信。延至仲夏。形已消瘦。倏然浮肿。胁背刺痛。气逆不眠。心辣如焚。善嗔畏热。大便时
泻。饮食下咽即吐。诸医束手。恳治孟英。脉弦软而数。予竹茹黄连枇杷叶知母栀楝旋赭等
药而吐止。饮食虽进。各恙未已。投大剂沙参生地龟板鳖甲女贞旱莲桑叶丹皮银花茅根茹贝
知柏枇杷叶菊花等药出入为方。二三十剂后。周身发疥疮而肿渐消。右耳出粘稠脓水而泻止
。此诸经之伏热得以宣泄也。仍以此药令其久服。迨秋始愈。（此病本系肝阳侮胃。温补肝
风遂炽。形已消瘦八句。内风已动。姜竹茹三钱。姜川连一钱。姜知母三钱。姜栀皮三钱。
楝核杵先二钱。旋复包先三钱。生赭石杵先一两六钱。姜枇叶刷包三钱。续方。大生地泡煎
去渣八钱。血鳖甲杵先煨六钟四两。女贞杵先五钱。旱莲草四钱。济银花一两五钱。姜竹茹
三钱。川贝杵八钱。酒炒知母四钱。嗣去竹茹知母。加血龟板二两同杵先。姜枇叶刷包三钱
。酒炒川黄柏三钱。再更方。去枇叶旱莲草。加酒炒茅根五钱。再更方。去贝母加冬桑叶四
钱。再更方。去桑叶。加杭白菊三钱。酒炒丹皮次入二钱。)
比邱尼体浓蹒跚。偶患眩悸。医以为虚。久服温补。渐至发肿不饥。仲夏孟英视之。脉甚弦
滑。舌色光绛。主清痰热。尽撤补药。彼不之信。仍服八味等方。至季夏再屈孟英诊之。脉
数七至。眠食尽废。不可救药矣。（清痰热方。酒炒知母四钱。酒炒川连一钱。生冬瓜子八
钱。姜竹沥四两冲。济银花一两五钱。鲜竹叶二钱。石斛先煎一两。陈胆星炖和服一钱。蒌
仁研四钱。姜竹茹三钱。荸荠打汁冲二两。此证发肿不饥。为肝风暗动。)
金叶仙病。其媳 股以进。固无效也。悲哀欲绝。遂发热。胡某治以伤寒药。而神迷自汗
。
惊惕畏冷。改换补药。乃气逆不进水谷矣。孟英视之。七情有伤。痰因火迫。堵塞空灵之所
也。予沙参元参丹参丹皮茯苓麦冬连翘竹茹竹叶莲心小麦。加以川贝母一两投之。数剂而瘥
。（北沙参八钱。元参片一两泡煎去渣。丹参三钱。粉丹皮二钱。云苓三钱。花麦冬四钱。
连翘壳三钱。姜竹茹三钱。鲜竹叶二钱。莲子心一钱。北小麦四钱。川贝母杵一两。)
李子初秋患感。医闻便溏而止之。乃至目赤谵妄。舌绛苔黄。溲涩善呕。粒米不能下咽。孟
英先予犀角石膏竹叶竹茹枇杷叶茅根知母花粉栀子以清之。呕止神清。热亦渐缓。继以承气
汤加减。三下黑矢。黄苔始退。即能啜粥。以其右关尺迟涩有力。故知有燥矢也。续投甘凉
调理而痊。（此证病情。为内风已动。犀角石膏知母花粉息风救液。风息气乃下行。镑犀角
先煎四钱。生石膏一两六钱。鲜竹叶二钱。姜竹茹三钱。姜枇叶刷包三钱。鲜茅根五钱。酒
炒知母四钱。南花粉五钱。姜栀皮三钱。继以承气汤加减。酒炒知母四钱。鲜芦根二两。生
冬瓜子八钱。晚蚕砂五钱。丝瓜络三钱。石菖蒲次入二钱。省头草三钱。制半夏一钱。生厢
黄四钱。开水泡冲去渣。)
朱妇初患目赤。服药后渐至满面红肿。壮热神昏。医皆束手。孟英切脉洪实滑数。舌绛大
渴。腹微胀。以酒洗大黄犀角元参滑石甘草知母花粉银花黄芩连翘薄荷菊花丹皮两下之径愈
。（脉洪实滑数。为实热挟阴虚。酒洗大黄先煎四钱。镑犀角先煎八钟四钱。元参片泡煎去
渣一两。西滑石先煎五钱。生粉草一钱半。酒炒知母三钱。南花粉五钱。济银花先煎一两五
钱。酒炒枯芩一钱半。连翘壳三钱。薄荷尖四分。杭菊花三钱。丹皮二钱。犀角元参知母银
花息风救液。)都城售透土长寿丹。孟英谓执一方以疗百病。无此治法。况以绿豆汤为引。
必有热毒之品在内。王雪山久患下部畏冷。吞未百丸。齿痛目赤。诸恙蜂起。孟英察脉弦滑
。予多剂石膏药。兼以当归龙荟丸频服。新疾既瘳。腿亦渐温。令其常饮柿饼汤以杜将来之
恙
。（生石膏先煎一两六钱。酒炒知母四钱。生绿豆二两。生粉草一钱半。济银花一两五钱。
晚蚕砂五钱。两头尖三钱。省头草三钱。楝核杵先三钱。药送龙荟丸三钱。旋复包先三钱。
生赭石杵先一两六钱。)
广孔愚子仲秋患闲疟。寒少热多。面目甚黄。苔腻大渴。腹胀溺赤。仍能纳谷。且素嗜肥甘
。不能撙节。孟英按其脉滑实而数。予承气加知芩半贝翘连滑石石膏大腹花粉之类二十余剂
而始愈。是膏粱挟暑湿热之治也。（此证病在气分。脉滑实而数。为痰热挟阴虚。花粉生津
顾阴。余皆泻实之品。酒洗生厢黄四钱。酒炒知母三钱。酒炒枯芩一钱半。制半夏二钱。川
贝杵五钱。连翘壳三钱。西滑石先煎五钱。酒炒川连一钱。生石膏先煎一两二钱。大腹皮
酒洗次入一钱半。南花粉五钱。)
王瘦石禀属阴亏。卒闻惊吓之声。而气逆肢冷。自汗息微。孟英视之。身面皆青绿之色。脉
沉弦而细。乃素伤忧虑而风阳陡动也。予牡蛎四两。鳖甲二两。蛤壳一两。石英五钱。龙齿
小麦辰砂麦冬茯神贝母竹茹为方。一剂知。二剂已。续以滋养而瘳。（ 龙齿杵先一两。北
小麦四钱。整辰砂杵先一两二钱。花麦冬四钱。云茯神三钱。川贝杵五钱。姜竹茹三钱。)
陈书伯弟年未冠。患失音咽痛。孟英予犀羚石膏元参豆根牛蒡射干等大剂清肃之药。音开而
咽糜。吹以锡类散。糜愈而疹点满布。左目及耳后皆肿。方中加以鲜菊叶二两。疹愈。痰嗽
不已。仍主前法。服三十余帖而痊。此证脉滑且数。口大渴。初终未曾误药。故能愈。其庶
母同时患喉糜。而头偏左痛。心悸欲呕。壮热烦躁。脉弦细数。孟英曰此兼阴亏风动也。初
以犀羚元参菊花丹参栀子桑叶马勃投之。外吹锡类散。咽愈热退。续用二至二冬生地石英苁
蓉龟板茯苓滋阴潜阳而瘳。其妹亦患喉疹。汛事适行。四肢酸痛。略难举动。气塞于咽。孟
英诊脉弦滑。以犀羚旋赭茹贝兜铃牛蒡射干豆根花粉银花海 竹沥丝瓜络等出入为方。兼吹
锡类散而瘥。（玩方药必系肝风袭肺失音。镑犀角四钱。羚次尖四钱。同先煎八钟。生石膏
先煎一两二钱 元参片泡冲去渣一两 酒炒山豆根二钱 姜炒牛蒡子研三钱 姜射干三钱。
嗣加鲜菊叶打冲二两。陈书伯庶母阴亏风动方。镑犀角四钱。羚次尖四钱。同先
煨八钟。元参片泡煎去渣一两。杭白菊三钱。紫丹参三钱。黑栀皮三钱。冬桑叶四钱。马勃
一钱半。续方女贞杵五钱。旱莲草四钱。明天冬切六钱。花麦冬四钱。紫石英杵先三钱。淡
苁蓉一钱半。血龟板杵先煨八钟四两。云苓三钱。陈书伯妹喉疹。风动煽痰逆升。镑犀角四
钱。羚次尖四钱。同先煎。旋复包先三钱。生赭石杵先一两六钱。姜竹茹三钱。川贝杵四钱
。马兜铃三钱。姜射干二钱。酒炒豆根一钱。南花粉四钱。四帖后去犀羚旋赭。加济银花一
两五钱。淡海 先煎二两。丝瓜络三钱。)
吴尔纯八月下旬患滞下。腹痛异常。孟英往诊。形瘦脉数而弦。口渴音微溺涩。乃阴分极虚
。肝阳炽盛，伏暑为痢。治法不但与寒痢迥异。即与他人之伏暑成痢者。亦当分别用药也。
予白头翁汤加知母花粉银花丹皮金铃延胡沙参芩连服之。次日复视。痢减音开。而右腹痛胀
拒按。为加冬瓜子乌药鼠矢三剂而消。滞下亦愈。惟薄暮火升。面赤自汗。重加介类潜阳而
痊。（重用苦寒泻暑。则肝阳无所凭借。花粉银花丹皮沙参微顾其阴。酒炒白头翁一钱半。
酒炒知母三钱。楝核杵先二钱。酒炒枯芩一钱半。酒炒川连一钱。南花粉五钱。济银花一两
五钱。酒炒粉丹皮二钱。元胡索次入一钱半。北沙参八钱。续加生冬瓜子四钱。台乌药次入
一钱半。两头尖三钱。薄暮火升。面赤自汗。去花粉沙参芩连冬瓜子丹皮。加 牡蛎杵四两
。血龟板杵二两。生蛤壳杵一两。同先煨八钟。)
杨某患感旬日。初则便溏。医予温散。泻止热不退。昼夜静卧。饮食不进。孟英诊脉迟缓。
浮取甚微。目眵。舌色光红。口不渴。溲亦行。胸腹无所苦。语懒音低。寻即睡去。是暑
湿内伏。而有燥矢在胃。机关为之不利也。先予清营通胃药二剂。热退舌淡而脉证依然。加
以酒洗大黄。省头草。即下坚黑燥矢甚多。而睡减啜粥。继以凉润。旬日而痊。（脉迟缓九
句。皆暑湿内伏。燥矢在胃之情状。暑湿内伏结成燥矢在胃。则气机不利。邪热升浮。故脉
迟缓。浮取甚微。目眵。舌色光红。病不在肺。故口不渴。溲亦行。胸腹无所苦。心胃位次
相近。燥矢在胃。热蒸心脏。神志不遂其发舒。故语懒音低。寻即睡去。清营通胃方。济银
花一两五钱。鲜茅根五钱。鲜竹茹三钱。丝瓜络三钱。黑栀皮三钱。苦杏仁一钱半。炒枳实
一钱。川贝杵五钱。生神曲杵二钱。嗣于方中加酒洗生厢黄四钱。省头草三钱。凉润方。
鲜竹叶二钱。鲜枇叶刷包三钱。鲜芦根二两。济银花一两。川贝杵五钱。蒌仁研四钱。云苓
一钱半。南花粉五钱。整荸荠打二两。制半夏一钱半。)
陈春湖子体素弱。季秋患腹痛自汗。肢冷息微。咸谓元虚欲脱。孟英诊之。脉虽沉伏难寻。
而苔色黄腻。口干溺赤。当从证也。予连朴楝栀元胡蚕砂省头草等药而康。又孟英视钱妪腹
痛欲绝。证因见弦滑之脉。予当归龙荟丸而安。（陈子方。酒炒川连一钱。楝核杵先四钱。
制浓朴次入一钱。黑栀皮三钱。元胡索次入一钱半。晚蚕砂五钱。省头草次入三钱。钱妪脉
弦滑。为肝热煽痰贼胃。)
朱妇患小溲涩痛。医予渗利。反发热头痛。不饥口渴。夜不成眠。孟英诊之。脉细数。乃阴
虚肝郁。化热生风。津液已烁。岂容再利。予白薇栀子金铃知母花粉紫菀麦冬石斛菊花服之
即愈。其侄媳怀娠患痢。医投温燥止涩。腹痛甚而发遍身黄。饮食不思。孟英视之。暑湿也
。予芩连银花茅根桑叶栀楝竹叶茵陈冬瓜皮而愈。（小溲涩痛。为阴虚挟热。渗利则愈伤其
阴。肝热至于发热头痛不饥不眠。则肝风炽逆矣。口渴为肝阳灼肺。香白薇三钱。黑栀皮三
钱。楝核杵先四钱。酒炒知母三钱。南花粉五钱。紫菀茸一钱半。花麦冬八钱。石斛先煎一
两。杭白菊四钱。热痢宜以凉泻为治。温燥止涩。则暑湿上蒸于肌肤而身黄。窒塞于肺胃而
厌食。病邪皆在气分。酒炒枯芩一钱半。酒炒川连八分。济银花八钱。酒拌茅根五钱。冬桑
叶三钱。黑栀皮三钱。鲜竹叶二钱。酒炒西茵陈一钱。冬瓜皮四钱。)
吴媳汛愆而崩之后。脘痛发厥。自汗肢冷。孟英诊之。细而弦滑。口苦便涩。乃素体多痰。
风阳内鼓。虽当崩后。病不在血。予旋赭羚茹枳贝薤蒌蛤壳为方。痛乃渐下。厥亦止。再加
金铃延胡苁蓉鼠矢服之而愈。迨季冬因卒惊发狂。笑骂不避亲疏。孟英察脉弦滑而数。予犀
羚元参丹皮丹参栀子菖蒲竹叶鳖甲竹沥吞当归龙荟丸。息风阳以涤痰热。果数剂而安。然平
时喜服补药。或有眩晕。不知为风痰内动。益疑为元气大虚。孟英尝谏阻之。而彼不能从。
至次年季春因伤感而狂证陡发。毁器登高。更甚于昔。孟英视之。苔黑大渴。予前方加真珠
牛黄。服之苔色转黄。弦滑之脉略减。而狂莫可制。改以石膏朱砂铁落菖蒲青黛知母胆星鳖
甲金铃旋复元参竹沥为大剂。送礞石滚痰丸。四服而平。继而香港脚大发。腹痛便秘。上冲于
心。肢冷汗出。昏运欲厥。予连楝栀茹小麦百合旋贝元胡乌药雪羹石英鼠矢黄柏藕等药而安
。（脘痛发厥二句。本系血去阴伤。风阳陡动。细而弦滑。为阴虚肝热煽痰。口苦便涩。病
邪在气。旋复包先三钱。生赭石一两六钱。杵先煎八钟。羚次尖先煎五钱。姜竹茹三钱。炒
枳实一钱半。川贝杵八钱。西薤白打次入一钱半。姜蒌仁研四钱。生蛤壳杵先五钱。风阳炽
盛之时。遽予苦寒。病情反形格拒。惟先以旋赭羚蛤息风镇逆。先引药势下行。然后再投川
楝苦寒。脉细则阴中之阳亦虚。故用苁蓉。且非补其阴中之阳。则苦寒泻热之品。不能交济
以有成。元胡亦咸苦泻肝药中所必资以反佐。鼠矢咸寒。针治便涩。楝核杵先四钱。元胡索
一钱半。淡苁蓉一钱半。鼠矢三钱。脉弦滑而数。文义注重数字。病情为风阳煽痰。兼挟阴
虚。犀羚鳖甲元参竹沥息风救液治其本。余药及龙荟丸泻肝清热治其标。镑犀角四钱。羚
次尖四钱。同先煎八钟。元参片泡煎去渣一两。粉丹皮二钱。紫丹参三钱。黑栀皮三钱。石
菖蒲次入二钱。鲜竹叶二钱。血鳖甲杵先四两。姜竹沥两大酒杯冲。药送龙荟丸三钱。前方
加舌 药送真珠粉一分。西牛黄二厘。改以生石膏先煎一两六钱。整朱砂先煎一两六钱。飞
铁落包先四钱。飞青黛一钱。酒炒知母三钱。陈胆星炖和服一钱。血鳖甲杵先二两。楝核杵
先四钱。旋复包先三钱。元参片泡冲去渣八钱。姜竹沥两大酒杯冲。药送礞石滚痰丸四钱。
腹痛便秘四句。为风阳炽逆。酒炒川连一钱。楝核杵先三钱。黑栀皮三钱。姜竹茹三钱。北
(Continued) Believing this, treatment was delayed until midsummer. The patient's physique had become emaciated, and suddenly edema appeared. There were stabbing pains in the hypochondrium and back, rebellious Qi causing insomnia, a burning sensation in the heart like fire, irritability, and aversion to heat. Stools were loose at times, and food was vomited immediately after swallowing. All physicians were at a loss, so they earnestly requested Mengying to treat the case. The pulse was wiry, soft, and rapid. I prescribed herbs such as Zhu Ru (Bamboo Shavings), Huang Lian (Coptis Rhizome), Pi Ye (Loquat Leaf), Zhi Mu (Anemarrhena Rhizome), Zhi Zi (Gardenia Fruit), Chuan Lian Zi (Sichuan Chinaberry Seed), Xuan Fu Hua (Inula Flower), and Dai Zhe Shi (Hematite). Vomiting ceased. Although dietary intake improved, other symptoms persisted. I administered a large dose of Sha Shen (Glehnia Root), Sheng Di Huang (Rehmannia Root), Gui Ban (Tortoise Shell), Bie Jia (Softshell Turtle Shell), Nu Zhen Zi (Ligustrum Fruit), Han Lian Cao (Eclipta Herb), Sang Ye (Mulberry Leaf), Dan Pi (Moutan Cortex), Yin Hua (Chrysanthemum Flower), Mao Gen (Imperata Rhizome), Zhu Ru, Bei Mu (Fritillaria Bulb), Zhi Mu, Bai (Phellodendron Bark), Pi Ye, Ju Hua (Chrysanthemum Flower), etc., adjusting the formula according to the syndrome. After taking two or thirty doses, scabies-like eruptions appeared all over the body, and the edema gradually subsided. Viscous purulent fluid discharged from the right ear, and diarrhea stopped. This indicates that the latent heat in the various meridians was able to be vented. I continued to have her take this medicine for a long time, and she recovered by autumn. (This disease originated from Liver Yang invading the Stomach; warming tonification caused Liver Wind to blaze. From "emaciated physique" to the eighth sentence, internal wind has moved. Jiang Zhu Ru [Ginger-processed Bamboo Shavings] 3 qian, Jiang Chuan Lian [Ginger-processed Coptis] 1 qian, Jiang Zhi Mu [Ginger-processed Anemarrhena] 3 qian, Jiang Zhi Pi [Ginger-processed Gardenia Peel] 3 qian. Chuan Lian He [Sichuan Chinaberry Nut] pounded first, 2 qian; Xuan Fu Hua [Inula Flower] wrapped and decocted first, 3 qian; Sheng Zhe Shi [Raw Hematite] pounded first, 1 liang 6 qian; Jiang Pi Ye [Ginger-processed Loquat Leaf] brushed and wrapped, 3 qian. Continued prescription: Da Sheng Di [Large Raw Rehmannia] soaked and decocted, dregs removed, 8 qian; Xue Bie Jia [Blood Softshell Turtle Shell] pounded and simmered first, 4 liang; Nu Zhen [Ligustrum] pounded first, 5 qian; Han Lian Cao [Eclipta Herb] 4 qian; Ji Yin Hua [Ji Chrysanthemum Flower] 1 liang 5 qian; Jiang Zhu Ru [Ginger-processed Bamboo Shavings] 3 qian; Chuan Bei [Fritillaria] pounded, 8 qian; Jiu Chao Zhi Mu [Wine-fried Anemarrhena] 4 qian. Subsequently, remove Zhu Ru and Zhi Mu, add Xue Gui Ban [Blood Tortoise Shell] 2 liang, pounded and decocted first with it; Jiang Pi Ye [Ginger-processed Loquat Leaf] brushed and wrapped, 3 qian; Jiu Chao Chuan Huang Bo [Wine-fried Phellodendron Bark] 3 qian. Change prescription again: remove Pi Ye and Han Lian Cao, add Jiu Chao Mao Gen [Wine-fried Imperata Rhizome] 5 qian. Change prescription again: remove Bei Mu [Fritillaria], add Dong Sang Ye [Winter Mulberry Leaf] 4 qian. Change prescription again: remove Sang Ye, add Hang Bai Ju [Hangzhou White Chrysanthemum] 3 qian; Jiu Chao Dan Pi [Wine-fried Moutan Cortex] added subsequently, 2 qian.)
A Buddhist nun was obese and walked with difficulty. She occasionally suffered from vertigo and palpitations. Physicians considered it a deficiency and she took warming tonics for a long time, gradually developing edema and loss of appetite. In midsummer, Mengying examined her. The pulse was very wiry and slippery, and the tongue was glossy and crimson. He advocated clearing phlegm-heat and removing all tonics. She did not believe him and continued to take Ba Wei Wan (Eight-Ingredient Pill) and other formulas. By late summer, she invited Mengying to examine her again. The pulse was rapid, beating seven times per breath. Sleep and eating were completely abandoned; the condition was incurable. (Formula for clearing phlegm-heat: Jiu Chao Zhi Mu [Wine-fried Anemarrhena] 4 qian, Jiu Chao Chuan Lian [Wine-fried Coptis] 1 qian, Sheng Dong Gua Zi [Raw Winter Melon Seed] 8 qian, Jiang Zhu Li [Ginger-infused Bamboo Juice] 4 liang mixed in, Ji Yin Hua [Ji Chrysanthemum Flower] 1 liang 5 qian, Xian Zhu Ye [Fresh Bamboo Leaf] 2 qian, Shi Hu [Dendrobium Stem] decocted first, 1 liang, Chen Dan Xing [Aged Pinellia with Betel Nut] stewed and taken together, 1 qian, Lou Ren [Trichosanthes Seed] ground, 4 qian, Jiang Zhu Ru [Ginger-processed Bamboo Shavings] 3 qian, Bi Qi [Water Chestnut] crushed and juice mixed in, 2 liang. This syndrome of edema and anorexia is due to hidden movement of Liver Wind.)
Jin Yexian was ill. His daughter-in-law suffered from thigh pain. Firm adherence to ineffective treatments led to extreme grief. Consequently, fever developed. Hu treated it with Taiyang disease remedies, resulting in confusion, spontaneous sweating, fright, and aversion to cold. Switching to tonics caused rebellious Qi and inability to ingest water or food. Mengying examined her and diagnosed injury from the Seven Emotions, where phlegm, driven by fire, blocked the hollow spiritual organs (Heart orifices). He prescribed Sha Shen (Glehnia Root), Yuan Shen (Scrophularia Root), Dan Shen (Salvia Root), Dan Pi (Moutan Cortex), Fu Ling (Poria), Mai Dong (Ophiopogon Tuber), Lian Qiao (Forsythia Fruit), Zhu Ru (Bamboo Shavings), Zhu Ye (Bamboo Leaf), Lian Xin (Lotus Plumule), Xiao Mai (Wheat), plus Chuan Bei Mu (Fritillaria Bulb) 1 liang. After several doses, she recovered. (Bei Sha Shen [Northern Glehnia] 8 qian, Yuan Shen Pian [Scrophularia Slices] soaked and decocted, dregs removed, 1 liang, Dan Shen [Salvia] 3 qian, Fen Dan Pi [Powdered Moutan] 2 qian, Yun Ling [Poria] 3 qian, Hua Mai Dong [Flowered Ophiopogon] 4 qian, Lian Qiao Ke [Forsythia Husk] 3 qian, Jiang Zhu Ru [Ginger-processed Bamboo Shavings] 3 qian, Xian Zhu Ye [Fresh Bamboo Leaf] 2 qian, Lian Zi Xin [Lotus Plumule] 1 qian, Bei Xiao Mai [Northern Wheat] 4 qian, Chuan Bei Mu [Fritillaria] pounded, 1 liang.)
Li Zi contracted a pathogenic invasion in early autumn. The physician, hearing of loose stools, stopped treatment (or mismanaged it), leading to red eyes, delirium, a crimson tongue with yellow coating, scanty painful urination, frequent vomiting, and inability to swallow even a grain of rice. Mengying first used Xi Jiao (Rhinoceros Horn), Shi Gao (Gypsum), Zhu Ye (Bamboo Leaf), Zhu Ru (Bamboo Shavings), Pi Ye (Loquat Leaf), Mao Gen (Imperata Rhizome), Zhi Mu (Anemarrhena Rhizome), Hua Fen (Trichosanthes Root), and Zhi Zi (Gardenia Fruit) to clear heat. Vomiting stopped, consciousness cleared, and heat gradually subsided. Then, Cheng Qi Tang (Descending the Surge Decoction) was modified. Three administrations of black dry feces were passed, the yellow coating receded, and porridge could be consumed. Because the Right Guan and Chi pulses were slow, choppy, yet forceful, he knew there were dry feces. He continued with sweet-cool regulating herbs, and she recovered. (The pathology of this case involves the movement of internal wind. Xi Jiao, Shi Gao, Zhi Mu, and Hua Fen extinguish wind and rescue fluids. Once wind subsides, Qi descends. Bang Xi Jiao [Sliced Rhinoceros Horn] decocted first, 4 qian; Sheng Shi Gao [Raw Gypsum] 1 liang 6 qian; Xian Zhu Ye [Fresh Bamboo Leaf] 2 qian; Jiang Zhu Ru [Ginger-processed Bamboo Shavings] 3 qian; Jiang Pi Ye [Ginger-processed Loquat Leaf] brushed and wrapped, 3 qian; Xian Mao Gen [Fresh Imperata Rhizome] 5 qian; Jiu Chao Zhi Mu [Wine-fried Anemarrhena] 4 qian; Nan Hua Fen [Southern Trichosanthes Root] 5 qian; Jiang Zhi Pi [Ginger-processed Gardenia Peel] 3 qian. Modified Cheng Qi Tang: Jiu Chao Zhi Mu [Wine-fried Anemarrhena] 4 qian, Xian Lu Gen [Fresh Reed Rhizome] 2 liang, Sheng Dong Gua Zi [Raw Winter Melon Seed] 8 qian, Wan Can Sha [Silkworm Feces] 5 qian, Si Gua Luo [Luffa Fiber] 3 qian, Shi Chang Pu [Acorus Rhizome] added subsequently, 2 qian, Sheng Tou Cao [Costus Root] 3 qian, Zhi Ban Xia [Prepared Pinellia] 1 qian, Sheng Xiang Huang [Raw Rhubarb] 4 qian, soaked in boiling water, decocted, dregs removed.)
Madam Zhu initially had red eyes. After medication, this progressed to facial swelling, high fever, and coma. Physicians were helpless. Mengying palpated a surging, solid, slippery, and rapid pulse; the tongue was crimson with intense thirst, and the abdomen was slightly distended. He used Jiu Xi Da Huang [Wine-washed Rhubarb], Xi Jiao (Rhinoceros Horn), Yuan Shen (Scrophularia Root), Hua Shi (Talc), Gan Cao (Licorice Root), Zhi Mu (Anemarrhena Rhizome), Hua Fen (Trichosanthes Root), Yin Hua (Chrysanthemum Flower), Huang Qin (Scutellaria Root), Lian Qiao (Forsythia Fruit), Bo He (Mint), Ju Hua (Chrysanthemum Flower), and Dan Pi (Moutan Cortex). Two purgative doses resulted in immediate recovery. (Surging, solid, slippery, and rapid pulse indicates Excess Heat with Yin Deficiency. Jiu Xi Da Huang [Wine-washed Rhubarb] decocted first, 4 qian; Bang Xi Jiao [Sliced Rhinoceros Horn] decocted first, 4 qian; Yuan Shen Pian [Scrophularia Slices] soaked and decocted, dregs removed, 1 liang; Xi Hua Shi [Western Talc] decocted first, 5 qian; Sheng Fen Cao [Raw Licorice] 1.5 qian; Jiu Chao Zhi Mu [Wine-fried Anemarrhena] 3 qian; Nan Hua Fen [Southern Trichosanthes Root] 5 qian; Ji Yin Hua [Ji Chrysanthemum Flower] decocted first, 1 liang 5 qian; Jiu Chao Ku Qin [Wine-fried Scutellaria] 1.5 qian; Lian Qiao Ke [Forsythia Husk] 3 qian; Bo He Jian [Mint Tip] 0.4 fen; Hang Ju Hua [Hangzhou Chrysanthemum] 3 qian; Dan Pi [Moutan Cortex] 2 qian. Xi Jiao, Yuan Shen, Zhi Mu, and Yin Hua extinguish wind and rescue fluids.)
"Tou Tu Shou Dan" (Longevity Pill) was sold in the capital. Mengying stated that treating all diseases with one formula is not a valid method. Moreover, using Mung Bean Soup as a guide suggests the presence of heat-toxic substances within. Wang Xueshan had long suffered from coldness in the lower body. After taking less than a hundred pills, he developed toothache, red eyes, and numerous ailments. Mengying observed a wiry and slippery pulse and prescribed multiple doses of Shi Gao (Gypsum) medicines, combined with frequent administration of Dang Gui Long Hui Wan (Angelica Dahurica and Gentian Pill). The new ailments healed, and his legs gradually warmed. He was instructed to frequently drink Persimmon Cake Soup to prevent future illnesses. (Sheng Shi Gao [Raw Gypsum] decocted first, 1 liang 6 qian; Jiu Chao Zhi Mu [Wine-fried Anemarrhena] 4 qian; Sheng Lv Dou [Raw Mung Bean] 2 liang; Sheng Fen Cao [Raw Licorice] 1.5 qian; Ji Yin Hua [Ji Chrysanthemum Flower] 1 liang 5 qian; Wan Can Sha [Silkworm Feces] 5 qian; Liang Tou Jian [Two-headed Sharp Root] 3 qian; Sheng Tou Cao [Costus Root] 3 qian; Chuan Lian He [Sichuan Chinaberry Nut] pounded and decocted first, 3 qian; Medicine delivered with Long Hui Wan [Gentian Pill] 3 qian; Xuan Fu Hua [Inula Flower] wrapped and decocted first, 3 qian; Sheng Zhe Shi [Raw Hematite] pounded and decocted first, 1 liang 6 qian.)
Guang Kongyu's son contracted intermittent malaria in mid-autumn. Chills were few, heat was abundant. Face and eyes were very yellow, coating was greasy, thirst was intense, abdomen was distended, urine was red, but he could still eat. He had a habitual preference for rich and sweet foods and could not restrain himself. Mengying palpated a slippery, solid, and rapid pulse. He prescribed Cheng Qi Tang (Descending the Surge Decoction) modified with Zhi Mu (Anemarrhena Rhizome), Huang Qin (Scutellaria Root), Ban Xia (Pinellia Tuber), Bei Mu (Fritillaria Bulb), Lian Qiao (Forsythia Fruit), Chuan Lian (Coptis Rhizome), Hua Shi (Talc), Shi Gao (Gypsum), Da Fu Pi (Areca Peel), and Hua Fen (Trichosanthes Root) for over twenty doses before recovery. This is the treatment for rich diet complicated by summer-heat damp-heat. (The pathology is in the Qi level. Slippery, solid, and rapid pulse indicates Phlegm-Heat with Yin Deficiency. Hua Fen generates fluids and protects Yin; the rest are excess-draining herbs. Jiu Xi Sheng Xiang Huang [Wine-washed Raw Rhubarb] 4 qian; Jiu Chao Zhi Mu [Wine-fried Anemarrhena] 3 qian; Jiu Chao Ku Qin [Wine-fried Scutellaria] 1.5 qian; Zhi Ban Xia [Prepared Pinellia] 2 qian; Chuan Bei [Fritillaria] pounded, 5 qian; Lian Qiao Ke [Forsythia Husk] 3 qian; Xi Hua Shi [Western Talc] decocted first, 5 qian; Jiu Chao Chuan Lian [Wine-fried Coptis] 1 qian; Sheng Shi Gao [Raw Gypsum] decocted first, 1 liang 2 qian; Da Fu Pi [Areca Peel] wine-washed and added subsequently, 1.5 qian; Nan Hua Fen [Southern Trichosanthes Root] 5 qian.)
Wang Shoushi had a constitution of Yin deficiency. Upon hearing a sudden frightening noise, he experienced rebellious Qi, cold limbs, spontaneous sweating, and faint breathing. Mengying observed greenish color on his body and face. The pulse was deep, wiry, and thin. It was determined that chronic worry had caused sudden movement of Wind-Yang. He prescribed Mu Li (Oyster Shell) 4 liang, Bie Jia (Softshell Turtle Shell) 2 liang, Ge Qiao (Clam Shell) 1 liang, Shi Ying (Quartz) 5 qian, along with Long Chi (Dragon Tooth), Xiao Mai (Wheat), Chen Sha (Cinnabar), Mai Dong (Ophiopogon Tuber), Fu Shen (Poria with Hostwood), Bei Mu (Fritillaria Bulb), and Zhu Ru (Bamboo Shavings). One dose showed improvement, two doses resolved the acute symptoms, and subsequent nourishing herbs completed the cure. (Long Chi [Dragon Tooth] pounded and decocted first, 1 liang; Bei Xiao Mai [Northern Wheat] 4 qian; Zheng Chen Sha [Whole Cinnabar] pounded and decocted first, 1 liang 2 qian; Hua Mai Dong [Flowered Ophiopogon] 4 qian; Yun Fu Shen [Poria with Hostwood] 3 qian; Chuan Bei [Fritillaria] pounded, 5 qian; Jiang Zhu Ru [Ginger-processed Bamboo Shavings] 3 qian.)
Chen Shubo's younger brother, not yet adult, suffered from aphonia and sore throat. Mengying prescribed large doses of clearing and肃ifying herbs such as Xi Jiao (Rhinoceros Horn), Ling Yang Jiao (Antelope Horn), Shi Gao (Gypsum), Yuan Shen (Scrophularia Root), Shan Dou Gen (Sophora Root), Niu Bang Zi (Arctium Seed), and She Gan (Belamcanda Rhizome). Voice returned, but the throat became ulcerated. Xi Lei San (Tin Type Powder) was blown into the throat. After ulcers healed, rashes covered the body, and the left eye and behind the ear swelled. Fresh Ju Ye (Chrysanthemum Leaf) 2 liang was added to the formula. Rashes healed, but phlegm-cough persisted. The previous method was maintained, and after thirty-plus doses, he recovered. This case had a slippery and rapid pulse, intense thirst, and no medication errors throughout, hence the cure. His half-mother simultaneously suffered from throat ulceration, left-sided headache, palpitations, nausea, high fever, irritability, and a wiry, thin, rapid pulse. Mengying said this involved Yin deficiency and Wind movement. Initially, Xi Jiao, Ling Yang Jiao, Yuan Shen, Ju Hua (Chrysanthemum Flower), Dan Shen (Salvia Root), Zhi Zi (Gardenia Fruit), Sang Ye (Mulberry Leaf), and Ma Bo (Wood Ear Fungus) were used, with Xi Lei San applied externally. Throat healed, fever subsided. Subsequently, Er Zhi Wan (Two Solstice Pill), Dong/E Mai Dong (Winter/Summer Ophiopogon), Sheng Di Huang (Rehmannia Root), Shi Ying (Quartz), Rong Rong (Cistanche), Gui Ban (Tortoise Shell), and Fu Ling (Poria) were used to nourish Yin and subdue Yang, leading to recovery. His sister also suffered from throat rash. Menstruation was occurring. Limbs were sore and painful, difficult to move. Qi felt blocked in the throat. Mengying palpated a wiry and slippery pulse and prescribed Xi Jiao, Ling Yang Jiao, Xuan Fu Hua (Inula Flower), Dai Zhe Shi (Hematite), Zhu Ru (Bamboo Shavings), Bei Mu (Fritillaria Bulb), Ma Dou Ling (Aristolochia Fruit), Niu Bang Zi (Arctium Seed), She Gan (Belamcanda Rhizome), Dou Gen (Sophora Root), Hua Fen (Trichosanthes Root), Yin Hua (Chrysanthemum Flower), Hai [Floating Stone], Zhu Li (Bamboo Juice), and Si Gua Luo (Luffa Fiber), adjusted according to syndrome, combined with external application of Xi Lei San, resulting in recovery. (Analyzing the formula indicates Liver Wind attacking the Lung causing aphonia. Bang Xi Jiao [Sliced Rhinoceros Horn] 4 qian, Ling Yang Ci Jian [Antelope Horn Tip] 4 qian, decocted together first, 4 qian; Sheng Shi Gao [Raw Gypsum] decocted first, 1 liang 2 qian; Yuan Shen Pian [Scrophularia Slices] soaked and mixed, dregs removed, 1 liang; Jiu Chao Shan Dou Gen [Wine-fried Sophora Root] 2 qian; Jiang Chao Niu Bang Zi [Ginger-fried Arctius Seed] ground, 3 qian; Jiang She Gan [Ginger-processed Belamcanda] 3 qian. Subsequently added Xian Ju Ye [Fresh Chrysanthemum Leaf] crushed and mixed, 2 liang. Half-mother's Yin Deficiency Wind Movement Formula: Bang Xi Jiao [Sliced Rhinoceros Horn] 4 qian, Ling Yang Ci Jian [Antelope Horn Tip] 4 qian, simmered together first, 4 qian; Yuan Shen Pian [Scrophularia Slices] soaked and decocted, dregs removed, 1 liang; Hang Bai Ju [Hangzhou White Chrysanthemum] 3 qian; Zi Dan Shen [Purple Salvia] 3 qian; Hei Zhi Pi [Black Gardenia Peel] 3 qian; Dong Sang Ye [Winter Mulberry Leaf] 4 qian; Ma Bo [Wood Ear Fungus] 1.5 qian. Continued Prescription: Nu Zhen [Ligustrum] pounded, 5 qian; Han Lian Cao [Eclipta Herb] 4 qian; Ming Tian Dong [Clear Summer Ophiopogon] cut, 6 qian; Hua Mai Dong [Flowered Ophiopogon] 4 qian; Zi Shi Ying [Purple Quartz] pounded and decocted first, 3 qian; Dan Rong Rong [Pale Cistanche] 1.5 qian; Xue Gui Ban [Blood Tortoise Shell] pounded and simmered first, 4 liang; Yun Ling [Poria] 3 qian. Sister's Throat Rash, Wind Moving Phlegm Rebelliously Upward: Bang Xi Jiao [Sliced Rhinoceros Horn] 4 qian, Ling Yang Ci Jian [Antelope Horn Tip] 4 qian, decocted together first; Xuan Fu Hua [Inula Flower] wrapped and decocted first, 3 qian; Sheng Zhe Shi [Raw Hematite] pounded and decocted first, 1 liang 6 qian; Jiang Zhu Ru [Ginger-processed Bamboo Shavings] 3 qian; Chuan Bei [Fritillaria] pounded, 4 qian; Ma Dou Ling [Aristolochia Fruit] 3 qian; Jiang She Gan [Ginger-processed Belamcanda] 2 qian; Jiu Chao Dou Gen [Wine-fried Sophora Root] 1 qian; Nan Hua Fen [Southern Trichosanthes Root] 4 qian. After four doses, remove Xi Jiao, Ling Yang Jiao, Xuan Fu Hua, Dai Zhe Shi; add Ji Yin Hua [Ji Chrysanthemum Flower] 1 liang 5 qian; Dan Hai [Sea Floating Stone] decocted first, 2 liang; Si Gua Luo [Luffa Fiber] 3 qian.)
Wu Erchun suffered from dysentery in late August with abnormal abdominal pain. Mengying examined him. He was emaciated with a rapid, wiry pulse. Thirsty, hoarse voice, scanty urination. This indicated extreme deficiency of the Yin level, blazing Liver Yang, and latent summer-heat causing dysentery. The treatment method differs significantly from cold dysentery and must be distinguished from other cases of summer-heat dysentery. He prescribed Bai Tou Weng Tang (Pulsatilla Decoction) modified with Zhi Mu (Anemarrhena Rhizome), Hua Fen (Trichosanthes Root), Yin Hua (Chrysanthemum Flower), Dan Pi (Moutan Cortex), Jin Ling Zi (Sichuan Chinaberry), Yan Hu Suo (Corydalis Rhizome), Sha Shen (Glehnia Root), Qin (Scutellaria Root), and Lian (Coptis Rhizome). The next day, dysentery decreased, voice returned, but right abdominal pain and distension were tender to pressure. Dong Gua Zi (Winter Melon Seed), Wu Yao (Lindera Root), and Shu Shi (Mouse Droppings) were added for three doses, resolving the distension. Dysentery also healed. Only in the evening did fire rise, face redden, and sweat occur. Heavy use of shell-type minerals to subdue Yang led to recovery. (Heavy use of bitter-cold herbs drains summer-heat, leaving Liver Yang without support. Hua Fen, Yin Hua, Dan Pi, and Sha Shen slightly protect Yin. Jiu Chao Bai Tou Weng [Wine-fried Pulsatilla] 1.5 qian; Jiu Chao Zhi Mu [Wine-fried Anemarrhena] 3 qian; Chuan Lian He [Sichuan Chinaberry Nut] pounded and decocted first, 2 qian; Jiu Chao Ku Qin [Wine-fried Scutellaria] 1.5 qian; Jiu Chao Chuan Lian [Wine-fried Coptis] 1 qian; Nan Hua Fen [Southern Trichosanthes Root] 5 qian; Ji Yin Hua [Ji Chrysanthemum Flower] 1 liang 5 qian; Jiu Chao Fen Dan Pi [Wine-fried Powdered Moutan] 2 qian; Yuan Hu Suo [Corydalis] added subsequently, 1.5 qian; Bei Sha Shen [Northern Glehnia] 8 qian. Added Sheng Dong Gua Zi [Raw Winter Melon Seed] 4 qian, Tai Wu Yao [Tai Lindera] added subsequently, 1.5 qian, Liang Tou Jian [Two-headed Sharp Root] 3 qian. Evening fire rising, red face, sweating: Remove Hua Fen, Sha Shen, Qin, Lian, Dong Gua Zi, Dan Pi. Add Duan Mu Li [Calcined Oyster Shell] pounded, 4 liang; Xue Gui Ban [Blood Tortoise Shell] pounded, 2 liang; Sheng Ge Qiao [Raw Clam Shell] pounded, 1 liang, simmered together first, 4 qian.)
Yang suffered from a pathogenic invasion for ten days. Initially, loose stools occurred. Physicians gave warming dispersants. Diarrhea stopped, but heat remained. He lay quietly day and night, refusing food. Mengying palpated a slow pulse, very faint upon superficial touch. Eye discharge, glossy red tongue, no thirst, normal urination, no chest/abdominal discomfort, lazy speech, low voice, quickly falling asleep. This indicated latent summer-dampness inside and dry feces in the Stomach, obstructing the mechanism. First, two doses of Qing Ying Tong Wei (Clearing Nutrient Level and Unblocking Stomach) herbs were given. Heat subsided, tongue turned pale, but pulse and symptoms remained unchanged. Jiu Xi Da Huang [Wine-washed Rhubarb] and Sheng Tou Cao [Costus Root] were added. Many hard black dry feces were passed, sleep decreased, and porridge was consumed. Subsequent cool-moistening herbs led to recovery in ten days. (The nine sentences regarding the slow pulse describe the state of latent summer-dampness and dry feces in the Stomach. Latent summer-dampness forming dry feces in the Stomach obstructs Qi mechanism, causing evil heat to float upward, hence slow pulse, faint superficial touch, eye discharge, glossy red tongue. Disease is not in the Lung, hence no thirst, normal urination, no chest/abdominal discomfort. Heart and Stomach positions are close. Dry feces in Stomach steaming the Heart cause spirit/mind to fail to express freely, hence lazy speech, low voice, quick sleep. Clearing Nutrient Level and Unblocking Stomach Formula: Ji Yin Hua [Ji Chrysanthemum Flower] 1 liang 5 qian, Xian Mao Gen [Fresh Imperata Rhizome] 5 qian, Xian Zhu Ru [Fresh Bamboo Shavings] 3 qian, Si Gua Luo [Luffa Fiber] 3 qian, Hei Zhi Pi [Black Gardenia Peel] 3 qian, Ku Xing Ren [Bitter Apricot Kernel] 1.5 qian, Chao Zhi Shi [Stir-fried Immature Bitter Orange] 1 qian, Chuan Bei [Fritillaria] pounded, 5 qian, Sheng Shen Qu [Raw Medicated Leaven] pounded, 2 qian. Subsequently added Jiu Xi Sheng Xiang Huang [Wine-washed Raw Rhubarb] 4 qian, Sheng Tou Cao [Costus Root] 3 qian. Cool-Moistening Formula: Xian Zhu Ye [Fresh Bamboo Leaf] 2 qian, Xian Pi Ye [Fresh Loquat Leaf] brushed and wrapped, 3 qian, Xian Lu Gen [Fresh Reed Rhizome] 2 liang, Ji Yin Hua [Ji Chrysanthemum Flower] 1 liang, Chuan Bei [Fritillaria] pounded, 5 qian, Lou Ren [Trichosanthes Seed] ground, 4 qian, Yun Ling [Poria] 1.5 qian, Nan Hua Fen [Southern Trichosanthes Root] 5 qian, Zheng Bi Qi [Whole Water Chestnut] crushed, 2 liang, Zhi Ban Xia [Prepared Pinellia] 1.5 qian.)
Chen Chunhu's son had a weak constitution. In late autumn, he suffered from abdominal pain, spontaneous sweating, cold limbs, and faint breathing. Everyone thought it was primal deficiency about to collapse. Mengying examined him. Although the pulse was deep, hidden, and hard to find, the coating was yellow and greasy, mouth was dry, urine was red. Treatment should follow the symptoms. He prescribed Lian Po (Coptis and Magnolia), Lian (Chinaberry), Zhi (Gardenia), Yuan Hu (Corydalis), Can Sha (Silkworm Feces), and Sheng Tou Cao (Costus Root), leading to health. Mengying also examined Madam Qian who suffered from unbearable abdominal pain. Her pulse was wiry and slippery. Dang Gui Long Hui Wan (Angelica Dahurica and Gentian Pill) was prescribed, bringing relief. (Chen's Son Formula: Jiu Chao Chuan Lian [Wine-fried Coptis] 1 qian, Chuan Lian He [Sichuan Chinaberry Nut] pounded and decocted first, 4 qian, Zhi Hou Po [Prepared Magnolia Bark] added subsequently, 1 qian, Hei Zhi Pi [Black Gardenia Peel] 3 qian, Yuan Hu Suo [Corydalis] added subsequently, 1.5 qian, Wan Can Sha [Silkworm Feces] 5 qian, Sheng Tou Cao [Costus Root] added subsequently, 3 qian. Madam Qian's wiry and slippery pulse indicates Liver Heat stirring Phlegm attacking the Stomach.)
Madam Zhu suffered from painful, scanty urination. Physicians gave diuretics, which instead caused fever, headache, anorexia, thirst, and insomnia. Mengying palpated a fine, rapid pulse. This was Yin deficiency with Liver stagnation, transforming into heat and generating wind, with fluids scorched. How could further diuresis be tolerated? He prescribed Bai Wei (Anemarrhena-related herb), Zhi Zi (Gardenia Fruit), Jin Ling Zi (Sichuan Chinaberry), Zhi Mu (Anemarrhena Rhizome), Hua Fen (Trichosanthes Root), Zi Wan (Aster Root), Mai Dong (Ophiopogon Tuber), Shi Hu (Dendrobium Stem), and Ju Hua (Chrysanthemum Flower). She recovered immediately. His niece, pregnant and suffering from dysentery, was given warming, drying, astringent herbs by physicians. Severe abdominal pain ensued, followed by generalized yellowing of the skin and loss of appetite. Mengying diagnosed summer-dampness. He prescribed Qin Lian (Scutellaria and Coptis), Yin Hua (Chrysanthemum Flower), Mao Gen (Imperata Rhizome), Sang Ye (Mulberry Leaf), Zhi (Gardenia), Lian (Chinaberry), Zhu Ye (Bamboo Leaf), Yin Chen (Artemisia Capillaris), and Dong Gua Pi (Winter Melon Peel). She recovered. (Painful scanty urination indicates Yin deficiency with heat. Diuretics further injure Yin. Liver heat causing fever, headache, anorexia, and insomnia indicates blazing and rebellious Liver Wind. Thirst is due to Liver Yang scorching the Lung. Xiang Bai Wei [Fragrant Anemarrhena-related Herb] 3 qian, Hei Zhi Pi [Black Gardenia Peel] 3 qian, Chuan Lian He [Sichuan Chinaberry Nut] pounded and decocted first, 4 qian, Jiu Chao Zhi Mu [Wine-fried Anemarrhena] 3 qian, Nan Hua Fen [Southern Trichosanthes Root] 5 qian, Zi Wan Rong [Aster Fluff] 1.5 qian, Hua Mai Dong [Flowered Ophiopogon] 8 qian, Shi Hu [Dendrobium Stem] decocted first, 1 liang, Hang Bai Ju [Hangzhou White Chrysanthemum] 4 qian. Heat dysentery should be treated with cooling purgation. Warming/drying/astringent methods cause summer-dampness to steam onto the skin (jaundice) and block Lung/Stomach (anorexia). Pathogens are in the Qi level. Jiu Chao Ku Qin [Wine-fried Scutellaria] 1.5 qian, Jiu Chao Chuan Lian [Wine-fried Coptis] 0.8 fen, Ji Yin Hua [Ji Chrysanthemum Flower] 8 qian, Jiu Ban Mao Gen [Wine-mixed Imperata Rhizome] 5 qian, Dong Sang Ye [Winter Mulberry Leaf] 3 qian, Hei Zhi Pi [Black Gardenia Peel] 3 qian, Xian Zhu Ye [Fresh Bamboo Leaf] 2 qian, Jiu Chao Xi Yin Chen [Wine-fried Western Artemisia] 1 qian, Dong Gua Pi [Winter Melon Peel] 4 qian.)
Wu's daughter-in-law missed her period, then suffered metrorrhagia. Epigastric pain and syncope ensued, with spontaneous sweating and cold limbs. Mengying palpated a fine, wiry, and slippery pulse. Bitter taste in mouth, difficult urination. This was a constitution prone to phlegm, with Wind-Yang stirring internally. Although post-hemorrhage, the disease was not in the Blood level. He prescribed Xuan Fu Hua (Inula Flower), Dai Zhe Shi (Hematite), Ling Yang Jiao (Antelope Horn), Zhu Ru (Bamboo Shavings), Zhi Shi (Immature Bitter Orange), Bei Mu (Fritillaria Bulb), Xie Bai (Macrostemon Bulb), Lou (Trichosanthes Fruit), and Ge Qiao (Clam Shell). Pain gradually subsided, syncope stopped. Jin Ling Zi (Sichuan Chinaberry), Yan Hu Suo (Corydalis Rhizome), Rong Rong (Cistanche), and Shu Shi (Mouse Droppings) were added, leading to recovery. In late winter, sudden fright triggered mania, laughing and cursing without recognizing relatives. Mengying palpated a wiry, slippery, rapid pulse. Xi Jiao (Rhinoceros Horn), Ling Yang Jiao (Antelope Horn), Yuan Shen (Scrophularia Root), Dan Pi (Moutan Cortex), Dan Shen (Salvia Root), Zhi Zi (Gardenia Fruit), Chang Pu (Acorus Rhizome), Zhu Ye (Bamboo Leaf), Bie Jia (Softshell Turtle Shell), and Zhu Li (Bamboo Juice) were prescribed, along with Dang Gui Long Hui Wan (Angelica Dahurica and Gentian Pill) swallowed. This extinguished Wind-Yang and washed away Phlegm-Heat. Peace was restored after several doses. However, she habitually liked taking tonics. When dizzy, she did not know it was Wind-Phlegm moving internally and suspected severe primal Qi deficiency. Mengying advised against this, but she did not listen. In spring of the following year, emotional distress triggered sudden mania, worse than before: destroying objects, climbing heights. Mengying observed a black coating and intense thirst. True Pearl (Zhen Zhu) and Niu Huang (Calculus Bovis) were added to the previous formula. Coating turned yellow, pulse slightly reduced, but mania remained uncontrollable. Formula changed to Shi Gao (Gypsum), Zhu Sha (Cinnabar), Tie Luo (Iron Filings), Chang Pu (Acorus Rhizome), Qing Dai (Indigo Naturalis), Zhi Mu (Anemarrhena Rhizome), Dan Xing (Betel-processed Pinellia), Bie Jia (Softshell Turtle Shell), Jin Ling Zi (Sichuan Chinaberry), Xuan Fu Hua (Inula Flower), Yuan Shen (Scrophularia Root), and Zhu Li (Bamboo Juice) in large doses, delivered with Meng Shi Gun Tan Wan (Malachite Rolling Phlegm Pill). Four doses brought peace. Subsequently, gout flared severely. Abdominal pain, constipation, Qi rushing to the Heart, cold limbs, sweating, dizziness, impending syncope. Lian Lian (Coptis and Chinaberry), Zhi (Gardenia), Zhu (Bamboo Shavings), Xiao Mai (Wheat), Bai He (Lily Bulb), Xuan Bei (Inula and Fritillaria), Yuan Hu (Corydalis), Wu Yao (Lindera Root), Xue Geng (Snow Broth - Winter Melon and Water Chestnut), Shi Ying (Quartz), Shu Shi (Mouse Droppings), Huang Bo (Phellodendron Bark), and Ou (Lotus Root) were prescribed, bringing relief. (Epigastric pain and syncope: blood loss injuring Yin, sudden Wind-Yang movement. Fine, wiry, slippery pulse indicates Yin deficiency, Liver heat stirring phlegm. Bitter taste, difficult urination indicate pathogens in Qi level. Xuan Fu Hua [Inula Flower] wrapped and decocted first, 3 qian; Sheng Zhe Shi [Raw Hematite] 1 liang 6 qian, pounded and decocted first, 4 qian; Ling Yang Ci Jian [Antelope Horn Tip] decocted first, 5 qian; Jiang Zhu Ru [Ginger-processed Bamboo Shavings] 3 qian; Chao Zhi Shi [Stir-fried Immature Bitter Orange] 1.5 qian; Chuan Bei [Fritillaria] pounded, 8 qian; Xi Xie Bai [Western Macrostemon] crushed and added subsequently, 1.5 qian; Jiang Lou Ren [Ginger-processed Trichosanthes Seed] ground, 4 qian; Sheng Ge Qiao [Raw Clam Shell] pounded and decocted first, 5 qian. During blazing Wind-Yang, sudden use of bitter-cold causes rejection. First use Xuan Fu Hua, Dai Zhe Shi, Ling Yang Jiao, Ge Qiao to extinguish wind and suppress rebellion, guiding medicine downward, then administer Chuan Lian Zi (bitter-cold). Fine pulse indicates deficiency of Yang within Yin, hence use Rong Rong. Without tonifying Yang within Yin, bitter-cold heat-draining herbs cannot achieve balance. Yan Hu Suo is necessary in bitter-salt Liver-draining herbs as a counter-agent. Shu Shi is salty-cold, acupuncture treats difficult urination. Chuan Lian He [Sichuan Chinaberry Nut] pounded and decocted first, 4 qian; Yuan Hu Suo [Corydalis] 1.5 qian; Dan Rong Rong [Pale Cistanche] 1.5 qian; Shu Shi [Mouse Droppings] 3 qian. Wiry, slippery, rapid pulse emphasizes numbers. Pathology: Wind-Yang stirring phlegm with Yin deficiency. Xi Jiao, Ling Yang Jiao, Bie Jia, Yuan Shen, Zhu Li extinguish wind and rescue fluids (root); remaining herbs and Long Hui Wan drain Liver and clear heat (branch). Bang Xi Jiao [Sliced Rhinoceros Horn] 4 qian, Ling Yang Ci Jian [Antelope Horn Tip] 4 qian, decocted together first, 4 qian; Yuan Shen Pian [Scrophularia Slices] soaked and decocted, dregs removed, 1 liang; Fen Dan Pi [Powdered Moutan] 2 qian; Zi Dan Shen [Purple Salvia] 3 qian; Hei Zhi Pi [Black Gardenia Peel] 3 qian; Shi Chang Pu [Acorus Rhizome] added subsequently, 2 qian; Xian Zhu Ye [Fresh Bamboo Leaf] 2 qian; Xue Bie Jia [Blood Softshell Turtle Shell] pounded and decocted first, 4 liang; Jiang Zhu Li [Ginger-infused Bamboo Juice] two large wine cups mixed in, medicine delivered with Long Hui Wan [Gentian Pill] 3 qian. Previous formula added for black coating: send Zhen Zhu Fen [Pearl Powder] 1 fen, Xi Niu Huang [Western Calculus Bovis] 2 li. Changed to: Sheng Shi Gao [Raw Gypsum] decocted first, 1 liang 6 qian; Zheng Zhu Sha [Whole Cinnabar] decocted first, 1 liang 6 qian; Fei Tie Luo [Flying Iron Filings] wrapped and decocted first, 4 qian; Fei Qing Dai [Flying Indigo Naturalis] 1 qian; Jiu Chao Zhi Mu [Wine-fried Anemarrhena] 3 qian; Chen Dan Xing [Aged Pinellia] stewed and taken together, 1 qian; Xue Bie Jia [Blood Softshell Turtle Shell] pounded and decocted first, 2 liang; Chuan Lian He [Sichuan Chinaberry Nut] pounded and decocted first, 4 qian; Xuan Fu Hua [Inula Flower] wrapped and decocted first, 3 qian; Yuan Shen Pian [Scrophularia Slices] soaked and mixed, dregs removed, 8 qian; Jiang Zhu Li [Ginger-infused Bamboo Juice] two large wine cups mixed in, medicine delivered with Meng Shi Gun Tan Wan [Malachite Rolling Phlegm Pill] 4 qian. Abdominal pain and constipation: blazing and rebellious Wind-Yang. Jiu Chao Chuan Lian [Wine-fried Coptis] 1 qian, Chuan Lian He [Sichuan Chinaberry Nut] pounded and decocted first, 3 qian, Hei Zhi Pi [Black Gardenia Peel] 3 qian, Jiang Zhu Ru [Ginger-processed Bamboo Shavings] 3 qian, Bei...)