许滇生之媳,为阮芸台太傅之女孙,在都因丧子悲哀,患发厥。屡服补剂,以致汛愆。
或疑为娠。孟英曰∶脉虽弦数以滑,乃痰挟风阳而为厥也。与“大剂蠲痰熄风,舒郁清营”之剂,渐以获愈。
丁酉中秋夜,牙行张鉴录,年逾花甲,猝仆于地。急延孟英脉之,弦滑而大。曰∶痰、气、食相并而逆于上也。
先以乌梅擦开牙关,横一竹箸于口,灌以淡盐姜汤,随以鹅翎探之。太息一声而苏,次与调气和中而愈。后数
年以他疾终。
秋初,家慈猝仆于地。孟英诊之,脉浮弦以滑。用∶羚羊角 胆星 牡蛎 石菖蒲 丹参 茯苓 钩藤
桑叶 贝母 橘红 蒺藜等以顺气、蠲痰、熄风、降火而痊。
癸卯春前数日,忽作欠伸而厥。孟英切脉,微弱而弦。
曰∶病虽与前相似,而证则异矣。以∶高丽参 白术 何首乌 山茱萸 枸杞 桑椹 石斛 (淮)牛膝 蒺
藜橘红 牡蛎等,镇补、摄纳以瘳。余谓此等症,安危在呼吸之间,观前后猝仆数案,可见其辨证之神,虽
古人,不多让,况世俗之所谓医乎。家慈两次类中,予皆远出,微孟英,吾将焉活?感铭五内,聊识数言,
惟愿读是书者,体其济世之心,临证得能如是,将胥天下之沉 而尽起矣。
祝叟,年近古稀,己亥春赴席,忽仆地痰涌,肢强眼斜,舌謇不语。外科王瑞芝荐孟英视之,投六君子汤加
蝎稍、羚羊角、胆星、石菖蒲、竹沥、姜汁而瘳。
沈新予令岳母,陡患昏厥,速孟英视之,病者楼居,酷热如蒸。因曰∶此阴虚肝阳素盛之体,暑邪吸入包络,
亟宜移榻清凉之地。随以紫雪(丹)一钱,新汲水调下可安。而病者自言手足已受缧绁,
坚不肯移。家人惊以为祟,闻而束手。孟英督令移之,如法灌药,果即帖然。
胡次瑶妇,陡患肢麻昏眩,以为“急痧”。孟英视之,面微红,音低神惫。睛微赤,舌色微
黄,足微冷,身微热,胸微闷,脉微弦。曰∶乃本元素弱,谋虑萦思,心火上炎,内风随以上僭,岂可误作痧
闭,妄投香散之药哉?以∶人参 龙(骨) 牡(蛎) 菖(蒲) (黄)连 石英 麦冬 小麦 竹叶 莲子
心为方,两啜而瘥。寻与平补善其后。
许滇生的儿媳,是阮芸台太傅的女儿之孙女,在京城因丧子之痛而悲伤过度,患上了发厥病。多次服用补益药剂,导致月经失调。
有人怀疑她是怀孕。孟英说:脉象虽然弦数且带滑象,这是痰浊挟带风阳上扰而导致的厥证。给予“大剂量祛痰熄风、疏解郁结、清营凉血”的方剂,逐渐痊愈。
丁酉年中秋之夜,牙行商人张鉴录,年过六十,突然倒地昏迷。急忙请孟英诊脉,脉象弦滑而大。他说:这是痰、气、食积相互搏结,逆乱于上所致。
先用乌梅擦拭打开牙关,在口中横放一根竹筷,灌入淡盐姜汤,随即用鹅毛管探喉催吐。患者长叹一声后苏醒,接着给予调理气机、和中健脾的药物而痊愈。几年后因其他疾病去世。
秋初,家母突然倒地昏迷。孟英诊察她的脉象,浮弦而滑。使用:羚羊角、胆南星、牡蛎、石菖蒲、丹参、茯苓、钩藤、桑叶、贝母、橘红、蒺藜等药物,以顺气、祛痰、熄风、降火,从而痊愈。
癸卯年春季前几天,突然打哈欠伸懒腰后发生厥逆。孟英切脉,脉微弱而弦。
他说:病虽然与前例相似,但证候则不同了。使用:高丽参、白术、何首乌、山茱萸、枸杞、桑椹、石斛、牛膝、蒺藜、橘红、牡蛎等药物,以镇摄补虚、收敛固脱而治愈。我认为这类病症,安危只在呼吸之间,观察前后几次突然倒地的案例,可见其辨证之神妙,即使古人也不多见,何况世俗所谓的医生呢?家母两次患类中风,我都不在身边,若非孟英,我将如何救活她?感激之情铭刻五内,略记数言,只希望读这本书的人,体会他济世救人的初心,临证时若能如此,那么天下所有沉疴重症之人都会全部康复了。
祝叟,年近七十,己亥春赴宴席间,突然倒地,痰涌不止,肢体僵硬,眼斜口歪,舌强语謇。外科医生王瑞芝推荐孟英诊治,投予六君子汤加全蝎尾、羚羊角、胆南星、石菖蒲、竹沥、姜汁,从而痊愈。
沈新予的岳母,突然患昏厥,急忙请孟英诊治。病人住在楼上,酷热如蒸笼。孟英说:这是阴虚肝阳素来旺盛的体质,暑邪吸入心包络,急需将床榻移至清凉之地。随即用紫雪丹一钱,用新汲水调服即可安顿。但病人自称手脚已被绳索捆绑(实为神志不清产生的幻觉),坚决不肯移动。家人惊恐以为是鬼祟作怪,闻讯束手无策。孟英督促家人将其移走,按法灌药,果然立刻平静下来。
胡次瑶的妻子,突然患肢体麻木、头晕目眩,被误认为是“急痧”。孟英诊视,见其面色微红,声音低微,精神疲惫。眼睛微赤,舌色微黄,双脚微冷,身体微热,胸部微闷,脉象微弦。他说:这是本身体质虚弱,思虑过多,心火上炎,内风随之上僭,岂可误作痧闭,妄投香散类药物呢?使用:人参、龙骨、牡蛎、石菖蒲、黄连、石英、麦冬、小麦、竹叶、莲子心组成方剂,服用两剂后痊愈。随后给予平和补益的药物善后。
Xu Disheng's daughter-in-law, the granddaughter of Ruan Yuntai's (Grand Tutor) daughter, suffered from syncope in the capital due to excessive grief over the loss of her son. Repeated administration of tonifying agents led to menstrual irregularities.
Some suspected pregnancy. Mengying stated: "Although the pulse is wiry, rapid, and slippery, this is syncope caused by phlegm harboring wind-yang." He prescribed a large dose of formula for eliminating phlegm and extinguishing wind, soothing depression, and clearing the Ying level, leading to gradual recovery.
On the night of the Mid-Autumn Festival in the Dingyou year, Zhang Jianlu, a broker aged over sixty, suddenly collapsed. Mengying was urgently summoned to examine the pulse, which was wiry, slippery, and large. He said: "This is an upward rebellion of phlegm, qi, and food stagnation combined."
First, a smoked plum (Wumei) was used to wipe open the jaw; a bamboo chopstick was placed horizontally in the mouth, and light salted ginger soup was poured in, followed by stimulation with a goose feather to induce vomiting. After a deep sigh, the patient regained consciousness. Subsequently, treatment to regulate qi and harmonize the middle jiao resulted in recovery. Years later, he died of another illness.
In early autumn, my mother suddenly collapsed. Mengying diagnosed a floating, wiry, and slippery pulse. He used: Cornu Saigantae Tatarici (Lingyangjiao), Rhizoma Arisaematis Cum Bile (Danningxing), Concha Ostreae (Muli), Rhizoma Acori Tatarinowii (Shichangpu), Radix Salviae Miltiorrhizae (Danshen), Poria (Fuling), Ramulus Uncariae cum Uncis (Gouteng), Folium Mori (Sangye), Fructus Ficus Microcarpae (Beimu - *Note: Context implies Fritillaria, usually Chuanbeimu or Zhebeimu, but text says Beimu*), Pericarpium Citri Reticulatae (Juhong), and Spina Gleditsiae (Jili) to smooth qi, eliminate phlegm, extinguish wind, and descend fire, resulting in recovery.
A few days before spring in the Guimao year, [my mother] suddenly yawned and stretched, then fell into syncope. Mengying palpated the pulse, which was weak and wiry.
He said: "Although the disease resembles the previous case, the syndrome is different." He prescribed: Korean Ginseng (Gaolishen), Rhizoma Atractylodis Macrocephalae (Baizhu), Polygoni Multiflori Preparatum (Heshouwu), Fructus Corni (Shanzhuyu), Fructus Lycii (Gouqi), Fructus Morus Albae (Sangshen), Dendrobii Caulis (Shihu), Radix Achyranthis Bidentatae (Niuxi), Spina Gleditsiae (Jili), Pericarpium Citri Reticulatae (Juhong), and Concha Ostreae (Muli) to settle and tonify, and to grasp and retain, leading to cure. I consider that for such cases, life and death hang in the balance of a breath. Observing these several cases of sudden collapse, one can see the divine nature of his differentiation, surpassing even many ancients, let alone ordinary physicians. My mother suffered two episodes of stroke-like conditions while I was far away; without Mengying, how could she have survived? My gratitude is engraved in my heart. I record these few words, hoping that readers will understand his heart for saving the world, and if they can practice clinically in this manner, all the sick under heaven will be raised up.
Zhu Sou, nearly seventy years old, suddenly collapsed at a banquet in the spring of the Jihei year, with profuse phlegm, stiff limbs, deviated eyes, and a stiff tongue unable to speak. Surgeon Wang Ruizhi recommended Mengying to treat him. He administered Liu Junzi Tang (Six Gentlemen Decoction) added with tails of whole scorpion (Xieshao), Cornu Saigantae Tatarici (Lingyangjiao), Rhizoma Arisaematis Cum Bile (Danningxing), Rhizoma Acori Tatarinowii (Shichangpu), Bamboo Sap (Zhuli), and Ginger Juice (Jiangzhi), resulting in recovery.
The mother-in-law of Shen Xinyu's son suddenly suffered from coma and syncope. Mengying was summoned urgently. The patient lived on an upper floor, where it was hot like a steamer. Mengying said: "This is a constitution with yin deficiency and inherent hyperactivity of liver-yang. Summer-heat pathogen has entered the pericardium. It is urgent to move the bed to a cool place." He immediately prescribed Zi Xue Dan (Purple Snow Pill) one qian, mixed with newly drawn water for administration. However, the patient claimed her hands and feet were bound by ropes and firmly refused to move. Her family was terrified, thinking it was a spirit possession, and stood helpless upon hearing this. Mengying ordered them to move her anyway. After administering the medicine as directed, she indeed calmed down immediately.
Hu Ciyao's wife suddenly suffered from limb numbness and dizziness, misdiagnosed as "acute sha" (heatstroke/cramp). Mengying examined her: face slightly red, voice low, spirit exhausted. Eyes slightly red, tongue color slightly yellow, feet slightly cold, body slightly warm, chest slightly stuffy, pulse slightly wiry. He said: "This is due to inherent weakness of constitution, entangled thoughts, flaming up of heart-fire, and internal wind rising accordingly. How can it be mistaken for sha closure and wrongly treated with aromatic dispersants?" He prescribed a formula of: Ginseng Radix (Renshen), Os Draconis (Longgu), Concha Ostreae (Muli), Rhizoma Acori Tatarinowii (Shichangpu), Rhizoma Coptidis (Huanglian), Semen Quartzum (Shiying), Radix Ophiopogonis (Maidong), Frumen Tritici (Xiaomai), Folium Nelumbinis (Zhuye), and Cor Nuciferae (Lianzixin). After two doses, she recovered. Subsequently, mild tonifying agents were given for convalescence.