用西洋参知母花粉竹茹蛤壳石斛枇杷叶青蒿秦艽白薇银花海 为方。连投四剂。大吐胶痰而
各恙悉除。（温胆汤加减。制半夏一钱半。陈皮八分。云苓一钱半。炒枳实一钱半。姜竹茹
三钱。生石膏先煎八钱。酒炒枯芩一钱半。酒炒知母三钱。姜花粉四钱。整芦菔切一两。疟
复间作方。左弦劲而数。为肝热阴虚。右滑大不调。为痰实阴虚。蠲痰热即以息风阳。西洋
参三钱。酒炒知母四钱。南花粉四钱。姜竹茹三钱。生蛤壳杵先五钱。石斛先煎一两。姜枇
叶刷包三钱。鲜青蒿八分。左秦艽一钱半。白薇三钱。济银花一两五钱。淡海 先煎二两。
)
薛氏医案。每以补中益气汤与地黄丸并用为治。虽卢不远之贤亦或效尤。其实非用药之法也
。如果清阳下陷而当升举者。则地黄丸之阴凝滞腻。非所宜也。设属真阴不足当用滋填者。
则升柴之耗散。不可投也。自相矛盾。纪律毫无。然上下分治。原有矩 。屠敬思素属阴亏
。久患痰嗽。动则气逆。夜不能寐。频服滋潜。纳食渐减。稍沾浓味。呕腐吞酸。孟英视脉
。
左弦而微数。右则 滑兼弦。水常泛溢。土失提防。肝木过升。肺金少降。良由久投滋腻。
湿浊内蟠。无益于下焦。反碍乎中运。左强右弱。升降不调。以苁蓉黄柏当归芍药熟地丹皮
茯苓楝实砂仁研为末。藕粉为丸。早服温肾水以清肝。以党参白术枳实菖蒲半夏茯苓橘皮黄
连蒺藜生晒研末。竹沥为丸。午服培中土而消痰。暮吞威喜丸肃上源以化浊。三焦分治。各
恙皆安。悉用丸剂者。避汤药之助痰湿耳。（温肾水以清肝方。淡苁蓉一两五钱。炒川黄柏
一两五钱。箱归身一两。大熟地四两。白芍二两。丹皮一两五钱。云苓三两。楝核杵四两。
砂
仁末二钱。藕粉为丸。培中土以消痰方。潞党参三两。炒白术一两。炒枳实一两五钱。石菖
蒲二两。制半夏四两。云苓三两。橘皮一两。淡盐水微泡晒研姜川连二两。生白蒺三两。生
晒研末竹沥为丸。)
程某仲冬患感。医者闻其病前一日曾啖生芦菔一枚。而大便又溏。苔色又白。今年又为湿土
在泉。遂指为中虚寒湿之病。参术附桂多剂率投。驯致舌黑神昏。尚疑为大虚之候。张镜江
诊之曰∶冬温也。连予犀角地黄汤而无起色。二十日外。始乞孟英视焉。舌缩底绛。苔黑如
漆。口开茎萎。脉细数而弦。右则按之如无。阴液尽烁。温毒深蟠。甘露琼浆。不能复其已
竭之津矣。俄而果败。继有潘圣征于仲冬患感。至十四日退热之后。杳不知饥。群医杂治。
迨季冬下旬。转为滞下五色。腿肿裂血。溲涩口干。孟英诊之。左脉弦细而数。右弦滑而空
。苔色黄腻根焦。时或自汗。乃气液两竭。热毒逗留之象。必从前过服温补之药。否则热退
在十四日之期。何至延今五十余朝。而见证若是之棘手哉。询悉此番之病。补药不过二三剂
。惟仲秋患疟。时医谓其苔白体丰。云是寒湿。尝饵附桂数十剂。且日饮烧酒耳。孟英曰∶
此即酿病之具矣。治病且难。何况有如许之药毒内伏。更将何法以生之耶。坚不立方。其家
必欲。求药以期扶持度岁。孟英曰∶是则可也。以白头翁汤加银花绿豆归身白芍陈米芦根兰
叶藕为剂。而以补中益气大料蒸露代水煎药。服后焦苔渐退。粪色亦正。举家喜出望外。复
丐孟英图之。奈脉无转色。遂力辞之。又沈听松母季秋患疟。孟英尝往诊之。曰∶伏暑所化
。且体属阳强而多痰火。切勿畏虚。辄从温补。奈病者期于速愈。广征医疗。或以为证属三
阴。或谓子母疟。或指为老年胎疟。众楚皆咻。痛不能愈。延至季冬。亦转为痢。且肤肿臀
疮。口糜舌 。诸医束手。复请诊于孟英。脉与潘同。不可救药。（程某脉右按如无。为阴
脉。为气竭。医法阳证必投阴药。惟阳脉重按有力可治。右按如无。则阳证阴脉。不能承受
阴药。其何以治。潘圣征病左脉弦细而数为液竭。右弦滑而空为气竭。)
谢谱香体属久虚。初冬患嗽痰减食。施某视之。云是肾气不纳。命火无权。叠进肾气汤月余
。遂致呕恶便溏。不饥无溺。季冬孟英诊之。脉甚弦 。苔腻舌红。乃中虚而健运失职。误
投
滋腻。更泄枢机。附桂之刚。徒增肝横。予党参白术茯苓泽泻橘皮半夏竹茹栀子薏苡蒺藜兰
叶柿蒂之剂。培中泄木。行水蠲痰。旬日而愈。（弦为肝脉。弦 则为脾败肝旺。潞党参三
钱。炒白术三钱。云苓三钱。炒泽泻一钱半。制半夏三钱。橘皮一钱。姜竹茹三钱。黑栀皮
三钱。生苡仁杵四钱。生白蒺三钱。建兰叶三钱。干柿蒂十个。)
砧远出。妇病若狂。似属七情。而亦有不尽然者。陈氏妇患此月余。巫医屡易。所费既钜
。厥疾日增。孟英切其脉弦而数。能食便行。气每上冲。腹时痛胀。询其月事。云病起汛后
。继多白带。孟英曰∶病因如是。而昼则明了。夜多妄言。酷似热入血室之候。径从瘀血治
可也。予桃仁红花犀角菖蒲胆星旋复赭石丹参琥珀葱白之剂。两服而瘀血果行。神情爽慧。
继去桃仁红花。加当归元参数服而瘳。（能食便行。则病不在气。气每上冲。腹时痛胀。为
瘀停化热。煽动肝阳。白带为阴液不及化血而时下。生桃仁研一钱半。原红花六分。镑犀角
先煎八钟四钱。石菖蒲次入一钱。陈胆星炖和服一钱。旋复包先三钱。生赭石杵先八钱。紫
丹参三钱。西毛珀冲八分连须葱白二分。继去桃仁红花。加箱全归二钱。元参片泡煎去渣八
钱。)
范廉居患恙。旬日后剧。孟英视之。大解已行。热退未净。气逆不饥。呃忒自汗。脉形虚大
。舌紫无苔。为上焦热恋。下部阴亏之象。予西洋参旋复竹茹枇杷叶石斛柿蒂牡蛎龟板刀豆
牛膝之剂。两服即舌润知饥。呃汗皆罢。去刀豆旋复柿蒂。加熟地一两泡煎去渣。胡桃肉三
钱。当归身二钱。投之而愈。其室则苔腻口酸。耳鸣不寐。不饥神惫。脘痛头摇。脉至虚弦
。按之涩弱。以当归白芍枸杞木瓜楝实半夏石斛茯神竹茹兰叶白豆蔻为养营调气和胃柔肝之
法。数啜而瘳。渠女则壮热殿屎。二便皆 。苔黄大渴。胀 难堪。脉来弦滑数实。系腑证
也。投桃核承气加海 芦菔二剂而痊。韩组林年虽七十。饮啖兼人。而平时喜服药。医以为
老。辄用附桂参茸等药。以期可享遐龄。讵料初八日晚 尚健饭。三更睡醒。倏寒栗发颤。
俄而四肢螈 。越日云亡。孟英曰∶此老系阳旺之体。肥甘过度。痰火日增。年至古稀。真
阴日耗。久服此等助火烁阴之药。以致风从火出。立拔根 。与儿科所云急惊风证。殆无异
焉。（范廉居上焦热恋下部阴亏方。西洋参三钱。旋复包先三钱。姜竹茹三钱。鲜枇叶刷包
三钱。刀豆二钱。制牛膝八分。石斛一两
。牡蛎杵四两。炙龟板二两。三味先煎八钟。取汤代水煎药。脉形虚大。故不用苦寒泻热
。范廉居妻肝阳炽逆。侮胃煽痰。阴中之阳亦不旺。箱归身二钱。整大白芍杵先八钱。枸杞
子三钱。陈木瓜一钱半。楝核杵先三钱。制半夏一钱。石斛先煎一两。云茯神三钱。姜竹茹
三钱。建兰叶三钱。白豆蔻研二分。范廉居妻腑证方。玄明粉一钱。酒洗生厢黄四钱。生桃
仁研三钱。淡海 先煎二两。整芦菔切二两。)
古云肥白之人多气虚。又云痰饮须以温药和之。顾听泉体丰色白。平昔多痰。晨起必喘逆。
饱食稍安。颇有气虚之象。自服疏解未效。孟英诊之。左关弦。寸滑如珠。尺细而干。舌尖
甚绛。乃真阴素亏。水不涵木。风阳内炽。搏液成痰。谋虑操持。心阳太扰。肺金受烁。治
节不伸。苔虽白而已干。热虽微而睛赤。忌投温燥。宜予轻清。用元参石斛栀子竹茹旋复蛤
壳贝母枇叶竹叶兰叶莲心为剂。三啜而安。自谓气虚。遽服党参枸杞当归等药。下咽之后。
即觉
火升气逆。渐至言语支离。溲频自汗。脉已虚促不调。孟英即投三甲二至元参甘草小麦竹叶
莲心
。以和心肝之阳。而镇龙雷之火。一剂而平。继又作劳复感。仍授轻清之法。两剂后又因怫
怒萦思。肝阳复僭。颧红面赤。左耳时聋。夜不成眠。神情烦躁。越日陡然大汗。湿透衣衾
。脉极弦数而细。仍为阴虚阳越。不可误认阳虚。妄施附桂。先令熏以炭醋。扑以蛎粉。随
灌以大剂二至二冬三甲元参丹参人参黄连童溲而瘳。继予多剂育阴清肝。始得全愈。（轻清
方。元参片一两泡冲去渣。石斛先煎一两。黑栀皮三钱。姜竹茹三钱。旋复包先三钱。生蛤
壳杵先五钱。川贝杵四钱。姜枇叶刷包三钱。鲜竹叶二钱。建兰叶三钱。莲子心一钱。误药
脉虚促不调方。 牡蛎杵六两。血鳖甲杵四两。血龟板杵二两。三味先煨八钟。女贞杵五钱
。旱莲草四钱。元参片泡煎去渣一两。生粉花三钱。北小麦四钱。莲子心一钱。脉弦数细阴
虚阳越方。女贞杵五钱。旱莲草四钱。明天冬六钱切。花麦冬四钱。醋 牡蛎杵六两。醋炙
鳖甲杵四两。醋炙龟板杵二两。三味先煨八钟。元参片一两。丹参三钱。高丽参八分。酒炒
川连一钱。童便煎去头尾。一酒杯冲药温服。)
一妇产后。头痛甚剧。脉右甚滑大。予清阳明法。得大解而瘥。（血去肝阳贼胃。热壅阳明
。镑犀角先煎四钱。生石膏先煎一两二钱。石斛先煎一两。酒炒知母五钱。济银花一两五钱
。鲜芦
根二两。姜桃叶刷包三钱。鲜竹叶二钱。旋复包先三钱。淡海 先煎二两。生蛤壳杵先一两
。)
Using Xi Yang Shen (Radix Notoginseng), Zhi Mu (Rhizoma Anemarrhenae), Hua Fen (Radix Trichosanthis), Zhu Ru (Caulis Bambusae in Taeniam Residue), Ge Qiao (Concha Meretricis et Cyclinae), Shi Hu (Herba Dendrobii), Pi Ye (Folium Eriobotryae), Qing Hao (Herba Artemisiae Annuae), Qin Jiao (Radix Gentianae Macrophyllae), Bai Wei (Radix Cynanchi Atrati), Yin Hua (Flos Lonicerae Japonicae), and Hai Dai (Thallus Laminariae/Jiaojuncao), a formula is composed. After continuous administration of four doses, large amounts of gelatinous phlegm were vomited, and all ailments were completely eliminated. (This is a modification of Wendan Tang: Zhi Ban Xia (Rhizoma Pinelliae Preparatum) 1.5 qian, Chen Pi (Pericarpium Citri Reticulatae) 8 fen, Yun Ling (Poria) 1.5 qian, Chao Zhi Shi (Fructus Aurantii Immaturus Preparatus) 1.5 qian, Jiang Zhu Ru (Caulis Bambusae in Taeniam Residue with Ginger) 3 qian, Sheng Shi Gao (Gypsum Fibrosum) decocted first 8 qian, Jiu Chao Ku Qin (Radix Scutellariae Preparated with Wine) 1.5 qian, Jiu Chao Zhi Mu (Rhizoma Anemarrhenae Prepared with Wine) 3 qian, Jiang Hua Fen (Radix Trichosanthis with Ginger) 4 qian, whole Lu Fu (Radish) sliced 1 liang. Formula for intermittent recurrence of malaria: Left pulse is wiry, forceful, and rapid, indicating Liver Heat and Yin Deficiency; Right pulse is slippery, large, and irregular, indicating Phlegm Excess and Yin Deficiency. Dispelling Phlegm-Heat will extinguish Wind-Yang. Xi Yang Shen (Radix Notoginseng) 3 qian, Jiu Chao Zhi Mu (Rhizoma Anemarrhenae Prepared with Wine) 4 qian, Nan Hua Fen (Radix Trichosanthis) 4 qian, Jiang Zhu Ru (Caulis Bambusae in Taeniam Residue with Ginger) 3 qian, Sheng Ge Qiao (Concha Meretricis et Cyclinae) crushed and decocted first 5 qian, Shi Hu (Herba Dendrobii) decocted first 1 liang, Jiang Pi Ye (Folium Eriobotryae with Ginger) wrapped 3 qian, fresh Qing Hao (Herba Artemisiae Annuae) 8 fen, Zuo Qin Jiao (Radix Gentianae Macrophyllae) 1.5 qian, Bai Wei (Radix Cynanchi Atrati) 3 qian, Ji Yin Hua (Flos Lonicerae Japonicae) 1.5 liang, Dan Hai Dai (Thallus Laminariae/Jiaojuncao) decocted first 2 liang.)
In Xue's Medical Cases, Buzhong Yiqi Tang (Spleen-Raising Qi-Boosting Decoction) and Dihuang Wan (Rehmannia Pill) are often used together for treatment. Even capable physicians like Lu Bu Yuan sometimes imitate this practice. In fact, this is not the correct method of medication. If it is truly Lower Sinking of Clear Yang requiring raising, then the cloying and stagnating nature of Dihuang Wan (Rehmannia Pill) is unsuitable. If it belongs to True Yin Insufficiency requiring nourishing and filling, then the dispersing nature of Sheng Ma (Rhizoma Cimicifugae) and Chai Hu (Radix Bupleuri) should not be administered. This is self-contradictory and lacks discipline. However, treating the upper and lower separately originally has its rules. Tu Jingsi has always had Yin Deficiency, suffering from chronic Phlegm-Cough, Qi rebellion upon movement, and insomnia at night. Frequent use of Yin-nourishing and Yang-subduing drugs led to gradually reduced appetite; slightly consuming rich flavors caused vomiting of sour rot. Meng Ying examined his pulse: Left was wiry and slightly rapid, Right was slippery and wiry. Water overflows frequently, Earth loses its dike control, Liver Wood rises excessively, Lung Metal descends insufficiently. This is mainly due to long-term use of cloying drugs, causing damp-turbidity to accumulate internally, which benefits neither the Lower Jiao nor hinders Middle Jiao transportation. Left strong, Right weak, ascending and descending unregulated. Use Cong Rong (Cistanche Herba), Huang Bo (Phellodendri Cortex), Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix), Shu Di (Rehmanniae Radix Preparata), Dan Pi (Moutan Cortex), Fu Ling (Poria), Lian Shi (Fructus Meliae Toosendan), Sha Ren (Amomi Fructus) ground into powder, made into pills with Lotus Root Starch. Take in the morning to Warm Kidney Water to Clear Liver. Use Dang Shen (Codonopsis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Zhi Shi (Fructus Aurantii Immaturus), Chang Pu (Rhizoma Acori Tatarinowii), Ban Xia (Rhizoma Pinelliae Preparatum), Fu Ling (Poria), Ju Pi (Pericarpium Citri Reticulatae), Huang Lian (Coptidis Rhizoma), Ji Li (Tribuli Fructus) sun-dried and ground into powder, made into pills with Bamboo Sap. Take at noon to Cultivate Middle Earth to Eliminate Phlegm. Swallow Weixi Wan (Weixi Pill) at dusk to肃 (purify) the Upper Source to transform turbidity. Treating the Three Jiao separately, all ailments became peaceful. All using pill forms avoids soup medicines aiding Phlegm-Dampness. (Warm Kidney Water to Clear Liver Formula: Dan Cong Rong (Cistanche Herba) 1.5 liang, Chao Chuan Huang Bo (Phellodendri Cortex Preparated) 1.5 liang, Xiang Gui Shen (Angelicae Sinensis Radix) 1 liang, Da Shu Di (Rehmanniae Radix Preparata) 4 liang, Bai Shao (Paeoniae Radix Alba) 2 liang, Dan Pi (Moutan Cortex) 1.5 liang, Yun Ling (Poria) 3 liang, Lian He (Fructus Meliae Toosendan) crushed 4 liang, Sha Ren (Amomi Fructus) powder 2 qian, Lotus Root Starch for pills. Cultivate Middle Earth to Eliminate Phlegm Formula: Lu Dang Shen (Codonopsis Radix) 3 liang, Chao Bai Zhu (Atractylodis Macrocephalae Rhizoma Preparated) 1 liang, Chao Zhi Shi (Fructus Aurantii Immaturus Preparated) 1.5 liang, Shi Chang Pu (Rhizoma Acori Tatarinowii) 2 liang, Zhi Ban Xia (Rhizoma Pinelliae Preparatum) 4 liang, Yun Ling (Poria) 3 liang, Ju Pi (Pericarpium Citri Reticulatae) 1 liang, Dan Yan Shui Wei Pao Shai Yan Jiang Chuan Lian (Coptidis Rhizoma soaked in light salt water, dried, ground with ginger) 2 liang, Sheng Bai Ji (Tribuli Fructus) 3 liang, sun-dried ground powder made into pills with Bamboo Sap.)
Cheng Mou contracted a cold in mid-winter. The physician heard that he ate one raw radish the day before the illness, his stool was loose, and the tongue coating was white. Given that the year was governed by Damp Earth (Wet Earth ruling the lower influence in Five Movements and Six Qi theory), he diagnosed it as Middle Deficiency Cold-Damp disease. Multiple doses of Ginseng, Atractylodes, Aconite, and Cinnamon were administered indiscriminately. Gradually leading to black tongue and coma, the doctor still suspected it was a severe deficiency syndrome. Zhang Jingjiang diagnosed: It is Winter-Warmth disease. Continuous administration of Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) showed no improvement. More than twenty days later, Meng Ying was consulted. Tongue retracted with crimson base, coating black like lacquer, mouth open, penis flaccid, pulse fine, rapid, and wiry; Right pulse feels non-existent upon pressing. Yin fluids completely scorched, Warm-Toxin deeply entrenched. Sweet dew and jade nectar cannot restore the exhausted fluids. Soon, the condition deteriorated fatally. Subsequently, Pan Shengzheng contracted a cold in mid-winter. After fever subsided on the 14th day, he felt no hunger. Various doctors treated him杂乱ly. By late winter, it turned into Dysentery with five colors, leg swelling and bleeding, painful urination, and dry mouth. Meng Ying diagnosed: Left pulse wiry, fine, and rapid; Right pulse wiry, slippery, and empty. Tongue coating yellow, greasy, root scorched, occasional spontaneous sweating. This is Qi and Fluids both exhausted, with Heat-Toxin lingering. It must be due to previous excessive intake of warming and tonifying drugs. Otherwise, why would fever subside on the 14th day but drag on for more than fifty days with such difficult symptoms? Inquiry revealed that this time, tonics were taken only two or three doses. However, in early autumn when he suffered from Malaria, the local doctor said his white tongue and robust body indicated Cold-Damp, so he took dozens of doses of Aconite and Cinnamon, and drank burning wine daily. Meng Ying said: This is the basis for brewing the disease. Treating illness is already difficult, let alone having so much drug toxicity lurking inside, what method can save him? Firmly refused to prescribe. The family insisted on seeking medicine to support them through the New Year. Meng Ying said: This is acceptable. Use Baitouweng Tang (Baitouweng Decoction) plus Yin Hua (Flos Lonicerae Japonicae), Lv Dou (Vigna Radiata Seed), Gui Shen (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Chen Mi (Old Rice), Lu Gen (Rhizoma Imperatae), Lan Ye (Orchid Leaf), Ou (Rhizoma Nelumbinis) as the agent, and use a large dose of Buzhong Yiqi Tang (Spleen-Raising Qi-Boosting Decoction) steamed distillate instead of water to decoct the medicine. After taking, scorched coating gradually receded, stool color normalized, the whole family was overjoyed. Again begged Meng Ying to treat. Alas, the pulse showed no change, so he strongly declined. Also, Mother of Shen Tingsong suffered from Malaria in late autumn. Meng Ying once visited to diagnose: It is transformed from latent Summer-Heat. Moreover, her constitution is Yang-strong with much Phlegm-Fire. Do not fear deficiency and resort to warming and tonifying. Unfortunately, the patient desired quick recovery, sought medical advice widely. Some said it belonged to Three Yin meridians, some called it Child-Mother Malaria, some pointed out as Elderly Fetal Malaria. Crowd noise prevailed, pain could not heal. Dragging to late winter, it also turned into Dysentery. Skin swollen, buttock sores, mouth ulceration, tongue dry. Physicians helpless, again asked Meng Ying to diagnose. Pulse same as Pan Shengzheng, incurable. (Cheng Mou's Right pulse non-existent upon pressing indicates Yin pulse, Qi exhaustion. Medical method for Yang syndrome must use Yin drugs, only if Yang pulse is forceful upon heavy pressing can it be treated. Right pulse non-existent upon pressing means Yang syndrome with Yin pulse, cannot bear Yin drugs, how to treat? Pan Shengzheng's Left pulse wiry, fine, rapid indicates fluid exhaustion, Right wiry, slippery, empty indicates Qi exhaustion.)
Xie Puxiang has a chronically deficient constitution. Early winter, he suffered from cough, reduced phlegm, and decreased appetite. Shi Mou diagnosed: Kidney Qi not grasping, Ming Fire powerless. Repeatedly administering Shenqi Tang (Kidney Qi Decoction) for over a month. Resulted in vomiting, nausea, loose stools, no hunger, no urine. Late winter, Meng Ying diagnosed. Pulse very wiry, coating greasy, tongue red. This is Middle Deficiency with failure of healthy transportation. Misuse of cloying drugs further leaked the pivot mechanism. The harsh nature of Aconite and Cinnamon merely increased Liver overacting. Prescribed Dang Shen (Codonopsis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Ju Pi (Pericarpium Citri Reticulatae), Ban Xia (Rhizoma Pinelliae Preparatum), Zhu Ru (Caulis Bambusae in Taeniam Residue), Zhi Zi (Gardeniae Fructus), Yi Yi (Coicis Semen), Ji Li (Tribuli Fructus), Lan Ye (Orchid Leaf), Shi Di (Diospyroi Fructus Calyx). Cultivate Middle, drain Liver, move Water, eliminate Phlegm. Recovered in ten days. (Wiry indicates Liver pulse, wiry implies Spleen failure and Liver prosperity. Lu Dang Shen 3 qian, Chao Bai Zhu 3 qian, Yun Ling 3 qian, Chao Ze Xie 1.5 qian, Zhi Ban Xia 3 qian, Ju Pi 1 qian, Jiang Zhu Ru 3 qian, Hei Zhi Pi 3 qian, Sheng Yi Ren crushed 4 qian, Sheng Bai Ji 3 qian, Jian Lan Ye 3 qian, Gan Shi Di 10 pieces.)
Zhen Yuanchu's wife suffered from mania-like illness. Seems related to Seven Emotions, but not entirely so. Mrs. Chen suffered from this for over a month. Shaman and doctors changed frequently, costs were huge, old disease increased daily. Meng Ying palpated her pulse: wiry and rapid. She could eat and defecate normally. Qi often rushes upward, abdomen occasionally painful and distended. Asked about menstruation, she said illness started after period, followed by abundant leukorrhea. Meng Ying said: Cause is as described, daytime clear, nighttime delirious speech,酷似 (closely resembling) Heat entering Blood Chamber syndrome. Directly treat from Blood Stasis. Prescribed Tao Ren (Persicae Semen), Hong Hua (Carthami Flos), Xi Jiao (Rhinoceri Cornu), Chang Pu (Rhizoma Acori Tatarinowii), Dan Xing (Star Anise/Artemisiae Argyi Folium - *Note: Context suggests Dan Xing/Nan Xing i.e., Star Phlegm*), Xuan Fu (Inulae Flos), Zhe Shi (Hematitum), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Hu Po (Electrum), Cong Bai (Allii Fistulosi Bulbus). Two doses, Blood Stasis indeed moved, spirit became clear and wise. Then removed Tao Ren and Hong Hua, added Dang Gui (Angelicae Sinensis Radix) and Yuan Shen (Scrophulariae Radix), several doses, recovered. (Can eat and defecate, so disease not in Qi. Qi often rushes upward, abdomen occasionally painful and distended, indicates Stasis stopping transforming into Heat, fanning Liver Yang. Leukorrhea indicates Yin fluid insufficient to transform into blood, flowing down timely. Raw Tao Ren ground 1.5 qian, original Hong Hua 6 fen, Bang Xi Jiao decocted first 4 qian, Shi Chang Pu added next 1 qian, Chen Dan Xing stewed and mixed to take 1 qian, Xuan Fu wrapped and decocted first 3 qian, Sheng Zhe Shi crushed and decocted first 8 qian, Zi Dan Shen 3 qian, Xi Mao Po (Electrum) flushed 8 fen, Lian Xu Cong Bai 2 fen. Then remove Tao Ren and Hong Hua, add Xiang Quan Gui 2 qian, Yuan Shen slices soaked decocted strained 8 qian.)
Fan Lianju suffered from illness. Severe after ten days. Meng Ying viewed: Bowels moved, heat subsided but not cleared, Qi rebellious, no hunger, hiccup, spontaneous sweating. Pulse shape void and large, tongue purple without coating. Image of Upper Jiao Heat lingering, Lower Body Yin Deficiency. Prescribed Xi Yang Shen (Radix Notoginseng), Xuan Fu (Inulae Flos), Zhu Ru (Caulis Bambusae in Taeniam Residue), Pi Ye (Folium Eriobotryae), Shi Hu (Herba Dendrobii), Shi Di (Diospyroi Fructus Calyx), Mu Li (Concha Ostreae), Gui Ban (Plastrum Testudinis), Dou Dou (Lablab Seed), Niu Xi (Achyranthis Bidentatae Radix). Two doses, tongue moist, knew hunger, hiccup and sweating stopped. Removed Dou Dou, Xuan Fu, Shi Di, added Shu Di (Rehmanniae Radix Preparata) 1 liang soaked decocted strained, Hu Tao Rou (Walnut Kernel) 3 qian, Dang Gui Shen (Angelicae Sinensis Radix Tip) 2 qian. Administered and recovered. His wife had greasy coating, sour mouth, tinnitus, insomnia, no hunger, mental fatigue, epigastric pain, head shaking. Pulse void and wiry, pressing choppy and weak. Used Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Gou Qi (Lycii Fructus), Mu Gua (Chaenomelis Fructus), Lian Shi (Fructus Meliae Toosendan), Ban Xia (Rhizoma Pinelliae Preparatum), Shi Hu (Herba Dendrobii), Fu Shen (Poria with Hostwood), Zhu Ru (Caulis Bambusae in Taeniam Residue), Lan Ye (Orchid Leaf), Bai Dou Kou (Amomi Fructus Rotundus) as method to Nourish Ying, regulate Qi, harmonize Stomach, soften Liver. Several sips, recovered. His daughter had high fever, constipation, both bowels and urine blocked. Yellow coating, great thirst, bloating unbearable. Pulse wiry, slippery, rapid, excess. This is Fu Organ Syndrome. Administered Taoheshengji Tang (Peach Kernel and Magnolia Bark Decoction) plus Hai Dai (Thallus Laminariae/Jiaojuncao), Lu Fu (Radish) for two doses, cured. Han Zulin was seventy years old, ate and drank heavily, but liked taking medicine. Doctors thought he was old, thus used Aconite, Cinnamon, Ginseng, Deer Antler etc., hoping for longevity. Unexpectedly, evening of the 8th day still ate well, woke up at third watch, suddenly shivered and trembled. Soon limbs convulsed. Died the next day. Meng Ying said: This old man has Yang-exuberant constitution, excessive rich food, Phlegm-Fire increases daily. Reaching septuagenarian, True Yin depletes daily. Long-term use of such Fire-assisting and Yin-scorching drugs leads to Wind arising from Fire, roots pulled out instantly. Similar to Pediatric Acute Convulsive Wind syndrome. (Fan Lianju Upper Jiao Heat lingering Lower Body Yin Deficiency Formula: Xi Yang Shen 3 qian, Xuan Fu wrapped decocted first 3 qian, Jiang Zhu Ru 3 qian, Fresh Pi Ye brushed wrapped 3 qian, Dou Dou 2 qian, Zhi Niu Xi 8 fen, Shi Hu 1 liang, Mu Li crushed 4 liang, Zhi Gui Ban 2 liang. Three ingredients decocted first eight zhong, extract soup to decoct medicine. Pulse void and large, thus avoid bitter-cold clearing heat. Fan Lianju's wife Liver Yang blazing rebellious, insulting Stomach fanning Phlegm, Yin-Zhong-Yang also not prosperous. Xiang Gui Shen 2 qian, Whole Da Bai Shao crushed decocted first 8 qian, Gou Qi Zi 3 qian, Chen Mu Gua 1.5 qian, Lian He crushed decocted first 3 qian, Zhi Ban Xia 1 qian, Shi Hu decocted first 1 liang, Yun Fu Shen 3 qian, Jiang Zhu Ru 3 qian, Jian Lan Ye 3 qian, Bai Dou Kou ground 2 fen. Fan Lianju's wife Fu Organ Formula: Xuan Ming Fen 1 qian, Jiu Xi Sheng Huang (Rhei Radix et Rhizoma washed with wine) 4 qian, Sheng Tao Ren ground 3 qian, Dan Hai Dai decocted first 2 liang, Whole Lu Fu sliced 2 liang.)
Ancient saying: Fat and white people often have Qi Deficiency. Another saying: Phlegm-Fluids must be harmonized with warm medicines. Gu Tingquan was robust and pale, usually had much phlegm, morning awakening must have wheezing/reversal, slightly comfortable after full meals, showing signs of Qi Deficiency. Self-administered resolving/dispersing drugs ineffective. Meng Ying diagnosed: Left Guan wiry, Cun slippery like pearls, Chi fine and dry, tongue tip very crimson. True Yin originally deficient, Water not nurturing Wood, Wind-Yang internally blazing, colliding fluids forming Phlegm. Planning and worrying, Heart Yang too disturbed, Lung Metal scorched, regulation not extended. Coating white but already dry, heat slight but eyes red. Avoid warm-drying, prefer light-clear. Use Yuan Shen (Scrophulariae Radix), Shi Hu (Herba Dendrobii), Zhi Zi (Gardeniae Fructus), Zhu Ru (Caulis Bambusae in Taeniam Residue), Xuan Fu (Inulae Flos), Ge Qiao (Concha Meretricis et Cyclinae), Bei Mu (Fritillariae Bulbus), Pi Ye (Folium Eriobotryae), Zhu Ye (Folium Bambusae), Lan Ye (Orchid Leaf), Lian Xin (Plumula Nelumbinis) as agent. Three sips, peaceful. Claiming Qi Deficiency, hastily took Dang Shen (Codonopsis Radix), Gou Qi (Lycii Fructus), Dang Gui (Angelicae Sinensis Radix) etc. After swallowing, felt fire rising, Qi rebellious, gradually disjointed speech, frequent urination, spontaneous sweating, pulse void, hurried, irregular. Meng Ying immediately administered San Jia (Three Shells), Er Zhi (Two Solstices), Yuan Shen (Scrophulariae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Xiao Mai (Tritici Fructus), Zhu Ye (Folium Bambusae), Lian Xin (Plumula Nelumbinis). To harmonize Heart-Liver Yang, suppress Dragon-Leopard Fire. One dose, calm. Subsequently worked hard, relapsed with contraction, still given light-clear method. Two doses later, due to anger and worry, Liver Yang rebelled again, malarial redness and facial redness, left ear occasionally deaf, sleepless at night, irritable spirit. Next day sudden profuse sweating, wetting clothes and bedding. Pulse extremely wiry, rapid, fine, still Yin Deficiency Yang Floating, do not mistake for Yang Deficiency, recklessly administer Aconite and Cinnamon. First ordered fumigation with charcoal vinegar, dusting with oyster powder. Then灌 (pour) large dose of Er Zhi (Two Solstices), Er Dong (Two Winters), San Jia (Three Shells), Yuan Shen (Scrophulariae Radix), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Ren Shen (Ginseng Radix), Huang Lian (Coptidis Rhizoma), Tong Xiao (Child's Urine) and recovered. Subsequently given multiple doses of Nourishing Yin Clearing Liver, finally fully recovered. (Light-Clear Formula: Yuan Shen slices 1 liang soaked flushing strained, Shi Hu decocted first 1 liang, Hei Zhi Pi 3 qian, Jiang Zhu Ru 3 qian, Xuan Fu wrapped decocted first 3 qian, Sheng Ge Qiao crushed decocted first 5 qian, Chuan Bei crushed 4 qian, Jiang Pi Ye brushed wrapped 3 qian, Fresh Zhu Ye 2 qian, Jian Lan Ye 3 qian, Lian Zi Xin 1 qian. Mistaken Medicine Pulse Void Hurried Irregular Formula: Mu Li crushed 6 liang, Xue Bie Jia (Trionycis Carapax) crushed 4 liang, Xue Gui Ban (Plastrum Testudinis) crushed 2 liang. Three ingredients simmered first eight zhong, Nu Zhen 5 qian, Han Lian Cao 4 qian, Yuan Shen slices soaked decocted strained 1 liang, Sheng Fen Hua 3 qian, Bei Xiao Mai 4 qian, Lian Zi Xin 1 qian. Pulse Wiry Rapid Fine Yin Deficiency Yang Floating Formula: Nu Zhen 5 qian, Han Lian Cao 4 qian, Ming Tian Dong sliced 6 qian, Hua Mai Dong 4 qian, Cu Mu Li crushed 6 liang, Cu Zhi Bie Jia crushed 4 liang, Cu Zhi Gui Ban crushed 2 liang. Three ingredients simmered first eight zhong, Yuan Shen slices 1 liang, Dan Shen 3 qian, Gao Li Shen 8 fen, Jiu Chuan Lian 1 qian, Tong Xiao decocted removing head and tail, one wine cup flushing medicine warm taking.)
A woman postpartum, headache very severe. Right pulse very slippery and large. Given Clearing Yangming method. Obtained large bowel movement and recovered. (Blood loss, Liver Yang attacks Stomach, Heat congests Yangming. Bang Xi Jiao decocted first 4 qian, Sheng Shi Gao decocted first 1.2 liang, Shi Hu decocted first 1 liang, Jiu Chao Zhi Mu 5 qian, Ji Yin Hua 1.5 liang, Fresh Lu Gen 2 liang, Jiang Tao Ye brushed wrapped 3 qian, Fresh Zhu Ye 2 qian, Xuan Fu wrapped decocted first 3 qian, Dan Hai Dai decocted first 2 liang, Sheng Ge Qiao crushed decocted first 1 liang.)