五钱。炒粉草三钱。炒干姜五钱。炒熟附片五钱。)
陈芰裳患淋久不愈。延至溽暑。孟英诊之曰∶易事耳。予补中益气汤而愈。（淋证之因不一
。此证因脾阳衰败。气不摄精。右脉必重按无力。炒潞党五钱。炒西 五钱。炒粉草三钱。
炒白术三钱。炒茅苍术四钱。炒焦陈皮一钱五分。炒干姜五钱。制半夏五钱。炒故纸研五钱
。)
陈荷官病痞积腹胀。发热干呛。善食黄瘦。儿科药广服无功。孟英投以黄连白芍牡蛎
鳖甲鸡金五谷虫霞天曲木瓜山楂楝实橘皮桔梗旋复栀子丹皮等药。一剂知。旬余愈。（此证
系肝胃俱强。肝热贼脾。发热干呛。为阴虚肝热袭肺。善食为胃热易饥。黄瘦便溏为脾受肝
克。脾不能运。溺赤为肝有实热。此证热邪究在肝肺气分。酒炒川连六分。酒炒白芍一钱五
分。苦桔梗一钱。旋复花绢包八分。黑栀皮一钱五分。粉丹皮一钱。五谷虫二钱。焦楂肉
杵
一钱。陈皮七分。更方去川连白芍桔梗栀皮。加川楝实杵先二钱。炙鸡金一钱五分。再更方
去旋复丹皮。加血鳖甲四钱。 牡蛎八钱。二味同先炭煨六句钟。霞天曲杵一钱。陈木瓜二
钱。)
段尧卿母年逾七十。患霍乱转筋。孟英投自制连朴饮三啜而瘳。原方治湿热蕴伏而成霍乱。
兼能行食涤痰。原方姜制浓朴（二钱) 姜炒雅连（一钱) 石菖蒲（一钱) 制半夏（一钱) 炒
香豉（三钱) 黑栀皮（三钱) 活水芦根（二两) 石诵羲妻久患痰嗽。诸医药之勿瘳。孟英切
脉曰。非伤风也。予北沙参熟地百合麦冬玉竹贝母紫菀枇叶盐水炒橘红燕窝。一剂知。数剂
已。（此证阴虚肺燥。前医必作伤风治。迭投温散。致伤上焦气分之阴。伤食为外感实证。
此证为内伤虚证。北沙参八钱。大熟地开水泡冲去渣五钱。百合须三钱。花麦冬三钱。川贝
母杵三钱。肥玉竹二钱。鲜枇叶刷包三钱。淡盐水炒橘皮一钱五分。燕窝包先三钱。)其人
初秋又患脘痛。上及肩尖。向以为肝气。转服破削之品。孟英曰。亦非也。以砂仁炒熟地炙
橘红楝实延胡枸杞当归茯苓桑葚蒺藜为方。服之良效。继即受孕。（阴虚则肝肺易燥。此证
系阴虚肝旺。肝阳贼胃。肝阳有余。即系肝阴不足。非真有余也。服破削之品。则肝阴愈伤
。砂仁末二分拌炒大熟地去砂仁八钱。赖橘红一钱。川楝实杵先四钱。延胡索一钱。甘枸杞
三钱。箱归身二钱。白茯苓三钱。干桑葚杵先三钱。生白蒺去刺一钱五分。)
石芷卿患感。张某连投柴葛药。热果渐退。复热之后势更甚。孟英先以栀豉芩连清解其升浮
之热。（大凡实热挟感。初误温散。热无不退。以其人本身固有之阴。尚能供温剂劫汗之取
求也。迨劫汗以后。阴伤热炽。热势更甚。医者不可不知。孟英先用栀豉芩连清解其升浮之
热。俟邪归胃腑。脉沉实滑。方用承气下之。此治病分国中末之定法也。黑山栀皮三钱。淡
豆豉三钱。酒炒雅连八分。酒炒枯芩二钱五分。鲜枇杷叶刷包三钱。姜竹茹三钱。连翘壳三
钱。活水芦根一两。钗石斛杵先五钱。薄橘红。旋复绢包。各一钱五分。)俟邪归胃腑。脉
来沉实而滑。径用承气下之。（生厢黄四钱。开水泡冲去渣。炒枳实二钱。川楝实杵先二钱
。石菖蒲一钱。赖橘红一钱五分。陈胆星一钱炖和服。)服次方后。翼日大热大汗。大渴引
饮。孟英曰。此腑垢行而经热显。予竹叶石膏汤二剂而安。（鲜竹叶二钱。生石膏一两六钱
先煎。酒炒知母三钱。黑山栀皮三钱。鲜枇杷叶刷包三钱。活水芦根二两。炒枳实三钱。晚
蚕砂五钱。陈木瓜一钱五分。)继以育阴充液调理而康。
朱某患痢。表散荡涤滋腻等药备尝之矣。势濒于危。孟英诊之。神气昏沉。耳聋脘闷。口干
身热。环脐硬痛异常。昼夜下五色者数十行。小溲涩痛。四肢抽搐。时时运厥。曰∶此暑湿
之邪。失于清解。表散荡涤。正气伤残。而邪乃传入厥阴。再以滋腻之品补而锢之。遂成牢
不可拔之势。正虚邪实。危险极矣。予白头翁汤加楝实苁蓉芩连栀芍银花石斛桑叶橘叶羚羊
角
牡蛎海 鳖甲鸡金等药大剂频灌。一帖而抽厥减半。四帖而抽厥始息。旬日后便色始正。溲
渐清长。粥食渐进。半月后脐间之硬始得尽消。改用养阴调理。逾月而康。（凡治病必先知
气之升降难易。药随气行。未有气不随药为升降而药能效者。原案论病情极是。惟此证最难
得效在四肢抽搐时时运厥二语。四肢抽搐。时时运厥。则肝风有升无降。风不息则气不降。
气不降则药气无所根据以下行。故方中潜阳苦寒之品。万不可轻。偏证偏治。急证急治。理为
法母。白头翁三钱。川楝核杵先四钱。淡苁蓉三钱。酒炒枯芩三钱。酒炒雅连一钱。黑栀皮
一钱五分。酒炒白芍一钱五分。济银花一两五钱。钗石斛杵先一两。冬桑叶四钱。鲜橘叶次
入七片。羚角磨冲二钱。淡海 二两。炙鸡金研五钱。 牡蛎八两。血鳖甲二两。二味同杵
先炭煨八句钟。取汤代水煎药。)
王叟仲秋患痰嗽不食。气喘不卧。囊缩便秘，心摇摇不能把握。势极可危。孟英诊之曰。根
蒂欲脱耳。非病也。以八味地黄汤去丹泽合生脉加紫石英青铅龙牡胡桃肉楝实苁蓉投之。大
解行而诸恙减。乃去苁蓉麦冬服旬日以瘳。（此证认阴虚阳浮。全在囊缩便秘心摇摇不能把
握二语。大熟地八钱。淮山药四钱。山萸肉三钱。白茯苓干切三钱。花麦冬三钱。五味子杵
三钱。酒炒知母一钱五分。酒炒川黄柏一钱。加紫石英杵五钱。青铅一两。 龙骨二两。
牡蛎八两。四味先炭煨八句钟。取汤代水煎药。连衣胡桃肉五钱。川楝核杵先三钱。淡苁蓉
三钱。)
邵可亭冬患痰嗽。面浮微喘。医进温补纳气之药。喘嗽日甚。口涎自流。茎囊
渐
肿。两腿肿硬至踵。不能稍立。开口则喘逆欲死。不敢发言。头仰则咳呛咽疼。不容略卧。
痰
色黄浓带血。小溲微黄而长。孟英视之。脉形弦滑有力。曰∶此高年孤阳炽于内。时令燥火
薄其外。外病或可图治。真阴未必能复。且平昔便如羊矢。津液已干。再投温补。如火益热
矣。乃以白虎汤合泻白散加西洋参贝母花粉黄芩大剂投之。并用北梨捣汁频饮润喉。以缓。
其上僭之火。数帖后势渐减。（此证为阴虚痰实。辨证尤在脉弦滑有力。脉证互参。方用生
石膏先煎一两。酒炒知母三钱。生粉草三钱。生桑皮四钱。鲜地骨皮五钱。西洋参三钱。川
贝母杵一两。南花粉四钱。酒炒枯芩三钱。并用连皮北梨捣汁生饮润喉。不限时刻斤数。)
改投苇茎汤合清燥救肺汤加海 蛤壳青黛荸荠竹沥为方。旬日外梨已用及百斤而喘始息。（
活水芦根二两。生冬瓜子五钱。生苡仁杵八钱。北沙参八钱。生粉草三钱。花麦冬四钱。甜
杏仁三钱。蜜炙枇叶刷包三钱。冬桑叶四钱。淡海 四两。生蛤壳杵先一两。飞青黛一钱。
连皮荸荠打二两。鲜竹沥和服三两。)继加龟板鳖甲犀角。以猪肉煮汤代水煎药。大滋其阴
而潜其阳。火始下行。小溲赤如苏木汁。而诸证悉平。下部之肿。随病递消。一月以来。共
用梨二百余斤。（前方加血龟板杵四两。血鳖甲杵二两。同先炭煨八句钟。镑犀角磨冲一钱
。干猪肉皮半斤。急火煎汤。吹去浮油。用汤煎药。一月以来共享梨二百余斤。宜特别研究
。偏证偏治。急证急治。医岂可以常理论。)适大雪祁寒。更衣时略感冷风。腹中微痛。自
啜姜糖汤两碗。而喘嗽复作。口干咽痛。大渴舌破。仍不能眠。复用前方以绿豆煎清汤代水
煎药。始渐向安。（绿豆宜用一升。)
陆某酒业极窘。又遭颠沛。久而患一异疾。形消善痒。虱从皮肤而出。搔之蠕蠕。医治莫效
。孟英诊曰∶悲哀劳苦。阳气受伤。曲 浸淫。乃从虫化。予补气药加杉木桑枝而愈。（
此
证阳衰必有脉情可据。医治莫效句宜注意。若系实证。则杀虫套药早效矣。方用炒潞党五钱
。炒西 五钱。制茅术四钱。制白术三钱。炒粉草三钱。炒合欢皮三钱。云茯神三钱。白茯
苓干切三钱。使君子连壳杵三钱。炒杉木皮三钱。酒桑枝三钱。)
陈芰裳母陡患呕吐。彻夜不止。孟英诊以芩连栀楝大苦寒为剂。投之良愈。（暴病无虚。况
彻夜不止乎。此证认气分实热。在彻夜不止四字。酒炒枯芩二钱。酒炒雅连一钱。川楝核杵
先三钱。黑栀皮三钱。川贝母杵三钱。生冬瓜子四钱。生苡仁杵八钱。石菖蒲次入一钱。炒
枳实一钱。陈胆星炖和服一钱。姜竹茹三钱。旋复花绢包三钱。枯青果杵先三个。生赭石一
两同杵先。)张郑封妻娩后即发热。服生化汤二帖。热益甚而发赤疹。顾听泉予清解。三剂
不应。拟进犀角地黄汤。质之孟英。脉弦滑而数。面赤热躁。胸闷善悲。肢肿而疼。两肘白
如扁豆大者数十颗。舌上亦有一颗。痛碍水饮。大便不解已旬日。曰∶此不但胎前伏暑。
且
有蕴毒。误服生化汤以助其。虐。幸入手即清解。尚不至于昏陷。犀角地黄极是治法。犹恐
不能胜任。商加西洋参滑石知母银花人中白蒌仁竹黄贝母桑叶栀子为剂。（热发赤疹。脉弦
滑数。病邪俱在上焦气分。镑犀角磨冲八分。大生地开水泡冲去渣八钱。西洋参三钱。西滑
石四钱。济银花次入八钱。南花粉四钱。人中白八分研冲。姜汁炒蒌仁研三钱。天竹黄三钱
。川贝母杵一两。冬桑叶四钱。黑栀皮三钱。)病者虽渴而喜热饮。凡胸中有热痰阻碍气机
者每如是。所以方中多用痰药。进四帖始得大解。频吐稠痰。各恙皆减。饮食渐加。专科隔
靴搔痒。纪律全无。旬日余火复然。孟英仍用甘寒疗之。周身肤蜕如蛇皮。爪甲更新。继予
滋补真阴而起。
叶昼三患咳逆上气。头偏左痛。口渴不饥。便泻如水。孟英视之。曰∶
此
肝阴胃汁交虚。时令燥邪外薄。予育阴息风清燥滋液之法。日以渐安。服至两月。大便反形
干结而痊。（头偏左痛。肝阴虚也。口渴不饥。胃阴伤而热邪上逆也。便泻如水。热邪急求
出
路。奔迫下行。不暇融化成粪。服阴药两月。大解反形干结者。阴阳和而渣滓化。从前孤阳
无阴。何能融化渣滓。白头翁三钱。酒炒川黄柏一钱。楝核杵先三钱。花麦冬四钱。生粉草
三钱。钗石斛杵先一两。鲜竹叶二钱。连皮荸荠二两。淡海 一两。陈木瓜三钱。血鳖甲二
两杵先炭煨八句钟。)
郑某吐血盈碗。孟英诊之。右关洪滑。自汗口渴。稍一动摇。血即上溢。予白虎汤加西洋参
大黄炭。一剂霍然。（洪脉为虚。滑脉为实。玩稍一动摇血即上溢二语。此证实多虚少。生
石膏先煎八钱。酒炒知母三钱。西洋参三钱。大黄炭一钱。入药汁内泡服去渣。)
孟英切康伯侯脉滑数而左歇右促。且肝部间有雀啄。气口又兼解索。望其面宛如熏黄。头汗
自出。呼吸粗促。似不接续。坐卧无须叟之宁。便溺涩滞。浑赤极臭。心下坚硬拒按。形若
覆碗。舌色边紫苔黄。殊不甚干。燥。问其所苦。曰∶口渴甜腻。不欲饮食。苟一合眼。即
气
升欲喘。烦躁不能自持。胸中懊 。莫可言状。孟英曰∶此由湿热误补。漫无出路。充斥三
焦。气机为其阻塞而不流行。蔓延日久。津液为之凝滞而成痰饮。医见肢冷自汗。不知病由
壅闭而然。（中略。)凡脉证多怪。皆属于痰。今胸痞如斯。略无痰吐。由痰能阻气。气不能
运痰。宜于温胆中加薤白蒌仁。通其胸中之阳。又合小陷胸为治饮痞之圣法。参以栀豉。泄
其久郁之热以除懊 。佐以兰草。涤其陈腐之气以醒脾胃。（由脉滑数左歇右促二十一句。
皆湿热误补。因实致虚。易升难降之病情。须逐句深思之。半夏曲一钱五分。淡盐水炒陈皮
一
钱。白茯苓一钱五分。炒枳实一钱。姜竹茹四钱。姜栀皮三钱。西薤白打次入一钱五分，姜
汁炒蒌仁研三钱。姜汁炒雅连八分。建兰叶次入三钱。炒香豉一钱五分。)连投二剂。各恙
皆减。脉亦略和。病者误服大黄丸二次。承气汤半帖。孟英急止之曰。畏虚进补固非。欲速
妄攻亦谬。盖湿蒸为热。灼液成痰。病非一朝一夕而成。治以上下分消。为是。不比热邪传
腑。可一荡而愈也。越日下部果渐肿。以前法加黄芩合泻心意。再配雪羹投之。（前方去栀
豉。加酒炒枯芩一钱五分。淡海 八钱。连皮荸荠打一两。)痰果渐吐。痞亦日消。而自腹
至足以及茎囊。肿势日加。孟英谓势已如此。难以遽消。但从三焦设法。病必无虞。前药嫌
力不足。拟用河间桂苓甘露意。众议仍投前药。次日痰中带血甚多。孟英曰∶湿热熏蒸不已
。自气及营矣。以知柏生地犀角鳖甲白芍苡仁贝母石斛茅根麦冬滑石栀子藕汁童溺投之而止
。（世所畏者劳怯吐血。此证湿热扰营。系属实证。血不足虑。酒炒知母三钱。酒炒川黄柏
一钱五分。大生地开水泡冲去渣八钱。镑犀角磨冲一钱。血鳖甲杵先八钱。酒炒白芍一钱五
分。生苡仁杵八钱。川贝母杵三钱。钗石斛杵先一两。鲜茅根五钱。花麦冬四钱。西滑石先
Five qian. Fried licorice root (Gancao, 甘草) three qian. Fried dried ginger (Ganjiang, 干姜) five qian. Fried prepared aconite slice (Fupian, 附片) five qian.)
Chen Jishang suffered from strangury (Lin Zheng, 淋证: a syndrome characterized by frequent, urgent, and painful urination) for a long time without recovery. The condition persisted until the humid and hot summer season. Mengying examined him and said, "This is an easy matter to treat." He prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), and the patient recovered. (The causes of strangury are diverse. This case was due to the failure of Spleen Yang, with Qi failing to secure essence. The right pulse must be powerless upon heavy pressure. Prescription: Fried Codonopsis (Ludangshen, 潞党参) five qian, Fried American ginseng (Xishen, 西洋参) five qian, Fried licorice root (Fengcao, 粉草) three qian, Fried Atractylodes macrocephala (Baizhu, 白术) three qian, Fried Coix seed? No, Fried Cangzhu (Cangshu, 苍术) four qian, Fried scorched Chenpi (aged tangerine peel, one qian five fen), Fried dried ginger (Ganjiang, 干姜) five qian, Prepared Pinellia (Banxia, 半夏) five qian, Fried Psoralea corylifolia (Guzhi/Buguzhi, 故纸) ground five qian.)
Chen Heguan suffered from abdominal masses (Pi Ji, 痞积) causing abdominal distension, fever, and dry coughing. He had a good appetite but became emaciated and yellow. Pediatric medicines were widely administered without effect. Mengying prescribed Coptis chinensis (Huanglian, 黄连), White peony root (Baishao, 白芍), Oyster shell (Muli, 牡蛎), Turtle plastron (Biejia, 鳖甲), Chicken gizzard lining (Jijin, 鸡金), Five-grain insect (Wugu chong), Xiaticur (Xiati qu), Papaya (Mugua, 木瓜), Hawthorn fruit (Shanzha, 山楂), Toosendan fruit (Lianshi, 楝实), Tangerine peel (Chenpi, 橘皮), Platycodon root (Jiegeng, 桔梗), Inula flower (Xuanfu, 旋覆), Gardenia (Zhizi, 栀子), and Moutan bark (Danpi, 丹皮). After one dose, symptoms improved; after more than ten days, he recovered. (This case involved hyperactivity of both Liver and Stomach, with Liver Heat attacking the Spleen. Fever and dry cough indicated Yin deficiency with Liver Heat invading the Lungs. Good appetite indicated Stomach Heat causing hunger. Yellowish complexion, emaciation, and loose stools indicated the Spleen being overcome by the Liver, leading to impaired Spleen transportation. Red urine indicated excess heat in the Liver. The pathogenic heat ultimately resided in the Qi level of the Liver and Lungs. Prescription: Wine-fried Coptis chinensis (Chuanlianhuan/Lian, 川连) six fen, Wine-fried White peony root (Baishao, 白芍) one qian five fen, Bitter Platycodon root (Kujiegeng, 桔梗) one qian, Inula flower wrapped in silk (Xuanfuhua, 旋复花) eight fen, Black Gardenia skin (Heizhipi, 栀皮) one qian five fen, Pink Moutan bark (Fendanpi, 丹皮) one qian, Five-grain insect two qian, Scorched Hawthorn flesh pounded one qian, Tangerine peel seven fen. Second prescription removed Chuanlian, Baishao, Jiegeng, and Zhipi; added Toosendan fruit pounded and decocted first (Chuanlianshi, 川楝实) two qian, Honey-fried Chicken gizzard lining (Zhijijin, 炙鸡金) one qian five fen. Third prescription removed Xuanfu and Danpi; added Blood Turtle plastron (Xuemiebia, 血鳖甲) four qian, Raw Oyster shell (Shengmuli, 生牡蛎) eight qian. These two ingredients were first simmered over charcoal fire for six hours, and the decoction used to cook the herbs. Xiaticur pounded one qian, Aged Papaya (Chen mugua, 陈木瓜) two qian.)
Duan Yaoqing's mother, over seventy years old, suffered from cholera with muscle cramps (Huoluan zhuanjin, 霍乱转筋). Mengying prescribed his self-made Lianpo Yin (Coptis and Magnolia Drink), and she recovered after three doses. The original formula treats cholera caused by damp-heat stagnation and also promotes digestion and resolves phlegm. Original formula: Ginger-processed Magnolia bark (Jiangzhin Houpo, 姜制浓朴) two qian, Ginger-fried Elegant Coptis (Jiangchao Yalian, 姜炒雅连) one qian, Acorus (Shichangpu, 石菖蒲) one qian, Prepared Pinellia (Zhibanxia, 制半夏) one qian, Fried fragrant fermented soybean (Chaoxiangchi, 炒香豉) three qian, Black Gardenia skin (Heizhipi, 黑栀皮) three qian, Fresh reed rhizome (Huoshui lugen, 活水芦根) two liang.
Shi Songxi's wife suffered from chronic phlegm-cough (Tansou, 痰嗽) for a long time, which other doctors failed to cure. Mengying palpated the pulse and said, "This is not wind-cold." He prescribed Glehnia root (Beishashen, 北沙参), Prepared Rehmannia root (Shudi, 熟地), Lily bulb (Baihe, 百合), Ophiopogon tuber (Maidong, 麦冬), Polygonatum odoratum (Yuzhu, 玉竹), Fritillaria bulb (Beimu, 贝母), Aster tataricus root (Ziwan, 紫菀), Loquat leaf (Piyè, 枇叶), Orange peel fried in salt water (Yanshui chao juhong, 盐水炒橘红), and Bird's nest (Yanwo, 燕窝). After one dose, symptoms improved; after several doses, she recovered. (This case was Yin deficiency with Lung dryness. Previous doctors likely treated it as wind-cold, repeatedly using warm-dispersing agents, thereby damaging the Yin of the Upper Jiao Qi level. Food stagnation is an exterior excess syndrome; this case is an interior deficiency syndrome. Prescription: Glehnia root (Beishashen, 北沙参) eight qian, Large Prepared Rehmannia root soaked in boiling water, strained, and taken five qian, Lily stamen (Baihexu, 百合须) three qian, Flower Ophiopogon (Huamaidong, 花麦冬) three qian, Sichuan Fritillaria bulb pounded (Chuanbeimu, 川贝母) three qian, Plump Polygonatum (Fei yuzhu, 肥玉竹) two qian, Fresh Loquat leaf brushed and wrapped (Xian piye, 鲜枇叶) three qian, Light salt-water fried Tangerine peel (Danshui chao jupi, 淡盐水炒橘皮) one qian five fen, Bird's nest wrapped and decocted first (Yanwo bao xian, 燕窝包先) three qian.)
In early autumn, he again suffered from epigastric pain radiating to the shoulder tip. Previously considered as Liver Qi stagnation, he switched to taking Qi-breaking and reducing agents. Mengying said, "That is also incorrect." He prescribed Amomum villosum (Sharen, 砂仁), Fried Prepared Rehmannia root (Chao shudi, 炒熟地), Honey-fried Tangerine peel (Zhi juhong, 炙橘红), Toosendan fruit (Lianshi, 楝实), Corydalis rhizome (Yanhusuo, 延胡), Goji berry (Gouqi, 枸杞), Angelica sinensis (Danggui, 当归), Poria cocos (Fuling, 茯苓), Mulberry fruit (Sangshen, 桑葚), and Tribulus terrestris (Jili, 蒺藜). The treatment was highly effective, and conception followed soon after. (Yin deficiency makes the Liver and Lungs prone to dryness. This case involved Yin deficiency with Liver hyperactivity, where Liver Yang attacked the Stomach. Excess Liver Yang indicates insufficient Liver Yin, not true excess. Taking Qi-breaking agents further damaged Liver Yin. Prescription: Amomum villosum powder two fen mixed with fried large Prepared Rehmannia root (remove Amomum) eight qian, Lai Tangerine peel (Lai juhong, 赖橘红) one qian, Toosendan fruit pounded and decocted first (Chuanlianshi, 川楝实) four qian, Corydalis rhizome (Yanhusuo, 延胡索) one qian, Sweet Goji berry (Gan gouqi, 甘枸杞) three qian, Box Angelica sinensis body (Xiang guishen, 箱归身) two qian, White Poria cocos (Bai fuling, 白茯苓) three qian, Dry Mulberry fruit pounded and decocted first (Gan sangshen, 干桑葚) three qian, Raw Tribulus terrestris de-thorned (Sheng baiji, 生白蒺) one qian five fen.)
Shi Zhiqing suffered from an external contraction. Dr. Zhang continuously prescribed Chaihu (Bupleurum) and Ge Gen (Pueraria), and the fever gradually subsided. However, upon recurrence, the fever was more severe. Mengying first used Gardenia (Zhizi, 栀子), Fermented soybean (Douchi, 豆豉), Scutellaria baicalensis (Huangqin, 黄芩), and Coptis chinensis (Huanglian, 黄连) to clear and resolve the ascending and floating heat. (Generally, when excess heat is complicated by external contraction, initial misuse of warm-dispersing agents may temporarily reduce fever because the patient's inherent Yin fluid can still supply the demand for sweating induced by warm agents. After such sweating, Yin is damaged and heat flares up, making the fever worse. Physicians must be aware of this. Mengying first used Zhizi, Douchi, Huangqin, and Huanglian to clear the ascending heat. Once the pathogen entered the Stomach Fu organ, and the pulse became deep, solid, and slippery, he then used Chengqi Tang (Major Order the Qi Decoction) to purge. This is the fixed method of treating diseases in their early, middle, and late stages. Prescription: Black Gardenia skin (Heishanzhipi, 黑山栀皮) three qian, Light Fermented soybean (Dandouchi, 淡豆豉) three qian, Wine-fried Elegant Coptis (Jiu chao Yalian, 酒炒雅连) eight fen, Wine-fried Scorched Scutellaria (Jiu chao Kuning, 酒炒枯芩) two qian five fen, Fresh Loquat leaf brushed and wrapped (Xian pipie, 鲜枇杷叶) three qian, Ginger-processed Bamboo shavings (Jiang zhuru, 姜竹茹) three qian, Forsythia fruit (Lianqiao qiao, 连翘壳) three qian, Fresh reed rhizome (Huoshui lugen, 活水芦根) one liang, Deworm Reed Stem (Chai shihu, 钗石斛) pounded and decocted first five qian, Thin Tangerine peel (Bo juhong, 薄橘红) and Inula flower wrapped in silk (Xuanfu, 旋复), each one qian five fen.) Waiting for the pathogen to enter the Stomach Fu organ, with a deep, solid, and slippery pulse, he directly used Chengqi Tang to purge. (Prescription: Raw Rhubarb (Sheng dahuang, 生厢黄/大黄) four qian, soaked in boiling water, strained; Fried Immature Bitter Orange (Chao zhishi, 炒枳实) two qian; Toosendan fruit pounded and decocted first (Chuanlianshi, 川楝实) two qian; Acorus (Shichangpu, 石菖蒲) one qian; Lai Tangerine peel (Lai juhong, 赖橘红) one qian five fen; Aged Arisaema cum Bile (Chen danxing, 陈胆星) one qian, stewed and taken together.) After taking the second prescription, the next day there was high fever, profuse sweating, and intense thirst craving drinks. Mengying said, "This is the expulsion of intestinal filth revealing the heat in the channels." He prescribed Zhuye Shigao Tang (Leaf and Gypsum Decoction) for two doses, and the patient stabilized. (Prescription: Fresh Bamboo leaf (Xian zhuye, 鲜竹叶) two qian, Raw Gypsum (Sheng shigao, 生石膏) one liang six qian, decocted first; Wine-fried Anemarrhena (Jiu chao Zhimu, 酒炒知母) three qian; Black Gardenia skin (Heishanzhipi, 黑山栀皮) three qian; Fresh Loquat leaf brushed and wrapped (Xian pipie, 鲜枇杷叶) three qian; Fresh reed rhizome (Huoshui lugen, 活水芦根) two liang; Fried Immature Bitter Orange (Chao zhishi, 炒枳实) three qian; Silkworm frass (Wancansha, 晚蚕砂) five qian; Aged Papaya (Chen mugua, 陈木瓜) one qian five fen.) Subsequently, he was regulated by nourishing Yin and replenishing fluids, leading to recovery.
Zhu suffered from dysentery. He had tried all sorts of exterior-releasing, purging, and cloying/nourishing medicines, and his condition became critical. Mengying examined him and found mental confusion, deafness, epigastric fullness, dry mouth, body heat, extreme hardness and pain around the umbilicus, passage of five-colored stool dozens of times a day, painful and difficult urination, limb convulsions, and frequent syncope. Mengying said, "This is pathogenic damp-heat that was not cleared and resolved. Exterior release and purging have damaged the healthy Qi, allowing the pathogen to transmit to the Jueyin channel. If cloying tonics are used to tonify and trap the pathogen, it will become intractable. Healthy Qi is deficient, pathogenic factor is excess; the danger is extreme." He prescribed Baitouweng Tang (Peony Head Decoction) plus Toosendan fruit (Lianshi, 楝实), Cistanche (Rongrong, 苁蓉), Scutellaria (Qin, 芩), Coptis (Lian, 连), Gardenia (Zhi, 栀), White Peony (Shao, 芍), Honeysuckle (Yinhua, 银花), Dendrobium (Shihu, 石斛), Mulberry leaf (Sangye, 桑叶), Tangerine leaf (Juye, 橘叶), Antelope horn (Lingyangjiao, 羚羊角), Oyster shell (Muli, 牡蛎), Cuttlefish bone (Haizhe, 海 ), Turtle plastron (Biejia, 鳖甲), and Chicken gizzard lining (Jijin, 鸡金). Large doses were administered frequently. After one dose, convulsions and syncope halved; after four doses, they ceased; after ten days, stool color normalized; urination became clear and abundant; food intake gradually increased; after half a month, the hardness around the umbilicus disappeared completely. He then switched to nourishing Yin for regulation, and recovered after more than a month. (In treating any disease, one must first know the ease or difficulty of Qi ascending and descending. Medicines follow Qi movement; without Qi moving with the medicine, efficacy cannot be achieved. The original case discussion is very correct, but the key to efficacy in this difficult case lies in the phrases "limb convulsions" and "frequent syncope." Limb convulsions and frequent syncope indicate Liver Wind rising without descending. If Wind does not subside, Qi does not descend; if Qi does not descend, the medicinal Qi has no basis to move downward. Therefore, sedating-Yang and bitter-cold agents in the formula must not be neglected lightly. Treat specific syndromes with specific methods; treat acute conditions urgently. This is the principle and method. Prescription: Baitouweng (Baitouweng, 白头翁) three qian, Toosendan kernel pounded and decocted first (Chuanlianhé, 川楝核) four qian, Light Cistanche (Dan rongrong, 淡苁蓉) three qian, Wine-fried Scorched Scutellaria (Jiu chao Kuning, 酒炒枯芩) three qian, Wine-fried Elegant Coptis (Jiu chao Yalian, 酒炒雅连) one qian, Black Gardenia skin (Heizhipi, 黑栀皮) one qian five fen, Wine-fried White Peony (Jiu chao Baishao, 酒炒白芍) one qian five fen, Jinan Honeysuckle (Ji yinhua, 济银花) one liang five qian, Deworm Reed Stem (Chai shihu, 钗石斛) pounded and decocted first one liang, Winter Mulberry leaf (Dong sangye, 冬桑叶) four qian, Fresh Tangerine leaf added later (Xian juye, 鲜橘叶) seven slices, Antelope horn ground and taken (Lingjiao mo chong, 羚角磨冲) two qian, Light Cuttlefish bone (Dan haizhe, 淡海 ) two liang, Honey-fried Chicken gizzard lining ground (Zhi jijin yan, 炙鸡金研) five qian, Raw Oyster shell (Sheng muli, 生牡蛎) eight liang, Blood Turtle plastron (Xue biejia, 血鳖甲) two liang. These two ingredients were pounded and first simmered over charcoal fire for eight hours, and the decoction used to cook the herbs.)
Old Man Wang suffered from phlegm-cough, loss of appetite, asthma preventing lying down, penile retraction, constipation, and mental instability ("heart shaking unable to grasp") in mid-autumn. The situation was extremely critical. Mengying diagnosed, "The root is about to detach; this is not a typical disease." He prescribed Bawei Dihuang Tang (Eight-Ingredient Rehmannia Pill) minus Moutan bark and Alisma, combined with Shengmai San (Generate the Pulse Powder), plus Purple Quartz (Zishiying, 紫石英), Lead (Qingqian, 青铅), Dragon Bone (Longgu, 龙骨), Oyster shell (Muli, 牡蛎), Walnut meat (Hetaorou, 胡桃肉), Toosendan fruit (Lianshi, 楝实), and Cistanche (Rongrong, 苁蓉). After bowel movement, symptoms decreased. Then Cistanche and Ophiopogon were removed, and after ten days, he recovered. (Recognizing this case as Yin deficiency with floating Yang depends entirely on "penile retraction, constipation, heart shaking unable to grasp." Prescription: Large Prepared Rehmannia root (Da shudi, 大熟地) eight qian, Huai Yam (Huai shanyao, 淮山药) four qian, Cornus officinalis fruit (Shanyurou, 山萸肉) three qian, White Poria cocos sliced dry (Bai fuling ganqie, 白茯苓干切) three qian, Flower Ophiopogon (Huamaidong, 花麦冬) three qian, Schisandra berry pounded (Wuweizi, 五味子) three qian, Wine-fried Anemarrhena (Jiu chao Zhimu, 酒炒知母) one qian five fen, Wine-fried Phellodendron bark (Jiu chao Chuanhuangbai, 酒炒川黄柏) one qian, plus Purple Quartz pounded (Zishiying, 紫石英) five qian, Lead (Qingqian, 青铅) one liang, Dragon Bone (Longgu, 龙骨) two liang, Oyster shell (Muli, 牡蛎) eight liang. These four ingredients were first simmered over charcoal fire for eight hours, and the decoction used to cook the herbs. Whole-skin Walnut meat (Lianyi hetaorou, 连衣胡桃肉) five qian, Toosendan kernel pounded and decocted first (Chuanlianhé, 川楝核) three qian, Light Cistanche (Dan rongrong, 淡苁蓉) three qian.)
Shao Ketingsuffered from phlegm-cough in winter, with facial swelling and slight asthma. Doctors administered warming and tonifying Qi-grasping medicines, worsening the asthma and cough. Saliva flowed freely, penis and scrotum swelled, legs became swollen and hard down to the heels, unable to stand slightly. Opening the mouth caused suffocating asthma, daring not speak. Tilting the head back caused coughing and sore throat, unable to lie down even slightly. Sputum was yellow, thick, and bloody. Urine was slightly yellow and long. Mengying observed a string-like, slippery, and forceful pulse, and said, "This is solitary Yang blazing internally in an elderly person, with seasonal dry-fire pressing externally. The external illness might be treatable, but True Yin may not recover. Moreover, his stool has always been like sheep dung, indicating dried-up fluids. Further administration of warming tonics would be adding fuel to the fire." He prescribed Baihu Tang (White Tiger Decoction) combined with Xiebai San (Drain White Powder) plus American Ginseng (Xiyangshen, 西洋参), Fritillaria (Beimu, 贝母), Snowdrop fritillary bulb (Huafen, 花粉), and Scutellaria (Huangqin, 黄芩), administered in large doses. He also instructed frequent drinking of crushed Northern Pear juice to moisten the throat and alleviate the rebellious fire above. After several doses, the fire gradually subsided. (This case was Yin deficiency with phlegm excess. Differentiation relies on the string-like, slippery, and forceful pulse. Correlating pulse and symptoms, the formula used Raw Gypsum decocted first (Sheng shigao, 生石膏) one liang, Wine-fried Anemarrhena (Jiu chao Zhimu, 酒炒知母) three qian, Raw Licorice root (Sheng fengcao, 生粉草) three qian, Raw Mulberry root bark (Sheng sangpi, 生桑皮) four qian, Fresh Cortex Lycii (Xian digupi, 鲜地骨皮) five qian, American Ginseng (Xiyangshen, 西洋参) three qian, Sichuan Fritillaria bulb pounded (Chuan beimu, 川贝母) one liang, Southern Snowdrop fritillary bulb (Nan huafen, 南花粉) four qian, Wine-fried Scorched Scutellaria (Jiu chao kuning, 酒炒枯芩) three qian. Also, Northern Pear with skin crushed and drunk raw to moisten the throat, unlimited quantity and time.)
He switched to Weijing Tang (Reed Rhizome Decoction) combined with Qingzao Jiufei Tang (Clear Dryness and Rescue the Lung Decoction) plus Cuttlefish bone (Haizhe, 海 ), Clam shell (Geke, 蛤壳), Indigo naturalis (Qingdai, 青黛), Water chestnut (Biqi, 荸荠), and Bamboo sap (Zhuli, 竹沥). After more than ten days, having consumed a hundred jin of pears, the asthma finally stopped. (Prescription: Fresh reed rhizome (Huoshui lugen, 活水芦根) two liang, Raw Winter melon seed (Sheng donggua zi, 生冬瓜子) five qian, Raw Coix seed pounded (Sheng yiren, 生苡仁) eight qian, Glehnia root (Beishashen, 北沙参) eight qian, Raw Licorice root (Sheng fengcao, 生粉草) three qian, Flower Ophiopogon (Huamaidong, 花麦冬) four qian, Sweet Almond (Tian xingren, 甜杏仁) three qian, Honey-roasted Loquat leaf brushed and wrapped (Mi zhi pipie, 蜜炙枇叶) three qian, Winter Mulberry leaf (Dong sangye, 冬桑叶) four qian, Light Cuttlefish bone (Dan haizhe, 淡海 ) four liang, Raw Clam shell pounded and decocted first (Sheng geke, 生蛤壳) one liang, Flying Indigo naturalis (Fei qingdai, 飞青黛) one qian, Water chestnut with skin smashed (Lianpi biqi, 连皮荸荠) two liang, Fresh Bamboo sap taken together (Xian zhuli, 鲜竹沥) three liang.) Subsequently, Tortoise plastron (Guiban, 龟板), Turtle plastron (Biejia, 鳖甲), and Rhinoceros horn (Xijiao, 犀角) were added, cooked in pork broth instead of water, to greatly nourish Yin and subdue Yang. Fire descended, urine became red like logwood juice, and all symptoms resolved. Lower limb swelling subsided progressively with the disease. Over a month, over two hundred jin of pears were consumed. (Previous formula added Blood Tortoise plastron pounded (Xue guiban, 血龟板) four liang, Blood Turtle plastron pounded (Xue biejia, 血鳖甲) two liang, pounded and first simmered over charcoal fire for eight hours, Rhinoceros horn shaved and ground (Bang xijiao, 镑犀角) one qian, Dry pork skin (Gan zhuroupi, 干猪肉皮) half a jin. Rapid fire decoction, skim off floating oil, use broth to cook herbs. Consumed over two hundred jin of pears in a month; special study recommended. Specific syndrome, specific treatment; acute condition, urgent treatment. How can medicine be judged by ordinary theories?) Coinciding with heavy snow and severe cold, he caught a slight chill while changing clothes, causing mild abdominal pain. He drank two bowls of ginger-sugar soup himself, and the asthma and cough recurred, with dry mouth, sore throat, intense thirst, cracked tongue, and insomnia. He reused the previous formula, decocting Green bean (Lvdou, 绿豆) clear soup to replace water for cooking the herbs, and only then did he gradually stabilize. (Green beans should be used in quantity of one sheng.)
Lu, whose wine business was extremely tight and who suffered misfortune, developed a strange disease over time: emaciation, itching, lice emerging from the skin, wriggling when scratched, unresponsive to treatment. Mengying diagnosed, "Sorrow and labor have injured Yang. The spreading sores transform into insects." He prescribed Qi-tonifying medicines plus Chinese Fir wood (Shanmu, 杉木) and Mulberry branch (Sangzhi, 桑枝), leading to recovery. (Yang deficiency must have pulse evidence. Note the phrase "unresponsive to treatment." If it were an excess syndrome, standard anti-parasitic drugs would have worked early. Prescription: Fried Codonopsis (Chao Ludangshen, 炒潞党) five qian, Fried American ginseng (Chao Xishen, 炒西) five qian, Processed Atractylodes lancea (Zhi Maozhu, 制茅术) four qian, Processed Atractylodes macrocephala (Zhi Baizhu, 制白术) three qian, Fried Licorice root (Chao Fengcao, 炒粉草) three qian, Fried Albizia bark (Chao Hehuanpi, 炒合欢皮) three qian, Yun Poria spirit (Yun fushen, 云茯神) three qian, White Poria cocos sliced dry (Bai fuling ganqie, 白茯苓干切) three qian, Quisqualis fruit with shell pounded (Shijunzi lianke, 使君子连壳) three qian, Fried Chinese Fir bark (Chao Shanmupi, 炒杉木皮) three qian, Wine Mulberry branch (Jiu Sangzhi, 酒桑枝) three qian.)
Chen Jishang's mother suddenly suffered from vomiting, lasting all night. Mengying prescribed a strong bitter-cold formula of Scutellaria (Qin, 芩), Coptis (Lian, 连), Gardenia (Zhi, 栀), and Toosendan (Lian, 楝), resulting in excellent recovery. (Acute diseases are rarely deficiency, especially when vomiting lasts all night. Recognize this as excess heat in the Qi level, key in "all night non-stop." Prescription: Wine-fried Scorched Scutellaria (Jiu chao Kuning, 酒炒枯芩) two qian, Wine-fried Elegant Coptis (Jiu chao Yalian, 酒炒雅连) one qian, Toosendan kernel pounded and decocted first (Chuanlianhé, 川楝核) three qian, Black Gardenia skin (Heizhipi, 黑栀皮) three qian, Sichuan Fritillaria bulb pounded (Chuan Beimu, 川贝母) three qian, Raw Winter melon seed (Sheng Donggua zi, 生冬瓜子) four qian, Raw Coix seed pounded (Sheng Yiren, 生苡仁) eight qian, Acorus added later (Shichangpu, 石菖蒲) one qian, Fried Immature Bitter Orange (Chao Zhishi, 炒枳实) one qian, Aged Arisaema cum Bile stewed and taken together (Chen Danxing, 陈胆星) one qian, Ginger-processed Bamboo shavings (Jiang Zhuru, 姜竹茹) three qian, Inula flower wrapped in silk (Xuanfuhua, 旋复花) three qian, Scorched Olive pounded and decocted first (Ku Qingguo, 枯青果) three pieces, Raw Hematite pounded and decocted first (Sheng Zheshi, 生赭石) one liang together.)
Zhang Zhengfeng's wife developed fever immediately after childbirth. After two doses of Shenghua Tang (Generate the New Decoction), fever worsened, and red rashes appeared. Gu Tingquan gave clearing and resolving agents, but three doses were ineffective. He planned to administer Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) and consulted Mengying. Mengying noted a string-like, slippery, and rapid pulse, red and hot face, restlessness, chest fullness, sadness, limb swelling and pain, dozens of white lumps like broad beans on both elbows, one on the tongue, pain obstructing drinking, and no bowel movement for ten days. Mengying said, "This is not only latent summer-heat before pregnancy but also accumulated toxin. Misusing Shenghua Tang aided the pathogen. Fortunately, immediate clearing and resolving prevented coma. Xijiao Dihuang Tang is correct, but I fear it may not be sufficient. I suggest adding American Ginseng (Xiyangshen, 西洋参), Talc (Huashi, 滑石), Anemarrhena (Zhimu, 知母), Honeysuckle (Yinhua, 银花), Human excrement ash (Renzhongbai, 人中白), Trichosanthes seed (Louren, 萎仁), Bamboo resin (Zhuhuang, 竹黄), Fritillaria (Beimu, 贝母), Mulberry leaf (Sangye, 桑叶), and Gardenia (Zhizi, 栀子)." (Red rash with string-like, slippery, rapid pulse indicates pathogen in the Qi level of the Upper Jiao. Prescription: Rhinoceros horn shaved and ground (Bang xijiao, 镑犀角) eight fen, Large Rehmannia root soaked in boiling water, strained (Da Shengdi, 大生地) eight qian, American Ginseng (Xiyangshen, 西洋参) three qian, Western Talc (Xi Huashi, 西滑石) four qian, Jinan Honeysuckle added later (Ji Yinhua, 济银花) eight qian, Southern Snowdrop fritillary bulb (Nan Huafen, 南花粉) four qian, Human excrement ash ground and taken (Renzhongbai, 人中白) eight fen, Ginger-juice fried Trichosanthes seed ground (Jiangzhi chao Louren, 姜汁炒萎仁) three qian, Heavenly Bamboo resin (Tian zhuhuang, 天竹黄) three qian, Sichuan Fritillaria bulb pounded (Chuan Beimu, 川贝母) one liang, Winter Mulberry leaf (Dong Sangye, 冬桑叶) four qian, Black Gardenia skin (Hei Zhipi, 黑栀皮) three qian.) Although the patient was thirsty, she preferred hot drinks, which is common when hot-phlegm obstructs Qi mechanism in the chest. Hence, many phlegm-resolving drugs were used in the formula. After four doses, bowel movement occurred, frequent expectoration of thick phlegm, symptoms decreased, and diet improved. Specialists were ineffective. After ten days, fire flared up again. Mengying continued with sweet-cold therapy. Skin peeled like snake skin, nails renewed. Subsequently, tonifying True Yin led to recovery.
Ye Zhou-san suffered from coughing with rebellious Qi, left-sided headache, thirst, lack of appetite, and watery diarrhea. Mengying said, "Liver Yin and Stomach fluids are mutually deficient, with seasonal dry pathogen pressing externally." He employed methods to nourish Yin, extinguish wind, clear dryness, and replenish fluids. Gradual improvement occurred. After two months, stool became dry and formed, and he recovered. (Left-sided headache indicates Liver Yin deficiency. Thirst and lack of appetite indicate Stomach Yin damage with rebellious heat. Watery diarrhea indicates heat seeking exit, rushing downward without forming stool. After two months of Yin-nourishing drugs, stool became dry because Yin and Yang harmonized and residues were processed. Previously, solitary Yang without Yin could not process residues. Prescription: Baitouweng (Baitouweng, 白头翁) three qian, Wine-fried Phellodendron bark (Jiu chao Chuanhuangbai, 酒炒川黄柏) one qian, Toosendan kernel pounded and decocted first (Lianhé, 楝核) three qian, Flower Ophiopogon (Huamaidong, 花麦冬) four qian, Raw Licorice root (Sheng fengcao, 生粉草) three qian, Deworm Reed Stem (Chai Shihu, 钗石斛) pounded and decocted first one liang, Fresh Bamboo leaf (Xian Zhuye, 鲜竹叶) two qian, Water chestnut with skin (Lianpi Biqi, 连皮荸荠) two liang, Light Cuttlefish bone (Dan Haizhe, 淡海 ) one liang, Aged Papaya (Chen Mugua, 陈木瓜) three qian, Blood Turtle plastron (Xue Biejia, 血鳖甲) two liang pounded and first simmered over charcoal fire for eight hours.)
Zheng vomited a bowlful of blood. Mengying palpated a洪 (Surging) and slippery pulse at the Right Guan position, spontaneous sweating, thirst, and bleeding upon slight movement. He prescribed Baihu Tang (White Tiger Decoction) plus American Ginseng (Xiyangshen, 西洋参) and Charred Rhubarb (Dahuang tan, 大黄炭). One dose brought sudden recovery. (Surging pulse indicates deficiency; slippery pulse indicates excess. Reflect on "bleeding upon slight movement"; this case is mostly excess with little deficiency. Prescription: Raw Gypsum decocted first (Sheng Shigao, 生石膏) eight qian, Wine-fried Anemarrhena (Jiu chao Zhimu, 酒炒知母) three qian, American Ginseng (Xiyangshen, 西洋参) three qian, Charred Rhubarb (Dahuang tan, 大黄炭) one qian, soaked in herbal decoction and taken, dregs discarded.)
Mengying palpated Kang Bo-hou's pulse: slippery and rapid, with intermittent beats on the Left and hurried beats on the Right. The Liver area showed occasional Sparrow-pecking pulse, and the Qi Gate showed Solving-Rope pulse. His face looked like smoked yellow, with sweat on the head, coarse breathing seemingly discontinuous, inability to sit or lie still for a moment, difficult and dark-smelling urination, hardness and tenderness under the heart resembling an inverted bowl, purple edges and yellow coating on the tongue but not very dry. Asked about his suffering, he replied: "Thirsty with sweet/greasy sensation, no desire to eat, closing eyes causes Qi rising and asthma, unbearable irritability, chest discomfort indescribable." Mengying said, "This is due to mistaken tonification of damp-heat, leaving no outlet, filling the Three Jiao, blocking Qi mechanism, and stagnating fluids into phlegm-drink. Doctors seeing cold limbs and sweating do not realize the disease stems from obstruction." (Middle omitted.) Generally, strange pulses and symptoms belong to phlegm. With such chest fullness and no phlegm expectorated, it is because phlegm blocks Qi, and Qi fails to move phlegm. It is appropriate to add Allium macrostemon (Xiebai, 薤白) and Trichosanthes seed (Louren, 萎仁) to Wendan Tang (Warm the Gallbladder Decoction) to open Yang in the chest. Combining with Xiaoxianxiong Tang (Minor Trap-the-Chest Decoction) is a holy method for treating phlegm-fullness. Add Gardenia and Fermented Soybean (Zhizi, 栀子; Douchi, 豆豉) to drain long-stagnant heat and remove discomfort. Assist with Mentha (Lancao, 兰草) to cleanse stale Qi and awaken Spleen/Stomach. (From slippery-rapid, left-intermittent, right-hurried for twenty-one lines, all indicate damp-heat mistaken tonification, transforming excess into deficiency, easy to rise but hard to descend. Must ponder sentence by sentence. Prescription: Pinellia curd (Banxiaqu, 半夏曲) one qian five fen, Light salt-water fried Tangerine peel (Danshui chao Chenpi, 淡盐水炒陈皮) one qian, White Poria cocos (Bai fuling, 白茯苓) one qian five fen, Fried Immature Bitter Orange (Chao Zhishi, 炒枳实) one qian, Ginger-processed Bamboo shavings (Jiang Zhuru, 姜竹茹) four qian, Ginger Gardenia skin (Jiang Zhipi, 姜栀皮) three qian, Western Allium macrostemon smashed and added later (Xi Xiebai, 西薤白) one qian five fen, Ginger-juice fried Trichosanthes seed ground (Jiangzhi chao Louren, 姜汁炒萎仁) three qian, Ginger-juice fried Elegant Coptis (Jiangzhi chao Yalian, 姜汁炒雅连) eight fen, Jian Mint leaves (Jian Lanye, 建兰叶) added later three qian, Fried Fermented Soybean (Chao Xiangchi, 炒香豉) one qian five fen.) Two consecutive doses reduced all symptoms, and pulse harmonized slightly. The patient mistakenly took Rhubarb pills twice and half a dose of Chengqi Tang. Mengying urgently stopped them, saying, "Fear of deficiency and tonifying is wrong, but haste and reckless purging is also erroneous. Damp steaming becomes heat, burning fluids into phlegm. Disease did not happen overnight. Treatment should focus on dispersing from upper and lower, unlike heat transmitting to Fu organs which can be cleared in one sweep." The next day, lower body swelled. Using previous method plus Scutellaria combined with Xie Xin Tang (Drain Heart Decoction) intention, paired with Xue Geng Tang (Snow Soup Decoction). (Previous formula removed Zhizi and Douchi, added Wine-fried Scorched Scutellaria (Jiu chao Kuning, 酒炒枯芩) one qian five fen, Light Cuttlefish bone (Dan Haizhe, 淡海 ) eight qian, Water chestnut with skin smashed (Lianpi Biqi, 连皮荸荠) one liang.) Phlegm was gradually expectorated, fullness subsided daily, but swelling progressed from abdomen to feet and genitals. Mengying said, given the situation, quick resolution is hard, but addressing the Three Jiao ensures safety. Previous medicine lacked strength, proposing Hejian's Guiling Ganlu Yin (Cinnamon, Poria, and Dew-Drop Drink) intention. Others advised sticking to previous medicine. Next day, significant blood in phlegm. Mengying said, "Damp-heat steaming continues, moving from Qi to Ying level." He prescribed Anemarrhena and Phellodendren Rehmannia Decoction plus Rehmannia root (Shengdi, 生地), Rhinoceros horn (Xijiao, 犀角), Turtle plastron (Biejia, 鳖甲), White Peony (Baishao, 白芍), Coix seed (Yiren, 薏仁), Fritillaria (Beimu, 贝母), Dendrobium (Shihu, 石斛), Imperata rhizome (Maogen, 茅根), Ophiopogon (Maidong, 麦冬), Talc (Huashi, 滑石), Gardenia (Zhizi, 栀子), Lotus root juice (Ou zhi, 藕汁), and Child's urine (Tongni, 童溺) to stop bleeding. (World fears consumption hematemesis; this case is damp-heat disturbing Ying, belonging to excess syndrome, blood loss is not worrying. Prescription: Wine-fried Anemarrhena (Jiu chao Zhimu, 酒炒知母) three qian, Wine-fried Phellodendron bark (Jiu chao Chuanhuangbai, 酒炒川黄柏) one qian five fen, Large Rehmannia root soaked in boiling water, strained (Da Shengdi, 大生地) eight qian, Rhinoceros horn shaved and ground (Bang Xijiao, 镑犀角) one qian, Blood Turtle plastron pounded and decocted first (Xue Biejia, 血鳖甲) eight qian, Wine-fried White Peony (Jiu chao Baishao, 酒炒白芍) one qian five fen, Raw Coix seed pounded (Sheng Yiren, 生苡仁) eight qian, Sichuan Fritillaria bulb pounded (Chuan Beimu, 川贝母) three qian, Deworm Reed Stem (Chai Shihu, 钗石斛) pounded and decocted first one liang, Fresh Imperata rhizome (Xian Maogen, 鲜茅根) five qian, Flower Ophiopogon (Hua Maidong, 花麦冬) four qian, Western Talc decocted first...)