邵鱼竹起居饮食如常。惟仅能侧卧。稍一合眼。则惊窜而醒。虽再侧眠。亦彻夜不得寐。多
年莫能治。孟英以三才合枕中丹加黄连肉桂服之良效。（心肾不交。系囫囵吞枣之词。实系
肾阴不能上济心火。但一味滋肾无效。盖肾阴虽足。无肾阳以济之。肾阴亦不能上朝。孟英
此方妙在加黄连以泻心火。加肉桂以鼓肾阴。方能收效。明天冬切六钱。大熟地八钱。九节
蒲杵次入一钱。焦远志肉次入一钱五分。血龟板杵先三两。 龙骨杵先一两。淡盐水炒川连
八分。肉桂心五分。)
邵鱼竹孙久患痰多。胸膈满闷。连年发痫。药之罔效。孟英脉之。曰∶气分偏虚。痰饮阻其
清阳之旋运。宜法天之健以为方。则大气自强。而流行不息。胸次乃廓然如太空矣。予六君
去甘草。加黄 桑枝薤白蒌仁石菖蒲蒺藜旋复服之。满闷渐舒。痫亦不发。（此证气先虚而
痰饮中之。一味治痰。则气愈虚。故以补气治本。豁痰治标。以桑枝蒌仁白蒺柔肝舒肝。治
兼证之痫。潞党参五钱。炒白术三钱。白茯苓三钱。炒黄 三钱。制半夏八钱。蛀陈皮一钱
五分。姜汁炒桑枝二钱。姜汁拌炒蒌仁一钱。九节蒲研次入三钱。西薤白打次入三钱。生白
蒺去刺三钱次入。旋复花绢包一钱。)
周HT 妻娩后恶露不行。或劝服生化汤。孟英诊曰。阴虚内热。天令炎蒸。虽赤沙糖不可服也
。以生地丹参丹皮豆卷茺蔚子茯苓桃仁山楂栀子泽兰琥珀投之即效。并曰∶生化汤体寒固妙
。若血热或兼感温热者概投之。骤则变证蜂起。缓则蓐损渐成。（阴虚内热。必另有脉象病
情
可据。非但以天令炎蒸。遂制此方。大生地八钱。丹参三钱。丹皮二钱。大豆卷次入一钱五
分。白茯苓人乳拌蒸三钱。生桃仁研三钱。茺蔚子杵先四钱。焦楂肉杵一钱五分。黑栀皮三
钱。泽兰叶一钱五分。琥珀研冲八分。)
戚媪年六十余。秋患霍乱转筋。孟英视之。暑也。投自制蚕矢汤两服而安。三日后忽倦卧不
能反侧。气少不能语言。不饮不食。孟英切脉曰∶此高年之体。元气随泻而泄。固当补者。
第余暑未清。热药在所禁耳。以丽参麦冬知母玉竹木瓜扁豆石斛白芍苡仁茯苓蒺藜为方。服
六剂始能言动。渐进饮食。调理月余而健。（蚕矢汤前后另案均见。元气随泻而泄。此霍乱
治迟之故。高丽参切三钱。整麦冬三钱。酒炒知母二钱。肥玉竹三钱。陈木瓜三钱。
生扁豆杵三钱。鲜石斛杵先四钱。生苡仁杵四钱。白茯苓三钱。生白蒺去刺三钱。)
周HT 七月夜患霍乱转筋甚剧。仓猝间误服青麟丸钱许。孟英晓诊脉微弱如无。耳聋目陷。汗
出
肢冷。音哑肌削。药恐迟滞。先浓煎高丽参汤。急为接续。随以参术白芍茯苓附桂干姜木瓜
苡仁扁豆莲实为方。一剂而各证皆减。（辨阳虚在脉微弱如无。音哑肌削。先浓煎丽参一两
。分次服以接续微阳。方用丽参五钱。炒白术三钱。酒炒焦白芍 一钱五分。白茯苓干切三
钱。炒熟附片五钱。肉桂心二钱。炒干姜三钱。陈木瓜三钱。炒苡仁三钱。炒白扁豆三钱。
炒莲肉去心不去皮三钱。重用附桂干姜。方能鼓舞一派补药。)次日复诊。孟英曰∶气分偏
虚。那堪吐泻之泄夺。误饵苦寒。微阳欲绝。昨予真武理中合法。脾肾之阳复辟矣。刚猛之
品可以撤去。盖吐泻甚而津液伤。筋失其养则为之转。薛生白比之痉病例可推也。凡治转筋
。最要顾其津液若阳既回而再投刚烈。则津液不能复而内风动矣。此治寒霍乱之用附桂亦贵
有权衡。不可漫无节制致堕前功也。即于前方裁去姜附肉桂。加黄 石斛。服至旬日而愈。
（前方加生黄 五钱。钗石斛杵先五钱。)
陈艺圃妻仲秋患霍乱转筋。自诊为寒。投热剂势益甚。延朱茂才视之。与艺圃见同药同。病
尤剧。孟英诊之。曰∶寒为外束之新邪。热是内伏之真病。口苦而渴。姜附不可投矣。应予
刘河间法。不信。仍投热药。至口鼻出血而死。（霍乱分寒热两大门。先后投热剂病益重。
且口苦而渴。热霍乱已确。口苦为热邪。渴为阴液已伤。方应用酒炒知母三钱。酒炒川连八
分。鲜莲子四钱。活水芦根二两。鲜枇叶刷包三钱。生苡仁杵八钱。鲜荷杆二尺。陈木瓜三
钱。生白蒺去刺一钱五分。淡吴萸次入四分。钗石斛杵先一两。)
顾云坨体丰年迈。患疟于秋。脉芤而稍有歇止。孟英曰∶芤者暑也。歇止者。痰湿阻气机之
流行也。大忌温补助邪。及予清解蠲痰之法。病不少减。而大便带血。孟英曰。暑湿无形之
气。平素多痰。邪反得以盘踞。颇似有形之病。清解不克胜其任。气血皆受其滋扰。必攻去
其痰。使邪无根据附而病自去。切勿以高年而畏峻药。遂以桃仁承气汤加西洋参滑石芩连橘红
贝
母石斛为方。送礞石滚痰丸。径服二剂。下粘痰污血甚多。疟即不作。仍以清润法善后而康
。（勘病制方。本参脉证。年迈而体丰。则必其人阳气尚充。且便血有倦否之分。倦者阳虚
。不倦阳实。脉芤而稍有歇止句。重稍有歇止。痰阻气则脉有歇止。去痰则脉无歇止。即无
所谓
芤。非单纯芤脉。妄用桃仁承气方义也。生厢黄三钱。开水泡冲去渣。生桃仁研三钱。西洋
参三钱。西滑石四钱。姜炒枯芩一钱。姜炒川连六分。赖橘红一钱。川贝母杵三钱。钗石斛
杵先五钱。药送礞石滚痰丸三钱。)
邵子受妻患吐血。肌肤枯涩。口渴脉虚大。孟英曰。气分之阴亏也。温补既非。滋填亦谬。
以参 二冬知母百合玉竹石斛桑叶枇叶投之而愈。（吐血分虚实两大门。此为虚证。辨气分
阴亏。在肌肤枯涩口渴脉虚大。温补固与病情相反。滋填则系应补肺阴。误补肾阴。潞党参
五钱。生黄 五钱。花麦冬四钱。明天冬切三钱。酒炒知母一钱五分。百合须三钱。肥玉竹
三钱。钗石斛八钱。冬桑叶四钱。蜜炙枇叶刷包三钱。)
张春桥九月患疟。寒少热多。间二日而作。甫两发。形即清瘦。孟英诊曰。脉弦而细。尺中
甚数。疾作于子夜。口干嗜饮。乃足少阴热疟也。两发遽尔形消。胡可玩视。方用元参生地
知
母丹皮地骨皮天冬龟板茯苓石斛桑叶。（辨肾经热疟。固在疾作子夜。口干嗜饮。尤在尺中
甚数。切脉万勿心粗气浮。炒元参八钱。炒大生地五钱。酒炒知母三钱。丹皮二钱。地骨皮
四钱。明天冬切六钱。血龟板杵先三两。白茯苓三钱。钗石斛八钱。冬桑叶四钱。)
金宽甫初冬患感。黄某进以姜桂之方。渐至足冷面赤。谵语烦躁。疑为戴阳束手。孟英诊曰
。此伏邪晚发。误予升提。热浮于上。清解可安。饮之霍然。（热证气不下行则足冷。清其
热则气下行而足温。面赤谵语烦躁。热邪在气。方用酒炒枯芩一钱五分。酒炒川连六分。黑
栀皮三钱。活水芦根二两。鲜竹茹三钱。鲜茅根五钱。南花粉四钱。鲜枇叶刷包三钱。鲜荷
杆二尺。生苡仁杵八钱。陈胆星炖和服七分。生冬瓜子四钱。川贝母杵三钱。)
周品方患冬温。顾听泉知其体属阴亏。病非风寒。不犯一分温升之药。证不能减。孟英于方
中加贝母杏仁紫菀冬瓜子等味遂效。孟英尝云重病有轻取之法。于此可见。（此必听泉原方
一味清解。少痰药及辛开之药。)
邵秋子母年近六旬。春患寒热如疟。诸医杂治罔效。孟英视之。曰∶此湿邪久蕴。已从热化
。误投升补。动其肝阳。痰饮因而上逆。予通降之法。寒热即减病家误进首乌鳖甲等药。渐
至脉伏胸痞。呃忒自汗。渴饮不食。颧赤便泄。孟英再诊曰。此滋腻阻塞气机。清阳不司旋
运。痰饮闭滞隧络。非脱象也。补药不可进。以栝蒌薤白合小陷胸加菖蒲竹茹旋复贝母杏仁
紫菀枇叶投之。呃止脉出。大有转机。（脉伏胸痞四句。皆邪实热浮之象。病在气分。姜汁
拌蒌仁四钱。鲜薤白打一钱五分。姜炒川连八分。半夏曲一钱五分。石菖蒲次入六分。姜竹
茹三钱。旋复花绢包一钱五分。川贝母杵三钱。苦杏仁一钱五分。紫菀茸一钱。姜汁炒枇叶
刷包三钱。)病家又误姜桂频投。既而唇肿咽疼。不能进饮。舌干短硬。难出语言。复请孟
英救疗。予犀角地黄汤加玄参知母银花竹黄花粉胆星石菖蒲竹沥之类。六七剂吐出极臭胶痰
甚多。粥饮渐进。（唇肿咽疼四句。温燥大伤气分之阴。不能进饮。为痰升风上。壅塞清道
。大生地一两。玄参片一两。二味开水泡冲去渣。酒炒知母三钱。济银花八钱。天竹黄三钱
。南花粉四钱。陈胆星炖和服八分石菖蒲次入一钱。姜竹沥二两冲。)
上年秋燥冬暖。略无霜雪。河井并涸。九月天花流行。十不救五。儿殇日以百计。孟英曰∶
此痘疫也。治法与常痘有异。且天令发泄不。主闭藏。入春恐多喉患。特刊加味三豆饮。生
绿豆生黑大豆（或用生白扁豆亦可。)生黄豆生甘草金银花。俾未种痘者预服免患。将出者恣
饮冀轻。又劝人频服青龙白虎汤。（原注。青果色青。清足厥阴内寄之火风而靖上腾之焰。
芦菔色白。化手太阴外来之燥热而肃下行之气。合而为剂。消经络留滞之痰。解膏粱鱼面之
毒
。用以代茶。则脏腑清和。不但可免喉病。)以杜来春喉患。次春不雨。喉症果多。孟英以
仲景白虎汤为救焚主剂。热已传营。用晋三犀角地黄汤相机加减。又刊青龙白虎汤方暨锡类
散方遍送。全活甚多。锡类散象牙屑（焙) 真珠（各二分) 飞青黛（六分) 头梅冰（三厘)
壁钱（二十个。俗名喜儿窠。木板上者勿用。) 西牛黄人指甲（各五厘。男病用女。女病用
男。合送济人。须分别配之) 共研极细。吹患处。流出恶涎即愈。
段春木妻烂喉。内外科治之束手。孟英视之。骨瘦如柴。肌热如烙。韧痰阻于咽喉不能咯吐
。须以纸帛搅而曳之。患处红肿白腐。龈舌皆糜。米饮不沾。汛事非期而至。脉左细数。右
弦滑。曰∶此阴亏之体。伏火之病。失于清降。扰及于营。先以犀角地黄汤清营分而调妄行
之血。（阴亏之体四句。确是此证病因。脉左细数为阴亏营热。右弦滑为气热痰实。治法先
血后气。此急则治标之权衡也。大生地八钱。开水泡冲去渣。济银花一两五钱。玄参片一两
。泡冲去渣。鲜荷根五钱。黑栀皮三钱。粉丹皮二钱。洋地滑皮五钱。钗石斛杵先一两。
)续予白虎汤
加西洋参等肃气道而泻燎原之火。（生石膏一两六
钱先煎。酒炒枯芩三钱。姜竹茹三钱。黑栀皮三钱。鲜芦根一两。南花粉四钱。陈胆星炖和
服一钱。钗石斛杵先一两。川贝母杵八钱。淡盐水炒橘红一钱五分。姜竹沥两大酒杯和服。
)外用锡类散扫痰腐而消恶毒。继投甘润药蠲余热而充津液。月余而起。（蠲热充津。系治气
分之热。酒炒知母三钱。活水芦根二两。鲜枇叶刷包三钱。鲜地骨皮五钱。泡淡海 一两。
连皮大荸荠三个。南花粉四钱。花麦冬三钱。连皮北梨切二两。乌梅肉三钱。青果杵先两个
。)
吴雨峰两孙种痘。下苗二三日发热咽疼。医误认痘将出。投以升透之药。赤斑似锦。喉烂如
焚。孟英令以青龙白虎汤代茶恣饮。竟得无恙。
潘洪畴孙种痘。下苗三日即咽痛。医予升散药。发热斑烂。七朝而夭。潘祥衍染痘。俗名天
花。咽喉烂至于舌。胸膈痞塞不通。牙关紧涩。小溲淋痛。口流紫黑血块。孟英视之曰。恶
血毒涎正欲其出。吹以锡类散。用碗盛其口。流出涎血甚多。咽喉牙环胸膈皆得渐舒。投以
犀角地黄汤加玄参银花童溺藕汁竹黄花粉贝母石菖蒲之类。渐以向安。继予生津填补而痊。
（咽喉烂至于舌五句。热炽阴伤。病情皆在上焦气分。大生地八钱。玄参片一两。二味开水
泡汤去渣冲服。济银花一两五钱。童溺一大酒杯。煎去沫冲服。藕汁一酒杯冲。天竹
黄三钱。川贝母杵八钱。花粉四钱。石菖蒲次入六分。)
屠之五子患痰嗽数年。近因悲哀病作。误投参术。病益甚。孟英诊曰。此阴虚劳嗽。嗽久而
冲气不纳则呕吐。非胃寒也。经言劳者温之。亦温养之谓。非可以温补也。方用西洋参熟地
苁蓉二冬茯苓龟板牡蛎紫石英玉竹枇叶橘皮。服之果安。（投参术病益甚。病非阳虚明甚。
孟英诊断阴虚。必有脉情可据。冲脉系于肝。肝病则冲逆。劳者温之。言阴虚者阴中之阳亦
虚
。不可用甘寒偏剂。必于甘寒中参以温药。至冲气不纳。宜潜阳中稍参重镇。西洋参三钱。
炒熟地八钱。明天冬六钱切。整麦冬三钱。云苓片三钱。炙龟板八钱。 牡蛎三两。紫石英
五钱。三味同杵先炭煨六句钟。肥玉竹三钱。蜜炙枇叶刷包三钱。淡苁蓉三钱。盐水炒橘红
一钱五分。)
胡秋纫酷热偶有不适。医以柴葛香薷散之。反恶寒胸痞。更医用枳朴槟榔以泻之。势日剧。
孟英视之。自汗不收。肢背极冷。奄奄一息。脉微无神曰。禀赋素亏。阳气欲脱。此必误认
表证使然。予救逆汤加参 。服之渐安。继以补气生津。调理匝月而痊。（恶寒胸痞为阳虚
。肢背极冷。脉微无神。奄奄一息。合之自汗不收。为阳气欲脱。方用炒潞党五钱。炒西
Shao Yuzhu's daily routine and diet were normal. He could only lie on his side. As soon as he closed his eyes, he would startle awake. Even if he lay on his side again, he could not sleep throughout the night. It had been uncurable for many years. Meng Ying prescribed Sancai He Zhenzhong Dan (Three Talents Combined Heart-Pacifying Pill) with added Huanglian (Coptidis Rhizoma) and Rougui (Cinnamomi Cortex), which yielded excellent results. ("Heart-Kidney Non-Interaction" is a vague term. In reality, it is Kidney Yin failing to ascend to nourish Heart Fire. Merely nourishing Kidney Yin is ineffective. Although Kidney Yin may be sufficient, without Kidney Yang to assist it, Kidney Yin cannot ascend to the Heart. The brilliance of Meng Ying's formula lies in adding Huanglian to drain Heart Fire and Rougui to stimulate Kidney Yin, thereby achieving efficacy. Ming Tian Dong (Asparagi Radix) sliced 6 qian, Da Shu Di (Rehmanniae Radix Preparata) 8 qian, Jiu Jie Pu (Acori Tatarinowii Rhizoma) pounded and added later 1 qian, Jiao Yuan Zhi Rou (Polygalae Semen Preparatum) added later 1.5 qian, Xue Gui Ban (Testudinis et Chelonis Carapax et Plastrum) pounded and decocted first 3 liang, Long Gu (Fossilia Ossis Mastodi et Scapulae) pounded and decocted first 1 liang, Dan Yan Shui Chao Chuan Lian (Coptidis Rhizoma fried with light salt water) 8 fen, Rou Gui Xin (Cinnamomi Cortex Medulla) 5 fen.)
Shao Yuzhu's grandson suffered from excessive phlegm for a long time. His chest and diaphragm felt full and stifling. He suffered from epilepsy year after year, to no avail of medication. Meng Ying palpated the pulse and said: "Qi deficiency predominates. Phlegm-fluids obstruct the rotation and transportation of Clear Yang. One should model the prescription after the Heaven's vigorous nature. Then the Great Qi will strengthen naturally, flowing endlessly, and the chest will become open and vast like the sky." He prescribed Liu Jun Zi Tang (Six Gentlemen Decoction) minus Gancao (Glycyrrhizae Radix et Rhizoma), plus Huangqi (Astragali Radix), Sangzhi (Mori Ramulus), Xiebai (Allii Macrostemonis Bulbus), Louren (Trichosanthis Fructus), Shichangpu (Acori Tatarinowii Rhizoma), Jili (Tribuli Fructus), and Xuanfu (Inulae Flos). The fullness gradually relieved, and epilepsy ceased. (In this syndrome, Qi deficiency precedes, allowing phlegm-fluids to invade. Treating only phlegm worsens Qi deficiency. Thus, tonifying Qi treats the root, while resolving phlegm treats the branch. Sangzhi, Louren, and Bai Jili soften and soothe the Liver to treat the concomitant epilepsy. Lu Dangshen 5 qian, Chao Baizhu 3 qian, Bai Fuling 3 qian, Chao Huangqi 3 qian, Zhi Banxia 8 qian, Zhu Chenpi 1.5 qian, Jiang Zhi Chao Sangzhi 2 qian, Jiang Zhi Ban Louren 1 qian, Jiu Jie Pu powdered and added later 3 qian, Xi Xiebai crushed and added later 3 qian, Sheng Bai Jili de-thorned and added later 3 qian, Xuanfu Hua wrapped in silk 1 qian.)
Zhou HT's wife had postpartum lochia stasis. Some advised taking Shenghua Tang (Generate the Flow Decoction). Meng Ying diagnosed: "Yin deficiency with internal heat. The weather is hot and steaming. Even Chi Shatang (Red Rock Sugar) should not be taken." He prescribed Shengdi (Rehmanniae Radix), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Danpi (Moutan Cortex), Doujuan (Sojae Germen), Fengweizi (Leonuri Fructus), Fuling (Poria), Taoren (Persicae Semen), Shanzha (Crataegi Fructus), Zhizi (Gardeniae Fructus), Zelan (Lycopersici Herba), and Hupo (Electri Succinum), which took effect immediately. He also stated: "Shenghua Tang is cold-natured and good. However, if there is Blood Heat or concurrent warm-heat pathogen, administering it indiscriminately causes sudden complications or gradual postpartum debility over time." (Yin deficiency with internal heat must be supported by specific pulse and symptom evidence, not just based on hot weather. Da Shengdi 8 qian, Danshen 3 qian, Danpi 2 qian, Da Dou Juan added later 1.5 qian, Bai Fuling steamed with human milk 3 qian, Sheng Taoren ground 3 qian, Fengweizi pounded and decocted first 4 qian, Jiao Zha Rou pounded 1.5 qian, Hei Zhi Pi 3 qian, Zelan Ye 1.5 qian, Hupo powdered and taken with water 8 fen.)
Elder Qiu, over sixty, suffered from Huoluan (Cholera-like disease) with muscle cramps in autumn. Meng Ying examined him and said: "This is Summerheat." He administered his self-made Can Shi Tang (Vermicompost Decoction); two doses brought peace. Three days later, she suddenly became weak, unable to turn over, spoke little, drank nothing, and ate nothing. Meng Ying palpated the pulse and said: "In an elderly constitution, Yuan Qi (Original Qi) leaks with diarrhea; supplementation is necessary. However, residual summerheat is not cleared, so hot medicines are contraindicated." He prescribed Gaoshen (Korean Ginseng), Maidong (Ophiopogonis Tuber), Zhimu (Anemarrhenae Rhizoma), Yuzhu (Polygonati Odorati Rhizoma), Mugua (Chaenomelis Fructus), Bidou (Coicis Semen), Shihu (Dendrobii Caulis), Baishao (Paeoniae Radix Alba), Yiren (Coicis Semen), Fuling (Poria), and Jili (Tribuli Fructus). After six doses, she could speak and move, gradually resumed eating, and recovered after a month of regulation. (Can Shi Tang is seen in other cases. Yuan Qi leaking with diarrhea is due to delayed treatment of Huoluan. Gao Li Shen sliced 3 qian, Zheng Maidong 3 qian, Jiu Chao Zhimu 2 qian, Fei Yuzhu 3 qian, Chen Mugua 3 qian, Sheng Bidou pounded 3 qian, Xian Shihu pounded and decocted first 4 qian, Sheng Yiren pounded 4 qian, Bai Fuling 3 qian, Sheng Bai Jili de-thorned 3 qian.)
Zhou HT suffered severe Huoluan with muscle cramps on a July night. In haste, he mistakenly ingested about one qian of Qinglin Wan (Green Unicorn Pill). Meng Ying examined him at dawn: pulse was faint as if absent, ears deaf, eyes sunken, sweating, cold limbs, hoarse voice, emaciated muscles. Suspecting delay in medication, he first prepared a strong decoction of Gao Li Shen (Korean Ginseng) to urgently replenish the Qi. Subsequently, he prescribed a formula with Renshen (Ginseng), Baizhu (Atractylodis Macrocephalae Rhizoma), Baishao (Paeoniae Radix Alba), Fuling (Poria), Fuzi (Aconiti Lateralis Radix Preparata), Rougui (Cinnamomi Cortex), Ganjiang (Zingiberis Rhizoma), Mugua (Chaenomelis Fructus), Yiren (Coicis Semen), Bidou (Coicis Semen), and Lianshi (Nelumbinis Semen). One dose reduced all symptoms. (Yang deficiency is identified by the faint/absent pulse, hoarseness, and emaciation. First, decoct one liang of Gao Li Shen strongly, taken in divided doses to reconnect the faint Yang. Formula: Gao Li Shen 5 qian, Chao Baizhu 3 qian, Jiu Chao Jiao Baishao 1.5 qian, Bai Fuling dry-cut 3 qian, Chao Shu Fupian 5 qian, Rou Gui Xin 2 qian, Chao Ganjiang 3 qian, Chen Mugua 3 qian, Chao Yiren 3 qian, Chao Bai Bidou 3 qian, Chao Lianrou (heart removed, skin kept) 3 qian. Heavy use of Fuzi, Rougui, and Ganjiang is needed to stimulate the tonic herbs.) Next day, Meng Ying said: "Qi deficiency predominates. How can one endure the depletion from vomiting and diarrhea? Mistakenly ingesting bitter-cold herbs nearly extinguished the faint Yang. Yesterday, I combined Zhenwu Tang (True Warrior Decoction) and Lizhong Tang (Regulate the Middle Decoction) to restore Spleen and Kidney Yang. The harsh/potent herbs can now be withdrawn. Severe vomiting/diarrhea injures fluids; when tendons lose nourishment, cramping occurs. Xue Shengbai compared this to Jing illness (spasm). In treating cramping, protecting fluids is paramount. If Yang returns but harsh/cold herbs are continued, fluids cannot recover, stirring internal wind. Using Fuzi and Rougui for Cold Huoluan requires balance; do not act recklessly and undo previous efforts." He removed Ganjiang, Fuzi, and Rougui from the previous formula, added Huangqi (Astragali Radix) and Shihu (Dendrobii Caulis), and cured him in ten days. (Previous formula added Sheng Huangqi 5 qian, Cha Shihu pounded and decocted first 5 qian.)
Chen Yipu's wife suffered Huoluan with cramps in mid-autumn. She self-diagnosed as Cold and took hot medicines, worsening the condition. Zhu Maocai was consulted, agreed with Chen, used the same medicine, and the illness intensified. Meng Ying diagnosed: "Cold is the new external constraint; Heat is the internal true disease. Bitter mouth and thirst mean Jiang (Ginger) and Fu (Aconite) are contraindicated. You should follow Liu Hejian's method." They did not believe him, continued hot medicines, and died from bleeding from mouth and nose. (Huoluan divides into Cold and Heat categories. Successive hot medicines worsened the disease. Bitter mouth indicates Heat pathogen; thirst indicates Yin fluid injury. This confirms Hot Huoluan. Formula should have Jiu Chao Zhimu 3 qian, Jiu Chao Chuan Lian 8 fen, Xian Lianzi 4 qian, Huo Shu Lugeng 2 liang, Xian Piye wrapped 3 qian, Sheng Yiren pounded 8 qian, Xian Hegan 2 chi, Chen Mugua 3 qian, Sheng Bai Jili de-thorned 1.5 qian, Dan Wu Zhu added later 4 fen, Cha Shihu pounded and decocted first 1 liang.)
Gu Yuntuo was obese and elderly. He contracted Malaria in autumn. Pulse was Kou (Hollow) with occasional pauses. Meng Ying said: "Kou indicates Summerheat. Pauses indicate Phlegm-Damp obstructing Qi mechanism flow. Warm-tonics are strictly forbidden as they aid the pathogen." He prescribed clearing and resolving phlegm methods, but the illness did not subside, and blood appeared in stool. Meng Ying said: "Summerheat-damp is formless Qi. Normally phlegmatic people allow pathogens to lodge, resembling a tangible disease. Clearing methods cannot prevail; Qi and Blood are disturbed. We must attack and remove the phlegm so the pathogen has no foundation, and the illness will leave. Do not fear drastic drugs due to old age." He prescribed Tao Ren Cheng Qi Tang (Peach Kernel Drains the Irritable Decoction) plus Xiyangshen (American Ginseng), Huashi (Talcum), Qinlian (Scutellariae et Coptidis Rhizoma), Juhong (Citri Reticulatae Pericarpium Rubrum), Beimu (Fritillariae Cirrhosae Bulbus), and Shihu (Dendrobii Caulis), sending down Mengshi Gun Tan Wan (Calamine Rolling Phlegm Pill). Two doses passed much sticky phlegm and foul blood; malaria stopped. He followed up with moistening/clearing methods until recovery. (Diagnosis and prescription rely on pulse/symptoms. Elderly and obese implies sufficient Yang. Stool blood distinguishes fatigue: fatigued is Yang deficiency, non-fatigued is Yang excess. The phrase 'occasional pause' is key. Phlegm obstruction causes pauses; removing phlegm removes pauses and the 'Kou' quality. It is not a simple Kou pulse. Misapplication of Tao Ren Cheng Qi Tang logic. Sheng Mangxiao 3 qian, soaked in boiling water, strained. Sheng Taoren ground 3 qian. Xiyangshen 3 qian. Xi Huashi 4 qian. Jiang Chao Ku Qin 1 qian. Jiang Chao Chuan Lian 6 fen. Lai Juhong 1 qian. Chuan Beimu pounded 3 qian. Cha Shihu pounded and decocted first 5 qian. Medicine sent with Mengshi Gun Tan Wan 3 qian.)
Shao Zishou's wife suffered hematemesis. Skin was dry and rough, thirsty, pulse empty-large. Meng Ying said: "Qi aspect Yin deficiency. Warm-tonics are wrong; heavy filling/nourishing is also wrong." He prescribed Renshen (Ginseng), Huangqi (Astragali Radix), Er Dong (Ophiopogonis et Asparagi Tubers), Zhimu (Anemarrhenae Rhizoma), Baihe (Lilii Bulbus), Yuzhu (Polygonati Odorati Rhizoma), Shihu (Dendrobii Caulis), Sangye (Mori Folium), and Piye (Loquuti Folium), resulting in cure. (Hematemesis divides into Deficiency and Excess. This is Deficiency. Differentiating Qi aspect Yin deficiency relies on dry skin, thirst, and empty-large pulse. Warm-tonics oppose the condition. 'Filling' usually targets Lung Yin; mistakenly targeting Kidney Yin is error. Lu Dangshen 5 qian, Sheng Huangqi 5 qian, Hua Maidong 4 qian, Ming Tian Dong sliced 3 qian, Jiu Chao Zhimu 1.5 qian, Baihe Xu 3 qian, Fei Yuzhu 3 qian, Cha Shihu 8 qian, Dong Sangye 4 qian, Mi Zhi Piye wrapped 3 qian.)
Zhang Chunqiao contracted Malaria in September. Less chills, more fever, occurring every other day. After only two attacks, he became thin. Meng Ying diagnosed: "Pulse string-taut and fine, very rapid at Cun/Guan/Chi (specifically Chi). Onset at midnight, dry mouth, craving drink. This is Foot Shaoyin Heat Malaria. Rapid wasting after two attacks cannot be ignored." Formula: Yuanshen (Scrophulariae Radix), Shengdi (Rehmanniae Radix), Zhimu (Anemarrhenae Rhizoma), Danpi (Moutan Cortex), Digupi (Lycii Cortex), Tiandong (Asparagi Radix), Guiban (Testudinis et Chelonis Carapax et Plastrum), Fuling (Poria), Shihu (Dendrobii Caulis), Sangye (Mori Folium). (Differentiating Kidney Meridian Heat Malaria relies on midnight onset, thirst, and especially rapid Chi pulse. Palpation must not be careless. Chao Yuanshen 8 qian, Chao Da Shengdi 5 qian, Jiu Chao Zhimu 3 qian, Danpi 2 qian, Digupi 4 qian, Ming Tian Dong sliced 6 qian, Xue Guiban pounded and decocted first 3 liang, Bai Fuling 3 qian, Cha Shihu 8 qian, Dong Sangye 4 qian.)
Jin Kuanfu caught a pathogen in early winter. Physician Huang prescribed Ginger/Cinnamon formulas. Gradually, feet became cold, face red, delirious, and irritable. Suspected Daiyang (Floating Yang), they were helpless. Meng Ying diagnosed: "Latent pathogen manifesting late. Mistaken ascending/lifting herbs caused Heat to float upward. Clearing/resolving will calm it." Drinking it brought immediate relief. (Heat syndrome: if Qi does not descend, feet are cold. Clearing Heat allows Qi to descend, warming feet. Red face, delirium, irritability indicate Heat in Qi aspect. Formula: Jiu Chao Ku Qin 1.5 qian, Jiu Chao Chuan Lian 6 fen, Hei Zhi Pi 3 qian, Huo Shu Lugeng 2 liang, Xian Zhuru 3 qian, Xian Maogen 5 qian, Nan Huafen 4 qian, Xian Piye wrapped 3 qian, Xian Hegan 2 chi, Sheng Yiren pounded 8 qian, Chen Danning stewed and mixed 7 fen, Sheng Dongguazi 4 qian, Chuan Beimu pounded 3 qian.)
Zhou Pinfang suffered Winter-Warmth. Gu Tingquan knew the constitution was Yin deficient, not Wind-Cold, and avoided warming/lifting herbs, but symptoms persisted. Meng Ying added Beimu (Fritillariae Cirrhosae Bulbus), Xingren (Armeniacae Semen Amarum), Ziwan (Asternis Radix), and Dongguazi (Benincasae Semen) to the formula, achieving effect. Meng Ying often said serious illnesses have gentle treatment methods, visible here. (Tingquan's original formula likely only cleared/resolved, lacking phlegm-resolving and acrid-opening herbs.)
Shao Qiuzi's mother, near sixty, suffered alternating chills and fever like Malaria in spring. Various physicians failed. Meng Ying diagnosed: "Damp pathogen stagnated long, transformed into Heat. Mistaken ascending/tonic herbs stirred Liver Yang; Phlegm-fluids reversed upward." He prescribed descending methods; chills/fever reduced. The family mistakenly gave Shouwu (Polygoni Multiflori Radix) and Biejia (Trionycis Carapax), leading to hidden pulse, chest stuffiness, hiccuping, spontaneous sweating, thirst without desire to eat, malarial flush, and diarrhea. Meng Ying re-diagnosed: "Greasy/cloying herbs blocked Qi mechanism; Clear Yang fails to rotate; Phlegm-fluids obstruct collaterals. Not collapse. Tonics are contraindicated." He prescribed Gualou Xiebai Banxia Tang (Trichosanthes-Raktus-Mixed Decoction) combined with Xiao Xianxiong Tang (Minor Chest-Hammer Decoction) plus Shichangpu (Acori Tatarinowii Rhizoma), Zhuru (Bambusae Caulis in Taeniis), Xuanfu (Inulae Flos), Beimu (Fritillariae Cirrhosae Bulbus), Xingren (Armeniacae Semen Amarum), Ziwan (Asternis Radix), and Piye (Loquuti Folium). Hiccups stopped, pulse emerged, significant turnaround. (Hidden pulse/chest stuffiness indicate Excess-Heat floating. Disease in Qi aspect. Jiang Zhi Ban Louren 4 qian, Xian Xiebai crushed 1.5 qian, Jiang Chao Chuan Lian 8 fen, Banxia Qu 1.5 qian, Shichangpu added later 6 fen, Jiang Zhuru 3 qian, Xuanfu Hua wrapped 1.5 qian, Chuan Beimu pounded 3 qian, Ku Xingren 1.5 qian, Ziwan Rong 1 qian, Jiang Zhi Piye wrapped 3 qian.) Family again mistakenly gave frequent Ginger/Cinnamon. Lips swelled, throat painful, unable to drink, tongue dry/short/hard, difficult speech. Meng Ying rescued with Xijiao Dihuang Tang (Rhinoceros Horn-Rehmannia Decoction) plus Xuanshen (Scrophulariae Radix), Zhimu (Anemarrhenae Rhizoma), Yinhua (Lonicerae Japonicae Flos), Zhuhuang (Bambusae Spira), Huafen (Trichosanthis Radix), Danning (Arisaematis Cum Bile), Shichangpu (Acori Tatarinowii Rhizoma), and Zhuli (Bambusae Sucus). Six-seven doses expelled extremely foul gelatinous phlegm; porridge/drink intake gradually resumed. (Lip swelling/throat pain indicate Warm-Dryness severely injuring Qi aspect Yin. Inability to drink is Phlegm rising/Wind ascending blocking clear orifices. Da Shengdi 1 liang, Xuanshen Pian 1 liang. Soaked in boiling water, strained. Jiu Chao Zhimu 3 qian, Ji Yinhua 8 qian, Tian Zhuhuang 3 qian, Nan Huafen 4 qian, Chen Danning stewed and mixed 8 fen, Shichangpu added later 1 qian, Jiang Zhuli 2 liang mixed.)
Last year, Autumn was dry, Winter warm, no frost/snow. Rivers/wells dried. In September, Smallpox epidemic spread; five out of ten died. Children dying by hundreds daily. Meng Ying said: "This is Vaccine-Epidemic. Treatment differs from regular Smallpox. Heaven's command releases rather than stores. Spring may bring many throat ailments." He published Jiawei Sandou Yin (Modified Three Beans Decoction): Sheng Lv Dou (Mung Bean), Sheng Hei Da Dou (Black Soybean) [or Sheng Bai Bidou], Sheng Huang Dou (Yellow Soybean), Sheng Gancao (Glycyrrhizae Radix), Jinyinhua (Lonicerae Japonicae Flos). Those unvaccinated take it preventively; those showing signs drink freely hoping for mildness. He also advised frequent Qinglong Baihu Tang (Green Dragon White Tiger Decoction). (Note: Green fruit clears Liver Fire/Wind; Radish transforms Lung Dryness-Heat. Together resolve phlegm/toxicity. Replacing tea keeps organs harmonious, preventing throat disease.) To prevent next Spring throat issues. Next Spring, no rain, indeed many throat cases. Meng Ying used Zhang Zhongjing's Baihu Tang (White Tiger Decoction) as primary fire-extinguisher. When Heat transmitted to Ying (Nutrient) level, he used Jin San's Xijiao Dihuang Tang (Rhinoceros Horn-Rehmannia Decoction) modified as appropriate. He distributed Qinglong Baihu Tang and Xilei San (Xilei Powder) widely, saving many. Xilei San ingredients: Xiangya Xie (Ivory Shavings, roasted), Zhenzhu (Pearl, each 2 fen), Fei Qingdai (Azuritum, 6 fen), Tou Mei Bing (Camphora, 3厘), Biqian (Spider Web/Nests, 20 - avoid wooden board ones), Xi Niuhuang (Buffalo Calculus), Ren Zhijia (Human Nail, each 5 fen - male case uses female nail, vice versa). Grind extremely fine, insufflate onto lesion. Discharge of foul saliva indicates cure.
Duan Chunmu's wife had Rotting Throat. Internal/External medicine doctors were helpless. Meng Ying saw her: emaciated, body hot as iron, tough phlegm blocked throat unable to expectorate, requiring paper wiping to pull out. Lesion red/swollen/white-rotten, gums/tongue ulcerated, unable to eat/drink, menstruation arrived prematurely. Left pulse fine-rapid, Right pulse string-taut-slippery. He said: "Yin deficient constitution, latent Fire disease. Failed clearing/descending, disturbing Ying level." First, Xijiao Dihuang Tang to clear Ying level and regulate erratic blood. (Yin deficiency/four sentences confirm etiology. Left fine-rapid = Yin deficiency/Ying Heat. Right string-taut-slippery = Qi Heat/Phlegm Excess. Treat Blood then Qi; urgent symptom management. Da Shengdi 8 qian, soaked/strained. Ji Yinhua 1.5 liang. Xuanshen Pian 1 liang, soaked/strained. Xian Hegen 5 qian. Hei Zhi Pi 3 qian. Fen Danpi 2 qian. Yang Dihua Pi 5 qian. Cha Shihu pounded/decocted first 1 liang.) Followed by Baihu Tang plus Xiyangshen (American Ginseng) etc. to clear Airway and泻 (drain) raging Fire. (Sheng Shigao 1.6 liang decocted first. Jiu Chao Ku Qin 3 qian. Jiang Zhuru 3 qian. Hei Zhi Pi 3 qian. Xian Lugeng 1 liang. Nan Huafen 4 qian. Chen Danning stewed/mixed 1 qian. Cha Shihu pounded/decocted first 1 liang. Chuan Beimu pounded 8 qian. Dan Yan Shui Chao Juhong 1.5 qian. Jiang Zhuli 2 large wine cups mixed.) External use of Xilei San to sweep phlegm-rot and eliminate toxicity. Followed by sweet-moistening herbs to clear residual heat and replenish fluids. Recovered in over a month. (Clearing heat/replenishing fluids treats Qi aspect Heat. Jiu Chao Zhimu 3 qian. Huo Shu Lugeng 2 liang. Xian Piye wrapped 3 qian. Xian Digupi 5 qian. Pao Dan Hai 1 liang. Lianpi Da Biqi 3. Nan Huafen 4 qian. Hua Maidong 3 qian. Lianpi Bei Li cut 2 liang. Wumei Rou 3 qian. Qingguo pounded/decocted first 2.)
Wu Yufeng's two grandsons vaccinated. Fever/throat pain 2-3 days post-vaccination. Doctor mistook for impending eruption, used ascending/transmitting herbs. Red spots like brocade, throat rotting like burning. Meng Ying ordered Qinglong Baihu Tang as tea, drinking freely; they remained safe.
Pan Hongchou's grandson vaccinated. Throat pain 3 days post-vaccination. Doctor used ascending/scattering herbs. Fever/spots/rot. Died in seven days. Pan Xiangyan contracted Smallpox (common name). Throat rotting to tongue, chest/stomach blocked, jaw locked, dysuria, mouth flowing purple-black blood clots. Meng Ying said: "Evil blood/toxic saliva wants to exit." Insufflated Xilei San, held bowl under mouth. Much saliva/blood flowed out; throat/jaw/chest relaxed. Prescribed Xijiao Dihuang Tang plus Xuanshen (Scrophulariae Radix), Yinhua (Lonicerae Japonicae Flos), Tongni (Child's Urine), Ouji (Lotus Root Juice), Zhuhuang (Bambusae Spira), Huafen (Trichosanthis Radix), Beimu (Fritillariae Cirrhosae Bulbus), Shichangpu (Acori Tatarinowii Rhizoma). Gradually stabilized. Followed by fluid-generating/filling herbs to cure. (Throat rotting to tongue... Heat blazing/Yin injured. Condition in Upper Jiao Qi aspect. Da Shengdi 8 qian. Xuanshen Pian 1 liang. Boiled/strained/mixed. Ji Yinhua 1.5 liang. Tongni 1 large wine cup, boiled/foam removed/mixed. Ouji 1 wine cup mixed. Tian Zhuhuang 3 qian. Chuan Beimu pounded 8 qian. Huafen 4 qian. Shichangpu added later 6 fen.)
Tu Zhiwu's son suffered Phlegm-Cough for years. Recently aggravated by grief. Mistakenly given Renshen/Baizhu, illness worsened. Meng Ying diagnosed: "Yin deficiency Labor Cough. Long cough leads to Chong Qi failing to grasp, causing vomiting. Not Stomach Cold." The Classic says "Labor requires warming," meaning warming/nourishing, not warm-tonifying. Formula: Xiyangshen (American Ginseng), Shudi (Rehmanniae Radix Preparata), Congrong (Cynomorii Herba), Er Dong (Ophiopogonis et Asparagi Tubers), Fuling (Poria), Guiban (Testudinis et Chelonis Carapax et Plastrum), Muli (Concha Ostreae), Zhi Shiyin (Psyllitum), Yuzhu (Polygonati Odorati Rhizoma), Piye (Loquuti Folium), Jupi (Citri Reticulatae Pericarpium). Took it and calmed. (Giving Renshen/Baizhu worsened illness; clearly not Yang deficiency. Meng Ying diagnosing Yin deficiency implies pulse evidence. Chong Meridian relates to Liver; Liver disease causes Chong rebellion. "Labor requires warming" means Yin-deficient people also lack Yin-within-Yang Yang. Cannot use purely cold herbs; must mix warm herbs in cold ones. For Chong Qi failing to grasp, use anchoring/heavy-settling herbs. Xiyangshen 3 qian. Chao Shudi 8 qian. Ming Tian Dong sliced 6 qian. Zheng Maidong 3 qian. Yun Ling Pian 3 qian. Zhi Guiban 8 qian. Duan Muli 3 liang. Zhi Shiyin 5 qian. These three pounded/decocted first in charcoal fire for 6 hours. Fei Yuzhu 3 qian. Mi Zhi Piye wrapped 3 qian. Dan Congrong 3 qian. Yan Shui Chao Juhong 1.5 qian.)
Hu Qiuren felt slightly unwell in intense heat. Doctor used Chai Ge Xiangru San (Bupleurum-Kudzu-Elatostema Powder) to scatter. Instead, chills/chest stuffiness resulted. Another doctor used Zhipo Binglang (Arecae Seed) to purge. Condition worsened daily. Meng Ying saw: spontaneous sweating, limbs/back extremely cold, barely breathing, pulse faint/no spirit. Said: "Congenital deficiency, Yang Qi about to collapse. Must be mistaken exterior syndrome." Prescribed Jiuni Tang (Rescue the Counterflow Decoction) plus Renshen/Huangqi. Gradually calmed. Followed by Qi-tonifying/fluid-generating, regulated for a month to cure. (Chills/chest stuffiness = Yang deficiency. Cold limbs/back, faint pulse, barely breathing, spontaneous sweating = Yang Qi about to collapse. Formula: Chao Lu Dangshen 5 qian. Chao Xi...)