汪氏妇,自孟秋患痢之后,大便溏泻未愈。已而怀妊,恐其堕也,投补不辍。延至仲冬,两目赤瞳满遮,气逆碍
眠,脘疼拒按,痰嗽不食,苦渴无溲。屈孟英诊之,脉甚滑数。曰∶此温补所酿之痰也。夫秋间滞下,原属暑、湿、
热为病,既失清解,逗留而为溏泻。受妊以来,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。又恐其上喘下泻而脱也,补之愈力,以致治节尽废,溲闭不饥,浊气壅至,清窍两目之
所以蒙障而瞽也。与∶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。
谢氏妇,怀妊五月,便泻四日,医投姜、附、桂一剂,遂四肢麻冷,气塞神昏,溺闭汗淋,大渴呕吐。延孟英诊
之,脉未全伏。先饮以酱油汤,吐渐止,随与∶(西洋)参 (黄)连 (黄)芩 (黄)柏 (竹)茹 (石)
斛银花 扁豆叶 蒲桃干 芦根 绿豆 以冬瓜汤煎,徐徐温服,外用醋炭熏之,各恙皆瘥。
次日复诊,脉弦滑,泻未止,以白头翁汤加(西洋)参、(甘)草、银花、扁豆、蒲公英、蒲桃干、砂仁,二
剂而痊。
满洲少妇,怀妊漏血。诸医投以补药,漏如故。间或不
漏则吐血。延逾两载,腹中渐动,孕已无疑。然血久溢于上下,甚至纳食即吐,多医不能治。孟英诊之,脉滑数有
力,是气实而血热也。证不属虚,补药反能助病。愈补愈漏,胎无血荫而不长,其所以不坠者,气分坚实耳。予大
剂清营药,血溢遂止。而稀沫频吐,得饮即呕,口渴心忡,气短似促。乃用∶西洋参 麦冬 知母 石斛 枇杷
叶竹茹 柿蒂 生白芍 木瓜 重用乌梅,投之,复杯即安,次日能吃饭矣。
汪氏的妇人,从初秋患痢疾之后,大便溏泻一直未愈。不久后怀孕,担心胎儿流产,便不断投用补益药物。拖延到仲冬时节,双眼红赤、瞳孔被遮蔽,气逆阻碍睡眠,胃脘疼痛且拒按,痰嗽不止无法进食,极度口渴且无小便。请孟英诊治,脉象非常滑数。孟英说:这是温补所酿生的痰热。秋季的痢疾,原本属于暑、湿、热致病,既然失去了清解治疗,邪气逗留体内转为溏泻。怀孕以来,已经四个月,因担心流产而峻猛进补,导致肺胃下行的功能全部逆转上升,因此胸中堵塞疼痛,喘咳不能平卧。又担心上喘下泻导致虚脱,补益之力愈强,致使治节(肺的调节功能)完全废弛,小便闭塞、不知饥饿,浊气壅盛上冲,清窍(眼睛)之所以蒙蔽失明,原因就在于此。给予方药:沙参、蛤壳、枇杷叶、冬瓜子、海浮石、旋覆花、苏子、杏仁、黄连、枳实、黄芩、栀子,并重加贝母。服用两剂后,即知饥饿并敢下床,眼睛能看见物体了。
谢氏的妇人,怀孕五个月,腹泻四天,医生投用干姜、附子、肉桂一剂,随即四肢麻木冰冷,气塞神志昏迷,小便闭塞、汗出如淋,大渴呕吐。请孟英诊治,脉象尚未完全伏匿。先让其饮用酱油汤,呕吐逐渐停止,随后给予方药:西洋参、黄连、黄芩、黄柏、竹茹、石斛、银花、扁豆叶、葡萄干、芦根、绿豆,用冬瓜汤煎煮,慢慢温服,外用醋炭熏蒸,各种病症都痊愈了。
第二天复诊,脉象弦滑,腹泻未止,使用白头翁汤加入西洋参、甘草、银花、扁豆、蒲公英、葡萄干、砂仁,服用两剂后痊愈。
满洲籍的年轻妇女,怀孕出现胎漏(阴道少量出血)。众医投用补药,出血依旧。偶尔不出血时则吐血。拖延超过两年,腹中渐渐有胎动,怀孕已无疑义。然而血液长期溢于上下,甚至进食即吐,多位医生无法治愈。孟英诊治,脉象滑数有力,这是气实而血热。证候不属于虚证,补药反而助长病势。越补越漏,胎儿没有血液滋养而不能生长,之所以不流产,是因为气分坚实所致。给予大剂清热凉营药物,出血随即停止。但患者频繁吐出稀沫,得饮即呕,口渴心慌,气短似急促。于是使用方药:西洋参、麦冬、知母、石斛、枇杷叶、竹茹、柿蒂、生白芍、木瓜,重用乌梅,投药后,喝完一杯药即安宁,第二天就能吃饭了。
Wang’s wife, after suffering from dysentery in early autumn, had not recovered from loose stools. Subsequently, she became pregnant and, fearing miscarriage, was continuously administered tonifying treatments. By mid-winter, her eyes were red with pupils obscured, qi rebellion prevented sleep, epigastric pain was present with tenderness upon pressure, she suffered from phlegm-cough and anorexia, extreme thirst, and urinary retention. Mengying examined her pulse, which was very slippery and rapid. He said: This is phlegm-heat generated by warm-tonifying medicines. The dysentery in autumn originally belonged to pathogenic factors of summer-heat, dampness, and heat. Since clear-resolving treatment was lost, the pathogens lingered and transformed into loose stools. Since conception, four months have passed; due to fear of miscarriage, harsh tonification was used, reversing the descending function of the Lung and Stomach upwards. Thus, chest obstruction and pain occurred, along with wheezing and coughing preventing lying down. Fearing collapse from upper wheezing and lower diarrhea, stronger tonification was applied, causing the regulatory function (Zhi Jie) of the Lung to be completely abolished. Urinary retention and loss of appetite resulted, turbid qi stagnated and rose, causing the clear orifices (eyes) to be blinded. Prescribed: Sha Shen (Glehniae Radix), Ge Qiao (Trisynii Concha), Pi Pa Ye (Eriobotryae Folium), Dong Gua Zi (Benincasae Semen), Hai Shi (Pumex), Xuan Fu Hua (Inulae Flos), Su Zi (Perillae Fructus), Xing Ren (Armeniacae Semen Amarum), Huang Lian (Coptidis Rhizoma), Zhi Shi (Aurantii Fructus Immaturus), Huang Qin (Scutellariae Radix), Zhi Zi (Gardeniae Fructus), with heavy addition of Bei Mu (Fritillariae Bulbus). After two doses, she felt hungry, dared to get out of bed, and could see again.
Xie’s wife, at five months of pregnancy, suffered from diarrhea for four days. A physician administered a dose of Jiang (Zingiberis Rhizoma), Fu Zi (Aconiti Lateralis Radix Praeparata), and Gui (Cinnamomi Ramulus). Immediately afterwards, her limbs became numb and cold, qi stagnation caused unconsciousness, urinary retention and profuse sweating occurred, accompanied by extreme thirst and vomiting. Mengying examined her pulse, which had not fully vanished. She was first given soy sauce soup, after which vomiting gradually stopped. Then, a prescription was given: Xi Yang Shen (American Ginseng Radix et Rhizoma), Huang Lian (Coptidis Rhizoma), Huang Qin (Scutellariae Radix), Huang Bo (Phellodendri Cortex), Zhu Ru (Bambusae Caulis in Taeniam), Shi Hu (Dendrobii Caulis), Yin Hua (Lonicerae Flos), Bian Dou Ye (Phaseoli Folium), Pu Tao Gan (Vitis Viniferae Fructus), Lu Gen (Phragmitis Rhizoma), Lv Dou (Phaseoli Radiati Semen), decocted in Winter Melon Decoction, taken slowly and warm. Externally, vinegar-charcoal fumigation was applied, and all ailments resolved.
On the next day’s follow-up, the pulse was wiry and slippery, and diarrhea persisted. Bai Tou Weng Tang (Pulsatillae Decoction) was modified with Xi Yang Shen (American Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Yin Hua (Lonicerae Flos), Bian Dou (Phaseoli Semen), Pu Gong Ying (Taraxaci Herba), Pu Tao Gan (Vitis Viniferae Fructus), and Sha Ren (Amomi Fructus Rotundus). After two doses, she recovered.
A young Manchu woman suffered from Tai Lou (threatened abortion with vaginal bleeding) during pregnancy. Various physicians administered tonics, but bleeding continued. Occasionally, when bleeding stopped, she vomited blood. Over two years, fetal movement gradually appeared in the abdomen, confirming pregnancy. However, prolonged blood loss above and below led to immediate vomiting upon eating, and many physicians failed to treat it. Mengying examined her pulse, which was slippery, rapid, and forceful, indicating excess qi and blood-heat. The syndrome was not deficiency; tonics aggravated the disease. More tonification led to more bleeding, and the fetus lacked blood nourishment to grow. It did not miscarry only because the qi aspect was solid. Large doses of Qing Ying (Clear Nutrient Level) herbs were prescribed, and bleeding stopped. However, she frequently vomited thin foam, vomited immediately upon drinking, felt thirsty, palpitations, and shortness of breath resembling urgency. A prescription was used: Xi Yang Shen (American Ginseng Radix et Rhizoma), Mai Dong (Ophiopogonis Tuber), Zhi Mu (Anemarrhenae Rhizoma), Shi Hu (Dendrobii Caulis), Pi Pa Ye (Eriobotryae Folium), Zhu Ru (Bambusae Caulis in Taeniam), Shi Di (Kaki Calyx), Sheng Bai Shao (Paeoniae Radix Alba), Mu Gua (Chaenomelis Fructus), with heavy use of Wu Mei (Mume Fructus). After one cup, she was calm, and the next day she could eat.