谢谱香体素阴虚。忽患环跳穴痛。始而下及左腿。继而移于右腿。甚至两足转筋。上冲于腹
。间或痛自乳起。下注于髀。日夜呼号。肢冷自汗。略难反侧。医见其血不华色。辄投补剂
。孟英诊脉。弦 微滑。畏热知饥。溲短便坚。舌红不渴。乃阴虚而痰气滞于厥阴也。以苁
蓉鼠矢竹茹丝瓜络橘核茴香汤炒当归吴萸汤炒黄连川椒汤炒乌梅延胡汤炒楝实海 凫茈为剂
。一服即减。数啜而安。继予虎潜加秦艽而起。（病情为阴中阳虚。兼挟痰热。淡苁蓉一钱
半。两头尖三钱。丝瓜络三钱。姜竹茹三钱。橘核研次入一钱。茴香汤炒归身二钱。吴萸汤
炒川连一钱。川椒汤炒乌梅三钱。延胡汤炒楝实杵先二钱。淡海 先煎一两六钱。连皮荸荠
一两。)
陈建周子患春温。初起即神气躁乱。惊惧不眠。两脉甚数。孟英谓温邪直入营分也。予神犀
丹佐紫雪。两剂而瘥。夏间吴守旃暨高若舟子胡秋纫女患温。初起即肢 妄言。神情瞀乱。
孟英皆用此法。寻即霍然。世人每执汗解为初感之治。孰知病无定体。药贵得宜乎。（犀角
磨冲二钱。酒炒枯芩三钱。石菖蒲次入二钱。大生地一两泡冲去渣。济银花一两五钱。连翘
壳三钱。元参八钱。泡冲去渣。南花粉四钱。炒香豉一钱半。飞青黛一钱。)
鲍继仲季春忽然发冷。而喘汗欲厥。孟英视之。脉沉弦而 滑带数。是素患痰饮。必误服温
补所致也。据述去冬服胡某肾气汤颇若相安。至今久不吐痰。孟英曰∶病在肺。肺气展布。
痰始能行。虽属久病与少阴水泛迥殊。初服颇若相安者。方中附桂刚猛。直往无前。痰亦不
得不为之辟易。又得地黄等浓浊下趋之品。回护其跋扈跳梁之性。然暴戾之气。久而必露。
柔腻之质。反阻枢机。治节不伸。二便涩少。痰无出路。愈伏愈多。一朝卒发。遂壅塞于清
阳升降之路。是以危险如斯。须知与少阴虚喘。判分霄壤。切勿畏虚妄补。投以薤蒌枳杏旋
赭橘半菀茹芦根蛤粉雪羹之剂而平。继与整肃肺气而涤留痰。匝月始愈。（鲜薤白打一钱半
。姜蒌皮三钱。炒枳实一钱半。苦杏泥二钱。制半夏一钱半。赖橘红一钱。紫菀茸一钱半。
姜
竹茹三钱。姜汁拌芦根八钱。生蛤壳杵先五钱。淡海 先煎二两连皮荸荠一两打入煎。)
王皱石弟患春温。始则谵语发狂。连服清解大剂。遂昏沉不语。肢冷如冰。目闭不开。遗溺
不饮。医皆束手。孟英诊其脉弦大而缓滑。黄腻之苔满布。秽气直喷。投承气汤加银花石斛
黄
芩竹茹元参石菖蒲。下胶黑矢甚多。而神稍清。略进汤饮。次日去硝黄。加海 芦菔黄连石
膏。服二剂而战解肢和。苔退进粥。不劳余力而愈。孟英继治叶某李某。咸一下而瘳。惟吴
妇郑姓。皆下至十余次始痊。（此病系证书论治。辨证在连服清解大剂。尚苔满黄腻。秽气
真喷。实热结于胃腑何疑。元明粉一钱。酒洗生厢黄四钱。制浓朴一钱。剂银花次入八钱。
鲜石斛先煎一两。姜炒枯芩一钱半。姜竹茹三钱。元参片五钱。石菖蒲次入二钱。次日去硝
黄。加淡海 二两先煎。鲜芦菔切一两。姜炒川连八分。生石膏先煎八钱。)
褚校书患汛愆寒热。医以为损。辄投温补。驯致腹胀不饥。带淋便秘。溲涩而痛。孟英诊脉
。弦劲而数。乃热伏厥阴。误治而肺亦壅塞也。予清肃开上之剂。用当归龙荟丸。两服寒热
不作而知饥。旬日诸恙悉安。（辨热伏厥阴在脉弦劲数。溲涩而疼。辨误治肺亦壅塞。在腹
胀不饥。带淋便秘。鲜芦根二两。生冬瓜子四钱。姜炒枯芩三钱。炒枳实一钱半。姜枇叶刷
包三钱。济银花一两五钱。鲜石斛先煎一两。青果杵先一个。元参片五钱。石菖蒲次入二钱
。药送龙荟丸三钱。)
闻氏妇孟夏患间疟而妊身八月。数发后热炽昏沉。腰痛欲堕。孟英诊脉来洪滑且数。苔色黄
腻垢浊。予芩知竹茹竹叶银花桑叶丝瓜络石斛石膏石菖蒲。一剂而痊。（脉滑为热痰。洪滑
为实热兼挟阴虚。酒炒枯芩一钱半。酒炒知母三钱。姜竹茹三钱。鲜竹叶二钱。剂银花一两
五钱。冬桑叶四钱。鲜石斛先煎一两。生石膏先煎八钱。石菖蒲次入二钱。)
朱佳木父患间疟。年逾七旬。孟英切脉弦滑。脘闷苔黄。曰∶无恐也。投清热涤痰药。数剂
霍然。李某妻年逾花甲。素患痰嗽。近兼晡热不饥。头疼不食。医治罔效。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。（朱父方用姜
炒川黄柏一钱半。楝核杵先三钱。炒枳实一钱半。炒豆豉一钱半。黑栀皮三钱。姜竹茹三钱
。晚蚕砂三钱。苦杏泥一钱半。净橘络七分。生冬瓜子四钱。丝瓜络三钱。姜汁炒川连八分
。李妻方用酒炒知母三钱。楝核杵先二钱。生石膏先煎一两。南花粉四钱。川贝母杵五钱。
姜竹茹三钱。鲜芦根二两。鲜竹叶二钱。鲜荷杆三钱。淡海 先煎一两。)
宋氏妇患感反复。已经向痊。忽然腹胀上至心下。气喘便泻溺闭。汤饮不能下咽。自汗不能
倚息。孟英拟方以桑枝石膏旋赭杏朴芩半黄连通草为剂。果覆杯而病若失。（酒炒桑枝三钱
。生石膏先煎八钱。旋复花包先三钱。生赭石杵先一两六钱。二味同先煎六句钟。苦杏泥二
钱。制半夏一钱半。制浓朴八分。酒炒枯芩二钱。酒炒川连一钱。方通草三钱。)
吴某劳伤之后。发热身黄。孟英察脉 数。是湿温重证。故初起即黄。亟予清解。大便渐溏
。小溲甚赤。湿热已得下行。其热即减。辍药七八日后复热。谵语昏聋。抽痉遗溺。孟英视
之。湿热之邪扰营矣。投元参犀角菖蒲连翘竹茹竹叶银花石膏泄卫清营之法。佐牛黄丸紫雪
丹而瘳。臀皮已塌。亟令贴羊皮金。不致成疮而愈。（吴某湿温清解方。酒炒西茵陈一钱半
。冬瓜皮三钱。云茯苓三钱。黑栀皮三钱。炒豆豉一钱半。生苡仁杵四钱。苦杏泥一钱半。
省头草三钱。酒炒枯芩一钱半。细木通一钱。姜汁拌芦根一两。湿热扰营方。元参片泡冲去
渣八钱。磨犀角冲二钱。石菖蒲次入二钱。连翘壳三钱。姜竹茹三钱。济银花一两五钱。牛
黄丸炖和二分。紫雪丹和服一分。)
朱 书妻患感。吴某予表药两帖。发出赤疹。神气渐昏。叶某知其素患耳聋目障。为阴虚之
体
。改用犀角地黄汤二剂。而遗溺痉厥。孟英视之。曰∶虽形瘦阴亏。邪易扰营。幸非湿盛之
躯。尚可设法。但心下拒按。呃逆便秘。是痰热尚阻气分。误服升提。每成结胸。地黄滋滞
。实为禁药。本年感证甚多。余每见神未全昏。便不甚秘。惟胸前痞结。不可救药而死者。
非升提之误进。即滋滞之早投。于是以犀角元参茹贝旋蒌杷菀白前菖蒲为方。调紫雪。两服
呃逆止神渐清而咽疼口渴。乃去紫雪前菖。加射干山豆根知母花粉。吹以锡类散。二日咽喉
即愈。胸次渐舒。疹回热退。去犀角紫菀射干豆根。加银花栀子竹叶海 凫茈。渐安眠食。
惟大解久不行。孟英曰∶腹无痛苦。虚体只宜润养。佐以苁蓉麻仁当归生地等药。多服而下
遂愈。（痰热尚阻气分。无服地黄滋滞之理。磨冲犀角二钱。元参片泡冲去渣八钱。姜竹茹
三钱。川贝母杵八钱。旋复花包先三钱。姜蒌皮三钱。姜枇叶刷包三钱。紫菀茸一钱半。白
前二钱。石菖蒲次入二钱。药调紫雪丹二分。咽疼口渴。热邪得开泄而愈升浮。加射干三钱
。酒炒山豆根一钱。酒炒知母三钱。南花粉四钱。嗣去犀角紫菀射干豆根。加济银花八钱。
黑栀皮一钱半。鲜竹叶二钱。淡海 先煎二两。荸荠一两。嗣去茹枇栀子竹叶。佐淡苁蓉一
钱半。大麻仁研三钱。箱归身二钱。大生地八钱。)
李德昌母仲夏患感。医诊为湿。辄予燥剂。大便反泻。遂疑高年气陷。改用补土。驯致气逆
神昏。汗多舌缩。乞诊孟英。脉洪数无伦。右尺更甚。予大剂犀角石膏黄芩黄连黄柏知母花
粉栀子石斛竹叶莲心元参生地之药。另以冷雪水调紫雪灌一昼夜。舌即出齿。而喉舌赤腐。
咽水甚痛。乃去三黄。加银花射干豆根。并吹锡类散。三日后脉证渐和。稀糜渐受。改授甘
凉缓剂。旬日得坚黑矢而愈。（洪数无伦。为实热兼挟阴虚。辨证在右尺更甚。镑犀角先煎
四钱。生石膏一两六钱先煎。酒炒枯芩一钱。酒炒川连八分。酒炒川黄柏一钱半。酒炒知母
三钱。南花粉四钱。黑栀皮三钱。鲜石斛先煎一两。鲜竹叶二钱。莲子心一钱。元参片一两
。大生地八钱。二味开水泡煎去渣。另以雪水调紫雪一钱。灌一昼夜。嗣去三黄。加济银花
一两五钱。射干三钱。酒炒山豆根一钱。)
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∶素禀虽阴亏。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。
投以滑朴茹旋通草枇杷叶苇茎郁金兰叶之方。苔色渐退。即去朴郁。加连枳半夏。胸闷渐开
。疟亦减。便乃畅再去滑半连枳。加沙参石斛橘皮黄芩。浃旬而愈。（脉缓为挟湿。滑溢为
痰热
不降。西滑石先煎四钱。制浓朴一钱。姜竹茹三钱。旋复花包先一钱五分。方通草三钱。姜
枇叶刷包三钱。姜汁拌芦根八钱。建兰叶三钱。黄郁金八分。更方去朴郁加姜炒川连八分。
炒枳实一钱。制半夏一钱。再更方去滑半连枳。加北沙参三钱。鲜石斛先煎四钱。蛀陈皮一
钱半。姜炒枯芩一钱半。)
董哲卿妻胎前患嗽。娩后不痊。渐至寝汗减餐。头疼口燥。奄奄而卧。略难起坐。孟英诊脉
虚弦 数。视舌光赤无苔。曰∶此头疼口燥。乃阳升无液使然。岂可从作感治。是冲经上逆
之嗽。初非伤风之证也。予苁蓉石英龟板茯苓冬虫夏草牡蛎 豆衣甘草小麦红枣藕数帖。嗽
减
餐加。头疼不作。加以熟地。服之遂愈。（冲脉系于肝。此头疼口燥。为肝阳逆升。惟脉
为阴中之阳亦虚。苁蓉石英茯苓红枣针治脉 。淡苁蓉一钱半。紫石英杵先三钱。血龟板二
两。 牡蛎四两。三味先炭煨六句钟。取汤代水煎药。云茯苓三钱。冬虫夏草二钱。 豆衣
四钱。生粉草三钱。北小麦四钱。红枣肉三钱。连皮肥藕切一两。)
庆云圃子陡患偏坠。医予茴香芦杷乌药荔核等剂。遂痛不可忍。孟英视之。按其脉肤甚热。
曰∶非疝也。 丸肿痛必偏于右。此湿热时邪也。设以疝治之必成痈。按法治之。果覆杯而
减。三服而便行热退。因食羊肉。肿痛复作。再予清解。嘱慎口腹而瘳。（湿热之邪伤气
。故 丸肿痛偏于右。冬瓜皮四钱。鲜芦根一两。生苡仁杵八钱。酒炒西茵陈一钱。川楝核
杵先二钱。青果杵先两个。云茯苓三钱。陈木瓜一钱五分。西滑石先煎四钱。)
吴宪章年逾花甲患感。医知为湿温。投药不应。仍能起榻理事。孟英视之。诊脉左寸数疾。
余皆 大。谷食略减。便溏溲少。苔色腻黄。舌尖独黑。孟英不肯予方。论曰∶证原不重。
吾以脉象舌色察之。是平昔曲运心机。离火内亢。坎水不制。势必自焚。况兼湿温之感乎。
果数日而殒。
黄纯光七十八岁。患湿温至旬余。脉形歇代。呃忒连朝。孟英诊曰∶脉虽歇而弦搏有根。是
得乎天者浓。虽属高年。犹为实证。参以病深声哕。原非小故。而二便窒涩。苔腻而灰。似
腑气未宣。痰湿热阻其气化流行之道也。清宣展布。尚可图焉。以旋茹栀楝杷杏萸连菀蒌雪
羹为剂。方通草一两煎汤煮药。投匕即减。数服而大吐胶痰。连次更衣。遂安粥食。惟动则
嗽逆。渐露下虚之象。予西洋参龟板牡蛎苁蓉石斛牛膝冬虫夏草石英茯苓当归等药。各恙
递安。继加砂仁炒熟地而起。（辨实证。在脉虽歇而弦搏有根。辨腑气未宣。在二便窒涩。
苔腻而灰。旋复花包先三钱。姜竹茹三钱。黑栀皮三钱。川楝核杵先三钱。姜枇叶刷包三钱
。苦杏泥次入三钱。紫菀茸次入一钱半。淡吴萸次入六分。姜蒌皮三钱。酒炒川连八分。淡
海先煎八钱。整荸荠一个。片通草一两。煮汤煎药。通草一两煮汤。轻药重用。引肺气下
行最妙。此法即从重药轻投对面脱化。动则嗽逆。渐露下虚之象。西洋参三钱。血龟板杵二
两。 牡蛎杵四两。石斛一两。紫石英杵三钱。四味先炭煨六句钟。取汤代水煎药。淡苁蓉
一钱半。生牛膝七分。虫草二钱。云茯苓三钱。箱归身二钱。继加砂仁末炒熟地八钱。去砂
仁。)
钱闻远春间偶患痰嗽。医投苏葛而失音。更医大剂滋补。渐致饮水则呛。久延愈剧。孟英诊
曰∶左寸动数。尺细关弦。右则涩。乃心阳过扰。暗耗营阴。肺金受烁。清肃不行。水失化
源。根无荫庇。左升太过。右降无权。气之经度既乖。血之络隧亦痹。饮水则呛。是其据也
。金遇火而伏。其可虑乎。继而瘀血果吐。纳食稍舒。仍殒于伏。
汤西塍年逾花甲。感证初起。周身肤赤。满舌苔黄。头疼腰痛。便溏溲痛。孟英诊之。脉
见弦细而 。乃阴虚劳倦。湿温毒重之证。清解之中须寓存阴。以犀角羚苓茹银翘桑苇通草
Xie Puxiang had a constitution that was inherently Yin-deficient. Suddenly, he suffered from pain in the Huantiao acupoint (GB30). Initially, the pain extended down to the left leg, then shifted to the right leg, and even caused spasms (muscle cramps) in both feet, rushing upward to the abdomen. Occasionally, the pain started from the breast and flowed downward to the thigh. He cried out day and night, with cold limbs and spontaneous sweating, finding it difficult to turn over. Seeing his complexion lacked luster, physicians indiscriminately administered tonifying agents. Mengying palpated the pulse: wiry and slightly slippery. The patient feared heat and felt hunger, had scanty urine and hard stools, a red tongue but no thirst. This indicated Yin deficiency with phlegm-qi stagnation in the Jueyin channel. The prescription consisted of Cistanche Herba (Rongshu), Vicia sativa Seed (Shushi), Bamboo Shavings (Zhuru), Luffa Fruit Network (Sigualuo), Citrus Aurantium Unripe Fruit (Juhe), Fennel Fruit (Huixiang) stir-fried with Danggui, Evodia Fruit (Wuyu) stir-fried with Scutellaria Root (Huanglian), Sichuan Pepper (Chuanjiao) stir-fried with Mume Fructus (Wumei), Corydalis Rhizome (Yanhusuo) stir-fried with Toosendan Fruit (Lianshi), Jellyfish (Hai Zhe), and Water Chestnut (Biqi). One dose brought immediate relief; after several doses, the condition stabilized. Subsequently, Hujian Wan (Tiger Hidden Pill) plus Gentianae Macrophyllae Radix (Qinjiao) was given, leading to recovery. (The pathology was Yang deficiency within Yin, complicated by phlegm-heat. Light Cistanche Herba 1.5 qian. Liangtoujian 3 qian. Sigualuo 3 qian. Ginger-processed Zhuru 3 qian. Jihe powder added 1 qian. Danggui processed with Huixiang decoction 2 qian. Chuanlian processed with Wuyu decoction 1 qian. Wumei processed with Chuanjiao decoction 3 qian. Lianshi processed with Yanhusuo decoction, pounded first 2 qian. Hai Zhe light, decocted first 1 liang 6 qian. Biqi with peel 1 liang.)
Chen Jianzhou’s son contracted Spring-Warmth disease. From the onset, there was mental agitation and confusion, fear, insomnia, and very rapid pulses. Mengying stated that the Warm pathogen had directly entered the Ying (Nutritive) level. Shenxi Dan (Divine Calamity Elixir) was prescribed, assisted by Zixue San (Purple Snow Powder). After two doses, the patient recovered. In summer, Wu Shouzhan’s son and Gao Ruozhou’s daughter, Hu Qiuren, contracted Warmth diseases. From the onset, they exhibited limb twitching, delirious speech, and confused mental state. Mengying used this same method for all, and they recovered rapidly. People often insist on using diaphoresis (sweating) as the treatment for initial exterior contraction, not realizing that diseases have no fixed form, and the value of medicine lies in its appropriateness. (Rhino Horn Xi Jiao, ground and taken with water 2 qian. Kuqin (Scutellaria Root) wine-fried 3 qian. Shichangpu added later 2 qian. Large Rehmannia Root (Dishengdi) 1 liang, soaked, water discarded. Jin Yinhua (Honeysuckle Flower) 1 liang 5 qian. Lianqiao Shell 3 qian. Xuanshen (Scrophularia Root) 8 qian, soaked, water discarded. Nanhuafen (Glehnia Root) 4 qian. Fried Fangshi (Fermented Soybean) 1.5 qian. Fei Qingdai (Mineral Azurite) 1 qian.)
Bao Jizhong suddenly felt cold in late spring, with wheezing, sweating, and impending syncope. Mengying observed the pulse: deep, wiry, rough-slippery, and slightly rapid. This indicated a chronic Phlegm-Fluid retention, likely caused by the mistaken use of warming tonics. It was reported that last winter, taking Hu’s Shengji Tang (Kidney Qi Decoction) provided comfort, and he had not expectorated phlegm for a long time. Mengying said: The disease is in the Lung; only when Lung Qi spreads can Phlegm move. Although it is a chronic condition, it is vastly different from Shaoyin Water Flooding. The initial comfort was because Aconite (Fuzi) and Cinnamon Twig (Guizhi) in the formula are fierce and advance relentlessly, forcing the Phlegm to retreat. Combined with heavy, turbid descending herbs like Rehmannia, which protected the rebellious nature of the Phlegm, the violent Qi eventually revealed itself. The soft, greasy texture obstructed the pivot mechanism. The governance of Qi failed, leading to scanty urination and defecation, leaving the Phlegm with no exit. The more it hid, the more it accumulated until sudden eruption blocked the pathway of Clear Yang ascending and Descending. Thus, the danger was extreme. One must distinguish this sharply from Shaoyin Deficiency Wheezing. Do not fear deficiency and wrongly tonify. Prescribed Xiebai (Allium Macrostemon Bulb), Gualou (Trichosanthes Fruit), Zhishi (Immature Bitter Orange), Xingren (Apricot Seed), Xuanfuhua (Inula Flower), Zheshi (Hematite), Juhong (Citrus Peel), Banxia (Pinellia Tuber), Ziwan (Aster Root), Zhuru (Bamboo Shavings), Lugeng (Reed Rhizome), Ge Fen (Clam Shell Powder), and Xue Geng Soup. The condition stabilized. Subsequently, Lung Qi was regulated to clear residual Phlegm, and full recovery took a month. (Fresh Xiebai pounded 1.5 qian. Jiang Gualou Pi 3 qian. Fried Zhishi 1.5 qian. Ku Xingni (Apricot Paste) 2 qian. Prepared Banxia 1.5 qian. Lai Juhong 1 qian. Ziwan Rong 1.5 qian. Jiang Zhuru 3 qian. Lugeng mixed with Ginger Juice 8 qian. Sheng Ge Qiao pounded, decocted first 5 qian. Light Hai Zhe decocted first 2 liang. Biqi with peel added to decoction 1 liang.)
Wang Zoushi’s younger brother contracted Spring-Warmth. Initially, he had delirium and mania. After continuously taking large doses of clearing and resolving formulas, he became comatose and silent, with ice-cold limbs, closed eyes, urinary incontinence, and refusal to drink. Physicians were helpless. Mengying palpated the pulse: wiry, large, slow, and slippery. The tongue coating was yellow and greasy throughout, with foul odor emitting directly. Chengqi Tang (Purgative Decoction) plus Yinhua, Shihu, Huangqin, Zhuru, Xuanshen, and Shichangpu was administered. Many black, tarry stools were passed, and mental clarity slightly improved. Slight fluid intake was allowed. The next day, Mangxiao (Mirabilite) and Dahuang (Rhubarb) were removed. Hai Zhe, Lufu (Radish), Huanglian, and Shigao (Gypsum) were added. After two doses, chills resolved, limbs warmed, coating receded, and porridge was tolerated. Recovery occurred without further effort. Mengying subsequently treated patients surnamed Ye and Li, who recovered after one or two purgations. Only Mrs. Zheng (wife of Wu) required over ten purgations to recover. (This case follows the treatment principles of *Zhengshu Lun*. Differentiation: despite large doses of clearing/resolving herbs, the tongue remained yellow/greasy with foul odor, confirming Excess Heat binding in the Stomach Fu. Yuanmingfen (Mirabilite) 1 qian. Dahuang washed in wine 4 qian. Prepared Houpo 1 qian. Yinhua added later 8 qian. Fresh Shihu decocted first 1 liang. Jiang Kuqin 1.5 qian. Jiang Zhuru 3 qian. Xuanshen Pian 5 qian. Shichangpu added later 2 qian. Next day, remove Mirabilite and Rhubarb. Add Light Hai Zhe decocted first 2 liang. Fresh Lufu sliced 1 liang. Jiang Chuanlian 0.8 fen. Shigao decocted first 8 qian.)
Chu Xiaoshu suffered from delayed menstruation with alternating chills and fever. Physicians diagnosed it as consumption (deficiency) and indiscriminately gave warming tonics. This led to abdominal distension, anorexia, leukorrhea, strangury, constipation, and painful, difficult urination. Mengying palpated the pulse: wiry, forceful, and rapid. This indicated Heat hiding in the Jueyin channel, and mistaken treatment causing Lung congestion. A formula to clear and descend, opening the upper jiao, was given, using Danggui Longhui Wan (Codium Dragon Gallbladder Pill). After two doses, chills/fever ceased, appetite returned, and all symptoms resolved within ten days. (Differentiation of Heat hiding in Jueyin: wiry, forceful, rapid pulse; painful, difficult urination. Differentiation of mistaken treatment causing Lung congestion: abdominal distension, anorexia. Fresh Lugeng 2 liang. Sheng Dongguazi 4 qian. Jiang Kuqin 3 qian. Fried Zhishi 1.5 qian. Jiang Piyeshua Bao 3 qian. Jin Yinhua 1 liang 5 qian. Fresh Shihu decocted first 1 liang. Qingguo pounded, decocted first 1 piece. Xuanshen Pian 5 qian. Shichangpu added later 2 qian. Pills sent down with Longhui Wan 3 qian.)
Mrs. Wen contracted intermittent malaria in early summer while eight months pregnant. After several attacks, high fever and coma set in, with lower back pain threatening miscarriage. Mengying palpated the pulse: surging, slippery, and rapid. Tongue coating was yellow, greasy, and turbid. Huangqin, Zhimu, Zhuru, Zhuye, Yinhua, Sangye, Sigualuo, Shihu, Shigao, and Shichangpu were prescribed. One dose resulted in cure. (Slippery pulse indicates Phlegm-Heat. Surging-slippy indicates Excess Heat complicated by Yin deficiency. Wine-fried Kuqin 1.5 qian. Wine-fried Zhimu 3 qian. Jiang Zhuru 3 qian. Fresh Zhuye 2 qian. Jin Yinhua 1 liang 5 qian. Winter Sangye 4 qian. Fresh Shihu decocted first 1 liang. Shigao decocted first 8 qian. Shichangpu added later 2 qian.)
Zhu Jiamu’s father suffered from intermittent malaria, aged over seventy. Mengying palpated the pulse: wiry and slippery. Epigastric stuffiness and yellow coating were present. He said: Do not worry. A formula to clear heat and resolve phlegm was given. After several doses, he recovered rapidly. Mrs. Li (wife of Li Mou), over sixty years old, chronically suffered from Phlegm-Cough. Recently, she developed afternoon fever, anorexia, headache, and inability to eat. Previous treatments failed. Mengying saw a slippery, rapid pulse, indicating internal Phlegm-Fire and external invasion of Warmth. Two doses of Gypsum-based formula reduced fever and restored appetite. Several more doses cured both the acute and chronic conditions. (Zhu’s Father Formula: Jiang Chuanhuangbai 1.5 qian. Lianniu pounded, decocted first 3 qian. Fried Zhishi 1.5 qian. Fried Fangshi 1.5 qian. Heizhipi 3 qian. Jiang Zhuru 3 qian. Wancansha 3 qian. Ku Xingni 1.5 qian. Jing Jieluo 0.7 fen. Sheng Dongguazi 4 qian. Sigualuo 3 qian. Jiang Chuanlian 0.8 fen. Li’s Wife Formula: Wine-fried Zhimu 3 qian. Lianniu pounded, decocted first 2 qian. Shigao decocted first 1 liang. Nanhuafen 4 qian. Chuanbeimu pounded 5 qian. Jiang Zhuru 3 qian. Fresh Lugeng 2 liang. Fresh Zhuye 2 qian. Fresh Hegangan 3 qian. Light Hai Zhe decocted first 1 liang.)
Song Shi’s wife had recurrent colds. Just as she was recovering, sudden abdominal distension rose to the epigastrium, accompanied by wheezing, diarrhea, urinary retention, inability to swallow fluids, spontaneous sweating, and orthopnea. Mengying prescribed Sangzhi, Shigao, Xuanfuhua, Zheshi, Xingren, Houpo, Huangqin, Banxia, Huanglian, and Tongcao. The illness vanished after one cup. (Wine-fried Sangzhi 3 qian. Shigao decocted first 8 qian. Xuanfuhua wrapped, decocted first 3 qian. Sheng Zheshi pounded, decocted first 1 liang 6 qian. These two decocted together for six minutes. Ku Xingni 2 qian. Prepared Banxia 1.5 qian. Prepared Houpo 0.8 fen. Wine-fried Kuqin 2 qian. Wine-fried Chuanlian 1 qian. Fang Tongcao 3 qian.)
After labor injury, Wu Mou developed fever and jaundice. Mengying observed a rough, rapid pulse, diagnosing severe Damp-Warmth. Jaundice appeared immediately. Urgent clearing and resolving measures were taken. Stools gradually became loose, urine very red, indicating Damp-Heat moving downward, and fever subsided. Seven to eight days after stopping medication, fever returned with delirium, deafness, convulsions, and incontinence. Mengying diagnosed Damp-Heat disturbing the Ying level. Xuanshen, Xi Jiao, Shichangpu, Lianqiao, Zhuru, Zhuye, Yinhua, and Shigao were used to release the Wei level and clear the Ying level, assisted by Niuhuang Wan (Calculus Bovis Pill) and Zixue Dan (Purple Snow Elixir). Recovery occurred despite buttock skin necrosis, managed with sheepskin gold paste. (Wu’s Damp-Warmth Clearing Formula: Wine-fried Xiyinchen 1.5 qian. Dongguapi 3 qian. Yun Fuling 3 qian. Heizhipi 3 qian. Fried Fangshi 1.5 qian. Sheng Yiren pounded 4 qian. Ku Xingni 1.5 qian. Shentoucao 3 qian. Wine-fried Kuqin 1.5 qian. Xi Mutong 1 qian. Lugeng mixed with Ginger Juice 1 liang. Damp-Heat Disturbing Ying Formula: Xuanshen Pian soaked, water discarded 8 qian. Ground Xi Jiao taken with water 2 qian. Shichangpu added later 2 qian. Lianqiao Qiao 3 qian. Jiang Zhuru 3 qian. Jin Yinhua 1 liang 5 qian. Niuhuang Wan stewed and mixed 0.2 fen. Zixue Dan mixed and taken 0.1 fen.)
Zhu Shushu’s wife contracted a cold. Wu Mou gave two doses of exterior-releasing herbs, resulting in red rashes and gradual mental clouding. Ye Mou, knowing her chronic deafness and visual impairment indicated Yin deficiency, switched to Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) for two doses, leading to incontinence and convulsions. Mengying examined her and said: Though thin and Yin-deficient, allowing pathogens to disturb Ying, she is not damp-heavy, so treatment is possible. However, epigastric tenderness, hiccups, and constipation indicate Phlegm-Heat blocking the Qi level. Mistaken use of ascending herbs causes Jie Xiong (Chest Binding). Dihuang is cloying and contraindicated. Many cases this year showed death from chest obstruction due to either mistaken ascending herbs or premature cloying tonics. He prescribed Xi Jiao, Xuanshen, Zhuru, Chuanbei, Xuanfuhua, Gualou, Piyeye, Ziwan, Baiqian, and Shichangpu, adjusted with Zixue. After two doses, hiccups stopped, mind cleared, but throat pain and thirst appeared. Zixue and Baiqian were removed. Shegan, Shandougen, Zhimu, and Huafen were added. Xilei San was insufflated into the throat. Throat healed in two days, chest relaxed, rash faded, fever subsided. Xi Jiao, Ziwan, Shegan, and Shandougen were removed. Yinhua, Zhizi, Zhuye, Hai Zhe, and Biqi were added. Sleep and appetite improved. Constipation persisted. Mengying said: No abdominal pain, so for a deficient body, moistening tonification is suitable. Cistanche, Hemp Seed, Danggui, and Dihuang were added. After continued use, bowels moved, and she recovered. (Phlegm-Heat blocking Qi level, no reason to take cloying Dihuang. Ground Xi Jiao 2 qian. Xuanshen Pian soaked, water discarded 8 qian. Jiang Zhuru 3 qian. Chuanbeimu pounded 8 qian. Xuanfuhua wrapped, decocted first 3 qian. Jiang Gualoupi 3 qian. Jiang Piyeshua Bao 3 qian. Ziwan Rong 1.5 qian. Baiqian 2 qian. Shichangpu added later 2 qian. Mixed with Zixue Dan 0.2 fen. Throat pain/thirst: Heat released, floating up. Added Shegan 3 qian. Wine-fried Shandougen 1 qian. Wine-fried Zhimu 3 qian. Nanhuafen 4 qian. Removed Xi Jiao, Ziwan, Shegan, Shandougen. Added Jin Yinhua 8 qian. Heizhipi 1.5 qian. Fresh Zhuye 2 qian. Light Hai Zhe decocted first 2 liang. Biqi 1 liang. Removed Zhuru, Piyeye, Zhizi, Zhuye. Added Light Cistanche 1.5 qian. Hemp Seed pounded 3 qian. Danggui 2 qian. Large Dihuang 8 qian.)
Li Dechang’s mother contracted a cold in mid-summer. Diagnosed as Damp, dryness-promoting herbs were given, causing diarrhea. Suspecting Qi sinking due to age, Earth-tonifying herbs were used, leading to Qi rebellion, coma, excessive sweating, and retracted tongue. Mengying palpated a surging, rapid, uncontrolled pulse, worse on the right Chi position. Large doses of Xi Jiao, Shigao, Huangqin, Huanglian, Huangbai, Zhimu, Huafen, Zhizi, Shihu, Zhuye, Lianxin, Xuanshen, and Dihuang were prescribed. Cold snow water was used to mix Zixue for continuous administration over a day and night. The tongue protruded, throat/tongue became red and ulcerated, swallowing water was painful. Three yellows (Huangqin, Huanglian, Huangbai) were removed. Yinhua, Shegan, and Shandougen were added. Xilei San was insufflated. Pulse/symptoms harmonized after three days, thin gruel tolerated. Sweet-cool mild agents were given. After ten days, hard black stools passed, and she recovered. (Surging/rapid/uncontrolled indicates Excess Heat with Yin deficiency. Differentiation: worse on right Chi. Slashed Xi Jiao decocted first 4 qian. Shigao 1 liang 6 qian, decocted first. Wine-fried Kuqin 1 qian. Wine-fried Chuanlian 0.8 fen. Wine-fried Chuanhuangbai 1.5 qian. Wine-fried Zhimu 3 qian. Nanhuafen 4 qian. Heizhipi 3 qian. Fresh Shihu decocted first 1 liang. Fresh Zhuye 2 qian. Lianxin 1 qian. Xuanshen Pian 1 liang. Large Dihuang 8 qian. Soaked in boiling water, decocted, water discarded. Zixue 1 qian mixed with snow water, administered for a day/night. Removed Three Yellows. Added Jin Yinhua 1 liang 5 qian. Shegan 3 qian. Wine-fried Shandougen 1 qian.)
Yu Langzhai was thin and weak, suffering from intermittent malaria with less chills and more fever. Urination/defecation were obstructed. Epigastric oppression was extreme. Tongue coating was greasy, no thirst. Pulse was slow-slippery and overflowing upward. Mengying said: Constitution is Yin-deficient, but Phlegm-Damp obstruction exists. Ascending/releasing herbs should not be used to aid rebellion, nor cooling/moistening herbs to obstruct the pivot. Huashi, Houpo, Zhuru, Xuanfuhua, Tongcao, Piyeye, Weijing, Yujin, and Lane ye were prescribed. Coating receded. Houpo and Yujin were removed. Lianqiao, Zhishi, and Banxia were added. Chest oppression opened, malaria decreased, bowels moved freely. Huashi, Banxia, Lianqiao, and Zhishi were removed. Shashen, Shihu, Chenpi, and Huangqin were added. Full recovery in ten days. (Slow pulse indicates Dampness. Overflowing slipperiness indicates Phlegm-Heat failing to descend. West Huashi decocted first 4 qian. Prepared Houpo 1 qian. Jiang Zhuru 3 qian. Xuanfuhua wrapped, decocted first 1.5 qian. Fang Tongcao 3 qian. Jiang Piyeshua Bao 3 qian. Lugeng mixed with Ginger Juice 8 qian. Jian Lane ye 3 qian. Huang Yujin 0.8 fen. Modified formula: Remove Houpo/Yujin, add Jiang Chuanlian 0.8 fen. Fried Zhishi 1 qian. Prepared Banxia 1 qian. Further modified: Remove Huashi/Banxia/Lianqiao/Zhishi, add Beishashen 3 qian. Fresh Shihu decocted first 4 qian. Zhu Chenpi 1.5 qian. Jiang Kuqin 1.5 qian.)
Dong Zheqing’s wife had cough during pregnancy, unresolved after birth. Night sweats decreased, appetite dropped, headache and dry mouth developed. She lay listlessly, unable to sit up easily. Pulse was deficient-wiry, rough-rapid. Tongue was bare, red, and coating-less. Mengying said: Headache and dry mouth are due to Yang rising without fluid support. Do not treat as a cold. This is Crotch-Vessel rebellion causing cough, not wind-cold. Cistanche, Ziyingui, Guiban, Fuling, Dongchongxiacao, Muli, Doubitao, Gancao, Xiaomai, Hongzao, and Ou were prescribed. Cough decreased, appetite increased, headache ceased. Shudi was added, leading to full recovery. (Crotch-Vessel connects to Liver. Headache/dry mouth is Liver Yang rebelling. Pulse indicates deficiency of Yin-within-Yang. Cistanche, Ziyingui, Fuling, Hongzao treat the pulse. Light Cistanche 1.5 qian. Ziyingui pounded, decocted first 3 qian. Xue Guiban 2 liang. Duan Muli 4 liang. These three calcined first for six minutes, water used to decoct herbs. Yun Fuling 3 qian. Dongchongxiacao 2 qian. Doubitao 4 qian. Sheng Gancao 3 qian. Bei Xiaomai 4 qian. Hongzaorou 3 qian. Feiou with peel sliced 1 liang.)
Qingyunpu’s son suddenly suffered from unilateral hernia (scrotal swelling). Doctor prescribed Huixiang, Lupaba, Wuyao, and Lihé. Pain became unbearable. Mengying palpated hot skin and pulse. Said: Not a hernia. Testicular swelling/pain on the right indicates Damp-Heat seasonal pathogen. Treating as hernia would cause abscess. Following correct treatment, relief came after one cup. Three doses passed stool, fever subsided. Eating mutton caused recurrence. Clearing/resolving herbs were given again. Dietary restrictions advised, leading to cure. (Damp-Heat injuring Qi causes right-sided testicular swelling/pain. Dongguapi 4 qian. Fresh Lugeng 1 liang. Sheng Yiren pounded 8 qian. Wine-fried Xiyinchen 1 qian. Chuanlianniu pounded, decocted first 2 qian. Qingguo pounded, decocted first 2 pieces. Yun Fuling 3 qian. Chen Mugua 1.5 qian. West Huashi decocted first 4 qian.)
Wu Xianzhang, over sixty, contracted a cold. Doctors knew it was Damp-Warmth but treatment failed. He could still get up and manage affairs. Mengying palpated: Left Cun rapid/frequent, others large. Appetite slightly reduced. Loose stools, scanty urine. Tongue coating greasy-yellow, tip uniquely black. Mengying refused to prescribe, stating: The syndrome is not severe. Observing pulse and tongue, chronic mental exertion has caused Fire to flare internally, unchecked by Water. Self-burning is inevitable, especially with Damp-Warmth. He died a few days later.
Huang Chunguang, 78, suffered Damp-Warmth for over ten days. Pulse was intermittent. Hiccups persisted daily. Mengying diagnosed: Intermittent pulse yet wiry/thready with root indicates strong congenital vitality. Despite age, it is an Excess pattern. Deep disease with voice loss is serious. Obstructed urination/defecation and grey-greasy coating suggest Fu Qi not venting, blocked by Phlegm-Damp-Heat. Clearing/venting may work. Xuanfuhua, Zhuru, Zhizi, Lianniu, Piyeye, Xingren, Wuyu, Huanglian, Ziwan, Gualou, Hai Zhe, and Biqi were prescribed. Tongcao 1 liang decocted to cook herbs. Immediate relief. Several doses produced massive sticky phlegm vomiting and bowel movements. Porridge tolerated. Movement-induced cough/wheezing revealed lower deficiency. American Ginseng, Guiban, Muli, Rongshu, Shihu, Niuxi, Dongchongxiacao, Shiying, Fuling, and Danggui were given. Symptoms improved sequentially. Shaoren and fried Shudi were added for final recovery. (Excess differentiation: intermittent pulse with root. Fu Qi obstruction: obstructed urination/defecation, grey-greasy coating. Xuanfuhua wrapped, decocted first 3 qian. Jiang Zhuru 3 qian. Heizhipi 3 qian. Chuanlianniu pounded, decocted first 3 qian. Jiang Piyeshua Bao 3 qian. Ku Xingni added later 3 qian. Ziwan Rong added later 1.5 qian. Light Wuyu added later 0.6 fen. Jiang Gualoupi 3 qian. Wine-fried Chuanlian 0.8 fen. Light Hai Zhe decocted first 8 qian. Whole Biqi 1 piece. Pian Tongcao 1 liang, decocted to cook herbs. Lower deficiency signs: American Ginseng 3 qian. Xue Guiban pounded 2 liang. Duan Muli pounded 4 liang. Shihu 1 liang. Shiying pounded 3 qian. These four calcined first for six minutes, water used to decoct. Light Cistanche 1.5 qian. Sheng Niuxi 0.7 fen. Chongcao 2 qian. Yun Fuling 3 qian. Danggui 2 qian. Added Shaoren powder and fried Shudi 8 qian. Remove Shaoren.)
Qian Wenyuan occasionally had Phlegm-Cough in spring. Su Ge caused aphonia. Other doctors gave large tonics, worsening to choking on water. Mengying diagnosed: Left Cun active/rapid, Chi fine, Guan wiry. Right rough. Heart Yang overactive, secretly consuming Ying Yin. Lung Metal scorched, clearing/descending failed. Water source lost, roots unprotected. Left rising too much, Right descending powerless. Qi meridians distorted, Blood collaterals blocked. Choking on water confirms this. Metal fearing Fire is worrying. Eventually, blood stasis was vomited, eating slightly relieved, but he still died from hidden pathogen.
Tang Xicheng, over sixty, initial cold stage. Whole body red rash. Tongue fully coated yellow. Headache, lower back pain. Loose stools, painful urination. Pulse wiry-fine and rough. Diagnosis: Yin deficiency, fatigue, heavy Damp-Warmth toxin. Clearing/resolving must preserve Yin. Xi Jiao, Lingyangjiao, Huangqin, Zhuru, Yinhua, Lianqiao, Sangye, Weijing, and Tongcao were prescribed.