韩妪年近花甲。患三疟于仲冬。某主温散。并以姜枣汤恣饮。旬日后粒米不沾。疟至大吐。
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。投小陷胸合温胆加薤白。（此证热邪由气分侵营。故带下如注。治病必求其
本。此病宜先豁痰热。蒌仁研四钱。姜川连二钱。制半夏一钱半。赖橘红八分。炒枳实一钱
半。姜竹茹四钱。鲜薤白一钱半。)服后大吐胶痰。十余日胸痞始消。改授甘凉。疟亦渐罢
。（甘凉方。鲜芦根二两。姜竹沥一大酒杯冲。鲜枇叶刷包三钱。鲜竹叶二钱。石斛先煎一
两。制半夏二钱。荸荠八钱。酒炒知母三钱。鲜薤白一钱半。)继参滋阴。遂以霍然。（元参
片泡冲去渣八钱。地骨皮五钱。川贝杵四钱。生冬瓜子四钱。制半夏二钱。花麦冬四钱。荸
荠二两。楝核杵先三钱。乌梅肉炭一钱。)
魏西林侄女娩后恶露。延至两月。继闻夫父及两弟丧。悲哀不释。干嗽吐血。头痛偏左。不
饥不食。不眠不便。渴饮而溲必间日一行。久治不效。孟英切脉。虚弦豁大。予甘麦大枣加
熟地首乌鳖甲二至菊花旋复芍药贝母麻仁青盐等药。（病情为阴虚肝逆。肺胃不降。阴中之
阳亦虚。血鳖甲二两杵先煎八钟。取汤代水煎药。生粉草三钱。北小麦四钱。大枣一枚擘先
。大熟地八钱。制首乌二钱。女贞杵五钱。旱莲草四钱。杭白菊二钱。旋复包先三钱。酒炒
白芍一钱半。川贝杵三钱。麻仁研三钱。青盐一分。)服后脉渐敛。血亦止。七八剂头痛始
息。旬日后便行安谷。
韩石甫妻患感发疹。某治以清解。热渐退而神气不爽。舌黑难伸。太息便秘。胸次拒按。脉
弦缓而滑。（神气不爽四句。皆痰热窒塞肺胃之象。脉弦缓而滑。文义弦缓在脉之浮分。滑
在脉之沉分。故用凉膈之硝黄。若文义为弦滑而缓。则凉膈不可投矣。酒炒枯芩一钱半炒豆
豉三钱黑栀皮三钱。薄荷尖八分。鲜竹叶二钱。酒炒知母三钱。南花粉四钱。炒枳实二钱。
姜竹茹三钱。元明粉一钱。生厢黄三钱。开水泡冲去渣。)一帖苔即退黄。再服而黑矢下。
神气清。即以向愈。
陈赤堂妻患感。面赤不眠。烦躁谵语。口甘渴腻。溲涩而痛。某多剂清解未应。孟英切脉左
弦洪而数。右滑而溢。胸次痞结。大解未行。肝阳上浮。肺气不降。痰热阻痹。邪乃逗遛。
予小陷胸合温胆雪羹加旋薤投之。（脉左弦洪而数。为阴虚挟热。右滑而溢。为痰挟风阳。
肺病较急于肝。治法涤痰热即所以息风阳。蒌仁研四钱。姜炒川连二钱。制半夏二钱。炒枳
实一钱。姜竹茹三钱。荸荠打一两。淡海 先煎二两旋复包先三钱。西薤白打次一钱半。)
胸结渐开。去半薤。药送当归龙荟丸。（药送龙荟丸三钱。)谵语止。且能眠。参以通幽汤下
其黑矢。三剂后始进养阴和胃而痊。（养阴和胃方。大生地八钱。明天冬切六钱。女贞杵五
钱。生粉草三钱。花麦冬四钱。酒炒知母三钱。乌梅肉炭一钱。大枣擘先一枚。川贝杵四钱
。)
翁嘉顺妻娩后。阴户坠下一物。形色如肺。多方疗之不收。第三日求治孟英。令以泽兰叶二
两煎浓汤熏而温洗。随以海螵蛸五倍子等分。（醋炙海螵蛸四钱。炒五倍子一钱。)研细粉掺
之。果即收上。继而恶露不行。白带时下。乳汁全无。两腿作痛。孟英曰∶此血虚也。乳与
恶露虽无。其腹必不胀。前证亦属大虚。因予黄 当归甘草生地杜仲大枣糯米脂麻藕浓煎羊
肉汤煮药。服后乳汁渐充。久服乃健。（生黄 一两。箱归身二钱生粉草三钱。干生地五钱
。绵杜仲四钱。大枣擘三枚。糯米洗五钱。脂麻研五钱。藕切一两。生羊肉四两。煮汤煎药
。)
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 以三才封髓加龙牡黄 桑丹栀菊。（左弦数为肝脏阴虚挟热。右虚 为
气分阳虚。炒潞党三钱。炒西 三钱。淡苁蓉一钱半。西砂仁研次入六分。酒炒川黄柏一钱半
。大熟地八钱。明天冬切五钱。醋 牡蛎杵四两。醋 龙骨杵一两。二味同先煨八钟。冬桑
叶三钱。杭白菊二钱。焦神曲杵一钱半。丹皮二钱。黑栀皮三钱。)
李华甫妻患头震。孟英脉之。乃肝经郁怒火升也。投当归龙荟丸而瘳。（青果一枚连核杵先
煨。汤送龙荟丸三钱。)然不能惩忿。其病发之后。更兼溺 腹胀。喘汗欲绝。孟英视之。
脉甚弦涩。口苦苔黄。舌色紫黯。汛虽不愆。内有瘀滞也。以雪羹加金铃旋复栀子滑石桃仁
茺蔚车前子木通仍吞龙荟丸。（辨瘀滞在腹胀脉弦涩。舌色紫黯。淡海 先煎二两。荸荠一
两
。楝核杵先四钱。旋复包先三钱。黑栀皮一钱半。西滑石先煎五钱。生桃仁研三钱。茺蔚子
杵先四钱。车前子杵先四钱。细木通一钱。仍药送龙荟丸三钱。)外以大田螺三个。生蒜六
瓣。车前草一握。捣扎脐下。服后果先下黑血。溲即随通。继而更衣粪色亦黑。遂愈。
Old woman Han was nearly sixty years old. In mid-winter, she contracted tertian malaria (malaria occurring every third day). A certain physician employed a warming and dispersing method and allowed her to drink ginger-date decoction freely. After ten days, she could not consume even a grain of rice, and suffered severe vomiting during malaria paroxysms.
The same physician then advanced with hot-tonifying medicines, causing the condition to worsen significantly. Ten days later, Wang Mengying examined her. She presented with chest oppression and stagnation as if blocked by an object, yellow tongue coating, bitter taste in the mouth, thirst, urine dark red like hot water, wiry and slippery pulse, more pronounced on the right side, and leukorrhea pouring forth like a stream. He prescribed Xiao Xian Xiong Tang (Minor Chest-Harmonizing Decoction) combined with Wen Dan Tang (Warm Gallbladder Decoction) plus Xie Bai (Allii Macrostemonis Bulbus). (In this syndrome, pathogenic heat invades the Ying level from the Qi level, hence the profuse leukorrhea. Treating disease requires seeking its root; here, one should first clear phlegm-heat. Trichosanthis Fructus Semen, pounded, 4 qian; Ginger-processed Coptidis Rhizoma, 2 qian; Processed Pinelliae Tuber, 1.5 qian; Lai Ju Hong (Citri Reticulatae Pericarpium), 0.8 fen; Fried Immature Bitter Orange Fruit, 1.5 qian; Ginger-processed Bamboo Shavings, 4 qian; Fresh Allii Macrostemonis Bulbus, 1.5 qian.) After taking the medicine, she vomited large amounts of gelatinous phlegm. After more than ten days, the chest oppression subsided. The prescription was changed to a sweet-cooling formula, and the malaria gradually ceased. (Sweet-cooling formula: Fresh Reed Rhizome, 2 liang; Ginger-processed Bamboo Juice, one large wine cup mixed; Fresh Loquat Leaf, brushed and wrapped for decoction, 3 qian; Fresh Bamboo Leaf, 2 qian; Dendrobii Caulis, decocted first, 1 liang; Processed Pinelliae Tuber, 2 qian; Dioscoreae Hypoglaucae Rhizoma, 8 qian; Anemarrhenae Rhizoma, wine-fried, 3 qian; Fresh Allii Macrostemonis Bulbus, 1.5 qian.) Subsequently, yin-nourishing methods were incorporated, leading to complete recovery. (Yin-nourishing formula: Scutellaria Barbatae Radix soaked and strained, 8 qian; Lycii Cortex Radicis, 5 qian; Fritillariae Cirrhosae Bulbus, pounded, 4 qian; Benincasae Semen Exsiccatum, 4 qian; Processed Pinelliae Tuber, 2 qian; Ophiopogonis Japonici Tuber, 4 qian; Dioscoreae Hypoglaucae Rhizoma, 2 liang; Melia Toosendan Seed, pounded and decocted first, 3 qian; Charred Prunus Mume Seed, 1 qian.)
Wei Xilin’s niece had lochia persisting for two months postpartum. Subsequently, hearing of the deaths of her husband, father, and two younger brothers, she was overcome with grief that could not be released. She developed dry cough with hemoptysis, headache on the left side, anorexia, insomnia, constipation, thirst with drinking, but urination only once every other day. Despite long-term treatment without effect, Wang Mengying palpated the pulse as deficient, wiry, hollow, and large. He prescribed Gan Mai Da Zao Tang (Licorice, Wheat, and Jujube Decoction) plus Rehmanniae Radix Preparata, Polygoni Multiflori Caulis, Testudinis et Chelonis Carapax et Plastrum, Er Zhi Wan (Two Solitudes Pill), Chrysanthemi Indici Flos, Inulae Flos, Paeoniae Radix Alba, Fritillariae Cirrhosae Bulbus, Cannabis Fructus, and Natrii Chloridum. (The pathology is yin deficiency with liver qi rebellion, failure of lung and stomach qi to descend, and deficiency of yang within yin. Testudinis et Chelonis Carapax et Plastrum, 2 liang, pounded and decocted first in eight bowls of water, using the decoction to cook the herbs. Raw Glycyrrhizae Radix et Rhizoma, 3 qian; Northern Triticum Semen, 4 qian; One Ziziphus Jujuba Fruit, torn open and decocted first; Large Prepared Rehmanniae Radix, 8 qian; Processed Polygoni Multiflori Caulis, 2 qian; Ligustri Lucidi Fructus, pounded, 5 qian; Ecliptae Herba, 4 qian; Hangbaiju (Chrysanthemi Indici Flos), 2 qian; Inulae Flos, wrapped and decocted first, 3 qian; Wine-fried Paeoniae Radix Alba, 1.5 qian; Fritillariae Cirrhosae Bulbus, pounded, 3 qian; Cannabis Fructus, pounded, 3 qian; Natrii Chloridum, 1 fen.) After administration, the pulse gradually became contained, and bleeding stopped. After seven or eight doses, the headache finally subsided. Ten days later, bowel movements normalized, and appetite returned.
Wang Shifu’s wife suffered from exogenous pathogen invasion with rash eruption. A certain physician treated with clearing and resolving methods. The fever gradually subsided, but mental clarity was impaired, the tongue was black and difficult to extend, there was frequent sighing, constipation, chest tenderness upon pressure, and the pulse was wiry, slow, and slippery. (Mental cloudiness and the following four symptoms are all signs of phlegm-heat obstructing the lung and stomach. The wiry-slow aspect of the pulse refers to the superficial layer, while the slippery aspect refers to the deep layer; thus, Mang Xiao and Da Huang from Liang Ge San (Cool the Epigastrium Powder) are appropriate. If the text implies wiry-slippery and slow, Liang Ge San should not be used. Scorched Scutellariae Radix, wine-fried, 1.5 qian; Fried Fermented Soybean Seed, 3 qian; Black Gardenia Skin, 3 qian; Mint Tip, 0.8 fen; Fresh Bamboo Leaf, 2 qian; Anemarrhenae Rhizoma, wine-fried, 3 qian; Hyacinth Bean Starch, 4 qian; Fried Immature Bitter Orange Fruit, 2 qian; Ginger-processed Bamboo Shavings, 3 qian; Yuan Ming Fen (Mirabilite), 1 qian; Raw Rheum Palmatum Radix, 3 qian, soaked in boiling water, strained, and taken.) After one dose, the yellow tongue coating receded. After further doses, black stools were passed, mental clarity returned, and the patient began to recover.
Chen Chadang’s wife suffered from exogenous pathogen invasion. She presented with facial redness, insomnia, irritability, delirious speech, sweet taste in the mouth with sticky thirst, dysuria with pain. Multiple doses of clearing-resolving formulas by another physician were ineffective. Wang Mengying palpated the left pulse as wiry, surging, and rapid, and the right pulse as slippery and overflowing. There was chest oppression and stagnation, and no bowel movement. The diagnosis was floating liver yang, failing descent of lung qi, obstruction by phlegm-heat, and lingering pathogenic factors. He prescribed Xiao Xian Xiong Tang combined with Wen Dan Tang, Xue Geng Tang (Snow and Soup Decoction), plus Inulae Flos and Xie Bai. (Left wiry, surging, and rapid pulse indicates yin deficiency with heat; right slippery and overflowing pulse indicates phlegm with wind-yang. Lung pathology is more urgent than liver pathology; clearing phlegm-heat is the method to quell wind-yang. Trichosanthis Fructus Semen, pounded, 4 qian; Ginger-fried Coptidis Rhizoma, 2 qian; Processed Pinelliae Tuber, 2 qian; Fried Immature Bitter Orange Fruit, 1 qian; Ginger-processed Bamboo Shavings, 3 qian; Dioscoreae Hypoglaucae Rhizoma, smashed, 1 liang; Light Sea Cuttlebone, decocted first, 2 liang; Inulae Flos, wrapped and decocted first, 3 qian; Western Xie Bai, smashed and added later, 1.5 qian.) The chest stagnation gradually opened. Ban Xia and Xie Bai were removed, and Dang Gui Long Hui Wan (Angelica Sinensis and Gentian Pill) was administered with the decoction. (Administered Long Hui Wan, 3 qian.) Delirious speech ceased, and sleep was possible. Tong You Tang (Unblock the Lower Orifices Decoction) was used to purge black stools. After three doses, nourishing yin and harmonizing the stomach formula was given, leading to recovery. (Nourishing yin and harmonizing stomach formula: Large Sheng Di Huang, 8 qian; Tian Dong, sliced, 6 qian; Ligustri Lucidi Fructus, pounded, 5 qian; Raw Glycyrrhizae Radix et Rhizoma, 3 qian; Hua Mai Dong, 4 qian; Anemarrhenae Rhizoma, wine-fried, 3 qian; Charred Prunus Mume Seed, 1 qian; One Ziziphus Jujuba Fruit, torn open and decocted first; Fritillariae Cirrhosae Bulbus, pounded, 4 qian.)
Weng Jiashun’s wife, postpartum, had a mass prolapsing from the vagina, resembling a lung in shape and color, which could not be reduced despite various treatments. On the third day, she sought Wang Mengying’s help. He instructed her to fumigate and wash the area with a strong decoction of two liang of Ze Lan Ye (Lycopus Herba). Then, equal parts of Hai Piao Xiao (Cuttlebone) and Wu Bei Zi (Gallnut) were applied. (Vinegar-processed Hai Piao Xiao, 4 qian; Stir-fried Wu Bei Zi, 1 qian.) These were ground into fine powder and dusted on the area, resulting in immediate reduction. Subsequently, lochia failed to flow, leukorrhea appeared intermittently, lactation was absent, and both legs ached. Wang Mengying said, “This is blood deficiency. Although lactation and lochia are absent, the abdomen must not be distended. The previous condition also belongs to severe deficiency.” Therefore, he prescribed Huang Qi, Dang Gui, Gan Cao, Sheng Di, Du Zhong, Da Zao, Glutinosa Rice, Sesame Seed, Lotus Root, decocted in concentrated mutton soup. After taking it, lactation gradually increased, and long-term use led to robust health. (Formula: Raw Huang Qi, 1 liang; Dang Gui Shen, 2 qian; Raw Glycyrrhizae Radix et Rhizoma, 3 qian; Dry Sheng Di Huang, 5 qian; Mian Du Zhong, 4 qian; Three Ziziphus Jujuba Fruits, torn open; Washed Glutinosa Rice, 5 qian; Pounded Sesame Seed, 5 qian; Sliced Lotus Root, 1 liang; Raw Mutton, 4 liang, boiled to make soup for decocting herbs.)
Tu suffered from nocturnal emission, unresponsive to long-term treatment. Pus and fluid discharged from the ears, eyes produced excessive tears making them hard to open, soreness and pain in shoulders, hypochondrium, chest, and back, slight aversion to cold and fever, decreased appetite, and mental fatigue. Wang Mengying observed the left pulse as wiry and rapid, and the right pulse as deficient and choppy. He prescribed San Cai Feng Sui Dan (Three Capabilities Pill Sealing the Marrow) plus Long Gu, Mu Li, Huang Qi, Sang Ye, Dan Pi, Zhi Zi, and Ju Hua. (Left wiry and rapid pulse indicates liver yin deficiency with heat; right deficient and choppy pulse indicates qi-level yang deficiency. Stir-fried Lu Dang Shen, 3 qian; Stir-fried Xi Yang Shen, 3 qian; Dan Cong Rong, 1.5 qian; Xi Sha Ren, pounded and added later, 6 fen; Wine-fried Huang Bo, 1.5 qian; Large Shu Di Huang, 8 qian; Tian Dong, sliced, 5 qian; Vinegar-calcined Mu Li, pounded, 4 liang; Vinegar-calcined Long Gu, pounded, 1 liang, these two simmered first in eight bowls; Dong Sang Ye, 3 qian; Hang Bai Ju, 2 qian; Jiao Shen Qu, pounded, 1.5 qian; Dan Pi, 2 qian; Black Zhi Zi Pi, 3 qian.)
Li Huafu’s wife suffered from head tremors. Wang Mengying palpated the pulse and determined it was due to liver meridian depression-fire rising. He prescribed Dang Gui Long Hui Wan (Angelica Sinensis and Gentian Pill), which cured the condition. (One Qing Gu with seed, pounded and simmered first; washed down with Long Hui Wan, 3 qian.) However, she could not control her anger. After the illness flared up, she additionally presented with urinary retention, abdominal distension, panting, sweating, and near-collapse. Wang Mengying examined her: the pulse was very wiry and choppy, mouth bitter, tongue coating yellow, tongue body purple and dark. Although menstruation was regular, there was internal blood stasis. He prescribed Xue Geng Tang plus Jin Ling Zi, Xuan Fu Hua, Zhi Zi, Hua Shi, Tao Ren, Chong Wei Zi, Che Qian Zi, and Mu Tong, still swallowing Long Hui Wan. (Differentiating blood stasis by abdominal distension, wiry-choppy pulse, and purple-dark tongue. Light Sea Cuttlebone, decocted first, 2 liang; Dioscoreae Hypoglaucae Rhizoma, 1 liang; Melia Toosendan Seed, pounded and decocted first, 4 qian; Inulae Flos, wrapped and decocted first, 3 qian; Black Zhi Zi Pi, 1.5 qian; Xi Hua Shi, decocted first, 5 qian; Raw Tao Ren, pounded, 3 qian; Chong Wei Zi, pounded and decocted first, 4 qian; Che Qian Zi, pounded and decocted first, 4 qian; Fine Mu Tong, 1 qian; Still administer Long Hui Wan with the medicine, 3 qian.) Externally, three large river snails, six cloves of raw garlic, and a handful of Che Qian Cao were mashed and applied to the lower abdomen. After taking the medicine, black blood was passed first, followed by free urination. Subsequently, stool was also black, and she recovered.