湖墅，张春桥，素禀不坚，头眩脑鸣，频服温补药，甚觉畏冷。人皆谓其体偏于寒也。
辛丑春，始请孟英诊之，脉甚数。曰∶阴亏也。温补非宜。改服滋水培元之剂，颇为有效。夏间，或劝
以灸火，云∶“可以除百病”。盖未知灼艾之可以除百病者，谓可除寒湿凝滞、阳气不能宣通之证，非谓内
伤外感一切之病皆可以灸除之也。故仲景有“微数之脉，慎不可灸”之训，正以艾火大能伤阴也。
灸后数日，即寒少热多，宛如虐疾，医者以为“脾寒”病，投以温散，日以滋甚。春桥知药治未符，坚不肯服，
乃父与之询其故，漫曰∶要儿服药，须延王先生延医。与之遂邀孟英治之，切其脉，滑数倍加，曰∶阴虚之体，内热
自生，灸之以艾，火气内攻。当时溽暑，天热外烁，三者交加，阴何以堪？再
投温散，如火益热，当从“瘅疟”治。专以甘寒熄热，则阴津不致枯涸，而寒热可不攻自去。所谓“治病
必求其本”也。竟不用一分表散药而治愈。
一老广文，俸满来省验看，患眩晕。医谓“上虚”，进以参、 等药，因而不食不便，烦躁气逆。孟英诊
曰∶“下虚”之证，误补其上，气分实而不降，先当治药，然后疗病。与∶（山）栀 （豆）豉 （黄）芩 桔
（梗） 枳（实） 橘（红）
（紫）菀 贝（母），一剂粥进便行，嗣用滋阴熄风法而愈，
王雪山令媳，患心悸眩晕。广服补剂，初若甚效，继乃日剧，时时汗出，肢冷息微，气逆欲脱，灌以参汤，稍
有把握。延逾半载，大弗不资。庄之阶舍人，令延孟英诊视，脉沉弦且滑，舌绛而有黄腻之苔，口苦溲热，汛事仍
行。病属痰热 ，误补则气机壅塞，与大剂清热涤痰药，吞当归龙荟丸，服之渐以向安。仲夏即受孕，次年二月诞
一子，惜其娠后停药，去痰未尽，娩后复患悸晕不眠，气短不饥，或作产后血虚治不效，仍请孟英视之。脉
极滑数，曰∶病根未刈也。与蠲痰清气法，果应。
比丘尼心能，体浓蹒跚。偶患眩悸，医以为虚。久服温补，渐至
发肿不饥。仲夏，延孟英视之，脉甚弦滑，舌色光绛。主清痰热，尽撤补药，彼不之信，仍服八味等方。至季
夏再屈孟英诊之，脉数七至，眠食尽废，不可救药矣，果及秋而荼毗。（和尚死叫荼毗）。
曾稼梅令嫒，患眩晕，脘痛，筋掣，吐酸，渴饮，不饥，咽中如有炙脔，
朱某与温胃药，病日剧。孟英诊脉，弦滑，投∶（竹）茹 贝（母） （吴茱）萸 （黄）连 旋（复） 赭（石） 栀
（子） 楝（实） 枳（实） 郁（金） 雪羹之药，十余剂始愈。
胡秋谷令嫒，年甫笄（女子十五岁为笄），往岁患眩晕，孟英切其脉滑，作痰治，服一、二剂，未
愈。更医谓“虚”，进以补药，颇效，渠信为然。今冬复病，径服补药，半年后，眠食皆废，闻声惊惕，寒颤
自汗，肢冷如冰。以为久虚欲脱，乞援于孟英。脉极细数，目赤便秘，胸下痞塞如 ，力辨其非虚证。盖痰饮
为患，乍补每若相安，惟具只眼者，始不为病所欺也。投以∶旋（复） 赭（石） （竹）茹 贝（母） 蛤
壳花粉 桑（叶） 栀（子） 栝（蒌） 薤（白） （黄）连 枳（实）等药，数服即安，而晕不能止，乃
去赭（石）、薤（白）、（栝）蒌、枳（实），加元参、菊花、“二至”、“三甲”之类，服匝月，始能起榻。
李甫华令正，患头震。孟英脉之，弦滑，乃肝经郁怒火升也。投∶当归龙荟丸而瘥。然不能惩忿，其病屡
发之后，更兼溺闭，腹胀，喘汗欲绝。亟邀孟英视之，脉甚弦涩。口苦苔黄，舌色紫黯，汛虽不愆，内有瘀滞
也。以∶雪羹加金铃 旋复 栀子 滑石 桃仁 茺蔚 车前子 木通，仍吞龙荟丸，外以田蠃
、大蒜、车前草，捣贴脐下，服后果先下黑血。溲即随通。继而更衣，粪色亦黑，遂愈。
【背景信息】
书名：回春录 作者：王士维 朝代：清 章节：眩晕 类别：综合
【待处理原文翻译】
杭州湖墅人张春桥，先天体质虚弱，经常感到头晕、脑鸣。他频繁服用温补药物，结果反而觉得更加怕冷。人们都认为他的体质偏于寒性。
辛丑年春天，才开始请孟英诊治，脉象非常急促（数脉）。孟英说：“这是阴液亏损。”温补的方法并不适宜。改为服用滋养肾水、培补元气的方剂后，效果相当不错。夏天时，有人劝他用艾灸治疗，说：“这样可以去除百病。”这大概是不了解艾灸能去除百病的原理，指的是可以去除因寒湿凝滞、阳气不能宣通所导致的病证，并不是说内伤和外感的所有疾病都可以用艾灸去除。所以张仲景有“脉象微数，千万不可艾灸”的教诲，正是因为艾火大能损伤阴液。
艾灸之后几天，他就出现怕冷少、发热多的症状，宛如疟疾（疟疾）。医生认为是“脾寒”病，投以温散药物，病情每天加重。春桥知道药治不对症，坚决不肯再服。其父询问原因，他随口说：“要儿子服药，必须请王先生延请医生来。”于是其父又邀请孟英诊治。切脉发现，滑数和之前的相比加倍严重。孟英说：“阴虚体质，内生热邪，再用艾火灸治，火气内攻。当时正值酷暑，天气炎热外灼，三者叠加，阴液怎么承受得住？如果再投以温散药物，就像火上浇油，应当从‘瘅疟’（一种热盛型的疟疾）来治疗。专门使用甘寒药物来熄灭热邪，那么阴津就不会枯竭，而寒热症状可以不通过攻伐自行消退。这就是所谓的‘治病必求其本’。”最终没有使用一分发散表邪的药物就治愈了。
一位老年的学官，任期届满到省城考核，患有眩晕。医生说是“上虚”，进用参、[黄芪]等药物，导致他不思饮食、大便不通、烦躁气逆。孟英诊察后说：“这是‘下虚’的病证，误补其上，导致气分实而不降，应当先治疗药物引起的副作用，然后再治疗疾病。”给予：山栀、豆豉、黄芩、桔梗、枳实、橘红、紫菀、贝母，一剂药后就能喝粥并排便，随后使用滋阴熄风法而痊愈。
王雪山的儿媳，患有心悸眩晕。广泛服用补剂，起初似乎很有效，后来却日益加重，时时出汗，四肢冰冷，气息微弱，气逆欲脱，灌服人参汤，才稍微有点把握。拖延了半年多，花费巨大。庄之阶舍人，请孟英诊治，脉象沉弦且滑，舌质红绛而有黄腻苔，口苦尿热，月经仍然正常。病属痰热阻滞，误用补药则导致气机壅塞，给予大剂清热涤痰药，吞服当归龙荟丸，服用后逐渐安定。仲夏时节受孕，次年二月产下一子，可惜怀孕后停药，去痰未尽，分娩后再次患心悸眩晕失眠，气短不想吃饭，有人按产后血虚治疗无效，仍请孟英诊治。脉极滑数，孟英说：“病根未除。”给予蠲痰清气法，果然见效。
比丘尼心能，体态肥胖行动迟缓。偶然患眩晕心悸，医生认为是虚证。长期服用温补药物，逐渐发展到身体浮肿、不思饮食。仲夏时节，请孟英诊治，脉象甚弦滑，舌色光红无苔。主张清化痰热，撤去所有补药，她不相信，仍服用八味丸等方剂。到了季夏再屈请孟英诊治，脉数达七至，睡眠和饮食全部废绝，无法救治了，果然等到秋天就去世了。（和尚死叫荼毗）。
曾稼梅的女儿，患有眩晕，胃脘痛，筋脉抽搐，吐酸水，口渴饮水，不思饮食，咽喉中如有炙肉块梗阻感。朱某给予温胃药，病情日益加重。孟英诊脉，脉弦滑，投以：竹茹、贝母、吴茱萸、黄连、旋覆花、代赭石、栀子、楝实、枳实、郁金、雪羹汤等药物，十余剂后才痊愈。
胡秋谷的女儿，年仅十五岁，往年患眩晕，孟英切其脉滑，诊断为痰证治疗，服用一、二剂，未愈。换医生说是“虚证”，进用补药，颇有效，她便信以为真。今年冬天复发，直接服用补药，半年后，睡眠和饮食皆废绝，听到声音就惊恐警惕，寒颤自汗，四肢冷如冰。被认为是久虚欲脱，向孟英求救。脉极细数，目赤便秘，胸下痞塞如物阻塞，极力辩驳这不是虚证。原来是痰饮为患，偶尔补益似乎相安无事，只有具备独到眼光的人，才不被疾病所欺骗。投以：旋覆花、代赭石、竹茹、贝母、蛤壳、花粉、桑叶、栀子、瓜蒌、薤白、黄连、枳实等药，数服即安，但眩晕不能止，于是去掉代赭石、薤白、瓜蒌、枳实，加玄参、菊花、“二至丸”、“三甲复脉汤”之类，服用一个月，才能起床。
李甫华的妻子，患头部震颤。孟英诊脉，脉弦滑，认为是肝经郁怒火升所致。投以当归龙荟丸而病愈。然而不能克制愤怒，病多次发作后，更兼小便闭塞，腹胀，喘促出汗欲绝。紧急邀请孟英诊治，脉甚弦涩。口苦苔黄，舌色紫黯，月经虽然没耽误，体内有瘀滞。以：雪羹汤加金铃子、旋覆花、栀子、滑石、桃仁、茺蔚子、车前子、木通，仍吞服龙荟丸，外用田螺、大蒜、车前草，捣烂贴敷脐下，服药后果然先排出黑血。小便随即通畅。继而排便，粪便颜色也是黑的，于是痊愈。
Background Information:
Book: Huichun Lu (Record of Recovery)
Author: Wang Shiwei
Dynasty: Qing
Chapter: Vertigo and Dizziness
Category: Comprehensive
Translation:
Zhang Chunqiao from Hushu, Hangzhou, had a constitutionally weak foundation. He frequently experienced vertigo and tinnitus in the head. After taking warming and tonifying medicines repeatedly, he felt increasingly afraid of cold. People all believed his body type was biased towards coldness.
In the spring of the Xinchou year, Meng Ying was finally consulted for diagnosis. The pulse was very rapid (Shu Mai). Meng Ying said, "This is Yin deficiency. Warming and tonifying are not appropriate." The prescription was changed to nourish Kidney Water and cultivate the Primordial Qi. This was quite effective. In summer, someone advised him to use moxibustion, claiming, "It can cure all diseases." This likely stems from a misunderstanding that moxibustion cures all diseases; it actually refers to curing conditions caused by cold-dampness stagnation and the failure of Yang Qi to circulate freely, not all internal injuries or external contractions. Therefore, Zhang Zhongjing taught, "With a fine and rapid pulse, moxibustion must be avoided," precisely because moxa fire greatly damages Yin.
A few days after moxibustion, he developed symptoms where chills were less frequent but fever was more prominent, resembling Malaria (Nue Ji). Physicians diagnosed this as "Spleen Cold" and administered warming and dispersing herbs, causing the condition to worsen daily. Chunqiao realized the treatment was incorrect and firmly refused further medication. When his father asked why, he casually replied, "For my son to take medicine, Mr. Wang must invite a doctor." Thus, his father invited Meng Ying again. Upon palpating the pulse, it was found to be slippery and rapid, even more so than before. Meng Ying said, "In a body with Yin deficiency, internal heat arises naturally. Moxibustion with moxa causes fire qi to attack internally. At that time, it was sultry summer, with external heat scorching from the sky. These three factors combined, how could the Yin withstand them? If warming and dispersing herbs are administered again, it is like adding fuel to the fire. It should be treated as 'Dan Nue' (a type of malaria with intense heat). By exclusively using sweet-cold herbs to extinguish heat, the Yin fluids will not dry up, and the alternating chills and fever will subside without direct attack. This is what is meant by 'treating disease requires seeking its root.'" Ultimately, he was cured without using a single grain of exterior-dispersing herb.
An elderly scholar-official came to the provincial capital for inspection upon completing his term, suffering from vertigo. A physician attributed it to "Upper Deficiency" and prescribed herbs such as Ginseng [and Astragalus]. Consequently, he lost his appetite, became constipated, and suffered from irritability and rebellious Qi. Meng Ying diagnosed, "This is a 'Lower Deficiency' syndrome. Mistakenly tonifying the upper part has made the Qi level excess and unable to descend. One must first treat the side effects of the medication, then treat the disease." He prescribed Gardenia (Shan Zhi), Fermented Soybean (Dou Chi), Scutellaria (Huang Qin), Platycodon (Jie Geng), Immature Bitter Orange (Zhi Shi), Tangerine Peel (Ju Hong), Perilla Root (Zi Wan), and Fritillaria (Bei Mu). After one dose, he could eat porridge and have a bowel movement. Subsequently, a method of nourishing Yin and extinguishing wind was used, leading to recovery.
The wife of Wang Xueshan suffered from palpitations and vertigo. She widely took tonics. Initially, they seemed very effective, but later her condition worsened day by day. She sweated frequently, her limbs were cold, her breath was faint, and she felt rebellious Qi as if about to collapse. Administering Ginseng Decoction provided some assurance. Over half a year passed, incurring great expense. Zhu Zhijie, a Secretary, invited Meng Ying to diagnose. The pulse was deep, wiry, and slippery. The tongue was crimson with a yellow greasy coating. She had bitter taste in the mouth and hot urine, yet her menstruation continued normally. The disease belonged to Phlegm-Heat obstruction. Mistaken tonification led to Qi mechanism congestion. Large doses of heat-clearing and phlegm-resolving herbs were given, along with swallowing Angelica Sinensis and Dragon Liver Pill (Danggui Longhui Wan). Gradually, she stabilized. In mid-summer, she conceived. In February of the following year, she gave birth to a son. Unfortunately, she stopped medication after pregnancy, leaving residual phlegm. Postpartum, she again suffered from palpitations, vertigo, insomnia, shortness of breath, and anorexia. Treatment for postpartum Blood deficiency was ineffective. Meng Ying was consulted again. The pulse was extremely slippery and rapid. He said, "The root of the disease remains." He employed a method to eliminate phlegm and clear Qi, which proved effective.
The nun Xin Neng had a stout figure and walked slowly. She occasionally suffered from vertigo and palpitations. Physicians considered it a deficiency. Long-term use of warming tonics gradually led to edema and anorexia. In mid-summer, Meng Ying examined her. The pulse was very wiry and slippery; the tongue was bright red and peeled. He advocated clearing Phlegm-Heat and withdrawing all tonics. She did not believe him and continued taking Eight-Ingredient Pill (Bawei Wan) and similar formulas. By late summer, she requested Meng Ying's diagnosis again. The pulse rate reached seven beats per breath. Sleep and eating were completely abandoned; the condition was incurable. Indeed, she died in autumn. (Monks' cremation is called Tupi).
Zeng Jiamai's daughter suffered from vertigo, epigastric pain, muscle twitching, acid regurgitation, thirst with drinking, anorexia, and a sensation of a roasted meat lump stuck in the throat. Zhu treated her with stomach-warming herbs, worsening the condition. Meng Ying palpated the pulse as wiry and slippery. He prescribed Bamboo Shavings (Zhu Ru), Fritillaria (Bei Mu), Evodia (Wuzhuyu), Coptis (Huanglian), Rehdemannia (Xuanfu), Hematite (Zheshi), Gardenia (Zhizi), Melia (Lianshi), Immature Bitter Orange (Zhishi), Curcuma (Yujin), and Snow Soup (Xue Geng). After more than ten doses, she recovered.
Hu Qiugu's daughter was just fifteen years old. In previous years, she suffered from vertigo. Meng Ying palpated a slippery pulse and treated it as Phlegm. After one or two doses, there was no improvement. Another physician diagnosed "Deficiency" and prescribed tonics, which were quite effective. She believed this to be true. This winter, the disease recurred. She directly took tonics. Half a year later, sleep and eating ceased. She startedle at sounds, shivered with spontaneous sweating, and her limbs were cold as ice. It was thought to be long-standing deficiency nearing collapse, so she sought help from Meng Ying. The pulse was extremely fine and rapid. Her eyes were red, and she was constipated. There was fullness and obstruction below the chest. Meng Ying firmly argued against the deficiency diagnosis. It turned out to be caused by Phlegm-Fluid retention. Occasional tonification might seem harmonious, but only those with unique insight are not deceived by the disease. He prescribed Rehdemannia (Xuanfu), Hematite (Zheshi), Bamboo Shavings (Zhu Ru), Fritillaria (Bei Mu), Tridax Shell (Geke), Polygonatum (Huafen), Mulberry Leaf (Sangye), Gardenia (Zhizi), Trichosanthes Fruit (Gualou), Allium Macrostemon (Xiebai), Coptis (Huanglian), and Immature Bitter Orange (Zhishi). After several doses, she was stable, but the vertigo persisted. Therefore, Hematite, Allium, Trichosanthes, and Immature Bitter Orange were removed, and Rehmannia (Yuanshen), Chrysanthemum, Erzhi Wan, and Sanjia Fumai Tang were added. After a month of administration, she could get out of bed.
Li Fuhua's wife suffered from head tremors. Meng Ying palpated a wiry and slippery pulse, diagnosing it as Liver Meridian depression-fire rising. He prescribed Danggui Longhui Wan, and she recovered. However, she could not control her anger. After multiple recurrences, she additionally suffered from urinary retention, abdominal distension, and panting with sweating as if dying. Meng Ying was urgently invited. The pulse was very wiry and choppy. She had a bitter taste, yellow coating, and a purplish-dark tongue. Although menstruation was regular, there was internal blood stasis. He prescribed Xue Geng plus Gold Bell Seed (Jinlingzi), Rehdemannia (Xuanfu), Gardenia (Zhizi), Talc (Huashi), Peach Kernel (Taoren), Chasteberry (Chongwei), Plantago Seed (Cheqianzi), and Akebia Stem (Mutong), while still swallowing Longhui Wan. Externally, river snails, garlic, and plantain grass were mashed and applied to the lower abdomen. After taking the medicine, black blood was discharged first. Urination immediately followed. Then defecation occurred, with black stool, and she was cured.