陈足甫室，怀妊九月而患疟，目不能瞑，口渴自汗，便溏气短。医进育阴清解法，数剂不应，改用小柴胡一帖，而
咽痛舌黑，心头绞痛。乃翁仰
山闻之，疑其胎坏，延孟英过诊。曰∶右脉洪滑，虽舌黑而胎固无恙也。病由伏暑，育阴嫌其滋腻，小柴胡（汤）
乃正疟之主方，古人谓为和剂，须知是伤寒之和剂，在温、暑等证，不特手足异经，而人参、半夏、姜、枣，皆不可
轻用之药。虽有黄芩之苦寒，而仲圣于伤寒之治，犹有渴者去半夏、加栝蒌根之文，古人立方之严密，何后人不加体
察耶？投以竹叶石膏汤，疟止便闭，口渴不休。与甘凉濡润法数帖，忽腹鸣泄泻，或疑寒凉所致。孟英曰∶吾当以
凉药解之，人莫识其意，问难终朝，语多不备录。果以白头翁汤两啜而愈。
迨季秋娩后，发热不蒸乳，恶露淡且少，家人欲用生化汤，孟英急止之。曰∶血去阴更伤，岂可妄疑瘀停而攻
之？与∶西洋参 生地 茯苓 石斛 女贞 旱莲 甘草 为大剂，数日而安。
继因触怒，少腹聚气如瘕，酸痛夜甚。人又疑为凉药凝瘀所致，孟英力为辨析。与∶橘核 橘叶 橘络
楝实 苁蓉 木香 （山）栀炭 乌药 丝瓜络 海 藕（肉） 石斛 两头尖等药，外以葱头抖烂贴之，两服
后，腹中雷鸣，周身汗出而痛止。人见其汗，虑其虚脱，急追孟英视之。曰∶此气行而病解矣。但脉形细数，阴津
大伤，苔黄苦渴，亟宜润补。奈枢机窒滞，滋腻难投，且以濡养八脉为法。服之各恙皆蠲，眠食渐适。缘平素多
郁，易犯痧气，
频发脘痛，屡次反复。孟英竭力图维，幸得转危为安，渐投滋补而愈。
陈足甫的妻子，怀孕九个月时患上疟疾，眼睛无法闭合（失眠），口渴，自汗，大便稀溏，气短。医生采用滋阴清解的方法治疗，服用几剂后无效，改为使用小柴胡汤一帖，结果出现咽喉疼痛、舌苔发黑、心口剧烈绞痛。孩子的父亲仰山听说后，怀疑胎儿已经受损，邀请孟英前来诊察。孟英说：“右脉洪大滑数，虽然舌苔发黑，但胎儿安然无恙。”此病由伏暑引起，滋阴法嫌其滋腻碍胃，小柴胡汤虽然是正疟的主方，古人称之为和剂，但须知这是针对伤寒的和剂，在温病、暑病等证候中，不仅手足经脉不同，而且人参、半夏、生姜、大枣，都是不可轻易使用的药物。虽然有黄芩的苦寒之性，但张仲景在治疗伤寒时，还有口渴者去掉半夏、加入瓜蒌根的记载，古人组方的严密性，为何后人不加体察呢？于是投以竹叶石膏汤，疟疾停止但大便闭结，口渴不止。给予甘凉濡润法治疗几帖后，突然腹部鸣响并泄泻，有人怀疑是寒凉药所致。孟英说：“我应当用凉药来解除它”，人们都不理解他的意图，询问质疑了一整天，言语过多不再详细记录。果然服用两服白头翁汤而痊愈。
等到深秋分娩后，发热且没有乳汁分泌，恶露颜色淡且量少，家人想用生化汤，孟英急忙制止。他说：“失血导致阴液更伤，怎么能错误地怀疑有瘀血停滞而使用攻逐之法呢？”给予西洋参、生地、茯苓、石斛、女贞子、旱莲草、甘草，组成大剂量方剂，数日后病情安定。
接着因为触怒生气，少腹积聚气块如瘕聚，酸痛夜间加重。人们又怀疑是凉药凝结瘀血所致，孟英极力辨析。给予橘核、橘叶、橘络、楝实、肉苁蓉、木香、山栀子炭、乌药、丝瓜络、海螵蛸、藕肉、石斛、两头尖等药物，外用葱头捣烂贴敷，服用两剂后，腹中雷鸣，周身出汗而疼痛停止。人们见到出汗，担心虚脱，急忙追赶孟英来看视。孟英说：“这是气机运行通畅，病邪解除的表现。但是脉象细数，阴津大伤，舌苔黄、口苦、口渴，急需润补。无奈枢机阻滞，滋腻药物难以投入，暂且以濡养奇经八脉为治法。服药后各种病症都消除了，睡眠饮食逐渐舒适。因为他平素多郁结，容易犯痧气，频繁发作胃痛，屡次反复。孟英竭力调理，幸好转危为安，逐渐投以滋补药物而痊愈。”
The wife of Chen Zufu, who was nine months pregnant, contracted malaria. She suffered from insomnia (unable to close her eyes), thirst, spontaneous sweating, loose stools, and shortness of breath. The physician employed a method of nourishing Yin and clearing heat/resolving toxicity, but after several doses, there was no improvement. The prescription was changed to Xiao Chai Hu Tang (Minor Bupleurum Decoction) for one dose, resulting in sore throat, black tongue coating, and severe cramping pain in the heart region. The father-in-law, Yang Shan, hearing of this, suspected that the fetus had been damaged and invited Meng Ying for consultation. Meng Ying said: "The right pulse is surging and slippery; although the tongue coating is black, the fetus remains unharmed." The disease originated from latent summer-heat. Nourishing Yin was considered too cloying and greasy. Although Xiao Chai Hu Tang is the main formula for typical malaria, and ancients referred to it as a harmonizing agent, one must understand that it is a harmonizing agent for Cold Damage (Shanghan). In cases of warm diseases or summer-heat, not only are the hand and foot meridians different, but Ren Shen (Ginseng Radix et Rhizoma), Ban Xia (Pinelliae Rhizoma), Sheng Jiang (Zingiberis Rhizoma Recens), and Da Zao (Jujubae Fructus) are all herbs that should not be used lightly. Although Huang Qin (Scutellariae Radix) is bitter and cold, even Zhang Zhongjing, in treating Cold Damage, stated that if there is thirst, Ban Xia should be removed and Gua Lou Gen (Trichosanthis Radix) added. How rigorous the ancients were in formulating prescriptions! Why do later generations fail to examine this? A decoction of Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction) was administered. The malaria ceased, but constipation ensued, and thirst persisted. Several doses of a sweet and cool moistening method were given. Suddenly, borborygmus and diarrhea occurred. Some suspected it was caused by cold-cooling medicines. Meng Ying said, "I shall resolve it with cooling medicines." People did not understand his intent, questioning him throughout the day; the dialogue is too lengthy to record fully. Indeed, after two doses of Bai Tou Weng Tang (Pulsatillae Decoction), she recovered.
When late autumn arrived and delivery occurred, she had fever but no lactation, and lochia was pale and scanty. The family wished to use Sheng Hua Tang (Generate the Menses Decoction), but Meng Ying urgently stopped them. He said: "Blood loss has further injured Yin; how can one wrongly suspect blood stasis retention and attack it?" He prescribed a large dose of Xi Yang Shen (American Ginseng Radix), Di Huang (Rehmanniae Radix), Fu Ling (Poria), Shi Hu (Dendrobii Caulis), Nu Zhen Zi (Ligustri Lucidi Fructus), Han Lian Cao (Ecliptae Herba), and Gan Cao (Glycyrrhizae Radix et Rhizoma). After several days, she stabilized.
Subsequently, due to anger, qi accumulated in the lower abdomen forming a mass like a jia-mass (abdominal mass), causing sour pain that worsened at night. Others suspected it was caused by cold medicines congealing blood stasis. Meng Ying analyzed and distinguished the condition carefully. He prescribed Ju He (Citri Reticulatae Semen), Ju Ye (Citri Reticulatae Folium), Ju Luo (Citri Reticulatae Pericarpium Retinervatum), Lian Shi (Meliae Semen), Cong Rong (Cynomorphi Herba), Mu Xiang (Aucklandiae Radix), Shan Zhi Tan (Gardeniae Fructus Carbonized), Wu Yao (Linderae Radix), Si Gua Luo (Luffae Fructus Retinervatum), Hai Piao Xiao (Sepiae Endoconcha), Ou Rou (Nelumbinis Plumulae or Lotus Flesh - context implies lotus flesh/seed), Shi Hu (Dendrobii Caulis), and Liang Tou Jian (Saussureae Radix), etc. Externally, scallion heads were pounded and applied as a paste. After two doses, borborygmus resounded in the abdomen, sweat appeared over the whole body, and the pain ceased. Seeing the sweat, people feared collapse due to deficiency and urgently sought Meng Ying's examination. Meng Ying said: "This indicates that qi circulation has resumed and the disease is resolving. However, the pulse is fine and rapid, indicating significant injury to Yin fluids. The tongue coating is yellow, with bitterness and thirst in the mouth; moistening and tonifying is urgently needed. Unfortunately, the pivot mechanism is obstructed, making cloying and greasy tonics difficult to administer. For now, the method is to nourish the Eight Extraordinary Vessels. After taking the medicine, all ailments were eliminated, and sleep and appetite gradually improved. Because he [Note: Context implies the patient, likely referring to the woman's constitution or a typo in original text referring to 'she', but strictly translating 'he' based on 'Ping Su Duo Yu'] usually had much depression, he was prone to sha-qi (sand-qi/toxic heat), frequently suffering from epigastric pain with repeated relapses. Meng Ying exerted every effort to manage the case, fortunately turning danger into safety, and gradually administering tonifying medicines until recovery."