小麦四钱。百合花三钱。旋复包先三钱。川贝杵八钱。台乌药一钱。元胡索一钱半。淡海
先煎二两。整荸荠一两。紫石英杵先五钱。鼠矢三钱。酒炒川黄柏一钱半。连皮藕切先二两
。此病计共四正方。第一方主清痰热。第二方主息风阳。第三方主清痰热。第四方主息风阳
。相似而实不同。)
徐妇怀妊患痢。医投温补。胸腹痛极。昏厥咽糜。水饮碍下。孟英诊之。脉洪数。舌绛燥。
亟吹锡类散。灌以犀角元参海 茹贝栀菀知斛豆根射干银花楝实诸药。胎下已朽。咽腹之疾
随愈。续用甘凉清热存津调之。（病情为热实阴虚。肝风逆上。胸腹痛极三句。风阳逆干肺
胃。
方义注重息风。镑犀角先煎四钱。元参片泡煎去渣一两。淡海 先煎二两。姜竹茹三钱。川
贝母杵四钱。黑栀皮三钱。紫菀茸一钱半。酒炒知母三钱。石斛先煎一两。酒炒山豆根一钱
。姜射干三钱。济银花一两五钱。楝核杵先二钱。)
许培之祖母。年逾七旬。久患淋漏。屡发风斑。孟英持其脉弦而滑。舌绛口干。每以犀角
生地二至芩蒿白薇元参龟板海螵之类息其暴。甘露饮增损调其常。人皆疑药过凉。孟英曰∶
量体裁衣。病属阳旺。气血有余。察其脉色。治当如是。病者乃云∶十余年前。偶患崩而广
服温补。遂成此恙。始知先天阳气虽充。亦由药酿为病。秋杪患寒热如疟。善怒不眠。苦渴
易饥。不能纳食。孟英察脉弦数倍常。予清肺蠲痰柔肝充液之法。渐以向安。今冬某诊。询
知病原。作高年脱营论。以血脱益气裁方。初服三四剂。饮食骤增。已而血漏甚多。眠食欲
废。复延孟英视之。仍主前议。果得渐康。（久患淋漏二句。为血亏风动。脉弦而滑。为风
阳煽痰。舌绛口干。为阴虚热炽。镑犀角四钱。先煎八钟。大生地泡煎去渣八钱。女贞杵五
钱。旱莲草四钱。酒炒枯芩三钱。鲜青蒿一钱半。香白薇三钱。血龟板杵先四两。元参片泡
煎去渣一两。醋炙海螵蛸杵先四钱。清肺蠲痰柔肝充液方。善怒不眠三句。病情为风阳贼肺
。方义主息风阳。大生地八钱。元参片一两。二味泡煎去渣。济银花一两五钱。石斛先煎一
两。生石膏先煎一两六钱。大豆卷三钱。淡海 先煎二两。荸荠一两。旋复包先三钱。生赭
石杵先二两。豆卷针治寒热如疟。)
王妇年五十余。初患左目赤。渐至发热。医投温散。便泄而厥。进以补剂。少腹宿瘕攻痛。
势极危殆。孟英诊之。脉甚弦 。舌绛而渴。予苁蓉橘核当归元胡龟板石英螵蛸茯苓栀楝萸
连数服而安。（此病肝风内动故厥。肝风一动。则周身之气逆上。故少腹宿瘕攻痛。脉弦为
阴虚肝热。脉 为阴中之阳虚。重用龟板石英以潜镇。血龟板杵四两。紫石英杵五钱。醋炙
海螵蛸杵四钱。三味先煨八钟。淡苁蓉三钱。橘核杵次入一钱。箱归身二钱。元胡索一钱半
。云苓三钱。黑栀皮三钱。楝核杵先三钱。淡吴萸六分。酒炒川连八分。)
何女孟冬分娩。次日便泻一次。即发热痉厥。谵语昏狂。孟英审之。脉弦滑。恶露仍行。曰
此胎前伏暑。乘新产血虚痰滞而发也。予大剂犀羚元参竹叶知母花粉栀楝银花投之。遍身得
赤疹而痉止神清。随以清肃调之而愈。（胎前伏暑。乘新产血虚痰滞而煽发风阳。镑犀角四
钱。羚次尖四钱。楝核杵三钱同先煎八钟。元参片泡冲去渣八钱。鲜竹叶二钱。酒炒知母三
钱。南花粉五钱。酒炒栀皮三钱。济银花一两五钱。方义主息风阳以涤痰热。)
胡女年甫笄往岁患眩晕。孟英切其脉滑。作痰治。服一二剂未愈。更医谓虚。进以补药颇效
。渠信为实。然今冬复病。径服补药。半月后眠食皆废。闻声惊惕。寒颤自汗。肢冷如冰。
以为久虚欲脱。乞援孟英。脉极细数。目赤便秘。胸下痞塞如 。力辨其非虚证。盖痰饮为
患乍补每若相安。具只眼者始不为病所欺也。投以旋赭茹贝蛤壳花粉桑栀蒌薤连枳等药数服
即安。而运不能止。乃去赭薤蒌枳加元参菊花二至三甲之。类服匝月始能起榻。（此证阴虚
痰实。脉滑废食。皆为痰实。脉极细数。为阴虚挟热。便秘胸痞皆胃实。目赤为痰郁生火。
温补助热酿痰。蠲痰即以涤热。旋复包先三钱。生赭石杵先一两二钱。姜竹茹三钱。川贝杵
四钱。生蛤壳杵先五钱。姜花粉四钱。冬桑叶二钱。姜栀皮三钱。姜蒌皮三钱。西薤白打一
钱半。姜川连八分。炒枳实一钱半。嗣去赭薤蒌枳。加元参片八钱。杭白菊二钱。女贞杵五
钱。旱莲草四钱。 牡蛎杵四两。血鳖甲杵二两。血龟板杵一两。)
汪妇自孟秋患痢之后。大解溏泄未愈。已而怀娠。恐其堕也。投补不辍。延至仲冬。两目赤
障满遮。气逆碍眠。脘痛拒按。痰嗽不食。苦渴无溺。孟英诊之。脉甚滑数。曰此温补所酿
之疾也。夫秋间滞下。原属暑湿热为病。既失清解。逗留而为溏泄。受孕以来。业经四月。
虑其堕而补益峻。将肺胃下行之令皆挽以逆升。是以胸次堵塞而痛。喘嗽不能卧。又恐其上
喘下泄而脱也。补之愈力。治节尽废。溲闭不饥。浊气壅至清窍。两目之所以蒙障而瞽也。
予沙参蛤壳枇杷叶冬瓜子海石旋复苏子杏仁黄连枳实海 黄芩栀子。重加贝母。服二剂即知
饥下榻。目能睹物矣。（温补酿痰。兼灼阴液。故蠲痰方中参用沙参海 。盖阴不复。热痰
亦不化。北沙参八钱。生蛤壳海浮石各五钱同先煎。姜枇叶刷包三钱。生冬瓜子四钱。旋复
包先三钱。生苏子研二钱。姜川连八分。炒枳实一钱半。淡海 先煎二两。姜枯芩一钱半。
姜栀皮一钱半。川贝杵八钱。)
黄履吉患痛吐。孟英已为治愈。仲冬复发。他医药之。已七日不进谷矣。二便秘涩。形肉遽
消。再托孟英诊之。予旋赭茹苓萸连柿蒂楝实延胡等药。一剂知。三剂愈。（此病为肝阳侮
胃。肺失肃降。脾亦不健。旋复包先三钱。生赭石杵先二两。姜竹茹三钱。云苓三钱。淡吴
萸六分。姜川连一钱。干柿蒂 十个。楝核杵先三钱。元胡索一钱半。)
许仲筠患腹痛不饥。医予参附姜术诸药。疼胀日加。水饮不沾。沉沉如寐。孟英诊脉弦细。
苔色黄腻。投以枳朴萸连栀楝香附蒺藜延胡等药。二剂便行脉起。苔退知饥而愈。（脉弦为
肝热。脉细为阴虚中兼挟阳虚。炒枳实一钱半。制浓朴一钱。淡吴萸六分。姜栀皮三钱。姜
川连一钱。楝核杵先三钱。生香附八分。生白蒺三钱。元胡索一钱半。)
毕室患痰嗽碍眠。医予补摄而至涕泪全无。目闭不饥。二便涩滞。干嗽无痰。气逆自汗。孟
英
切脉右寸沉滑。左手细数而弦。乃高年阴亏。温邪在肺未经清化。率为补药所锢。宜开其痹
而通其胃。予蒌薤紫菀兜铃杏贝冬瓜子甘桔旋茹之剂而安。（肺肾为子母之脏。肺脏邪去气
行。自能荫庇肝肾。虽阴亏无须滋补。治法宜清通肺胃。脉沉滑。故参用桔薤以开提。姜蒌
仁研四钱。西薤白打一钱半。紫菀茸一钱半。马兜铃三钱。苦杏泥二钱。川贝杵五钱。生冬
瓜子四钱。生粉草一钱。苦桔梗一钱半。旋复包先三钱。姜竹茹三钱。)
赖母年近古稀。患左半不遂。医予再造九暨补剂。服二旬病如故。孟英按脉弦缓而滑。颧赤
苔黄。音微舌謇。便涩无痰。曰此痰中也。伏而未化。予犀羚茹贝菖夏花粉知母白薇豆卷桑
枝丝瓜络等药。服三剂而苔化音渐清朗。六七剂腿知痛。痰渐吐。便亦通。既而腿痛难忍。
其热如烙。孟英令涂葱蜜以吸其热。痛果渐止。半月后眠食渐安。二旬外手能握。月余可扶
掖以行矣。（颧赤苔黄三句。为肝风内动。气机失其升降。方义以息肝风调升降为主要。镑
犀角四钱。羚次尖四钱。同先煎八钟。姜竹茹三钱。川贝杵五钱。石菖蒲次入一钱。制半夏
一钱半。南花粉四钱。香白薇三钱。大豆卷一钱半。姜汁炒桑枝三钱。丝瓜络三钱。)
胡子右颧偶发紫斑一块。时当季冬。孟英予犀角石膏凉解之药。二三帖后始发热。斑渐透。
犀角服二十帖始撤。素有目疾。余热复从目发。令以石膏药久服。居然渐愈。且能食肌充。
略无他患。（病情为肝风贼肺。镑犀角四钱。生石膏一两六钱。石斛一两。三味同先煨八钟
。冬桑叶四钱。杭白菊三钱。冬瓜皮四钱。济银花一两五钱。酒炒知母四钱。姜竹茹三钱。
姜半夏二钱。西薤白一钱半。姜栀皮三钱。淡豆豉三钱。酒炒丹皮二钱。)
赵春山向患痰嗽。自仲秋以来。屡发寒热。吴古年从伏暑化疟治。颇为应手。而一旬半月之
后。病必复至。延至季冬。孟英按脉滑数。舌绛苔黄。渴饮溲赤。动则喘逆。夜不成眠。痰
多畏冷。膏粱酿痰。温补助热。是为病根。迨夏吸暑邪。互相 。秋半而发。势颇类疟。
古年虽识其证。惜手段小耳。因予羚羊豆豉连翘薄荷知母花粉竹茹贝母旋复海 元参栀子省
头草梨汁等药。服五剂。热退不畏冷。去前四味。加沙参麦冬葳蕤枇杷叶。渐能安寐。各恙
降序。再加生地。服匝月而体健胜昔。登高不喘。（羚次尖五钱。先煨八钟。炒豆豉三钱。
连翘壳三钱。薄荷尖一钱半。酒炒知母四钱。南花粉四钱。姜竹茹三钱。川贝杵五钱。旋复
包先三钱。淡海 先煎二两。元参片泡冲。去渣八钱。姜栀皮三钱。省头草三钱。整北梨一
两打汁冲。嗣去前四味。加元沙参八钱。花麦冬四钱。肥玉竹三钱。鲜枇叶刷包三钱。)
Wheat (Triticum aestivum) 4 qian. Lily flower (Lilium brownii f. viridulum) 3 qian. Inula flower (Inula japonica) wrapped and decocted first, 3 qian. Fritillaria bulb (Fritillaria cirrhosa) pounded, 8 qian. Taowu (Aucklandiae Radix) 1 qian. Corydalis rhizome (Corydalis yanhusuo) 1.5 qian. Cuttlebone (Sepiae Endoconcha) decocted first, 2 liang. Water chestnut with skin (Eleocharis tuberosa) 1 liang. Pyrite (Hematitum) pounded and decocted first, 5 qian. Rat droppings (Mus sibiricus faeces) 3 qian. Coptis rhizome (Coptidis Rhizoma) stir-fried with wine, 1.5 qian. Lotus root with skin (Nelumbinis Rhizoma) sliced and decocted first, 2 liang. This illness involves a total of four main prescriptions. The first prescription mainly clears phlegm-heat. The second prescription mainly pacifies wind-yang. The third prescription mainly clears phlegm-heat. The fourth prescription mainly pacifies wind-yang. (They appear similar but are substantially different.)
Ms. Xu suffered from dysentery during pregnancy. The physician administered warming and tonifying herbs, resulting in severe chest and abdominal pain, syncope, and throat ulceration. Swallowing water or food was obstructed. Mengying diagnosed the pulse as surging and rapid, and the tongue as crimson and dry. He urgently applied Xile San to the throat and administered a decoction containing Rhinoceros horn (Rhinocerotis Cornu), Scrophularia root (Scrophulariae Radix), Sea sponge (Spongilla), Bamboo shavings (Bambusae Caulis in Succo), Fritillaria bulb (Fritillariae Cirrhosae Bulbus), Gardenia fruit (Gardeniae Fructus), Aster root (Asteris Radix), Anemarrhena rhizome (Anemarrhenae Rhizoma), Dendrobium stem (Dendrobii Caulis), Sophora root (Sophorae Flavescentis Radix), Belamcanda rhizome (Belamcandae Rhizoma), Honeysuckle flower (Lonicerae Japonicae Flos), and Melia fruit (Meliae Fructus). After the fetus was expelled, already decayed, the throat and abdominal ailments healed subsequently. Continuation treatment used sweet-cool herbs to clear heat and preserve fluids. (The condition is excess-heat with yin deficiency, with liver wind counterflowing upward. The severe chest and abdominal pain indicates wind-yang counterflow invading lung and stomach. The prescription focuses on pacifying wind-yang. Pounded rhinoceros horn decocted first, 4 qian; Scrophularia slices soaked and decocted, dregs removed, 1 liang; Sea sponge decocted first, 2 liang; Ginger-processed bamboo shavings, 3 qian; Fritillaria bulb pounded, 4 qian; Black gardenia peel, 3 qian; Aster fluff, 1.5 qian; Anemarrhena rhizome stir-fried with wine, 3 qian; Dendrobium stem decocted first, 1 liang; Sophora root stir-fried with wine, 1 qian; Ginger-processed belamcanda rhizome, 3 qian; Jizhou honeysuckle flower, 1.5 liang; Melia nut pounded and decocted first, 2 qian.)
Grandmother of Xu Peizhi, over seventy years old, had long suffered from strangury and leukorrhea, and frequently developed wind-spots. Mengying palpated her pulse as wiry and slippery, tongue crimson and mouth dry. He often used Rhinoceros horn (Rhinocerotis Cornu), Rehmannia root (Rehmanniae Radix), Erzhi Wan (Ligustri Lucidi Fructus and Ecliptae Herba), Scutellaria root (Scutellariae Radix), Artemisia annua herb (Artemisiae Annuae Herba), Vitex root (Viticis Negundo Radix), Scrophularia root (Scrophulariae Radix), Turtle plastron (Testudinis Carapax et Plastrum), and Cuttlebone (Sepiae Endoconcha) to quell acute manifestations. He modified Ganlu Yin to regulate chronic conditions. People suspected the medicine was too cooling. Mengying said, "Tailor the clothes to the body. The patient has vigorous yang and abundant qi and blood. Observing the pulse and complexion, treatment must be so." The patient then stated, "More than ten years ago, I accidentally suffered from metrorrhagia and widely took warming tonics, thus forming this ailment." It was then understood that although congenital yang qi was sufficient, it was酿 (brewed/induced) into disease by medication. At the end of autumn, she suffered chills and fever resembling malaria, irritability, insomnia, extreme thirst, easy hunger, and inability to eat. Mengying palpated the pulse as significantly wiry and rapid, and prescribed methods to clear the lungs, dispel phlegm, soften the liver, and replenish fluids. Gradually, she improved. In winter, upon inquiry about the origin, he discussed it as "Tuoying" (Loss of Essence) in the elderly. He formulated based on "tonifying qi for blood loss." After three or four doses, appetite increased sharply. Soon after, bleeding was heavy, sleep and appetite ceased. Mengying was consulted again and maintained the previous opinion. She gradually recovered. (Long-term strangury and leukorrhea indicate blood deficiency causing wind movement. Wiry and slippery pulse indicates wind-yang stirring phlegm. Crimson tongue and dry mouth indicate yin deficiency with blazing heat. Pounded rhinoceros horn 4 qian, decocted first in 8 zhong; Large Rehmannia root soaked and decocted, dregs removed, 8 qian; Ligustrum lucidum fruit pounded, 5 qian; Eclipta herb, 4 qian; Scutellaria root stir-fried until charred, 3 qian; Fresh Artemisia annua herb, 1.5 qian; Fragrant Vitex root, 3 qian; Blood turtle plastron pounded and decocted first, 4 liang; Scrophularia slices soaked and decocted, dregs removed, 1 liang; Vinegar-processed cuttlebone pounded and decocted first, 4 qian. Clearing lung, dispelling phlegm, softening liver, replenishing fluids formula. Irritability, insomnia, etc., indicate wind-yang harming the lung. Prescription focus is pacifying wind-yang. Large Rehmannia root 8 qian, Scrophularia slices 1 liang, both soaked and decocted, dregs removed; Jizhou honeysuckle flower 1.5 liang; Dendrobium stem decocted first, 1 liang; Raw gypsum decocted first, 1.6 liang; Soybean sprouts, 3 qian; Sea sponge decocted first, 2 liang; Water chestnut, 1 liang; Inula flower wrapped and decocted first, 3 qian; Oyster shell pounded and decocted first, 2 liang; Soybean sprouts treat chills and fever like malaria.)
Mrs. Wang, over fifty, initially suffered from redness in the left eye, which gradually progressed to fever. The physician administered warming and dispersing herbs, leading to diarrhea and cold extremities. Subsequent administration of tonics caused the old mass in the lower abdomen to attack and hurt. The situation was critical. Mengying palpated the pulse as very wiry and choppy, tongue crimson and thirsty. He prescribed Cistanche stem (Cistanches Stem), Tangerine seed (Citri Reticulatae Semen), Angelica root (Angelicae Sinensis Radix), Corydalis rhizome (Corydalisis Rhizoma), Turtle plastron (Testudinis Carapax et Plastrum), Pyrite (Hematitum), Cuttlebone (Sepiae Endoconcha), Poria sclerotium (Poria), Gardenia fruit (Gardeniae Fructus), Melia fruit (Meliae Fructus), Evodia fruit (Evodiae Fructus), and Coptis rhizome (Coptidis Rhizoma). After several doses, she stabilized. (This illness involves internal movement of liver wind causing syncope. When liver wind moves, qi of the whole body counterflows upward, causing the old lower abdominal mass to attack and hurt. Wiry pulse indicates yin deficiency and liver heat; choppy pulse indicates deficiency of yang within yin. Heavy use of turtle plastron and pyrite to subdue and anchor. Blood turtle plastron pounded, 4 liang; Pyrite pounded, 5 qian; Vinegar-processed cuttlebone pounded, 4 qian; these three simmered first in 8 zhong; Dried Cistanche stem, 3 qian; Tangerine seed pounded and added later, 1 qian; Box-body Dongquiang, 2 qian; Corydalis rhizome, 1.5 qian; Yunling (Poria), 3 qian; Black gardenia peel, 3 qian; Melia nut pounded and decocted first, 3 qian; Light Evodia fruit, 6 fen; Wine-processed Coptis rhizome, 8 fen.)
Ms. He delivered in early winter. The next day, she had one loose stool, followed immediately by fever, spasms, syncope, delirium, and madness. Mengying examined her: pulse wiry and slippery, lochia still flowing. He said this was latent summer-heat before delivery, triggered by postpartum blood deficiency and phlegm stagnation. He administered a large dose of Rhinoceros horn (Rhinocerotis Cornu), Antelope horn (Saiga Tataricae Cornu), Scrophularia root (Scrophulariae Radix), Bamboo leaf (Bambusae Folium), Anemarrhena rhizome (Anemarrhenae Rhizoma), Trichosanthes root (Trichosanthis Radix), Gardenia fruit (Gardeniae Fructus), Melia fruit (Meliae Fructus), and Honeysuckle flower (Lonicerae Japonicae Flos). Red rashes appeared all over the body, spasms stopped, and consciousness cleared. She was then regulated with clearing and purifying methods and recovered. (Latent summer-heat before delivery, triggered by postpartum blood deficiency and phlegm stagnation, stirred up wind-yang. Pounded rhinoceros horn 4 qian; Antelope horn tip 4 qian; Melia nut pounded 3 qian, all decocted first in 8 zhong; Scrophularia slices soaked and poured, dregs removed, 8 qian; Fresh bamboo leaves, 2 qian; Anemarrhena rhizome stir-fried with wine, 3 qian; Nanhuafen (Trichosanthes root), 5 qian; Gardenia peel stir-fried with wine, 3 qian; Jizhou honeysuckle flower, 1.5 liang. Prescription focus is pacifying wind-yang to cleanse phlegm-heat.)
Ms. Hu, just coming of age, suffered from vertigo in previous years. Mengying palpated a slippery pulse and treated it as phlegm. One or two doses did not cure it. Another doctor claimed it was deficiency and administered tonics with good effect. She believed it was an excess condition. However, in winter this year, the illness recurred. She directly took tonics. Half a month later, sleep and appetite were lost. She was startled by sounds, shivered, sweated spontaneously, and limbs were cold as ice. It was thought to be long-standing deficiency about to collapse. She begged Mengying for help. Pulse extremely fine and rapid, eyes red, constipation, chest below blocked as if obstructed. He firmly refuted it as not a deficiency syndrome. Phlegm-fluids pathology, when suddenly tonified, may seem comfortable. Only those with insight are not deceived by the disease. He administered Inula flower (Inulae Flos), Oyster shell (Conchae Ostreae), Bamboo shavings (Bambusae Caulis in Succo), Fritillaria bulb (Fritillariae Cirrhosae Bulbus), Clam shell (Conchae Arcae), Trichosanthes root (Trichosanthis Radix), Mulberry leaf (Mori Folium), Gardenia fruit (Gardeniae Fructus), Trichosanthes peel (Trichosanthis Pericarpium), Allium macrostemon bulb (Allii Macrostemonis Bulbus), Coptis rhizome (Coptidis Rhizoma), and Immature bitter orange (Aurantii Fructus Immaturus). After several doses, she stabilized. Vertigo persisted, so he removed Oyster shell, Allium macrostemon, Trichosanthes peel, and Immature bitter orange, adding Scrophularia root (Scrophulariae Radix), Chrysanthemum flower (Chrysanthemi Flos), Erzhi Wan (Ligustri Lucidi Fructus and Ecliptae Herba), and Sanjia (Oyster shell, Turtle plastron, Soft-shelled turtle carapace). Continuous服用 for a month allowed her to get out of bed. (This syndrome is yin deficiency with phlegm excess. Slippery pulse and loss of appetite indicate phlegm excess. Extremely fine and rapid pulse indicates yin deficiency with heat. Constipation and chest fullness indicate stomach excess. Red eyes indicate fire generated by phlegm stagnation. Warming tonics add heat and brew phlegm. Dispelling phlegm cleanses heat. Inula flower wrapped and decocted first, 3 qian; Raw oyster shell pounded and decocted first, 1.2 liang; Ginger-processed bamboo shavings, 3 qian; Fritillaria bulb pounded, 4 qian; Raw clam shell pounded and decocted first, 5 qian; Ginger-processed Trichosanthes root, 4 qian; Winter mulberry leaves, 2 qian; Ginger-processed gardenia peel, 3 qian; Ginger-processed Trichosanthes peel, 3 qian; Western Allium macrostemon pounded, 1.5 qian; Ginger-processed Coptis rhizome, 8 fen; Stir-fried immature bitter orange, 1.5 qian. Later removed oyster shell, Allium macrostemon, Trichosanthes peel, immature bitter orange; added Scrophularia slices 8 qian, Hangbaiju (Chrysanthemum) 2 qian, Ligustrum lucidum fruit pounded 5 qian, Eclipta herb 4 qian, Raw oyster shell pounded 4 liang, Blood soft-shelled turtle carapace pounded 2 liang, Blood turtle plastron pounded 1 liang.)
Mrs. Wang, after suffering from dysentery in early autumn, had persistent loose stools. Then she became pregnant, fearing miscarriage. She continuously took tonics. By mid-winter, both eyes were red and obscured, qi counterflow disturbed sleep, epigastric pain refused pressure, phlegm-cough prevented eating, extreme thirst without urination. Mengying palpated a very slippery and rapid pulse. He said this was a disease brewed by warming tonics. The dysentery in autumn originally belonged to pathogenic factors of damp-heat from summer-heat. Since it was not cleared and resolved, it lingered as loose stools. Since conception, four months had passed. Fear of miscarriage led to harsh tonification, reversing the descending function of lung and stomach, causing chest blockage and pain, wheezing and coughing preventing lying down. Fearing upper wheezing and lower diarrhea leading to collapse, more tonification abolished regulatory mechanisms. Urinary obstruction and lack of appetite, turbid qi congested to clear orifices, causing blindness. He prescribed Glehnia root (Glehniae Radix), Clam shell (Conchae Arcae), Loquat leaf (Eriobotryae Folium), Winter melon seed (Benincasae Semen), Sea floating stone (Lithostroma), Inula flower (Inulae Flos), Perilla seed (Perillae Fructus), Apricot kernel (Armeniacae Semen Amarum), Coptis rhizome (Coptidis Rhizoma), Immature bitter orange (Aurantii Fructus Immaturus), Sea floating stone (Lithostroma), Scutellaria root (Scutellariae Radix), Gardenia fruit (Gardeniae Fructus), heavily adding Fritillaria bulb (Fritillariae Cirrhosae Bulbus). After two doses, she felt hungry, could get out of bed, and see. (Warming tonics brew phlegm and burn yin fluids, hence Glehnia root and Sea floating stone are used in the phlegm-dispelling formula. If yin is not restored, hot phlegm cannot transform. Beiglehnia root 8 qian; Raw clam shell and Sea floating stone each 5 qian, decocted first together; Ginger-processed loquat leaf brushed and wrapped, 3 qian; Raw winter melon seed, 4 qian; Inula flower wrapped and decocted first, 3 qian; Raw perilla seed ground, 2 qian; Ginger-processed Coptis rhizome, 8 fen; Stir-fried immature bitter orange, 1.5 qian; Light sea floating stone decocted first, 2 liang; Ginger-processed Scutellaria root, 1.5 qian; Ginger-processed gardenia peel, 1.5 qian; Fritillaria bulb pounded, 8 qian.)
Huang Lüjí suffered from vomiting and pain. Mengying had cured him. In mid-winter, it recurred. Other doctors treated him for seven days without grain intake. Bowels and bladder were obstructed, flesh wasted away rapidly. Mengying was consulted again. He prescribed Inula flower (Inulae Flos), Oyster shell (Conchae Ostreae), Bamboo shavings (Bambusae Caulis in Succo), Poria sclerotium (Poria), Evodia fruit (Evodiae Fructus), Coptis rhizome (Coptidis Rhizoma), Persimmon calyx (Kaki Calyx), Melia fruit (Meliae Fructus), and Corydalis rhizome (Corydalisis Rhizoma). One dose showed improvement, three doses cured. (This illness is liver yang insulting stomach, lung failing to descend, spleen also weak. Inula flower wrapped and decocted first, 3 qian; Raw oyster shell pounded and decocted first, 2 liang; Ginger-processed bamboo shavings, 3 qian; Yunling (Poria), 3 qian; Light evodia fruit, 6 fen; Ginger-processed Coptis rhizome, 1 qian; Dried persimmon calyx ten pieces; Melia nut pounded and decocted first, 3 qian; Corydalis rhizome, 1.5 qian.)
Xu Zhongyun suffered from abdominal pain and lack of appetite. Doctors gave Ginseng root (Ginseng Radix), Aconite root (Aconiti Lateralis Radix Preparata), Dried ginger (Zingiberis Rhizoma), and Atractylodes macrocephala rhizome (Atractylodis Macrocephalae Rhizoma). Pain and distension worsened daily, unable to take even water, lethargic. Mengying palpated wiry and fine pulse, yellow greasy coating. He administered Immature bitter orange (Aurantii Fructus Immaturus), Magnolia bark (Magnoliae Officinalis Cortex), Evodia fruit (Evodiae Fructus), Coptis rhizome (Coptidis Rhizoma), Gardenia fruit (Gardeniae Fructus), Melia fruit (Meliae Fructus), Cyperus rhizome (Cyperi Rhizoma), Tribulus fruit (Tribuli Fructus), and Corydalis rhizome (Corydalisis Rhizoma). Two doses brought bowel movement, pulse recovery, coating retreat, and return of appetite. (Wiry pulse indicates liver heat; fine pulse indicates yin deficiency with concurrent yang deficiency. Stir-fried immature bitter orange, 1.5 qian; Processed magnolia bark, 1 qian; Light evodia fruit, 6 fen; Ginger-processed gardenia peel, 3 qian; Ginger-processed Coptis rhizome, 1 qian; Melia nut pounded and decocted first, 3 qian; Raw cyperus rhizome, 8 fen; Raw tribulus fruit, 3 qian; Corydalis rhizome, 1.5 qian.)
Bi Shi suffered from phlegm-cough disturbing sleep. Doctors gave tonics and astringents until tears and mucus ceased. Eyes closed, unaware of hunger, bowels and bladder obstructed, dry cough without phlegm, qi counterflow with spontaneous sweating. Mengying palpated right cun pulse deep and slippery, left hand pulse fine, rapid, and wiry. It was elderly yin deficiency, warm pathogen in lung not cleared, imprisoned by tonics. Opening obstruction and unblocking stomach was appropriate. He prescribed Trichosanthes peel (Trichosanthis Pericarpium), Allium macrostemon bulb (Allii Macrostemonis Bulbus), Aster root (Asteris Radix), Aristolochia root (Aristolochiae Radix), Apricot kernel (Armeniacae Semen Amarum), Fritillaria bulb (Fritillariae Cirrhosae Bulbus), Winter melon seed (Benincasae Semen), Licorice root (Glycyrrhizae Radix), Platycodon root (Platycodi Radix), Inula flower (Inulae Flos), and Bamboo shavings (Bambusae Caulis in Succo). She stabilized. (Lung and kidney are mother and child organs. When pathogens leave lung and qi moves, it naturally nourishes liver and kidney. Although yin deficient, no need to tonify; treatment should clear and unblock lung and stomach. Deep slippery pulse, hence Platycodon and Allium macrostemon used to lift. Ginger-processed Trichosanthes seed ground, 4 qian; Western Allium macrostemon pounded, 1.5 qian; Aster fluff, 1.5 qian; Aristolochia root, 3 qian; Bitter apricot paste, 2 qian; Fritillaria bulb pounded, 5 qian; Raw winter melon seed, 4 qian; Raw licorice root, 1 qian; Bitter platycodon root, 1.5 qian; Inula flower wrapped and decocted first, 3 qian; Ginger-processed bamboo shavings, 3 qian.)
Mother of Lai, near seventy, suffered from hemiplegia. Doctors gave Zaizao Wan and tonics. Twenty days later, condition unchanged. Mengying palpated slow, wiry, and slippery pulse, red cheeks, yellow coating, weak voice, slurred speech, difficult defecation, no phlegm. He said this was "Tan Zhong" (Phlegm Stroke). Latent and not transformed. He prescribed Rhinoceros horn (Rhinocerotis Cornu), Antelope horn (Saiga Tataricae Cornu), Bamboo shavings (Bambusae Caulis in Succo), Fritillaria bulb (Fritillariae Cirrhosae Bulbus), Acorus rhizome (Acori Tatarinowii Rhizoma), Pinellia tuber (Pinelliae Rhizoma), Trichosanthes root (Trichosanthis Radix), Anemarrhena rhizome (Anemarrhenae Rhizoma), Vitex root (Viticis Negundo Radix), Soybean sprouts (Sojae Germinatus), Mulberry twig (Mori Ramulus), and Luffa network (Luffae Fructus Retinervus). Three doses melted coating, voice clarified. Six to seven doses leg pain returned, phlegm expectorated, bowels opened. Leg pain became unbearable, burning hot. Mengying ordered application of scallion and honey to draw out heat. Pain stopped. Sleep and appetite improved after half a month. Hand grasped after twenty days. Walking with support after a month. (Red cheeks, yellow coating, weak voice indicate internal liver wind movement. Qi mechanism loses ascending and descending. Prescription focus is pacifying liver wind and regulating ascending/descending. Pounded rhinoceros horn 4 qian; Antelope horn tip 4 qian, decocted first together in 8 zhong; Ginger-processed bamboo shavings, 3 qian; Fritillaria bulb pounded, 5 qian; Acorus rhizome added later, 1 qian; Processed pinellia tuber, 1.5 qian; Nanhuafen (Trichosanthes root), 4 qian; Fragrant vitex root, 3 qian; Soybean sprouts, 1.5 qian; Ginger-juice fried mulberry twig, 3 qian; Luffa network, 3 qian.)
Mr. Hu had a purple spot on the right cheek. It was late winter. Mengying gave Rhinoceros horn (Rhinocerotis Cornu) and Gypsum (Gypsum Fibrosum) for cooling resolution. After two or three doses, fever started, spots emerged. Rhinoceros horn taken for twenty doses before subsiding. Having chronic eye disease, residual heat re-emerged from eyes. Ordered long-term use of gypsum medicine. Gradually healed, ate well, gained flesh, no other issues. (Condition is liver wind harming lung. Pounded rhinoceros horn 4 qian; Raw gypsum 1.6 liang; Dendrobium stem 1 liang, these three simmered first in 8 zhong; Winter mulberry leaves 4 qian; Hangbaiju (Chrysanthemum) 3 qian; Winter melon peel 4 qian; Jizhou honeysuckle flower 1.5 liang; Anemarrhena rhizome stir-fried with wine 4 qian; Ginger-processed bamboo shavings 3 qian; Ginger-processed pinellia tuber 2 qian; Western Allium macrostemon 1.5 qian; Ginger-processed gardenia peel 3 qian; Light fermented soybean 3 qian; Wine-processed Moutan cortex 2 qian.)
Zhao Chunshan had chronic phlegm-cough. Since mid-autumn, frequent chills and fever. Wu Guyuan treated as latent summer-heat transforming into malaria, effective. But relapsed every ten to fifteen days. By late winter, Mengying palpated slippery and rapid pulse, crimson tongue, yellow coating, thirst with drinking, red urine, panting on movement, insomnia at night. Much phlegm, fear of cold. Rich food brewed phlegm, warming tonics added heat, this is the root. Summer absorbed summer-heat, interacting. Mid-autumn onset, resembling malaria. Guyuan recognized the syndrome but lacked skill. Mengying prescribed Antelope horn (Saiga Tataricae Cornu), Fermented soybean (Sojae Praeparatum), Forsythia fruit (Forsythiae Fructus), Mint herb (Menthae Haplocalycis Herba), Anemarrhena rhizome (Anemarrhenae Rhizoma), Trichosanthes root (Trichosanthis Radix), Bamboo shavings (Bambusae Caulis in Succo), Fritillaria bulb (Fritillariae Cirrhosae Bulbus), Inula flower (Inulae Flos), Sea floating stone (Lithostroma), Scrophularia root (Scrophulariae Radix), Gardenia fruit (Gardeniae Fructus), Prostrate knotweed herb (Polygoni Avicularis Herba), and Pear juice. Five doses reduced fever, no longer feared cold. Removed first four herbs, added Glehnia root (Glehniae Radix), Ophiopogon tuber (Ophiopogonis Tuber), Polygonatum rhizome (Polygonati Rhizoma), Loquat leaf (Eriobotryae Folium). Sleep improved. Symptoms subsided sequentially. Added Rehmannia root (Rehmanniae Radix). One month later, health surpassed past, climbing heights without panting. (Antelope horn tip 5 qian, simmered first in 8 zhong; Stir-fried fermented soybean 3 qian; Forsythia shell 3 qian; Mint tip 1.5 qian; Anemarrhena rhizome stir-fried with wine 4 qian; Nanhuafen (Trichosanthes root) 4 qian; Ginger-processed bamboo shavings 3 qian; Fritillaria bulb pounded 5 qian; Inula flower wrapped and decocted first 3 qian; Light sea floating stone decocted first 2 liang; Scrophularia slices soaked and poured, dregs removed 8 qian; Ginger-processed gardenia peel 3 qian; Prostrate knotweed herb 3 qian; Whole northern pear 1 liang, juice poured in. Later removed first four herbs; added Yuan Shashen (Glehnia root) 8 qian, Huamaidong (Ophiopogon) 4 qian, Feiyuzhu (Polygonatum) 3 qian; Fresh loquat leaf brushed and wrapped 3 qian.)