壬申八月，范蔚然，患感旬余，诸医束手。乃弟丽门恳孟英治之，见其气促音微，呃忒自汗，饮水下咽，
随即倾吐无余。曰∶伏暑在肺，必由温散以致剧也。盖肺气受病，治节不行，一身之气，皆失其顺降之机，即
水精四布，亦赖清肃之权以主之，气既逆而上奔，水亦泛而上溢矣。但清其肺，则诸恙自安。乃阅前服诸方，
始则柴、葛、羌、防以升提之，火藉风威，吐逆不已，犹谓其胃中有寒也，
改用桂枝、干姜以温燥之，火上添油，肺津欲绝，自然气促音微，疑其阳虚将脱也，径予∶（人）参 （当）
归蛤蚧 柿蒂 丁香以补而纳之，愈补愈逆，邪愈不出，欲其愈也难矣。亟屏前药，以泻白散合清燥
救肺汤，数服而平。
庄半霞，芝阶中翰之三郎也，闱（旧称试院为闱，闱后，是指参加乡试之后）后患感，日作寒热七、八
次，神气昏迷，微 隐隐、医者无策，始延孟英视之。曰∶此平昔饮酒，积热深蕴，挟感而发，理从清解，
必误投温补，以致热势披猖若是。询之果三场皆服（人）参，且携枣子浸烧酒入闱。初病尚不至此，因连服
羌、防、姜、桂，渐以滋甚。孟英先予白虎汤三剂， 化而寒热渐已。继用大苦寒之药泄其热结，所下黑矢，
皆作枣子气。旬日后，予甘润滋濡之法，两月始得痊愈。
栖流所司药陈芝田，于仲夏患感，诸医投以温散，延至旬日，神昏谵妄，肢搐耳聋，舌黑唇焦，囊缩溺
滴，胸口隐隐微 ，一望而知其危矣。转邀孟英诊之，脉细数而促。曰∶阴亏热炽，液将涸矣。遂用∶西洋
参元参 生地 二冬 知（母） （黄）柏 楝实 石斛 白芍 甘草梢
银花 木通 犀角 石菖蒲，大剂投之。
次日复诊，其家人云∶七八日来小溲不过涓滴，昨服药六七个时辰后，解得小溲半杯。孟英曰∶此即转
机也。然阴气枯竭，甘凉濡润不厌其多，于前方再加龟板、鳖甲、百合、花粉，大锅煎之，频灌勿歇。如是者
八日，神气始清，诸恙悉退，纯用滋阴之药，调治匝月而瘳。予谓孟英学识过人，热肠独具，凡遇危险之候，
从不轻弃，最肯出心任怨以图之。如此案八日后神气始清，若经别手，纵使治法不错，而一二帖不甚起色，必规
避坚辞，致病家惑乱，谋及道旁，虽不死于病，亦必死于药矣。此在医者之识老心坚，又须病家之善于贤而任
之专也，谈何易耶？又闻孟英尝云∶温热液涸神昏，有投犀角地黄等药至十余剂始得神清液复者，因温热案最
伙，不暇详录，姑识此以告司人之命者。
姚禄皆，在金陵，适遇大水，继而回杭，途次酷热，患感。顾某诊为湿邪，与桂枝、葛根药三帖，病乃
剧。赵笛楼知其误治，连用清解，因见蓝 不肯，承手。迓孟英视之，脉细数而体瘦，乃平昔阴亏，热邪藉风
药而披猖，营液得温燥而干涸， 色既绀，危险万分。勉投大剂∶石膏 知母 白薇
栀子 青蒿 丹皮 竹叶 竹沥 童溲之药，调以神犀丹。三服，大解下如胶漆， 色渐退，而昏狂遗溺，大
渴不已。仍与前方，调以紫雪，数剂，热退神清，而言出无伦，犹如梦呓，或虑其成癫。孟英曰∶痰留包络
也。与∶犀角 菖蒲 元参 鳖甲 花粉 竹茹 黄连 生地 木通 甘草为方，调以珍珠、牛黄，始
得渐安。改授存阴，调理而愈。
关颖庵，患寒热，医者泥于今岁之司天在泉，率投温燥，以致壮热不休，阮某用小柴胡汤和解治，遂自汗神昏，苔
黑舌强，肢掣不语，唇茧齿焦。张某谓‘ 疹不透”，拟进（皂）角刺、荆、蒡。越医指为“格阳假热”，欲以附子引火
归元。许芷卿诊知为伏暑，而病家疑便溏不可服凉药，复延孟英诊之，曰∶阴虚之体，热邪失清，最易劫液，幸得溏泻，
邪气尚有出路，此正宜乘此一线生机，迎而导之，切勿迟疑。遂与芷卿商投王晋三犀角地黄汤加知（母）、麦（冬）、花
粉、西洋参、元参、贝（母）、（石）斛之类，大剂服八九日，甫得转机。续予甘凉充液六、七剂，忽大汗如雨者一夜，
人皆疑其虚脱。孟英曰∶此阴气复而邪气解也，切勿惊惶。嗣后果渐安谷，投以滋补而愈。
继有陈菊人明府乃郎，病较轻于此，因畏犀角，不敢服，竟至不救，岂不惜哉！
石诵羲，夏杪患感，多医广药，病势日增，延逾一月，始请孟英诊焉。脉至∶右寸关滑数上溢，左手弦
数，耳聋口苦，热甚于夜，胸次迷闷，频吐粘沫，啜饮咽喉阻塞，便溏溺赤，间有谵语。曰∶此暑热始终在
肺，并不传经，一剂白虎汤可愈者，何以久延至此也？乃尊北涯，出前所服方见示，孟英一一阅之，惟初诊顾
听泉用清解肺卫法为不谬耳。其余温散升提，滋阴凉血，各有来历，皆弗心思，原是好方，惜未中病。而北涯
因其溏泻，见孟英君石膏以为治，不敢与服。次日复诊，自陈昨药未投，惟求另施妥法。孟英曰∶我法最妥，
而君以为未妥者，为石膏之性寒耳。第药以对病为妥，此病舍此法，别无再妥之方。若必以模棱迎合为妥，恐
贤郎之病不妥矣。北涯闻而感悟，颇有姑且服之之意。而病者偶索方一看，见首列石膏，即
曰∶我胸中但觉一团冷气，汤水且须热呷，此药安可投乎？
坚不肯服。然素仰孟英手眼，越日仍延过诊，且告之故。孟英曰∶吾于是证，正欲发明，夫邪在肺经，清肃之
令不行，津液凝滞，结成涎沫，盘踞胸中，升降之机亦窒，大气仅能旁趋而转旋，是一团涎沫之中，为气机所
不能流行之地。其觉冷也，不亦宜乎？且余初诊时，即断为不传经之候，所以尚有今日，而能自觉胸中之冷。
若传入心包，则舌黑神昏，才合吴古年之犀角地黄汤矣。然虽不传经，延之逾月，热愈久而液愈涸，药愈乱而
病愈深，切勿以白虎为不妥，急急投之为妙。于是方有敢服之心矣。而又有人云∶曾目击所亲某，石膏甫下
咽，而命随之，况月余之病，耳聋泄泻，正气已亏，究宜慎用。北涯闻之惶惑，仍不敢投，乃约翌日广征名
士，会商可否。比孟英往诊，而群贤毕至，且见北涯求神拜佛。意乱心慌，殊可怜悯。欲与众商榷，恐转生
掣肘，以误其病，遂不遑谦让。援笔立案云∶病既久延，药无小效，主人之方寸乱矣。予三疏白虎而不用，今仍
赴召诊视者，欲求其病之愈也。夫有是病，则有是药，诸君不必各抒高见，希原自用之愚。古云∶“鼻
塞治心，耳聋治肺”，肺移热于大肠，则为肠 ，是皆白虎之专司，何必拘少阳而疑虚寒哉？放胆服之，勿再
因循，致贻伊芳戚也。座中顾听泉见案，即谓北涯曰∶孟英“肠热胆坚”极堪倚赖，如犹不信，我辈别无善法
也。顾友梅、许芷卿、赵笛楼亦皆谓∶是。疏方∶以白虎加西洋参、贝母、花粉、黄芩、紫菀、杏仁、冬瓜仁、
枇杷叶、竹叶、竹茹、竺黄，而一剂甫投，咽喉即利；三服后，各恙皆去，
糜粥渐安。乃改甘润生津、调理而愈。予谓此案不仅治法可传，其阐发病情处，识见直超古人之上。
刘廉方，常州名士也。在西湖受暑，移榻于崔仲迁别驾处，医治垂危，庄芝阶舍人，拉孟英往诊之∶裸体昏狂，
舌黑大渴，溺赤便秘，脉数而芤。与犀角地黄汤加减服之，神识已清，略能进粥。次日复诊，颇知问答，大有
生机，仍处甘凉法以赠之，并嘱伊芳格外谨慎。而越日庄半霞诣孟英偕往诊视，见其目张睛瞪，齿露唇焦，气喘
汗出，扬手踯足而不可救药矣，众楚交咻，谓是寒凉药凝闭而然。孟英曰∶病之宜凉宜热，汝辈不知也。脉乃皮
里之事，汝等不见也。吾亦不屑为之争辩，惟目瞪唇焦，人所共睹，则其死于何药，自有定论，遂拂衣（而）
出。半霞再三请罪。孟英曰∶俗人之见，何足介怀，是非日后自明，于我心无慊焉。第斯人斯病，皆可
惜也。既而始知有人主热药以偾事，岂非命耶？仅二载而仲迁病，孟英闻之曰∶殆矣，盖知其阴虚而受暑湿，恐
主药者未必能悔悟于前（车）之鉴也。后果闻其广服温补之剂，以致真阴竭绝而死。覆辙相寻，迷而不醒，可哀也矣。
姚雪蕉孝廉之太夫人，年逾花甲，患感两月，医皆束手，始延孟英诊之。身已不能转侧，水饮难于下咽，
声音不出，便溺不通。曰∶此热邪逗留不去，津液剥削殆尽。
计其受病之时，正当酷暑，岂即温补是投，但知其虚而不
知其病耶？阅前服诸方，惟初手顾听泉从吸受暑邪，轻清开上立治为合法耳。余方非不是起死回生之药，其如
与病无涉何？而阮某小柴方服之最多，盖医者执此“和解”之法，谓不犯汗、吐、下三者之险，岂不稳当。病
家见其参、胡并用，谓补正祛邪，具一举两全之美，最为上策。孰知和解足少阳传经伤寒之剂，不可以概和各
经各气之各病。徒使参、胡升提热邪以上逆，至一身之治节无以清肃下行。而姜、枣温腻湿浊于中焦，致运化之
枢机失其灌溉之（敷）布。气机愈窒，津液愈干。和解之汤愈进，而气愈不和，病愈不解。今则虽有良法，而
咽喉仅容点滴。气结津枯，至于此极，英雄无用武之地矣。雪蕉昆季力恳挽救。乃疏甘凉清润之方，
嘱其不限时刻、不计多寡、频以水匙挑入，使其渐渗下喉。而一日之间，仅灌一小杯许，其病势危，于此可
想。直灌至旬余，气机始渐流行，药可服小半剂矣。人见转机之难，不无议论旁生。赖孟英镇静不摇，乃得日以
向愈。粥食渐加，惟大解久不行，或以为忧。孟英曰∶无恐也，水到渠成，谷食安而津液充则自解矣。若欲速妄
攻，则久不纳谷之胃，尚有何物以供其荡涤哉？至九月下旬，始有欲解之势。孟英连与补气益血之药，尚不能下。
于前方加蜣螂一对，热服即解。凡不更衣者，计及五十日矣。闻者莫不惊异。继以平补善后而痊。
赵铁珊乃郎子善，康康侯之婿也，因事抑郁，凛寒发热，汤某作血虚治，进以归、芎、丹参之类，多剂不
效。乃移榻康寓，延孟英诊之，脉涩而兼沉弦以数。然舌无苔，口亦不渴，便溺如常，纳谷稍减。惟左胁下及
少腹自觉梗塞不舒。按之亦无形迹。时欲抚摩，似乎稍适。孟英曰∶此阴虚挟郁，暑邪内伏。夫郁则气机不
宣，伏暑无从走泄，遽投血药，遂至引之深入，血为邪踞，更不流行。其胁腹不舒，乃其真谛也。第病虽在
血，而治宜清气为先，气得布宣，热象必露，瘀滞得行，则厥疾始瘳。子善因目击去年妇翁之
恙，颇极钦服。连投清气之药，热果渐壮，谵妄不眠，口干痰嗽。孟英曰∶脉已转为弦滑，瘀血伏邪皆有欲出
之机。继此当用凉药清瘀为治。但旁观诧异，事反掣肘，嘱邀顾听泉质之。顾亦云然。遂同定犀角地黄汤加
味。而所亲陈眉生、许小琴暨乃兄子勉，皆疑凉药剂重，纵是热证，岂无冰伏之虞？顾为之再四开导，总
不聆解。适病者鼻衄大流，孟英笑曰∶真脏获矣。诸公之疑，可否冰释？渠舅氏陈谷人鹾尹云∶证有疑似，原
难主药，鼻血如是，病情已露，毋庸再议，径煎而饮之。
次日，衄复至，苔色转黑。孟英曰∶三日不大便，瘀热未能下行也。于前方加滑石、桃仁、木通、海 、竹沥、
石斛、银花、知母、花粉之类，又二剂，大便始行，黑如胶漆、三日间，共下七十余次而止。乃去木通、桃
仁辈，加西洋参、麦冬以生液。病者疲惫已极，沉寐三昼夜，人皆危之。孟英曰∶听之，使其阴气之来复，最
是好机。醒后尚有微热谵语。药仍前法。又旬日，始解一次黑燥大便，而各恙悉退。惟口尚渴，与大剂甘凉以濡
之。又旬日，大解甫得复行，色始不黑，乃用滋阴填补而康。
孙位中，患感，症见耳聋，医者泥于少阳小柴胡（汤）之例，聋益甚。孟英视之，曰∶伏暑也。与伤寒治
法何涉？改投清肺之药。聋减病安。将进善后法矣。忽一日，耳复聋，孟英诊之，莫测其故，因诘食物，云∶
昨日曾吃藕粉一碗。孟英曰∶是矣。肆间藕粉罕真，每以他粉搀混，此必不啻误服小柴胡（汤）一剂。复投整肃
肺胃药，寻愈。录此以见其审证周详，所谓无微不入也。
上虞陈茂才，患头痛，三日一发，发则恶寒，多药不效，饮食渐减。或拟大剂姜、附；或议须投金石。葛
仲信嘱其质于孟英，察其脉弦，重按则滑，曰∶热暑深入厥阴也，温补皆为戈戟。与∶左金（丸）加（川）楝、
（白）芍、（山）栀、桑（叶）、羚（羊角）、丹（皮）、菊（花）、橘（叶）为剂，
兼吞当归龙荟丸，三服而减，旬日即瘥。
顾奏云，季秋患感，医作虚治，补及旬日，舌卷痉厥，腰以下不能略动，危在须臾
，所亲石诵羲延孟英设死里求生之策。察脉虚促欲绝。先灌“紫雪”一钱，随灌犀角地黄汤两大剂，服下
后，厥虽止而舌 满黑，目赤如鸠，仍用前汤。三日间计服犀角两许，黑苔渐退，神识乃清，而呃忒频作，人
犹疑其虚也。孟英曰∶营热虽解，气道未肃耳。以∶犀角 元参 石斛 连翘 银花 竹茹 知母 花粉 贝母
竹叶，为方服之。次日即下黑胶矢甚多而呃忒止。又三剂，连解胶黑矢四次，舌色始润，略进米饮，腿能稍
壬申年八月，范蔚然患外感病十多天，各位医生都束手无策。他的弟弟丽门恳请孟英诊治，见到他气短、声音微弱、呃逆、自汗，喝水咽下后随即全部吐出。孟英说：这是伏暑在肺，一定是因为用了温散的方法导致病情加重。因为肺气受病，治节功能不行，全身之气都失去了顺降的机制，即使水液精微四布，也依赖清肃的权力来主持，气既然逆乱向上奔涌，水液也会泛滥上溢。只要清利肺气，各种病症自然安宁。于是查阅之前服用的药方，起初用柴胡、葛根、羌活、防风等升提药物，火势借助风势，呕吐不止，还说是胃中有寒，改用桂枝、干姜等温燥药物，火上浇油，肺津快要枯竭，自然出现气短声微，怀疑是阳虚将脱，直接给予人参、当归、蛤蚧、柿蒂、丁香等补益纳气药物，越补越逆，邪气越出不去，想要痊愈很难了。急忙停用前药，用泻白散合清燥救肺汤，服用几剂后病情平复。
庄半霞，是芝阶中翰的第三个儿子，参加乡试后患外感病，每天发作寒热七八次，神志昏迷，皮肤隐约可见红疹，医生没有办法，才请孟英诊治。孟英说：这个人平时饮酒，积热深重蕴结，夹杂外感而发，理应从清热解表治疗，一定误用了温补药物，导致热势如此猖獗。询问得知他在三场考试中都服用人参，并且携带枣子浸泡烧酒进入考场。刚发病时还不致于此，因为连续服用羌活、防风、干姜、桂枝，逐渐加重。孟英先给予白虎汤三剂，化裁后寒热逐渐停止。接着用大苦寒的药物泄其热结，所排出的黑色大便，都有枣子的气味。十天后，给予甘润滋养的方法，两个月后才痊愈。
栖流所司药陈芝田，在仲夏患外感病，各位医生投以温散药物，拖延到十天，神志昏沉谵语妄言，肢体抽搐耳聋，舌黑唇焦，阴囊收缩小便点滴难出，胸口隐约微痛，一望便知病情危重。转请孟英诊治，脉象细数而急促。孟英说：阴液亏损，热势炽盛，津液将要枯竭了。于是使用西洋参、玄参、生地、天冬、麦冬、知母、黄柏、楝实、石斛、白芍、甘草梢、银花、木通、犀角、石菖蒲，大剂量投服。
第二天复诊，他的家人说：七八天来小便不过涓滴，昨天服药六七个时辰后，解得小便半杯。孟英说：这就是转机啊。然而阴气枯竭，甘凉濡润的药不厌其多，在前方的基础上再加龟板、鳖甲、百合、花粉，大锅煎煮，频繁灌服不停歇。像这样持续八天，神气才清醒，各种病症全退，纯用滋阴药物，调理一个月才好。我认为孟英学识过人，热心肠独具一格，凡是遇到危险的证候，从不轻易放弃，最肯用心任怨去救治。像这个案子八天后神气才清醒，如果经别人之手，纵使治法不错，但一二帖药不太见效，必定会推辞回避，致使病人家属困惑混乱，向路人请教，虽然不死于病，也必死于药。这在于医者见识老练、心志坚定，又须病人家属善于贤明且信任专一，谈何容易呢？又听说孟英曾说：温热病津液枯竭神志昏沉，有投用犀角地黄等药至十余剂才得神清液复的情况，因为温热病例最多，无暇详细记录，暂记此条告知掌管人命者。
姚禄皆，在金陵，恰逢大水，随后回杭州，途中酷热，患外感病。顾某诊断为湿邪，给予桂枝、葛根药三帖，病情反而加重。赵笛楼知道误治，连续用清热解表药，因为看见蓝靛（染料/或指某种症状表现，此处疑为笔误或特定语境，结合上下文“不肯”可能指患者拒绝或药色问题，但原文“见蓝 不肯”较晦涩，通常理解为患者对某些药物或表现的不适/拒绝，或者指皮疹颜色，此处依字面意译）而不肯服用，承手（接手）。迎接孟英诊治，脉象细数且身体瘦弱，这是平时阴亏，热邪借助风药而猖獗，营血津液被温燥而干涸，面色既已青紫，危险万分。勉强投以大剂量石膏、知母、白薇、栀子、青蒿、丹皮、竹叶、竹沥、童便的药物，调服神犀丹。三服后，大便排出如胶漆状，面色渐退，但昏狂遗尿，大渴不止。仍用前方，调服紫雪，几剂后，热退神清，但言语无序，犹如梦呓，有人担心他会变成癫狂。孟英说：这是痰留包络。给予犀角、菖蒲、元参、鳖甲、花粉、竹茹、黄连、生地、木通、甘草为方，调服珍珠、牛黄，才开始渐渐安定。改授存阴之法，调理而愈。
关颖庵，患寒热，医生拘泥于今年司天在泉的理论，一律投以温燥药，导致壮热不休。阮某用小柴胡汤和解治疗，于是自汗神昏，苔黑舌强，肢体抽搐不语，唇茧齿焦。张某说“疹子不透”，打算进皂角刺、荆芥、牛蒡子。另一位医生指为“格阳假热”，想用附子引火归元。许芷卿诊知为伏暑，但病人家属怀疑便溏不可服凉药，又请孟英诊治。孟英说：阴虚体质，热邪失于清解，最容易劫夺津液，幸好得到溏泻，邪气尚有出路，这正是应该乘此一线生机，迎而导之，切勿迟疑。于是与许芷卿商量投用王晋三的犀角地黄汤加知母、麦冬、花粉、西洋参、玄参、贝母、石斛之类，大剂量服用八九日，才得转机。续予甘凉充液六七剂，忽然大汗如雨一夜，大家都怀疑是虚脱。孟英说：这是阴气恢复而邪气解除，切勿惊慌。后来果然渐渐能进食，投以滋补而愈。
接着有陈菊人明府的儿子，病情比这轻，因为畏惧犀角，不敢服用，竟然致死，岂不可惜！
石诵羲，夏末患外感病，多位医生广泛用药，病势日益增加，拖延超过一个月，才请孟英诊治。脉象：右寸关滑数上溢，左手弦数，耳聋口苦，夜间热甚，胸中迷闷，频繁吐粘沫，喝水咽喉阻塞，便溏溺赤，间有谵语。孟英说：这是暑热始终在肺，并不传经，一剂白虎汤可愈的病，为什么拖延至此？父亲北涯拿出之前服用的药方给孟英看，孟英一一查阅，只有初诊顾听泉用清解肺卫法是正确的。其余温散升提、滋阴凉血，各有来历，都不是心思所在，原本是好方子，可惜没对症。而北涯因为他溏泻，见孟英用石膏作为主治，不敢让他服用。第二天复诊，自述昨天药没投服，只求另施妥当方法。孟英说：我的法最妥当，而你以为不妥当，是因为石膏性寒罢了。只是药以对病为妥，这病舍此法，别无再妥之方。如果一定要以模棱两可迎合为妥，恐怕你儿子的病就不妥了。北涯听后感悟，颇有姑且服用的意思。而病人偶然索要药方一看，见首列石膏，就说：我胸中只觉一团冷气，汤水都得热着喝，这药怎么可以投服呢？坚决不肯服用。但他素来仰慕孟英的手眼，过几天仍请孟英诊治，并告知原因。孟英说：我对这个证候，正想阐明，邪在肺经，清肃的命令不行，津液凝滞，结成涎沫，盘踞胸中，升降的机制也窒塞，大气只能旁趋而转旋，是一团涎沫之中，为气机所不能流行的地方。觉得冷，不也是应该的吗？况且我初诊时，就判断为不传经的证候，所以还有今天，而且能自觉胸中之冷。如果传入心包，则舌黑神昏，才符合吴古年的犀角地黄汤了。虽然不传经，拖延超过一个月，热越久液越枯，药越乱病越深，千万不要认为白虎汤不妥，急急投服为妙。于是方有敢服之心。而又有人说：曾亲眼目睹亲戚某人，石膏刚下咽，命随之而去，何况是一个多月的病，耳聋泄泻，正气已亏，终究宜慎用。北涯听后惶惑，仍不敢投服，于是约定第二天广征名士，会商可否。等到孟英前往诊治，而群贤毕至，且见北涯求神拜佛。心意乱心慌，殊可怜悯。想与众人商讨，恐再生掣肘，延误病情，于是来不及谦让。提笔立案说：病既久延，药无小效，主人的方寸乱了。我三次疏远白虎汤而不用，现在仍赴召诊治，是想求得病愈。夫有是病，则有是药，诸位不必各抒高见，希望原谅我自用的愚诚。古云：“鼻塞治心，耳聋治肺”，肺移热于大肠，则为肠澼，这都是白虎汤的专司，何必拘泥少阳而怀疑虚寒呢？放胆服用，不要再因循，以致留下遗憾。座中顾听泉见案文，就对北涯说：孟英“肠热胆坚”极堪倚赖，如还不信，我们别无善法。顾友梅、许芷卿、赵笛楼也都说：对。开方：以白虎加西洋参、贝母、花粉、黄芩、紫菀、杏仁、冬瓜仁、枇杷叶、竹叶、竹茹、竺黄，而一剂刚投服，咽喉即利；三服后，各恙皆去，糜粥渐安。于是改甘润生津、调理而愈。我认为此案不仅治法可传，其阐发病情处，识见直超古人之上。
刘廉方，常州名士。在西湖受暑，移榻于崔仲迁别驾处，医治垂危，庄芝阶舍人，拉孟英往诊：裸体昏狂，舌黑大渴，溺赤便秘，脉数而芤。给予犀角地黄汤加减服用，神识已清，略能进粥。第二天复诊，颇知问答，大有生机，仍处甘凉法赠之，并嘱咐格外谨慎。而过几天庄半霞诣孟英偕往诊视，见其目张睛瞪，齿露唇焦，气喘汗出，扬手踯足而不可救药矣，众人楚声交咻，谓是寒凉药凝闭而然。孟英说：病之宜凉宜热，你们不知道。脉乃皮里之事，你们看不见。我也不屑为之争辩，惟目瞪唇焦，人所共睹，则其死于何药，自有定论，遂拂衣而出。半霞再三请罪。孟英说：俗人之见，何足介怀，是非日后自明，于我心无慊焉。只是这人这病，都可惜了。后来才知道有人主张热药而败事，岂非命耶？仅二载而仲迁病，孟英闻之曰：殆矣，盖知其阴虚而受暑湿，恐主药者未必能悔悟于前车之鉴也。后果闻其广服温补之剂，以致真阴竭绝而死。覆辙相寻，迷而不醒，可哀也矣。
姚雪蕉孝廉的母亲，年逾花甲，患外感病两个月，医生都束手无策，才请孟英诊治。身体已不能转侧，水饮难于下咽，声音不出，便溺不通。孟英说：这是热邪逗留不去，津液剥削殆尽。计算他受病之时，正当酷暑，难道就是温补是投，只知其虚而不知其病吗？查阅之前服用的药方，只有初手顾听泉从吸受暑邪，轻清开上立治为合法耳。其余方子不是不起死回生之药，无奈与病无涉何？而阮某小柴方服之最多，盖医者执此“和解”之法，谓不犯汗、吐、下三者之险，岂不稳当。病家见其参、胡并用，谓补正祛邪，具一举两全之美，最为上策。孰知和解足少阳传经伤寒之剂，不可以概和各经各气之各病。徒使参、胡升提热邪以上逆，至一身之治节无以清肃下行。而姜、枣温腻湿浊于中焦，致运化之枢机失其灌溉之敷布。气机愈窒，津液愈干。和解之汤愈进，而气愈不和，病愈不解。今则虽有良法，而咽喉仅容点滴。气结津枯，至于此极，英雄无用武之地矣。雪蕉昆季力恳挽救。乃疏甘凉清润之方，嘱其不限时刻、不计多寡、频以水匙挑入，使其渐渗下喉。而一日之间，仅灌一小杯许，其病势危，于此可想。直灌至旬余，气机始渐流行，药可服小半剂矣。人见转机之难，不无议论旁生。赖孟英镇静不摇，乃得日以向愈。粥食渐加，惟大解久不行，或以为忧。孟英说：无恐也，水到渠成，谷食安而津液充则自解矣。若欲速妄攻，则久不纳谷之胃，尚有何物以供其荡涤哉？至九月下旬，始有欲解之势。孟英连与补气益血之药，尚不能下。于前方加蜣螂一对，热服即解。凡不更衣者，计及五十日矣。闻者莫不惊异。继以平补善后而痊。
赵铁珊的儿子子善，康康侯的女婿，因事抑郁，凛寒发热，汤某作血虚治，进以当归、川芎、丹参之类，多剂不效。于是移榻康寓，延孟英诊治，脉涩而兼沉弦以数。然而舌无苔，口亦不渴，便溺如常，纳谷稍减。唯有左胁下及少腹自觉梗塞不舒。按之亦无形迹。时欲抚摩，似乎稍适。孟英说：这是阴虚挟郁，暑邪内伏。夫郁则气机不宣，伏暑无从走泄，遽投血药，遂至引之深入，血为邪踞，更不流行。其胁腹不舒，乃其真谛也。第病虽在血，而治宜清气为先，气得布宣，热象必露，瘀滞得行，则厥疾始瘳。子善因目击去年妇翁之恙，颇极钦服。连投清气之药，热果渐壮，谵妄不眠，口干痰嗽。孟英说：脉已转为弦滑，瘀血伏邪皆有欲出之机。继此当用凉药清瘀为治。但旁观诧异，事反掣肘，嘱邀顾听泉质之。顾亦云然。遂同定犀角地黄汤加味。而所亲陈眉生、许小琴暨乃兄子勉，皆疑凉药剂重，纵是热证，岂无冰伏之虞？顾为之再四开导，总不聆解。适病者鼻衄大流，孟英笑曰：真脏获矣。诸公之疑，可否冰释？渠舅氏陈谷人鹾尹云：证有疑似，原难主药，鼻血如是，病情已露，毋庸再议，径煎而饮之。
次日，衄复至，苔色转黑。孟英说：三日不大便，瘀热未能下行也。于前方加滑石、桃仁、木通、海金沙、竹沥、石斛、银花、知母、花粉之类，又二剂，大便始行，黑如胶漆、三日间，共下七十余次而止。乃去木通、桃仁辈，加西洋参、麦冬以生液。病者疲惫已极，沉寐三昼夜，人都危之。孟英说：听之，使其阴气之来复，最是好机。醒后尚有微热谵语。药仍前法。又旬日，始解一次黑燥大便，而各恙悉退。唯口尚渴，与大剂甘凉以濡之。又旬日，大解甫得复行，色始不黑，乃用滋阴填补而康。
孙位中，患外感病，症见耳聋，医生拘泥于少阳小柴胡汤的例子，聋益甚。孟英视之，说：伏暑也。与伤寒治法何涉？改投清肺之药。聋减病安。将进善后法矣。忽一日，耳复聋，孟英诊之，莫测其故，因诘食物，云：昨日曾吃藕粉一碗。孟英说：是矣。肆间藕粉罕真，每以他粉搀混，此必不啻误服小柴胡汤一剂。复投整肃肺胃药，寻愈。录此以见其审证周详，所谓无微不入也。
上虞陈茂才，患头痛，三日一发，发则恶寒，多药不效，饮食渐减。或拟大剂姜、附；或议须投金石。葛仲信嘱其质于孟英，察其脉弦，重按则滑，说：热暑深入厥阴也，温补皆为戈戟。给予左金丸加川楝、白芍、山栀、桑叶、羚羊角、丹皮、菊花、橘叶为剂，兼吞当归龙荟丸，三服而减，旬日即瘥。
顾奏云，季秋患外感病，医生作虚治，补及旬日，舌卷痉厥，腰以下不能略动，危在须臾，所亲石诵羲延孟英设死里求生之策。察脉虚促欲绝。先灌“紫雪”一钱，随灌犀角地黄汤两大剂，服下后，厥虽止而舌满黑，目赤如鸠，仍用前汤。三日间计服犀角两许，黑苔渐退，神识乃清，而呃忒频作，人犹疑其虚也。孟英说：营热虽解，气道未肃耳。以犀角、元参、石斛、连翘、银花、竹茹、知母、花粉、贝母、竹叶，为方服之。次日即下黑胶矢甚多而呃忒止。又三剂，连解胶黑矢四次，舌色始润，略进米饮，腿能稍
In the eighth month of the Ren Shen year, Fan Weiran suffered from an exogenous disease for more than ten days, and all physicians were at a loss. His younger brother, Li Men, earnestly requested Meng Ying to treat him. Upon examination, he observed shortness of breath, faint voice, hiccups, spontaneous sweating, and immediate regurgitation of any water swallowed. Meng Ying stated: "This is latent summerheat in the Lung; it must have been exacerbated by the use of warm-dispersing methods. Since the Lung Qi is diseased and its regulatory function fails, the Qi of the entire body loses its mechanism of descending smoothly. Even if the essence of fluids is distributed throughout, it relies on the authority of clear and descending functions to govern. If Qi rebels and rushes upward, fluids will also overflow upward. By clearing the Lung, all ailments will naturally settle." He then reviewed the previously prescribed formulas. Initially, Chai Hu (Bupleuri Radix), Ge Gen (Puerariae Lobatae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), and Fang Feng (Saposhnikoviae Radix) were used to lift and raise, allowing fire to borrow the power of wind, resulting in incessant vomiting. Yet, it was still claimed that there was cold in the Stomach. Guizhi Tang (Cinnamon Twig Decoction) and Gan Jiang (Zingiberis Rhizoma) were then changed to for warming and drying, adding oil to the fire, causing Lung Yin to be nearly exhausted. Naturally, this led to shortness of breath and faint voice, leading to suspicion of Yang deficiency impending collapse. Directly, Renshen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix), Gejie (Gecko), Shidi (Diospyri Fructus Calyx), and Dingxiang (Caryophylli Flos) were given to tonify and grasp Qi. The more they tonified, the more rebellious the Qi became, and the more the pathogen failed to exit; recovery would be difficult. Hastily discarding the previous medicines, Xie Bai San (White Powder to Drain the Lungs) combined with Qing Zao Jiu Fei Tang (Clear Dryness and Rescue the Lung Decoction) was used. After several doses, the condition stabilized.
Zhuang Banxia, the third son of Zhijie Zhonghan, contracted an exogenous disease after taking the imperial examinations (Wen). He experienced chills and fever seven or eight times daily, with coma and faint spirit, and subtle rashes appearing on the skin. Physicians had no strategy, so Meng Ying was invited. Meng Ying said: "This person usually drinks alcohol, accumulating deep heat. Combined with an exogenous factor, it erupted. It should have been treated with clearing and resolving methods. Misuse of warm tonics caused the heat to rage thus." Inquiry revealed that he had taken Renshen during all three examination sessions and carried dates soaked in liquor into the exam hall. The illness was not severe initially but worsened due to continuous administration of Qiang Huo, Fang Feng, Gan Jiang, and Guizhi. Meng Ying first administered Bai Hu Tang (White Tiger Decoction) for three doses. Modified, the chills and fever gradually ceased. Subsequently, bitter-cold herbs were used to drain the heat accumulation. The black stools passed had the odor of dates. Ten days later, sweet-moistening methods were employed, and full recovery took two months.
Chen Zhitian, the pharmacist at Qiliu Suo, contracted an exogenous disease in mid-summer. Physicians administered warm-dispersing herbs, delaying treatment for ten days until he suffered from coma, delirium, limb convulsions, deafness, black tongue, scorched lips, retracted scrotum, and scanty urination. The chest showed subtle pain. The danger was obvious upon sight. Meng Ying was consulted. The pulse was fine, rapid, and hurried. Meng Ying said: "Yin deficiency with blazing heat; fluids are about to dry up." He prescribed a large dose of Xiyangshen (American Ginseng Radix et Cortex), Xuanshen (Scrophulariae Radix), Shengdi Huang (Rehmanniae Radix Preparata), Dongqing (Asparagi Radix), Tian Dong (Ophiopogonis Radix), Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Lianshi (Meliae Fructus), Shihu (Dendrobii Caulis), Baishao (Paeoniae Radix Alba), Gancao Gao (Glycyrrhizae Radix et Rhizoma tip), Yinhua (Lonicerae Japonicae Flos), Mutong (Akebiae Caulis), Shuijiao (Rhinocerotis Cornu - *Note: Now prohibited, historically used*), and Shichangpu (Acori Tatarinowii Rhizoma).
On the second day, his family reported that for seven or eight days, urine was merely drops, but after six to seven hours of taking the medicine yesterday, half a cup was voided. Meng Ying said: "This is the turning point. However, with depleted Yin, sweet-cool moistening herbs are never too many." He added Guiban (Testudinis Carapax et Plastrum), Biejia (Trionycis Carapax), Baihe (Lilii Bulbus), and Huafen (Trichosanthis Radix) to the previous formula, decocted in a large pot, and administered frequently without stopping. After eight days of this regimen, the spirit cleared, and all symptoms subsided. Pure Yin-nourishing herbs were used for one month until recovery. I consider Meng Ying’s knowledge superior and his compassionate heart unique. In dangerous cases, he never easily gives up, working diligently despite resentment. In this case, if another physician had treated it, even with correct methods, lack of immediate improvement in one or two doses might lead to avoidance, confusing the family and seeking advice from bystanders. Though not dying from the disease, they might die from the medicine. This requires the physician's seasoned judgment and firm resolve, as well as the patient's family's wise trust. How difficult is this? Meng Ying once said: "In warm-heat diseases where fluids are depleted and spirit is confused, some patients require over ten doses of Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) before spirit clears and fluids return." Due to the vast number of such cases, detailed records are omitted here to inform those responsible for lives.
Yao Lu jie was in Jinling when a flood occurred, then returned to Hangzhou. On the way, suffering from intense heat, he contracted an exogenous disease. Gu diagnosed it as dampness and gave Guizhi Tang and Ge Gen for three doses, worsening the condition. Zhao Dilou recognized the misdiagnosis and continuously used clearing and resolving methods, but the patient refused due to [blue dye/color issue]. Meng Ying was invited. The pulse was fine and rapid, and the body was emaciated, indicating chronic Yin deficiency. Heat pathogens, aided by wind herbs, raged, and Nutrient fluids dried up due to warm-dry herbs. The complexion turned cyanotic, indicating extreme danger. A large dose of Shigao (Gypsum Fibrosum), Zhimu, Baiwei (Cynanchi Atrati Radix), Zhizi (Gardeniae Fructus), Qinghao (Artemisiae Annuae Herba), Danpi (Moutan Cortex), Zhuye (Bambusae Folium), Zhuli (Bambusae Caulis in Taenia), and Tongxiao (Infant Urine) was administered, along with Shenxi Dan (Divine Calamity Pill). After three doses, stool passed like glue and lacquer, complexion improved, but confusion, enuresis, and extreme thirst persisted. The same formula was continued with Zixue (Purple Snow), and after several doses, heat receded, spirit cleared, but speech was disordered, resembling sleep-talking. Fear of epilepsy arose. Meng Ying said: "Phlegm remains in the Pericardium." He prescribed Shuijiao, Changpu, Xuanshen, Biejia, Huafen, Zhuru (Bambusae Caulis in Taenia), Huanglian (Coptidis Rhizoma), Shengdi, Mutong, and Gancao, mixed with Zhenzhu (Pearl) and Niuhuang (Calculus Bovis). Gradually, stability was achieved. Yin-preserving methods were adopted for recovery.
Guan Ying'an suffered from chills and fever. Physicians adhered to the theory of the Year's Si Tian and Zai Quan, administering warm-dry herbs, leading to persistent high fever. Ruan used Xiao Chai Hu Tang (Minor Bupleurum Decoction) for harmonization, resulting in spontaneous sweating, coma, black coating, stiff tongue, limb twitching, muteness, calloused lips, and scorched teeth. Zhang said "the rash did not erupt" and proposed Zao Jiao Ci (Gleditsiae Sinensis Spina), Jingjie (Schizonepetae Herba), and Bangzi (Arctii Fructus). Another doctor diagnosed "Grid Yang False Heat" and wanted to use Fuzi (Aconiti Lateralis Radix Preparata) to guide fire back to its source. Xu Zhixing diagnosed latent summerheat, but the family suspected loose stools meant cooling herbs were contraindicated. Meng Ying was consulted again. He said: "In Yin-deficient constitutions, heat pathogens easily consume fluids. Fortunately, the loose stool provides an outlet for the pathogen. This is the opportunity to guide it out. Do not hesitate." He consulted with Xu Zhixing to prescribe Wang Jin San's modified Xijiao Dihuang Tang with Zhimu, Maidong (Ophiopogonis Radix), Huafen, Xiyangshen, Xuanshen, Beimu (Fritillariae Cirrhosae Bulbus), and Shihu. Large doses were taken for eight or nine days before a turning point appeared. Sweet-cool fluid-replenishing herbs were given for six or seven doses. Suddenly, profuse sweating occurred overnight. Everyone suspected collapse. Meng Ying said: "This is Yin recovery and pathogen resolution. Do not panic." Eventually, appetite returned, and tonics led to recovery.
Chen Jurén's son had a milder case but feared Shuijiao and refused it, leading to death. How pitiful!
Shi Songxi contracted an exogenous disease at the end of summer. Multiple physicians and wide-ranging medications increased the severity over a month. Meng Ying was finally consulted. Pulse: Right Cun and Guan were slippery and rapid, overflowing upwards; Left hand was wiry and rapid. Symptoms: Deafness, bitter taste, worse heat at night, chest oppression, frequent vomiting of sticky saliva, throat obstruction when drinking, loose stools, dark urine, occasional delirium. Meng Ying said: "Summerheat and heat remain in the Lung throughout, without transmitting through meridians. One dose of Bai Hu Tang could cure this. Why the delay?" Shi's father, Beiya, showed previous prescriptions. Meng Ying reviewed them, noting only Gu Tingquan's initial clearing of Lung and Wei was correct. Others, though respectable formulas, missed the pathology. Beiya hesitated to let Shi take Meng Ying's prescription containing Shigao due to loose stools. On the second visit, Beiya asked for another method. Meng Ying said: "My method is most appropriate. Your objection is due to Shigao's cold nature. Medicine should fit the disease. For this disease, no other method is more suitable. If you seek compromise, your son's condition will suffer." Beiya was moved but hesitant. The patient saw the prescription, noted Shigao, and said: "I feel a ball of cold air in my chest; even hot water must be sipped. How can this cold herb be taken?" He firmly refused. However, respecting Meng Ying, he invited him again. Meng Ying explained: "Pathogen in Lung meridian fails to descend, condensing fluids into phlegm-saliva, obstructing the chest, blocking Qi movement. The feeling of cold is natural. I judged non-transmission initially, hence the current state. If it transmitted to Pericardium, black tongue and coma would occur, requiring Xijiao Dihuang Tang. Although not transmitting, prolonged heat depletes fluids. Do not doubt Bai Hu Tang; administer it urgently." The patient agreed. Someone warned of a relative who died after taking Shigao. Beiya remained confused and scheduled a consultation with scholars. When Meng Ying arrived, many were present, and Beiya was praying. Meng Ying wrote: "The disease has lingered, medicines ineffective. The master is confused. I avoided Bai Hu Tang thrice but now prescribe it to cure the disease. There is a medicine for every disease. Do not offer conflicting opinions. Ancient texts say 'Stuffy nose treated via Heart, Deafness treated via Lung.' Lung heat transferring to Large Intestine causes dysentery-like symptoms. This is Bai Hu Tang's domain. Why doubt Shaoyang or suspect cold? Take it boldly." Gu Tingquan supported Meng Ying. The prescription was Bai Hu Tang plus Xiyangshen, Beimu, Huafen, Huangqin (Scutellariae Radix), Ziwan (Asteri Radix), Xingren (Armeniacae Semen Amarum), Dongguaren (Benincasae Semen), Pipaye (Loquat Leaf), Zhuye, Zhuru, and Zhuhuang (Bambusae Caulis in Taenia powder). After one dose, throat opened; after three, symptoms resolved, and congee was tolerated. Sweet-moistening methods followed for recovery. This case demonstrates not only effective treatment but insights surpassing ancients.
Liu Lianfang, a scholar from Changzhou, contracted summerheat in West Lake and stayed at Cui Zhongqian's residence. Treatment failed critically. Zhuang Zhijie invited Meng Ying. The patient was naked, comatose, manic, with black tongue, extreme thirst, dark urine, constipation, and rapid, hollow pulse. Modified Xijiao Dihuang Tang was given. Spirit cleared, and he could eat congee. Next day, he answered questions well, showing signs of life. Cool-sweet methods were continued with caution. Days later, Zhuang Banxia visited with Meng Ying. The patient had staring eyes, exposed teeth, scorched lips, panting, sweating, flailing limbs—irreversible. Crowd blamed cold herbs. Meng Ying said: "You do not know whether cool or hot is indicated. You cannot see the pulse details. I disdain arguing. Eyes open, lips scorched are visible; the cause of death is evident." He left. Banxia apologized. Meng Ying said: "Vulgar views need not concern me. Truth will emerge. I feel no remorse. But this person and disease are pitiable." Later, it was learned that someone advocated hot herbs, causing failure. Two years later, Cui Zhongqian fell ill. Meng Ying predicted doom, knowing Yin deficiency with summerheat-dampness, fearing the treating physician wouldn't learn from past mistakes. Indeed, he took warm tonics extensively, exhausting True Yin and dying. Tragic repetition.
Yao Xuejiao's mother, over sixty, suffered from exogenous disease for two months. Physicians gave up. Meng Ying was consulted. She could not turn, swallow water, speak, or pass urine/stool. Meng Ying said: "Heat lingers, fluids are exhausted. At onset, it was peak summer heat. Did they just tonify warmth, seeing only deficiency and ignoring the disease?" Previous prescriptions showed only Gu Tingquan's initial light-clearing of upper Jiao summerheat was correct. Others, though potentially life-saving, did not match the pathology. Ruan's Xiao Chai Hu Tang was taken most. Physicians clung to "harmonizing," avoiding sweating, vomiting, purging risks. Family liked the combination of Renshen and Chai Hu for tonifying and expelling. However, harmonizing Shaoyang transmission formulas cannot apply to all meridians/qi diseases. Renshen and Chai Hu lifted heat upward, disrupting Lung regulation. Ginger and Jujube warmed and clogged Middle Jiao, hindering transformation. Qi stagnation increased, fluids dried. Harmonizing soups worsened disharmony. Now, even good methods fail as the throat accepts only drops. Qi knot and fluid exhaustion reached extremes. Heroes have no place to act. Yao's brothers begged for rescue. Meng Ying prescribed sweet-cool moistening herbs, instructing frequent small spoonfuls regardless of time or amount, to seep down. Only a small cup per day was possible, showing critical severity. After ten days of continuous administration, Qi flow resumed, allowing half a dose. Observers doubted the slow progress, but Meng Ying remained calm. Gradual improvement occurred. Congee intake increased. Constipation persisted for fifty days. Meng Ying said: "Do not fear. Water flows, channel forms. With food and fluids restored, bowel movement will resume. Rushing to purge an empty stomach yields nothing." Late September, urge to defecate appeared. Tonifying Qi and Blood herbs failed to induce movement. Adding one dung beetle (Qianglang) to the hot decoction resulted in immediate passage. Shockingly, fifty days without bowel movement. Follow-up with mild tonics ensured recovery.
Zhao Tieshan's son, Zishan, husband of Kang Kanghou's daughter, suffered depression, chills, and fever. Tang treated for Blood deficiency with Dang Gui, Chuanxiong, Danshen, etc., without effect. Moved to Kang's residence, Meng Ying consulted. Pulse: Slippery, deep, wiry, rapid. Tongue: Coating-less. Mouth: Not thirsty. Urine/Stool: Normal. Appetite: Slightly reduced. Sensation: Fullness/blockage in left hypochondrium and lower abdomen, tender to touch/massage. Meng Ying said: "Yin deficiency with stagnation, latent summerheat inside. Stagnation blocks Qi movement, preventing summerheat release. Sudden blood-invigorating herbs drew pathogen deeper. Blood occupied by pathogen, circulation blocked. Hypochondriac discomfort is the truth. Though disease involves Blood, clearing Qi is priority. Once Qi spreads, heat manifests, stasis moves, and disease heals." Zishan, witnessing his father-in-law's previous illness cured by Meng Ying, trusted him. Clearing Qi herbs were given. Heat intensified, delirium, insomnia, dry mouth, phlegm cough appeared. Meng Ying said: "Pulse changed to wiry-slippery. Stasis and latent pathogen show signs of exiting. Next, cool herbs to clear stasis." Bystanders objected, fearing heavy cooling. Gu Tingquan was invited and agreed. Modified Xijiao Dihuang Tang was decided. Relatives Chen Meisheng, Xu Xiaoqin, and brother Zimian doubted heavy cooling, fearing "ice-stagnation." Gu explained repeatedly without success. Suddenly, severe epistaxis occurred. Meng Ying smiled: "True organ signs obtained. Can doubts be dispelled?" Uncle Chen Guyin said: "Diagnosis is ambiguous, hard to decide. With such bleeding, pathology is revealed. No need to discuss further. Brew and drink."
Next day, bleeding recurred, coating turned black. Meng Ying said: "Three days without stool, stasis-heat cannot descend." Added Huashi (Talcum), Tao Ren (Persicae Semen), Mutong, Haijinsha (Lygodii Spora), Zhuli, Shihu, Yinhua, Zhimu, Huafen. After two doses, stool passed, black as glue. Over three days, over seventy evacuations. Mutong and Tao Ren removed; Xiyangshen and Maidong added to generate fluids. Patient extremely fatigued, slept deeply for three days. Others worried. Meng Ying said: "Let it be. Yin recovery is a good sign." Upon waking, slight heat and delirium persisted. Same method continued. Ten days later, one black dry stool passed, symptoms resolved. Thirst remained; large dose of sweet-cool herbs moistened. Ten days later, stool normalized, color improved. Yin-nourishing filling therapy ensured health.
Sun Weizhong contracted exogenous disease with deafness. Physicians stuck to Shaoyang/Xiao Chai Hu Tang pattern, worsening deafness. Meng Ying diagnosed latent summerheat, unrelated to Cold Damage treatment. Prescribed Lung-clearing herbs. Deafness decreased, condition stabilized. Just as recovery plan was made, deafness returned suddenly. Meng Ying puzzled, asked about diet. Patient ate lotus root starch yesterday. Meng Ying said: "Market lotus root starch is rarely pure, often mixed with other starches. This is equivalent to mistakenly taking Xiao Chai Hu Tang." Prescribed Lung-Stomach regulating herbs. Recovered soon. Recorded to show meticulous diagnosis.
Chen Maocai from Shangyu suffered headache, occurring every three days with chills. Many medicines failed, appetite decreased. Some suggested large doses of Jiang and Fu; others mineral drugs. Ge Zhongxin referred to Meng Ying. Pulse: Wiry, slippery on deep pressure. Meng Ying said: "Heat-summerheat deeply entered Jueyin. Warm tonics are weapons against you." Prescribed Zuojin Wan (Left Metal Pill) modified with Chuanlian (Meliae Toosendan Fructus), Baishao, Shanzhi (Gardeniae Fructus), Sangye (Mori Folium), Lingyangjiao (Capris Cornu), Danpi, Juhua (Chrysanthemi Flos), Juye (Citri Reticulatae Folium), plus Danggui Longhui Wan (Angelica and Gardenia Pill). Three doses reduced symptoms; recovered in ten days.
Gu Zhaoyun contracted exogenous disease in late autumn. Physicians treated as deficiency, tonifying for ten days. Result: curled tongue, spasms, paralysis below waist, imminent death. Relative Shi Songxi invited Meng Ying for a desperate measure. Pulse: Deficient, hurried, near extinction. First, Zixue (Purple Snow) one qian was灌 (instilled), followed by two large doses of Xijiao Dihuang Tang. Convulsions stopped, but tongue covered in black coating, eyes red as dove's, still using previous decoction. In three days, approx. two liang of Shuijiao consumed. Black coating faded, spirit cleared. Frequent hiccups remained, suspected deficiency. Meng Ying said: "Nutrient heat resolved, but Qi pathway not肃 (clear/calm)." Prescribed Shuijiao, Xuanshen, Shihu, Lianqiao (Forsythiae Fructus), Yinhua, Zhuru, Zhimu, Huafen, Beimu, Zhuye. Next day, large amount of black glue-like stool passed, hiccups stopped. Three more doses, four episodes of black stool. Tongue moistened, rice water tolerated, legs slightly movable.