thirst and yellow coating indicate Phlegm-Heat in Lung and Stomach. Sliced Rhinoceros Horn decocted first 4 qian, fresh Mao Gen 5 qian, Yuan Shen slices soaked and mixed, dregs removed 1 liang, wine-stir-fried Bo Ye 1 qian, black Gardenia peel 3 qian, pounded Melia seed decocted first 2 qian, wine-stir-fried Anemarrhena 3 qian, Shi Hu decocted first)