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Next, add one qian of the medicine. Mix with one wine cup of ginger juice and bamboo sap (Zhu Li). Use one liang of Raphanus sativus (Lufu), sliced and stewed for decoction. After three doses, the patient can defecate and lie down flat. The patient complains of chest confusion and oppression. Change prescription to: Coptis chinensis (Chuanlian) stir-fried with ginger juice, 8 fen; Trichosanthis Semen (Gualou Ren), ground, 3 qian; Pinellia praeparata (Banxia), prepared, 1 qian; Sinapis alba (Baijiezi), raw, ground; Raphani Semen (Laifuzi), raw, ground; Perillae Fructus (Suzi), raw, ground; each 1.5 qian; Glehniae Radix (Beishashen), 4 qian; Anemarrhenae Rhizoma (Zhimu) stir-fried with ginger juice, 3 qian; Inulae Flos (Xuanfu), wrapped and decocted first, 1.5 qian; Bamboo Shavings (Zhuru) with ginger juice, 3 qian; Eriobotryae Folium (Pipaye), brushed and wrapped, one slice.

Wang Binghua's son has a wiry, large, and strong right pulse, indicating Phlegm-Heat obstructing the Lung. The root of the tongue has black coating like coal. Lung and Kidney are mother and child organs; this is Lung Heat transmitting to Kidney. A simple argument suggests previous misuse of warming tonification caused Lung Qi obstruction. Prescription: Inulae Flos (Xuanfu), wrapped and decocted first, 3 qian; Ostracoderm (Heshi), raw, pounded and decocted first, 1 liang 6 qian; Coptidis Rhizoma (Chuanlian) stir-fried with ginger juice, 2 qian; Aurantii Fructus Immaturus (Zhishi), fried, 1.5 qian; Trichosanthis Semen (Gualou Ren), ground, 4 qian; Perillae Fructus (Suzi), raw, added later, 2 qian; Armeniacae Amarum Semen (Kuxingren), paste, 1.5 qian; Asteris Radix et Rhizoma (Ziwan), 1 qian; Gypsum Fibrosum (Shigao), decocted first, 1 liang 2 qian; Fresh Raphanus Sativus (Lufu), 1 liang, crushed for natural juice to mix. Revised prescription removes Inulae Flos and Ostracoderm, adds Sinapis alba (Baijiezi), raw, ground, 2 qian; Pinellia praeparata (Banxia), prepared, 1.5 qian; Allii Macrostemonis Bulbus (Xiebai), fresh, crushed, 1.5 qian. Final prescription: Panax quinquefolius (Xiyangshen), 3 qian; Armeniacae Amarum Semen (Kuxingren), paste, 2 qian; Fritillariae Cirrhosae Bulbus (Chuanbeimu), pounded, 8 qian; Phragmitis Rhizoma (Luxgen), fresh, 1 liang; Anemarrhenae Rhizoma (Zhimu) stir-fried with ginger juice, 3 qian; Benincasae Semen Exsiccatum (Dongguazi), raw, 3 qian; Puerariae Radix (Huafen), 4 qian; Diospyros Fruit Frost (Shishuang), 1 qian; Eriobotryae Folium (Pipaye), brushed and wrapped, 3 qian; Bamboo Sap (Zhuli), two wine cups to mix.

Gao Hanfang suffers from dysentery (Zhixia) with sauce-colored stool, defecating dozens of times daily. He is seventy-seven years old. Since last autumn, he has gradually become fatigued. He took tonic medicines, which led to worsening dysentery. Dr. Huang used warming tonification directly, causing the condition to deteriorate. Mengying diagnosed him: right pulse is wiry, fine, knotted, and slow; thirst, dysuria, occasional facial flushing, and spontaneous sweating. This is Summerheat pathogen inhalation, mistakenly treated as deficiency. Fortunately, his constitution is extremely robust, allowing him to expel pathogens through dysentery. One error after another, pathogens became stronger while righteous qi weakened. Prescribed Baitouweng Tang plus Ginseng, Atractylodes, Honeysuckle, Scutellaria, Paeonia, Melia, Dendrobium, and Corydalis. Two doses reduced symptoms; five doses brought stability. Subsequently, regulation and tonification were given, leading to complete recovery. (Sauce-colored stool indicates heat pathogen mixed in; tonics retained the pathogen. Robust constitution allowed pathogen expulsion downward via dysentery. Wiry pulse indicates Liver Heat; fine indicates Yin deficiency; knotted/slow indicates Yang weakness. Wine-fried Baitouweng, 1.5 qian; Fried Lushen, 3 qian; Fried Baizhu, 3 qian; Jinyinhua, 8 qian; Wine-fried Kuting, 1 qian; Wine-fried Baishao, 1.5 qian; Melia seed pounded and decocted first, 2 qian; Dendrobium decocted first, 4 qian; Wine-fried Yuanhusuo added later, 1.5 qian.)

Ms. Zhu Ye delivered in April last year and developed bloody dysentery in July. Her family believed it was a postpartum disease and dared not give medicine. It dragged until this spring; muscles wasted, knees soft, seeing food causes nausea. Mengying diagnosed: left pulse fine and soft, right pulse slippery and rapid. Diagnosed as latent Summerheat disease. Fortunately, no wrong medicines were taken. Prescribed Glehniae Radix, aged rice, Angelicae Sinensis Radix, Paeoniae Radix Alba, Dipsaci Radix, Chaenomelis Fructus, Dolichoris Semen, Coptidis Rhizoma, Dendrobium, Nelumbinis Plumula, Nelumbinis Petiolus, Diospyri Calyx, Eriobotryae Folium, and Citri Reticulatae Pericarpium formula, sent with Zhuche Wan, resulting in cure. (Left fine/soft pulse indicates Blood-Yin deficiency; right slippery/rapid pulse indicates Summerheat pathogen stagnating in Qi level, hence more clearing Summerheat/Qi medicines in the formula. Beishashen 4 qian, aged rice washed 3 qian, wine-fried Baishao 1.5 qian, Gui Shen 1 qian, Chen Mugua 1.5 qian, raw Baidou dou pounded 3 qian, Xu Duan 1.5 qian, wine-fried Chuanlian 2 qian, Dendrobium decocted first 5 qian, Chen Shilian pounded and decocted first 2 qian, dried Helidi 3 qian, dried Shidi 10 pieces, fresh Pipaye brushed and wrapped 3 qian, aged Ju Pi added later 1.5 qian, medicine sent with Zhuche Wan 3 qian. Zhuche Wan contains Huanglian, Ejiao, Ganjiang, Danggui. Mugua + Huanglian is sour-bitter to drain Liver; Huanglian + Ju Pi is bitter-pungent to treat vomiting. Zhuche Wan's Huanglian/Ejiao targets right slippery/rapid pulse; Ganjiang/Danggui targets left fine/soft pulse.)

Mrs., mother-in-law of Zheng Zhitang, over sixty years old, suffered right hand/foot paralysis in mid-spring, stiff tongue unable to speak, red face, constipation. Doctors gave wind-dispelling medicines without effect. Mengying was consulted. Right pulse surging and slippery, left pulse wiry and rapid, indicating Yangming Fu organ excess syndrome. Prescribed Shichangpu, Danxing, Zhimu, Huafen, Zhishi, Gualouren, Qinjiao, Xuanfu, Maren, Zhuli. Ancient texts say "internal organ involvement requires purgation"; this "organ" character is an error for "Fu". Ke Yunbo said, "Reading without eyes, patients lose their lives." The prescription was not taken for twenty days. Tongue coating cracked, tongue body crimson, unable to even drink rice water, abdominal distension, coarse breathing, Yin fluids about to exhaust. Urgent purgation is necessary. Immediately added Da Huang 4 qian to the previous formula, taken as squeezed juice. Defecated black stools five times consecutively; tongue stiffness significantly reduced, gradually able to drink thin porridge. Then removed Da Huang, added Xiyangshen, Shengdi, Maidong, Danpi, Bohe. Five doses later, bowel movement occurred again, speech cleared. Used sweet-cool medicines exclusively to replenish fluids and clear heat. Ten days later, tongue color lightened, appetite normal. Changed to nourishing Yin therapy, gradually achieving full recovery. (Shichangpu added later 2 qian, Chen Danxing stewed and mixed 1 qian, wine-fried Zhimu 5 qian, Nan Huafen 4 qian, Jiang Gualouren 4 qian, Zuo Qinjiao added later 1.5 qian, Xuanfu wrapped and decocted first 3 qian, Damaren ground 3 qian, Jiang Zhuli two large wine cups to mix. Formula delayed half a month before taking, added Da Huang 4 qen, squeezed juice to mix. Right pulse surging/slippy implies forceful rebound on heavy pressure. Later removed Da Huang, added Xiyangshen 3 qian, Dashengdi 8 qian, Huamaidong 4 qian, Fen Danpi 4 qian, Puhejian added later 1.5 qian. Black stools passed five times, Qi-level Summerheat pathogens mostly cleared. Heavily added blood-cooling herbs to target left wiry/rapid pulse indicating Yin deficiency. Added Bohe to allow ascending cool-moist nature to upper Jiao Qi level, fitting perfectly.)

Mrs. Zhang Yangyun suffered exogenous pathogen invasion, coinciding with sudden fright. Drs. Huang and Bao both advocated warming tonification, leading to coma, delirium, convulsions, and syncope, critical condition. Sought Mengying's diagnosis. Illness lasted thirty-eight days. Pulse extremely fine and rapid, hands contracted, resembling opisthotonos, phlegm rising, spontaneous sweating, thirst drinking, yellow coating, red face, buttock ulceration, unable to sleep day or night. First prescribed Xijiao, Lingyangjiao, Beimu, Shihu, Yuanshen, Lianqiao, Zhimu, Huafen, Danxing, Niuhuang, Biejia, Zhenzhu, Zhuhuang, Zhuye, Zhuru, Zhuli. Three doses: hands gradually relaxed, sweat收. Another five doses: heat receded, phlegm descended, pulse harmonized, but patient talked to self day and night non-stop. Removed Lingyangjiao, Shihu, Zhenzhu, Niuhuang; added Xiyangshen, Shengdi, large piece of Zhusha approx. 1 liang. Took it, chatter unchanged. Added Qingdai, Longgu, Muli to formula. Two doses, still incessant. Mengying pondered deeply, directly added Mutong 1 qian to front formula. Effect immediate upon administration. Next day, patient said urination had been smooth before, didn't feel much heat. After yesterday's medicine, felt a ball of hot air go straight down from heart, discharged via urine. From then on, spirit calm, food intake increased, legs moved, stool formed. Suddenly throat swollen painful, unable to swallow water. Mengying said: "Residual fire flaming upward." Continued front formula, blew Xi Lei San powder, stabilized. But buttock sore unhealed, leg pain continued, indicating lower Jiao Qi/Blood injury. Changed to Dangshen, Danggui, Baishao, Shengdi, Hehuan, Shanyao, Maidong, Niu Xi, Shihu, Mugua, Sangzhi, Outou. Several doses: pain stopped, appetite increased. Given strong tonification for flesh regeneration, cured. (Condition: warming tonification aided pathogen, Liver Wind stirring violently. Biejia 4 liang, shaved Xijiao/Lingyangjiao 4 qian each, Shihu 1 liang, boiled in water for 8 hours, use soup to decoct. Chuanbeimu pounded 4 qian, Yuanshen soaked in boiling water, dregs removed, 8 qian, Lianqiao 3 qian, wine-fried Zhimu 4 qian, Nan Huafen 4 qian, Chen Danxing stewed/mixed 8 fen, Western Niuhuang ground/mixed 2 li, Zhenzhufen mixed with medicine 1 fen, Tianzhuhuang 3 qian, fresh Zhuye added later 2 qian, Jiang Zhuru 3 qian, Jiang Zhuli two large wine cups to mix. Later removed Lingyangjiao/Shihu/Zhenzhu/Niuhuang, added Xiyangshen 3 qian, Dashengdi 8 qian, large Zhusha 1 liang 2 qian, Fei Qingdai 1 qian, Longgu pounded 1 liang, Muli pounded 4 liang. Finally added Ximutong 1 qian. Lower Jiao Qi/Blood injury formula: Lushen 3 qian, Sheng Xiyangshen 3 qian, Gui Shen 2 qian, wine-fried Baishao 1.5 qian, Dashengdi 8 qian, Hehuanpi 1.5 qian, Huaishanyao 3 qian, Huamaidong 4 qian, Zhi Niu Xi 7 fen, Shihu decocted first 1 liang, Chen Mugua 3 qian, wine-fried Sangzhi 3 qian, Outou with skin sliced/decocted first 1 liang.)

Miss Wu suffered exogenous pathogen invasion. Physicians first used ascending/dispersing drugs, then warming tonics. By late March, illness lasted thirty-five days, coma, convulsions, delirium, six days/nights without closing eyes, ten days without rice water. Mengying joined consultation: pulse wiry, slippery, slightly rapid; teeth cannot open; tongue retracted with dirty coating. Mengying said: "Tip curled but color still ruddy; bowels/bladder not blocked; still a thread of life remaining. Pathogen acquisition was originally mild, only worsened by erroneous treatment over a month. They say illness lasted over a month, isn't waist below ground?" Prescribed Xijiao 4 qian, Shichangpu 2 qian, Beimu 2 liang, whole Zhusha approx. 1 liang, Zhuli one bowl, assisted by Zhuye, Zhuhuang, Zhuru, Zhimu, Huafen, Yuanshen, Xuanfu, Sigualuo, Weijing, Yinhua, Biejia, mixed with Zixue Dan. Next day, mother said Mr. Wang saw clearly through walls, daughter's waist indeed ground through, ulcerated. Symptoms reduced after medicine. Meng Ying stuck to original formula. Four doses: slept at night, convulsions ceased, tongue extended, coating turned black. Mengying removed Biejia, Zhusha, Shichangpu from front formula, added Shengdi, Zhizi. Several doses: coating turned yellow, stool black like pitch, with phlegm color. Previously yellow stool seemed no severe heat, unknown that heat brewed by tonics, stagnated in intestinal folds, steamed upward, causing internal collapse into Zang organs. Black stool passed, consciousness cleared, residual heat reached Qi level from outside. Phlegm cough unsatisfactory, right pulse slippery and pounding. Meng Ying primarily used Zhuye Shigao Tang modified. Four doses: gradually stable. External wound painful, groaning all night. Although applied ZHUHUANG, moistened with sweet-cool, not healing. Meng Ying ordered large toad cleaned and decocted, decocted Yin-nourishing/fluid-replenishing medicine. Indeed pain stopped, flesh grew, sleep/food gradually resumed, menstruation came on time, cured. (Tongue ruddy, Yin fluids not exhausted, bowels/bladder not blocked, heat has exit, righteous qi pushes pathogen down. Formula should assist fresh Zhuye 2 qian, Tianzhuhuang 4 qian, Jiang Zhuru 4 qian, wine-fried Zhimu 4 qian, Nan Huafen 5 qian, Yuanshen slice 1 liang, soak/discard dregs, Xuanfu flower wrapped/decocted first 3 qian, Sigualuo 3 qian, fresh Luxgen 2 liang, Jinyin 1 liang 5 qian, medicine mixed with Zixue Dan 1 qian. Later removed Biejia/Zhusha/Shichangpu from front formula, added Dashengdi 8 qian, Hei Zhipi 3 qian.)

Wu Yunxiang's servant suffered exogenous pathogen invasion, nasal bleeding several sheng, yellow coating, great thirst, slippery and surging pulse. Meng Ying gave Baihu Tang two doses, stabilized. Suddenly ate rich/greasy food, fever returned, epigastric oppression, drowsiness/fatigue. Meng Ying used Zhishi Zhichi Tang, recovered. Days later, drowsy, fever, spontaneous sweating, crimson tongue, dysuria. Meng Ying diagnosed: left Chi fine/rapid/knotted, right Chi surging/large. This is female labor relapse. Carefully questioned, confirmed. Gave large dose Yin-nourishing/clearing heat medicine, swallowed Shushi, cured. (Lingyangjiao tip 4 qian decocted first, Shigao decocted first 1 liang 6 qian, wine-fried Zhimu 4 qian, Shihu decocted first 1 liang, Xiyangshen 3 qian, Jinyin 1 liang 5 qian, Chuanbeimu pounded 4 qian, Nan Huafen 5 qian, Wancangsha 5 qian, Jianlan Ye 3 qian, fresh Luxgen 2 liang. Zhishi Zhichi Tang modified: Chao Zhishi 2 qian, Hei Zhipi 3 qian, Chao Douchi 3 qian, wine-fried Kuqing 3 qian, Sigualuo 3 qian, raw Dongguazi 8 qian, Lianqiao 3 qian, fresh Xiebai crushed 1.5 qian, Jiao Zharon pounded 1.5 qian, whole Qibi decocted 1 liang. Female Labor Relapse Formula: Yuanshen slice 1 liang, Dashengdi 8 qian, Mingtiandong cut 6 qian, Nvzhenzi pounded 5 qian, Dan Congrong 1.5 qian, Shanyurou 1.5 qian, Shihu decocted first 1 liang, wine-fried Zhimu 4 qian, Xue Guiban pounded 4 liang, Xue Biejia pounded 2 liang, Ziqingshi 5 qian, all decocted first for 6 hours, medicine sent with Shushi 2 qian.)

Wang Yuechu's daughter-in-law, during temple viewing, suddenly looked left, raised hands, spoke wildly. Meng Ying viewed: pulse wiry, slippery, slightly rapid, yellow coating, epigastric oppression. Though late spring, weather hot, plus exertion raising fire, carrying inherent phlegm caused this. Gave Xijiao, Lingyangjiao, Zhizi, Lianqiao, Yuanshen, Danshen, Bohe, Huafen, sent Mengshi Guntan Wan. Three doses: phlegm down, spirit clear. Changed to clearing/nourishing, cured. (Pulse must be wiry/slippery forceful; wiry is Liver Heat, slippery is Phlegm excess, rapid combines Yin deficiency. Xijiao/Lingyangjiao decocted first 8 hours, 4 qian each; Yuanshen slice 8 qian; Hei Zhipi, Lianqiao, Zi Danshen 3 qian each; Nan Huafen 4 qian; Bohejian added later 1.5 qian; medicine sent with Guntan Wan 4 qian. Xijiao/Lingyangjiao/Yuanshen calm wind/nourish Yin; Huafen/Guntan Wan clear Lung/resolve phlegm; Zhizi/Lianqiao/Bohe lightly clear floating heat; Danshen clears Ying/calms spirit.)

Single Left (Patient Name) suffered right hypochondriac pain. Doctor gave warming/moving medicine, illness worsened. Voice lost, unable to speak, supine unable to turn, sitting up gas rushes like running. Bowel/urine blocked, soup/drink refused for three days. Meng Ying diagnosed pulse: deep and wiry. Gave Xuanfu, Zheshi, Xiebai, Gualouren, Lianxia, Zhuru, Beimu, Zhishi, Ziwan, plus Xue Geng. One dose effective, several doses cured. (Wiry pulse is Liver Heat; deep is heat pathogen trapped. Xuanfu wrapped/decocted first 3 qian, raw Zheshi pounded 1 liang decocted together, fresh Xiebai added later 3 qian, Gualouren ground 4 qian, wine-fried Chuanlian 2 qian, prepared Banxia ground added later 2 qian, Jiang Zhuru 3 qian, Chuanbeimu pounded 4 qian, Chao Zhishi 1 qian, Ziwan added later 1.5 qian, Dan Haizao decocted first 2 liang, whole Qibi decocted 1 liang.)

A woman suffered leukorrhea and lower back pain, soles burning like iron, unable to walk. Meng Ying gave large dose Ganlu Yin, cured. (Dashengdi 1 liang, Dashudi 8 qian, Tiandong cut 6 qian, Huamaidong 4 qian, Shihu decocted first 1 liang, wine-fried Xiyinchen 1 qian, wine-fried Zhimu 3 qian, Xue Guiban pounded/charred/decocted first 6 hours 4 liang, Dan Congrong 1.5 qian, Chuan Wumei rou char 1 qian, Qing Ejiao 2 qian stewed/mixed.)

Miss Zhao suffered fever, vomiting, thirst, constipation. Age three, unable to speak pain. Meng Ying viewed tongue: slightly crimson, dry yellow coating. Gave Haizhe, Shushi, Zhuru, Zhimu, Huafen, Xingbei, Zhiji, Shihu. Two doses: expelled undigested food, sauce-colored sticky. (Dan Haizao decocted first 5 qian, Liangtoujian 2 qian, Jiang Zhuru 1.5 qian, Jiang Zhimu 1.5 qian, Nan Huafen 2 qian, Kuxingni added later 1.5 qian, Chuanbeimu pounded 2 qian, Hei Zhipi 1.5 qian, Shihu decocted first 3 qian.)

Mr. Xu, after drunken feast, suffered bloating, no stool. Proud of strength, drank alcohol, ate meat. Two days later abdominal pain, suspected cold, drank liquor, smoked opium, urine blocked. Then great thirst drinking, vomited immediately after drinking, daily life normal. Four days Meng Ying diagnosed: pulse hurried with pauses, full tongue yellow coating, extremely foul, plump body trembling, condition critical. Told gently: "Just food stagnation. Drink Hawthorn/Fermented Rice Dough soup." Afternoon fingers cold, fatigue, qi rebellion. Night phlegm rose. Morning chest/abdomen/forehead burst with distension, died. Knew purgation too late, so did not give medicine. (Condition Yang syndrome, pulse hurried/pause is Yin pulse. Yang syndrome Yin pulse, life critical. Righteous qi injured, cannot bear bitter-cold harsh purgation.)

He Xinzhi suffered exogenous pathogen ten days. Dr. Hu diagnosed impending internal collapse. Meng Ying viewed: hiccups, greasy coating, constipation, much phlegm, epigastric tenderness/rebound, right hand surging/slippery/rapid. Gave Xiaoxianxiong Tang plus Shashen, Changpu, Beimu, Ziwan, Xiebai, Zhuru, Xingren, Xuanfu, Pipa. Several doses stable. Followed by sweet-cool. Twenty days later, stool passed, recovered. (Jiang Chuanlian 2 qian, prepared Banxia 1.5 qian, Gualouren 3 qian, Beishashen 4 qian, Shichangpu 8 fen, Chuanbeimu pounded 4 qian, Ziwan 1 qian, fresh Xiebai crushed 1.5 qian, Jiang Zhuru 3 qian, Kuxingni 1.5 qian, Xuanfu silk-wrapped 1.5 qian, Jiang Pipaye brushed/wrapped 3 qian.)

Mrs. Weng suffered eye disease, spring to summer, treatment failed. Gradually abdominal distension, unbearable pain, unable to eat, constipation, emaciation. Meng Ying viewed: Liver depression/phlegm stagnation, worsened by wrong tonification. Pulse wiry/rapid/slippery. Gave Jinlingzi San combined with Xue Geng decoction, swallowed Danggui Longhui Wan and Mengshi Guntan Wan. Three doses effective. Taken twenty-plus days, all ailments cleared. (Chuanliann pounded/decocted first 4 qian, Yuansuo added later 2 qian, Dan Haizao 2 liang, whole Qibi 1 liang, medicine sent with Guntan Wan 3 qian, Longhui Wan 1 qian.)

Mid-summer smallpox/measles epidemic. Pediatricians used standard formulas, many deaths. Liu's son, five years old. Lu saw spots not erupting, continuously gave Chengliu etc., high fever no sweat, red face quiet lying, bowels/bladder blocked. Meng Ying viewed, gave Xiling Baihu Tang, turning point. Lu strongly opposed Shigao, continued warming dispersal, leading to panting/phlegm rise, added Mahuang 8 fen to stop wheezing, but panting/sweating near death, bowels/bladder blocked again. Begged Meng Ying to save, gave Baihu plus Xiyangshen/Zhuye, cured. Fang's son also misused warming dispersal by Lu, worsened, phlegm/wheezing/constipation/thirst/coma, green urine cold limbs. Meng Ying gave large Baihu Tang plus Xijiao, Yuanshen, Zhuye, Mutong mixed with Zixue. Four doses stable. (Xijiao/Lingyangjiao 2 qian each, charcoal-decocted 6 hours, Shigao decocted first 6 qian, wine-fried Zhimu 1.5 qian, Xiyangshen 1 qian, Dongguapi 3 qian, fresh Digupi 3 qian, Jinyin 3 qian, Jiang Zhuru 2 qian, fresh Zhuye 1 qian, whole Qibi crushed 1. Fang's formula: Shigao decocted first 6 qian, wine-fried Zhimu 1.5 qian, Xijiao decocted first 2 qian, Yuanshen slice soaked/dregs removed 3 qian, fresh Zhuye 1 qian, Ximutong 5 fen, medicine mixed with Zixue 1 fen.)

Li Zi, measles not complete, phlegm cough wheezing, white slippery coating, urine not red. Some suggested Xijiao Dihuang Tang plus Chai/Xue, ineffective. Meng Ying diagnosed: right pulse surging/slippery, thirsty. Weather hot, Summerheat pathogen attacking Lung, carrying inherent phlegm, obstructing governance, so Qi mechanism stagnant, measles cannot reach, coating cannot transform, urine cannot redden. Warming dispersal taboo, blood cooling incorrect. Gave Zhuye Shigao Tang combined with Weijing plus Xingren, Ziwan, Xuanfu, Pipa, Haishi. Qi calmed, measles emerged, coating receded, tongue red, urine red, cured in days. (Fresh Zhuye 1 qian, Shigao decocted first)