濮妪,于酷热之秋,浑身生疖如疔,痛楚难堪,小溲或秘或频,大便登圊则努挣不下,卧则不能收摄。人皆谓
其虚也。孟英诊脉,滑数,舌紫、苔黄而渴。予白虎汤加花粉、竹叶、栀子、白薇、紫菀、石斛、黄柏,十余剂
而痊。
歙人吴茂林,患右颊肿痛,颏下结核,牙关仅能呷稀糜。外科称名不一,治若网知。孟英投以∶大麻 僵蚕
羚羊(角) 石膏 省头草 升麻 当归 秦艽 花粉 黄芩等药,渐愈。
朱小辉太守令嫒,骤患颐肿,连及唇鼻,乃至口不能开,舌不得出。孟英视之,曰∶此温毒也。用∶射干 山
豆根 马勃 羚羊(角) 薄荷 银花 贝母 花粉 杏仁 竺黄为剂,并以紫雪(丹)搽于唇内,锡类散吹入
咽喉,外将橄榄核磨涂肿处,果吐韧涎而肿渐消,诘朝即啜稀粥,数日而愈。
胡氏妇,患乳房结核,外科杂投温补,核渐增而痛胀日甚,驯至形消汛愆,夜热餐减,骨痿于床。孟英诊曰∶郁
损情怀,徒补奚益?予以蠲痰开郁之剂,吞当归龙荟丸。痛胀降序,热退能餐,月事仍行,改投虎潜(丸)加减法,
服半年余而起。凡前后计用(川)贝母七、八斤,他药称是。
今春因哭母悲哀,陡然发厥。予∶甘麦大枣(汤)加龙(骨)、牡(蛎)、龟(版)、鳖(甲)、磁朱(
丸)、金箔、龙眼肉而安。
濮家老妇,在酷热的秋季,全身长出像疔疮一样的疖子,疼痛难以忍受,小便有时闭塞不通有时频数,大便时想排便却用力也排不出,躺下时则无法控制排泄。人们都认为是虚证。孟英诊脉,脉象滑数,舌质紫暗、苔黄且口渴。给予白虎汤加天花粉、竹叶、栀子、白薇、紫菀、石斛、黄柏,服用十余剂后痊愈。
歙县人吴茂林,患右脸颊肿痛,下巴下方有结核(肿块),牙关紧闭仅能喝稀粥。外科医生对此病名说法不一,治疗如同网中无纲不知头绪。孟英投以:大麻(此处疑为“大青”或特定草药,依原文保留)、僵蚕、羚羊角、石膏、省头草、升麻、当归、秦艽、天花粉、黄芩等药,逐渐好转。
朱小辉太守的女儿,突然患上腮部肿胀,牵连到嘴唇和鼻子,以至于嘴巴不能张开,舌头伸不出来。孟英查看后说:这是温毒(温热毒邪)。用:射干、山豆根、马勃、羚羊角、薄荷、金银花、贝母、天花粉、杏仁、竹沥为药剂,并用紫雪丹涂抹于唇内,将锡类散吹入咽喉,外部用橄榄核磨碎涂在肿胀处,果然吐出黏稠涎液而肿胀逐渐消退,第二天早上就能喝稀粥,几天后痊愈。
胡氏妇人,患乳房结核(肿块),外科医生胡乱投用温补药物,肿块逐渐增大且胀痛日益严重,最终导致形体消瘦、月经停闭、夜间发热、食欲减退,身体虚弱卧床不起。孟英诊断说:情志郁结损伤,单纯进补有何益处?给予化痰开郁的药剂,吞服当归龙荟丸。疼痛肿胀按顺序减轻,热退能进食,月经恢复,改为投用虎潜丸加减法,服用半年多后康复。前后共计使用川贝母七八斤,其他药物数量相当。
今年春天因哭丧母亲悲哀过度,突然发生昏厥。给予甘麦大枣汤加龙骨、牡蛎、龟板、鳖甲、磁朱丸、金箔、龙眼肉而安定。
An elderly woman of the Pu family, during a scorching autumn, developed boils all over her body resembling carbuncles (deep-seated skin infections), with unbearable pain. Her urination was either obstructed or frequent; when attempting defecation, she strained but could not pass stool, and when lying down, she suffered from incontinence. People generally considered this to be a deficiency syndrome. Mengying palpated the pulse, finding it slippery and rapid; the tongue was purplish, coated with yellow moss, accompanied by thirst. He prescribed Baihu Tang (White Tiger Decoction) added with Tianhuafen (Trichosanthes Root), Zhuye (Bamboo Leaf), Zhizi (Gardenia Fruit), Baiwei (Cynanchum Atratum Root), Ziwan (Aster Root), Shihu (Dendrobium Stem), and Huangbai (Phellodendron Bark). After taking more than ten doses, she recovered.
Wu Maolin, a native of Xi County, suffered from swelling and pain on the right cheek and tubercles (nodules) under the chin, with trismus (lockjaw) such that he could only consume thin porridge. Surgeons gave various names to this condition, and their treatments were as disorganized as a net without a cord. Mengying administered: Dama (likely Daqing/Isatis Root, preserved as original text), Jiangcan (Bombyx Batryticatus), Lingyangjiao (Antelope Horn), Shigao (Gypsum Fibrosum), Shentoucao (Herba Siegesbeckiae), Shengma (Cimicifugae Rhizoma), Danggui (Angelica Sinensis), Qinjiao (Gentiana Macrophylla Root), Tianhuafen (Trichosanthes Root), and Huangqin (Scutellaria Baicalensis Root), among other herbs. The condition gradually improved.
The daughter of Prefect Zhu Xiaohui suddenly developed swelling of the parotid region, extending to the lips and nose, so much so that her mouth could not open and her tongue could not protrude. Upon examination, Mengying said: This is Wendu (Warmth-Toxin). He used: Shegan (Belamcanda Rhizome), Shandougen (Sophorae Tonkinensis Radix), Mabo (Lycoperdon), Lingyangjiao (Antelope Horn), Bohe (Menthae Haplocalycis Herba), Yinhua (Lonicerae Japonicae Flos), Beimu (Fritillariae Bulbus), Tianhuafen (Trichosanthes Root), Xingren (Armeniacae Semen Amarum), and Zhuhu (Pericarpium Arecae Preparatum) as a decoction. Additionally, Zixue Dan (Purple Snow Pill) was applied inside the lips, Xilei San (Xilei Powder) was blown into the throat, and the outside of the swollen area was rubbed with ground olive pits. Indeed, tough saliva was expectorated, and the swelling gradually subsided. By the next morning, she could drink thin porridge, and she recovered after a few days.
Madam Hu suffered from breast tubercles (nodules). Surgeons indiscriminately administered warming and tonifying medicines, causing the nodules to increase in size while pain and distension worsened daily. Eventually, she became emaciated, menstruation ceased, night fevers occurred, appetite decreased, and she became bedridden due to bone weakness. Mengying diagnosed: "Emotional depression has damaged the spirit; what benefit is there in mere tonification?" He provided a formula to resolve phlegm and relieve stagnation, along with Danggui Longhui Wan (Angelica and Picrorhiza Pill) to be swallowed. The pain and distension subsided sequentially, fever receded, appetite returned, and menstruation resumed. He then switched to modified Huyan Wan (Tiger Hiding Pill), which she took for over half a year until she recovered. In total, seven or eight jin (approx. 3-4 kg) of Chuanbeimu (Sichuan Fritillaria Bulb) were used, and other herbs were consumed in similar quantities.
In the spring of this year, due to excessive grief from mourning her mother, she suddenly fainted. Mengying prescribed Ganmai Dazao Tang (Licorice, Wheat, and Jujube Decoction) added with Longgu (Fossilized Mammoth Tooth/Bone), Muli (Oyster Shell), Guiban (Tortoise Plastron), Biejia (Turtle Carapace), Cizhu Wan (Magnetite and Cinnabar Pill), Jinbo (Gold Foil), and Longyanrou (Longan Aril), after which she stabilized.