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Prescribed Lanye (Callicarpa Leaf) as the main ingredient, decocted with Donggua Tang (Winter Melon Decoction). After ingestion, red rashes appeared all over the body, the left eyelid suddenly swelled, the right arm was sore and unable to lift, deafness occurred, and the spirit was unclear. Urgently, Yuanshen (Scrophulariae Radix), Danpi (Moutan Cortex), Juhua (Chrysanthemi Flos), Zhizi (Gardeniae Fructus), Sangzhi (Mori Ramulus), Sigualuo (Luffae Fructus Retinervus), Shihu (Dendrobii Caulis), and Zhuye (Bambusae Folium) were decocted, and Shenxi Dan (Divine Rhinoceros Pill) was mixed in as a dosage. An偶然 (accidentally) invited a surgeon to examine the external lesions; he also knew the cause was damp-heat. Continuously taking Mutong (Akebiae Caulis) and other herbs, the pulse became finer and weaker, the spirit more confused and exhausted, food intake ceased, and painful, difficult urination worsened. Wang Mengying commented: Emergency rescue of Yin fluids can still turn the situation around. He prescribed Fumai Tang (Restore the Pulse Decoction), removing Jiang (Zingiberis Rhizoma), Gui (Cinnamomi Cortex), and Maren (Cannabis Semen), replacing them with Xiyangshen (American Ginseng), and adding Zhimu (Anemarrhenae Rhizoma), Huafen (Trichosanthis Radix), Zhuye (Bambusae Folium), and Zhejiang (Sugarcane Juice) for administration. After one dose, the spirit recovered, and the pulse returned; after another dose, the coating retreated, and hunger was felt; after three doses, the body cooled, and urination flowed smoothly. After six doses, skin peeled off, sleep was peaceful, eyes opened, and the tongue was moist. Some doubted how sweet, soft, and greasy medicines could clear damp-heat. Wang Mengying said: In individuals with Yin deficiency and internal heat, accumulated dampness easily transforms into fire. Fire scorches fluids, impairing their distribution. Frequent irrigation with sweet and cool substances restores fluids and unblocks Qi. Merely knowing to promote diuresis leads to the prior loss of Yin Qi. One must carefully consult pulse and symptoms; methods cannot be rigid. After taking a few more doses, sudden limb swelling and widespread wind wheals (urticaria) appeared with extreme itching. Wang Mengying commented: This is when Yin fluids are sufficient, and residual pathogens find their own exit. Prescribed light and clear medicines for several doses, and indeed recovered. (Whole body skin red, dampness transforming into heat steaming on the skin, full tongue yellow coating, dampness transforming into heat failing to descend, headache due to Liver Heat, lower back pain due to Kidney Deficiency, Lung Metal failing to control Liver Wood causing Liver Yang to rebel upward, Lung and Kidney being mother-child organs, Lung Yin failing to nourish Kidney Yin leading to Kidney Deficiency, loose stool as heat seeking an exit, painful urination as heat binding in Lung and Stomach, wiry pulse indicating Liver Heat, fine pulse indicating Yin Deficiency, [missing character] indicating Lung phlegm obstructing Qi. Fu Ling (Poria) and Lancea Herb (Herba Lagochili) drain dampness and transform turbidity. Xi Jiao (Rhinocerotis Cornu) decocted first 4 qian, Ling Yang Jiao (Caprae Hircus Cornu) decocted first 4 qian, Yun Fu Ling (Poria) 3 qian, Jiu Chao Yin Hua (Flos Lonicerae Japonicae) added later 1 liang 5 qian, Lianqiao Qiao (Forsythiae Fructus) 3 qian, Dong Sang Ye (Mori Folium) 4 qian, Xian Lu Gen (Phragmitis Rhizoma) 1 liang, Jian Lan Ye (Callicarpae Folium) added later 3 qian, Fang Tong Cao (Tetrapanacis Medulla) 1 qian, Dong Gua (Benincasae Exocarpium) with peel simmered first, dregs removed, decoction liquid 2 liang. Deafness and unclear spirit: Yuan Shen Pian (Scrophulariae Radix) soaked and decocted, dregs removed 1 liang, Fen Dan Pi (Moutan Cortex) 2 qian, Hang Bai Ju (Chrysanthemi Indici Flos) 4 qian, Hei Zhi Pi (Gardeniae Fructus Pericarpium) 1.5 qian, Jiu Chao Sang Zhi (Mori Ramulus) added later 3 qian, Si Gua Luo (Luffae Fructus Retinervus) 3 qian, Shi Hu (Dendrobii Caulis) decocted first 1 liang, Xian Zhu Ye (Bambusae Folium) added later 2 qian, decocted and mixed with Shen Xi Dan 1 qian. Surgeon continuously administered Mutong (Akebiae Caulis) etc., draining dampness and injuring Yin. Xi Yang Shen (American Ginseng) 3 qian, Hua Mai Dong (Ophiopogonis Tuber) 4 qian, Sheng Fen Cao (Glycyrrhizae Radix et Rhizoma) 3 qian, Da Di Huang (Rehmanniae Radix) 8 qian, Da Zao (Jujubae Fructus) split open first 1 piece, Qing E Jiao (Asini Corii Colla) stewed and taken together 2 qian, Jiu Chao Zhi Mu (Anemarrhenae Rhizoma) 3 qian, Nan Hua Fen (Trichosanthis Radix) 5 qian, Xian Zhu Ye (Bambusae Folium) added later 2 qian, Lian Pi Qing Zhe (Sacchari Sinaris Caudex cum Corte) 2 liang, juice squeezed and mixed. Light and clear prescription: Jiu Chao Zhi Pi (Gardeniae Fructus Pericarpium) 3 qian, Jiu Chao Ku Qin (Scutellariae Radix) 1 qian, Jiang Zhi Ban Lu Gen (Phragmitis Rhizoma) 1 liang, Jiu Chao Sang Zhi (Mori Ramulus) 3 qian, Bo Ju Hong (Citri Reticulatae Pericarpium) 1.5 qian, Yin Hua (Flos Lonicerae Japonicae) added later 8 qian, Jian Lan Ye (Callicarpae Folium) added later 3 qian, Si Gua Luo (Luffae Fructus Retinervus) 3 qian.)

Zhao Juzhai's daughter-in-law had always suffered from Yin deficiency with internal heat, occasionally coughing up blood. Last year, Wang Mengying had already cured her. Soon after, her menstruation was irregular. Wang Mengying diagnosed: The disease has gone, and she is pregnant. This spring, after delivery, she suffered from diarrhea. Specialists prescribed warm-tonifying formulas, which caused coughing. Changing doctors and prescribing blood-nourishing agents aggravated the slippery diarrhea. Seeking answers from talismans and spirits, various methods failed. Wang Mengying administered Gan Mai Da Zao Tang (Licorice, Wheat, and Jujube Decoction) combined with Mei Lian (Mume Fructus and Coptidis Rhizoma), and symptoms gradually subsided. Subsequently dissuaded by relatives/nuns, who used various blind tonifications, leading to abdominal pain, reduced appetite, and dozens of bowel movements daily consisting of bright white, hard, round stools like white grapes with blood threads. She sought help from Wang Mengying. He prescribed Zhang Zhongjing's Dang Gui Sheng Jiang Yang Rou Tang (Angelica, Ginger, and Lamb Meat Decoction), swallowing 21 Ya Dan Ren (Brucea Javanica Seed) kernels per dose, coated with Long Yan Rou (Longan Aril). Indeed, after two doses, stools turned loose, and pain decreased in sequence. Then prescribed Gu Ban (Testudinis Carapax et Plastrum), Lu Jiao Shuang (Cervi Cornus Degelatinatum), Gui (Angelicae Sinensis Radix), Fu Ling (Poria), Qi (Canni Fructus), Tu Si Zi (Cuscutae Semen), Gan Cao (Glycyrrhizae Radix et Rhizoma), Shao Yao (Paeoniae Radix Rubra), Wu (Sepiae Endoconcha), Cong Rong (Cistanches Herba), Pu Tao (Vitis Vinifera Fruit), Ou Fen (Nymphaeae Semen) to nourish the extraordinary vessels, resulting in recovery. (Nourishing Extraordinary Vessels Formula: Cu Zhi Gu Ban (Testudinis Carapax et Plastrum Vinegar-fried) 8 qian, Cu Zhi Wu Ze Gu (Sepiae Endoconcha Vinegar-fried) 5 qian, pounded together and decocted first. Lu Jiao Shuang (Cervi Cornus Degelatinatum) stewed and taken together 3 qian, Gui Shen (Angelicae Sinensis Radix) 3 qian, Yun Fu Ling (Poria) 3 qian, Chao Qi Zi (Canni Fructus Stir-fried) 2 qian, Chao Tu Si Bing (Cuscutae Semen Stir-fried cake) 3 qian, Chao Fen Cao (Glycyrrhizae Radix et Rhizoma Stir-fried) 1 qian, Jiu Xi Pu Tao Gan (Vitis Vinifera Fruit Wine-washed) 3 qian, Jiu Chao Chi Shao (Paeoniae Radix Rubra Wine-stir-fried) 1.5 qian, Ou Fen (Nymphaeae Semen) wrapped and decocted 3 qian.)

Ren Feiting contracted a pathogen in mid-summer. Huang heard of his fever with occasional slight chills and prescribed several doses of Jiang (Zingiberis Rhizoma), Yu (Evodiae Fructus), Zi (Perillae Folium), Zao (Jujubae Fructus). The heat intensified, and both urine and stool stopped. Another doctor continuously used diuretic/damp-draining agents. Initially, urine passed slightly, but then became even more difficult. Wang Mengying examined him. The condition had lasted fourteen days; he was emaciated, pulse wiry, fine, and choppy, tongue glossy purple with white plaques, unable to sleep at night, thirsty but drinking little, unable to eat rice, lower abdomen tender to pressure, impending asthma/reversal. Although it belonged to excess syndrome in the lower jiao, given the physical state, direct purgation was difficult. First, he instructed to take one large field snail, a handful of fresh Che Qian Cao (Plantaginis Herba), and six cloves of garlic, pound them together, add a little She Xiang (Moschus), and apply to the umbilicus/Shui Fen acupoint. The internal formula used Yuan Shen (Scrophulariae Radix), Zi Wan (Asteris Radix), Zhi Zi (Gardeniae Fructus), Zhi Mu (Anemarrhenae Rhizoma), Hua Fen (Trichosanthis Radix), Hai Piao Xiao (Sepiae Endoconcha - *Note: Text says 'Hai ', likely Hai Piao Xiao or Hai Mao Ge, context suggests clearing heat/phlegm, possibly Hai Mao Ge/Fucus*), Bi Qi (Dioscoreae Bulbus), Cong Rong (Cistanches Herba), Niu Xi (Achyranthis Bidentatae Radix), Tian Dong (Asparagi Radix) as the base, adding Xian Di Huang Zhi (Fresh Rehmanniae Juice). That night, urination started, breathing calmed, and he slept slightly. After two more doses, stool finally passed, heat receded, and he slowly progressed to thin porridge. Then Xue Geng (Snow Soup ingredients), Zhi Zi, Zi Wan, Cong Rong, Niu Xi, Di Huang Zhi were removed, and Xi Yang Shen (American Ginseng), Mai Dong (Ophiopogonis Tuber), Shi Hu (Dendrobii Caulis), Gan Di Huang (Dried Rehmanniae Radix), Zhu Ru (Bambusae Caulis in Taenia), Yin Hua (Flos Lonicerae Japonicae) were added. After ten-plus doses, three black hard stools were passed, tongue color returned to rosy-red, sleep and appetite gradually stabilized, and he rose. (This case is Yin deficiency with heat. External application: Snail and Plantago are slippery, cool, and refreshing; Garlic is pungent and warm, used as an antithesis to guide opening. Internal prescription: Yuan Shen Pian 8 qian, Zi Wan Rong 1.5 qian, Hei Zhi Pi 1.5 qian, Jiu Chao Zhi Mu 3 qian, Nan Hua Fen 3 qian, Dan Hai [Piao Xiao/Mao Ge] decocted first 2 liang, whole Bi Qi crushed 1 liang, Dan Cong Rong 1.5 qian, Jiu Chao Niu Xi 0.8 fen, Ming Tian Dong cut 6 qian, Xian Di Huang cut and juice squeezed with boiling water 1 liang. Later removed Xue Geng, Zhi Zi, Zi Wan, Cong Rong, Niu Xi, Di Huang Zhi, added Xi Yang Shen, Hua Mai Dong 4 qian, Shi Hu decocted first 1 liang, Gan Di Huang 5 qian, Jiang Zhu Ru 4 qian, Ji Yin Hua 8 qian.)

Zhuang Zhijie's daughter, living as a widow, suddenly experienced Qi rushing up towards fainting, unbearable epigastric pain. Self-medicating with Chen Xiang (Aquilariae Lignum Resinatum) and Wu Zhu Yu (Evodiae Fructus) worsened the condition, causing vomiting, fever, and slight chills. Wang Mengying palpated a wiry, slippery, and rapid pulse, slippery-yellowish coating, thirst preferring cold drinks, constipation, hot urine, and loss of sleep/appetite. This indicated abundant latent phlegm internally, rebellious Liver Qi rising, combined with absorbing summer-heat pathogen. He prescribed Wu Zhu Yu water-fried Huang Lian (Coptidis Rhizoma), Zhi Shi (Aurantii Fructus), Zhu Ru (Bambusae Caulis in Taenia), Gua Lou (Trichosanthis Fructus), Shi Gao (Gypsum Fibrosum), Xuan Fu Hua (Inulae Flos), Zhe Shi (Hematitum), Zhi Mu (Anemarrhenae Rhizoma), Ban Xia (Pinelliae Rhizoma), and Xue Geng (Snow Soup). After two doses, vomiting stopped, pain decreased. After five doses, heat receded, but resolution was incomplete; only after ten days did he feel completely relieved. Then Shi Gao, Zhi Mu, Xuan Fu, Zhe Shi were removed, and modulation continued until cure. (Qi rushing/fainting and epigastric pain originally due to Liver Yang insulting Stomach. Self-administered pungent-warm herbs further aided Liver Yang. Slight chills indicate extreme heat mimicking cold, not true cold. Wiry-slippery pulse indicates Liver heat stirring phlegm; rapid indicates concurrent Yin deficiency. Slippery-yellow coating indicates turbid phlegm not yet fully discharged. Thirst for cold drinks indicates excess heat in Lung. Loss of sleep/appetite indicates Liver heat invading Heart/Lungs. Vomiting requires bitter-pungent combination to open and descend, hence Zhi Mu and Ban Xia. Liver Yang requires heavy sedation, hence Xuan Fu and Zhe Shi to guide medicine downward. Rapid pulse requires Yin tonification, hence Xue Geng. Wu Zhu Yu water-fried Chuan Lian 0.8 fen, Chao Zhi Shi 1.5 qian, Jiang Zhu Ru 3 qian, Jiang Lou Pi 3 qian, Sheng Shi Gao decocted first 8 qian, Xuan Fu wrapped first 3 qian, Sheng Zhe Shi pounded first 1 liang 6 qian, Jiang Chao Zhi Mu 3 qian, Jiang Ban Xia ground and added later 1 qian, Dan Hai [Piao Xiao/Mao Ge] decocted first 2 liang, whole Bi Qi crushed 1 liang, Xue Geng also treats medication error.)

Chen Shubo's sister-in-law, three days postpartum, had fever and profuse sweating, yellow coating, vertigo, and palpitations. Wang Mengying palpated a wiry, fine, deficient, and rapid pulse, indicating chronic Ying-Yin deficiency, scorched by intense heat, floating Wind-Yang, budding convulsion/fainting. He prescribed Yuan Shen (Scrophulariae Radix), Bai Wei (Cynanchi Atrati Radix), Qing Hao (Artemisiae Annuae Herba), Di Huang (Rehmanniae Radix), Xiao Mai (Tritici Fructus), Dou Yi (Sojae Semen Preparatum), Shi Hu (Dendrobii Caulis), Bie Jia (Trionychis Carapax), Zhu Ye (Bambusae Folium). After two doses, heat receded, hunger returned, but palpitations and sweating persisted. Qing Hao and Bai Wei were removed, and Long Gu (Fossilia Ossis Mastodi), Mu Li (Ostreae Concha), Lian Xin (Nelumbinis Plumula), Gui Ban (Testudinis Carapax et Plastrum), Shi Ying (Fluoritum) were added, bringing peace. Subsequently, summer-wind attacked externally, high fever like burning, thirst without hunger, seeing everything as red. Changed to Bai Hu Tang (White Tiger Decoction) plus Xi Yang Shen (American Ginseng), Zhu Ye (Bambusae Folium), Lian Gan (Nelumbinis Nucleus Pedunculus). One dose brought relief. Continued with sedative and Yin-nourishing/submerging treatments for recovery. (Yuan Shen Pian 1 liang, Da Di Huang 8 qian, soaked in boiling water, dregs removed, use liquid to first charcoal-simmer Xue Bie Jia (Blood Turtle Shell) 3 liang, Shi Hu 1 liang, for six hours, then add other herbs. Xian Qing Hao 1.5 qian, Xiang Bai Wei 3 qian, Bei Xiao Mai 4 qian, Dou Yi 4 qian, Xian Zhu Ye added later 2 qian. Revised formula removed Hao/Wei, added Long Gu pounded 1 liang, Mu Li pounded 4 liang, Xue Gui Ban pounded 2 liang, Zi Shi Ying 3 qian, combined with Bie/Ji decocted first for six hours. Summer-wind attack formula: Sheng Shi Gao decocted first 1 liang 6 qian, Jiu Chao Zhi Mu 4 qian, Xi Yang Shen 3 qian, Xian Zhu Ye added later 2 qian, Xian Lian Gan 3 qian.)

Mrs. Gu, after a miscarriage, suffered epigastric pain after eating. Others thought it was food stagnation and prescribed digestive agents. Pain worsened with fever. When lying down, spasms in the right hypochondrium were unbearable. Wang Mengying said: This cannot be treated with dispersing or attacking-digestive methods. He prescribed Xuan Fu Hua (Inulae Flos), Si Gua Luo (Luffae Fructus Retinervus), Dong Gua Zi (Benincasae Semen), Lian Gan (Nelumbinis Nucleus Pedunculus), Wei Jing (Imperatae Rhizoma), Zhu Ru (Bambusae Caulis in Taenia), Bei Mu (Fritillariae Bulbus), Pi Pa Ye (Eriobotryae Folium), Tong Cao (Tetrapanacis Medulla). One dose showed improvement, two doses cured. (Digestives are divided into warm and cool. Miscarriage loses blood and injures Yin; this must be misused warm digestives stealing Lung Yin, hence unbearable spasms when lying down. Clearing and nourishing Lung Yin cures it. Xuan Fu wrapped first 1.5 qian, Si Gua Luo 1.5 qian, Sheng Dong Gua Zi 4 qian, Xian Lian Gan 3 qian, Mi Shui Ban Xian Lu Gen (Honey-water mixed Fresh Imperatae Rhizoma) 2 liang, Xian Zhu Ru 3 qian, Mi Shui Chao Pi Ye Brush-wrapped 3 qian, Fang Tong Cao 1 qian.)

Mrs. Gao, quitting opium, took foreign pills. No discomfort except constipation. Doctors treated for two months without success, though appetite remained. Face red, gums swollen wanting piercing, silver needles inserted between teeth turned coal-black upon removal. Wang Mengying palpated slippery-rapid pulse, prescribed Xi Jiao (Rhinocerotis Cornu), Shi Gao (Gypsum Fibrosum), Xiao Huang (Mirabilits/Niter & Sulfur mix?), Sheng Ma (Cimicifugae Rhizoma), Bian Lang (Staphylinidae), mixed with one cup of fresh Yin Hua (Flos Lonicerae Japonicae) juice. After ingestion, defecated 3-4 times at night, half the illness gone. Again prescribed clearing-resolving and detoxifying agents until cure. (Differentiating middle-heat toxin: silver needle turning coal-black. Differentiating excess syndrome: slippery-rapid pulse plus two-month constipation. Constipation without slippery-rapid pulse should not be purged. Sheng Ma raises bitter-cold to the highest point; Lung and Large Intestine are exterior-interior; Lung descending allows bowel movement. Xi Jiao 4 qian, Sheng Shi Gao 1 liang 6 qian, decocted first together. Sheng Xiang Huang 4 qian, Yuan Ming Fen 1 qian, Sheng Sheng Ma 1.5 qian, Bian Lang 1 pair, three items added later together. Xian Yin Hua 2 liang, boiled water soaked, squeezed juice mixed.)

Lu Zhuqin's wife suddenly had palpitations, limbs cold as ice. Wang Mengying observed a floating-wiry-rapid pulse, tongue tip red without coating. This was Yin deficiency with Yang floating, budding Jian Jue (Frying Fainting). He prescribed Yuan Shen (Scrophulariae Radix), Er Zhi Wan (Two Solstice Pill), San Jia (Three Shells: Gui Ban, Bie Jia, Mu Li), Long Chi (Fossilia Ossis Mastodi), Shi Ying (Fluoritum), Di Huang (Rehmanniae Radix), Niu Xi (Achyranthis Bidentatae Radix), Fu Shen (Poria with Hostwood), Lian Xin (Nelumbinis Plumula). Recovered. (Palpitations distinguished by cold/heat: Water flooding below Heart is cold; Liver Yang surging is heat. Floating-wiry-rapid pulse, red tongue tip, palpitations indicate budding Jian Jue. Jian Jue is Yin deficiency with Yang floating, heat like frying with cold limbs. Mu Li pounded 6 liang, Xue Gui Ban pounded 4 liang, Xue Bie Jia pounded 2 liang, Long Chi pounded 1 liang, Zi Shi Ying 4 qian, Wu Wei Zi first charcoal-simmered for six hours, use liquid to decoct herbs. Yuan Shen Pian 1 liang, Nu Zhen Zi pounded 5 qian, Han Lian Cao 4 qian, Jiu Chao Niu Xi 0.7 fen, Yun Fu Shen 3 qian, Lian Xin 1 qian.)

Zhao Zixun's wife, postpartum, took two doses of Sheng Hua Tang. Further frightened, developed fever on the third day. Continuously given Si Wu Liu He Tang, condition worsened daily. Half a month later, Wang Mengying diagnosed: Left pulse wiry-tight, right pulse洪-slippery-rapid, yellow coating, great thirst, delirium, coughing phlegm, lochia still flowing, dry lips/teeth. Due to Yin deficiency constitution, excessive blood loss, Wood-Fire floating upward, scorching summer heat, major fluid consumption, combined with latent phlegm. Urgently prescribed clearing both Ying and Wei, hoping to avoid complications. Mother's family feared Shi Gao (Gypsum Fibrosum) greatly, firmly refusing it. Three days later, condition worsened. Directly administered modified Bai Hu Tang (White Tiger Decoction). Condition turned. Next day, helped medicine power with Watermelon Juice. Heat began descending daily, urination/stool like fire. After several more days, stable with congee, spirit clear, quiet sleep at night. However, too much heat accumulated, abscess formed in lower jiao. Pus drained, but Yin fluids leaked. Pulse became empty-rapid-floating-large, diarrhea, irritability, dry mouth, many dreams—all signs of insufficient Wood-Water nourishment, scorching fluids insulting Stomach. Mengying used Bai Tou Weng Tang (Pulsatillae Decoction) plus Long Gu (Fossilia Ossis Mastodi), San Jia (Three Shells), Gan Cao (Glycyrrhizae Radix et Rhizoma), Mu Gua (Chaenomelis Fructus) to nourish Yin and submerge Yang. Yu Liang Shi Zhi Wan (Limonis/Hematitum Pill) plus Mei Lian (Mume/Coptis) to calm wind and settle Stomach. Indeed, wound pus dried, appetite increased, diarrhea stopped, pulse soft, heat clean, coating retreated, spirit refreshed. Just needed follow-up. Newly prescribed filling-nourishing, unexpectedly intense heat for ten days, sudden rain, windows open all night, re-contracted wind pathogen. Fever, slight chills, runny nose. Yin fluids long depleted, external wound not healed, tonic feeding hindered, sweating difficult. Liver Qi responding internally, jaw clenching/spinning form. Yet this case is worthy of transmission. (Sheng Shi Gao decocted first 1 liang 6 qian, Xi Jiao decocted first 4 qian, Ji Yin Hua 1 liang 5 qian, Jiu Chao Zhi Mu 4 qian, Jiang Zhu Li (Ginger-infused Bamboo Sap) two large wine cups mixed, Shi Hu decocted first 1 liang, Da Di Huang 1 liang soaked mixed dregs removed, Sheng Dong Gua Zi 8 qian, Shi Chang Pu added later 2 qian, Qing Guo pounded first 1 piece, Liang Tou Jian 3 qian. Wood-insufficient-Water-nourishing, Scorching-fluids-Insulting-Stomach Formula: Jiu Chao Bai Tou Weng 1.5 qian, Jiu Chao Chuan Lian 1 qian, Lian He pounded first 3 qian, Long Gu pounded first 1 liang, Mu Li pounded first 6 liang, Xue Bie Jia pounded first 4 liang, Xue Gui Ban pounded first 2 liang, Sheng Fen Cao 3 qian, Chen Mu Gua 2 qian, Wu Mei Rou pounded first 4 qian, medicine delivered with Yu Liang Chi Shi Zhi powder each 1 qian.)

Chen suffered from cough, first spitting thin phlegm, then yellow-thick-sweet-turbid phlegm, followed by dark-red-purple blood. Still able to eat, no other discomfort. Many medicines failed. Mengying palpated slow-large pulse, stronger at Right Guan. This was fatigue injuring Yang, combined with damp-heat accumulation. Prescribed Sha Shen (Glehniae Radix), Sheng Yi Yi Ren (Coicis Semen), Mu Gua (Chaenomelis Fructus), Fu Ling (Poria), Xing Ren (Armeniacae Semen Amarum), Zhu Ru (Bambusae Caulis in Taenia), Sang Ye (Mori Folium), Pi Pa Ye (Eriobotryae Folium), Sheng Bian Dou (Phaseoli Tomentosii Semen), Wei Jing (Imperatae Rhizoma), Hua Fen (Trichosanthis Radix) as formula, swallowing Song Shi Zhu Du Wan (Pine-Stone Pig Stomach Pill). Recovered. (Fatigue injuring Yang is root disease, damp-heat accumulation is branch disease. Standard method treats branch first, hence branch-clearing herbs in formula exceed root-treating ones to save from hemoptysis. Bei Sha Shen 8 qian, Sheng Yi Ren pounded 8 qian, Chen Mu Gua 1.5 qian, Yun Ling 3 qian, Ku Xing Ni 1.5 qian, Jiang Zhu Ru 3 qian, Dong Sang Ye 4 qian, Jiu Chao Pi Ye Brush-wrapped 3 qian, Sheng Bian Dou pounded 1.5 qian, Xian Lu Gen 1 liang, Nan Hua Fen 3 qian.)

Wang Shoushi's wife suffered from dysentery (Zhi Xia), abdominal pain, slight vomiting, no hunger, bitter taste, short urine, tinnitus. Mengying diagnosed: Fine-weak pulse, lackluster skin, menstruation stopped early, purple-dark tongue without moisture. Constitutionally Yin deficient, depressed mood, Two Yang silently blazing, Five Fluids secretly consuming. Though absorbing summer-heat pathogen, do not use routine drugs. Prescribed Bai Tou Weng Tang (Pulsatillae Decoction) plus Xue Geng (Snow Soup), Yin Hua (Flos Lonicerae Japonicae), Zhi Zi (Gardeniae Fructus), Lian Shi (Meliae Fructus) for several doses, reducing symptoms. Then removed Xue Geng, added Di Huang (Rehmanniae Radix), Cong Rong (Cistanches Herba), Shi Bing (Persimmon Cake), Ou Zhi (Lotus Root Juice), bringing peace. Changed to Gan Mai Da Zao Tang (Licorice, Wheat, Jujube Decoction) plus Xi Yang Shen (American Ginseng), Di Huang (Rehmanniae Radix), Cong Rong (Cistanches Herba), Zhu Ru (Bambusae Caulis in Taenia), Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix), Pu Tao Gan (Vitis Vinifera Fruit), decocted in Lotus Root Soup, regulating constitution until cure. (Two Yang refers to Heart-Liver Yang. Five Fluids refers to Yin fluids of Five Zang. Fluid consumption leads to Yang blazing. Jiu Chao Bai Tou Weng 1.5 qian, Jiu Chao Chuan Lian 1 qian, Lian He pounded first 3 qian, Dan Hai [Piao Xiao/Mao Ge] decocted first 2 liang, whole Bi Qi added 2 liang, Ji Yin Hua 1 liang 5 qian, Hei Zhi Pi 3 qian, Jiu Chao Huang Bai 2 qian.)