沈裕昆妻，偶发脘痛，范某予逍遥法，痛颇止，而发热咽痛，邀顾听泉诊视之，知感温邪，予清散法，痛
已止而热不退。七日后，目闭鼻塞、耳聋肢搐、不言语、不饮食。顾疑险证，愿质之孟英。而沈之两郎，皆从王
瘦石学（医），因请决于师。瘦石亦谓孟英识超，我当为汝致之。时已薄暮，乃飞刺追邀。比孟英亲视∶其外
候如是，而左手诊毕即缩去，随以右手出之。遽曰∶非神昏也。继挖牙关、察其苔色；白滑。询知大解未行。
曰∶病是风温，然不逆传膻中，而顺传胃腑。证无可恐。听泉学问胜我，知证有疑窦，而虚心下问，岂非胸襟
过人处！但温邪传胃，世所常有，而此证如此骇人，乃素有痰饮盘踞胃中，外邪入之，得以凭借，苔色之不形
黄燥者，亦此故耳。不可误认夫温为热邪，脉象既形弦滑以数，但令痰饮一降，苔必转黄。此殆“云遮雾
隐”之时，须具温太真燃犀之照，庶不为病所欺。昔人于温证，仅言逆传，不言顺传，后世遂误执伤寒在足
经，温热在手经，不知经络贯串，岂容界限？喻氏嘉言，谓伤寒亦传手经，但足经先受之耳，吾谓温热亦传足
经，但手经先受之耳。一隅三反，既有其逆。岂无其顺？盖自肺之心包，病机渐进而内陷，故曰逆。自肺之胃
腑，病机欲出而下行，故曰顺。今邪虽顺传，欲出未能，所谓“胃病则九窍不和”，与逆传神昏之犀角地
黄汤”证，大相径庭。郭云台云∶“胃实不和，投滚
痰而非峻”。可谓治斯疾之真诠。遂书小陷胸合蠲饮六神汤加枳（实）、（浓）朴，以芦菔煮水煎药，和入竹
沥一杯，送下礞石滚痰丸四钱。沈嫌药峻，似有难色。孟英曰∶既患骇人之病，必服骇人之药。药不瞑眩，厥
疾勿瘳，盍再质之瘦石听泉乎？沈颔之。王、顾阅方，佥以为是。且云∶如畏剂重，陆续徐投可也。
翌日，孟英与听泉会诊，脉症不甚减。询知昨药分数次而服。孟英曰∶是因势分力缓之故也。今可释疑急
进，病必转机。听泉深然之。黎明，果解出胶韧痰秽数升，各恙即减，略吐言语，稍啜稀粥，苔转黄燥，药改
轻清，渐以向安，嗣与育阴柔肝而愈。
程燮庭乃郎芷香，今春病温，而精关不固。旬日后，陡然茎缩寒颤，自问不支。人皆谓其为虚疟，欲投
参、附。孟英曰∶非疟也。平日体丰多湿，浓味酿痰，是以苔腻不渴，善噫易吐，而吸受风温，即以痰湿为山
险，乘其阴虚阳扰，流入厥阴甚易，岂容再投温补，以劫液锢邪而速其痉厥耶？伊芳家以六代单传，父母深忧
之，坚求良治。孟英曰∶吾虽洞识其证，而病情 ，纵有妙剂，难许速功。治法稍乖，亦防延误。虽主人笃
信，我有坚持，恐病不即瘳，必招物议，中途歧惑，有过谁归？倘信吾言，当邀顾听泉会诊。匡余之不逮，即
以杜人之妄议。程深然之。于是，王、顾熟筹。午后，进整肃肺胃方以解客邪，蠲痰湿而斡旋枢机。早晨，投
凉肾舒肝法，以靖浮越，搜隧络而守关键，病果降序。奈善生嗔怒、易招外感。不甘淡泊，反复多次。每复发
必茎缩寒颤，甚至齿缝见紫血瓣，指甲有微红色，溺短而浑黑极臭。孟英曰∶幸上焦已清，中枢已运，
亟宜填补肾阴，清除肝热。以∶西洋参 二冬 二地 苁蓉 花粉 知（母） （黄）柏 （黄）连 （川）
楝（石）斛 （白）芍 石英 牡蛎 龟板 鳖甲 阿胶 鸡子黄之类，
相迭为方，大剂连投二十余帖，各恙渐退，继以此药熬膏晨
服，午进缪氏资生方，各品不炒，皆生晒研末，竹沥为丸。枇杷叶汤送下。服至入秋，始得康健。孟英曰∶古
人丸药皆用蜜，最属无谓。宜各因其证而变通之，此其一法也。
韩组林，年近古稀，孟冬患肢厥头肿，谵语遗尿，包某作虚风类中，进以温补，势益剧。孟英脉之，左弦
数，右滑溢。乃痰热内阻，风温外侵。予∶羚（羊角） 贝（母） （竹）茹 栀（子） （连）翘 （白）
薇桑（叶） 菊（花） 花粉 丹皮 旋复，以芦菔汤煎服而愈
钱闻远仲郎患感，汤某进桂、朴、姜、柴等药，而痰血频咯，神瞀耳聋，谵语便溏，不饥大渴，苔黑溲
少，彻夜无眠。范应枢、顾听泉叠进轻清，黑苔渐退，舌绛无津，外证依然，不能措手。孟英诊之，脉皆细
数，乃真阴素亏，营液受烁，不必以便溏不食而畏滋腻也。授以∶西洋参 生地 二至（丸） 二冬 龟板 燕
窝（竹）茹 贝（母） 银花 藕汁 梨汁 葳蕤 百合等药，二剂，咯血渐至，痰出甚多，渐进稀糜，夜
能稍寐。五剂，热退泻止，渴始减，脉渐和。旬日后，解燥屎而痊。
王炳华之子，患感，叶某用温散药，而气逆碍卧。四明老医王秉衡作肾虚不能纳气治，连服大剂温补，喘
嗽益剧，面浮跗肿，抬肩自汗，大渴胁痛。乞治于孟英，已半月不交睫矣。诊其脉，右部弦大而强，舌根黑苔
如煤者，两条，面黧形瘦，幸而大解溏泻，得能消受许多误药。径予；旋（复） （代）赭石 黄连 枳实 栝蒌 苏
子杏仁 莱菔汁 紫菀 （生）石膏，六大剂，始能就枕，而大渴不止，脘腹反形痞胀，按之坚痛。乃去旋（复）、（
代）赭石，少加白芥子、半夏、薤白，兼令日啖北梨数十枚。
服旬日，胸腹皆舒，苔色尽退，唯嗽未已。改用∶西洋参 杏（仁） 贝（母） 芦根 知母 冬瓜子 （
枇）杷叶 花粉 柿霜 竹沥，十许剂，嗽止，而跗肿、渴、泻，亦皆霍然矣。凡啖
梨三百余斤，闻者莫不诧异。
俞博泉令郎，患感，即兼腹痛而胀。胡某投以温散，二便不行，昏谵大渴，舌苔黑刺。孟英以∶犀（角
）（连）翘 楝（实） 薄（荷） （黄）连 花粉 元参 大黄，服之，便下神清。为（乃）去犀角，加
丹皮，二帖，苔化热退。惟少腹梗胀，不甚知饥。改投∶（山）栀 （黄）连 楝（实） 蒺（藜） 延
胡橘核 苁蓉 花粉 制军诸药，连解黑矢，
渐以向安。正欲养阴之际，而惑于旁言，另招金某，服大剂温补药，以图元气骤复。不知余烬内燔，营受灼而
血上溢，液被烁而肌消消，犹谓吐血宜补，形瘦为虚，竟竭力补死而后已。
周光远令堂，患温邪，痰嗽，脘闷，汗多。孟英投∶石膏 竹菇 知母 花粉 旋复 贝母 蒌仁 紫
菀等药三十剂而愈。
陈赤堂令正，患感，面赤不眠，烦躁谵语，口甘渴腻，溲涩而痛。顾听泉多剂清解未应。孟英切其脉，
左弦洪而数，右滑而溢，胸次痞结，大解未行，肝阳上浮，肺气不降，痰热阻痹，邪乃逗留。与∶小陷胸（汤
）合温胆（汤）雪羹加旋（复）、薤（白）投之，胸结渐开。乃去半（夏）、薤（白），而送（服）当归龙荟
丸，谵语止，且能眠。参以通幽汤下其黑矢，三次后，始进养阴和胃而痊。
沈裕昆的妻子，偶然出现胃脘疼痛，范某给予逍遥散治疗，疼痛虽然暂时停止，但随后出现发热、咽喉疼痛，邀请顾听泉诊治。顾听泉知道这是感受了温邪，给予清解发散的方法，疼痛已经停止但发热不退。七日后，患者出现眼睛闭合、鼻塞、耳聋、肢体抽搐、不说话、不进食的症状。顾听泉怀疑是危重证候，希望向孟英请教。而沈家的两个儿子都跟随王瘦石学习医学，于是请老师（瘦石）决断。瘦石也认为孟英见识高超，应当为他请来。当时天色已晚，于是派人飞马追赶邀请。等到孟英亲自诊视：外在症状如此严重，但他左手诊脉完毕后立即缩回，随即伸出右手诊脉。突然说道：“这不是神志昏迷。”接着撬开牙关，观察舌苔颜色；舌苔白滑。询问得知大便尚未通行。孟英说：“病是风温，但没有逆传膻中（心包），而是顺传胃腑。证候没有什么可怕的。顾听泉的学问胜过我，他对证候有疑虑而虚心下问，这难道不是他胸襟过人之处吗！但是温邪传变到胃，世间常有，而这个证候如此骇人听闻，是因为患者素有痰饮盘踞在胃中，外邪侵入后得以凭借，所以舌苔没有呈现黄燥的颜色，也是因为这个缘故。不能错误地认为温就是热邪，脉象既然呈现弦滑且数，只要让痰饮下降，舌苔必定转为黄色。这大概是‘云遮雾隐’的时候，必须具备像温太真（温峤）燃犀角照见水底怪物那样的洞察力，才不会被疾病所欺骗。古人对于温证，只说逆传，不说顺传，后世就错误地执着于伤寒在足经，温热在手经，不知道经络是贯通的，怎么容许有界限？喻嘉言（喻昌）说，伤寒也会传变到手经，只是足经先受邪罢了，我认为温热也会传变到足经，只是手经先受邪罢了。举一反三，既然有逆传，难道没有顺传吗？大概从肺传到心包，病机逐渐深入内陷，所以叫逆。从肺传到胃腑，病机想要外出而下行，所以叫顺。现在邪气虽然顺传，但想要外出却未能，所谓‘胃病则九窍不和’，与逆传神昏的‘犀角地黄汤’证，大不相同。郭云台说：‘胃实不和，投滚痰丸而非峻猛之剂’。可以说是治疗这种疾病的真谛。”于是写下小陷胸汤合蠲饮六神汤，加枳实、厚朴，用芦菔（萝卜）煮水煎药，和入竹沥一杯，送服礞石滚痰丸四钱。沈家嫌弃药力峻猛，似乎面露难色。孟英说：“既然患了骇人的病，必须服用骇人的药。药不服用后产生瞑眩反应，那种久治不愈的病就不会痊愈，为什么不再去请教瘦石和听泉呢？”沈家点头同意。王瘦石、顾听泉看了处方，都认为正确。并且说：“如果畏惧剂量重，可以陆续慢慢服用。”
第二天，孟英与顾听泉会诊，脉症没有明显减轻。询问得知昨天的药分几次服用。孟英说：“这是因为药力分散、作用缓慢的缘故。现在可以消除疑虑，急进药物，病情必定会有转机。”顾听泉深以为然。黎明时，果然排出胶韧的痰秽物几升，各种症状随即减轻，稍微能说些话，稍喝稀粥，舌苔转为黄燥，药物改为轻清之品，渐渐趋向安宁，后来给予育阴柔肝的药物而痊愈。
程燮庭的儿子芷香，今年春天患温病，同时精关不固（遗精滑泄）。十日后，突然阴茎收缩、寒战，自问难以支撑。人们都认为是虚疟，想要投用参、附等温补药。孟英说：“不是疟疾。平时身体丰腴多湿，浓厚滋味酿生痰湿，所以舌苔腻而不渴，喜欢打嗝容易呕吐，而吸入风温邪气，就以痰湿为险阻，趁着阴虚阳扰，很容易流入厥阴经，怎么容许再投用温补药，来劫耗津液、禁锢邪气从而加速痉厥的发生呢？”他家因为是六代单传，父母非常担忧，坚决请求良好的治疗。孟英说：“我虽然透彻了解这个证候，但病情复杂，即使有妙药，也难以保证迅速见效。治疗方法稍有偏差，也要防止延误。虽然主人深信不疑，我有坚持的原则，恐怕病不能立即痊愈，一定会招致非议，中途产生疑惑，过错由谁承担？如果相信我的话，应当邀请顾听泉会诊，弥补我的不足，以杜绝他人的妄议。”程家深以为然。于是，王、顾二人仔细筹划。午后，进服整肃肺胃的方剂以解除客邪，蠲除痰湿而斡旋枢机。早晨，投用凉肾舒肝的方法，以平定浮越之气，搜剔隧络而守住关键，病情果然按顺序下降。无奈患者善于生气发怒，容易招致外感，不甘于清淡饮食，反复发作多次。每次复发必然阴茎收缩、寒战，甚至牙齿缝隙出现紫血瓣，指甲有微红色，小便短少且浑浊极臭。孟英说：“幸好上焦已经清除，中枢已经运转，亟宜填补肾阴，清除肝热。”使用西洋参、二冬（天冬、麦冬）、二地（生地、熟地）、肉苁蓉、花粉、知母、黄柏、黄连、石斛、白芍、石英、牡蛎、龟板、鳖甲、阿胶、鸡子黄等药物，交替组方，大剂连续服用二十余帖，各种症状逐渐消退，继以此药熬膏早晨服用，中午进服缪氏资生丸，各味药都不炒，都是生晒研末，用竹沥做成丸药。枇杷叶汤送服。服用到入秋，才得以康复。孟英说：“古人做丸药都用蜂蜜，最属无谓。应该根据各自的证候而变通，这是其中一种方法。”
韩组林，年龄接近七十岁，初冬患四肢厥冷、头肿、谵语、遗尿，包某当作虚风类中风治疗，进用温补药，病情更加剧烈。孟英诊其脉，左脉弦数，右脉滑溢。认为是痰热内阻，风温外侵。给予羚羊角、贝母、竹茹、栀子、连翘、白薇、桑叶、菊花、花粉、丹皮、旋复花，用芦菔汤煎服而痊愈。
钱闻远的次子患感冒，汤某进用桂枝、厚朴、干姜、柴胡等药，导致痰血频繁咯出，神志昏蒙、耳聋、谵语、便溏、不饥、大渴、舌苔黑、小便少、彻夜无眠。范应枢、顾听泉接连进用轻清之剂，黑苔逐渐退去，舌质绛红无津液，外在症状依然如故，无法下手治疗。孟英诊察，脉象皆细数，认为是真阴素亏，营液被灼伤，不必因为便溏不食而畏惧滋腻的药物。授以西洋参、生地、二至丸、二冬、龟板、燕窝、竹茹、贝母、银花、藕汁、梨汁、葳蕤、百合等药，两剂后，咯血逐渐增多，痰出很多，逐渐能进稀糜食物，夜间能稍微入睡。五剂后，热退泻止，口渴开始减轻，脉象逐渐调和。十日后，排出燥屎而痊愈。
王炳华的儿子，患感冒，叶某用温散药，导致气逆妨碍卧睡。四明老医王秉衡当作肾虚不能纳气治疗，连续服用大剂温补药，喘嗽更加剧烈，面部浮肿、足背肿胀，抬肩呼吸、自汗、大渴、胁痛。乞求孟英治疗，已经半个月没有合眼了。诊其脉，右部弦大而强，舌根黑苔如煤的两条，面色黧黑、形体消瘦，幸好大便溏泻，能够消受这么多误治的药物。直接给予旋复花、代赭石、黄连、枳实、栝蒌、苏子、杏仁、莱菔汁、紫菀、生石膏，六大剂后，才能就枕安睡，但大渴不止，脘腹部反而出现痞胀，按压时坚硬疼痛。于是去掉旋复花、代赭石，少量加入白芥子、半夏、薤白，兼令每天吃北方梨子几十枚。
服用十天，胸腹都舒畅，舌苔全部退去，只有咳嗽未止。改用西洋参、杏仁、贝母、芦根、知母、冬瓜子、枇杷叶、花粉、柿霜、竹沥，十许剂后，咳嗽停止，而足背肿胀、口渴、腹泻，也都霍然痊愈。凡是吃梨三百多斤，听到的人没有不感到惊异的。
俞博泉的儿子，患感冒，即伴有腹痛而胀。胡某投用温散药，二便不通，昏谵、大渴，舌苔黑刺。孟英用犀角、连翘、枳实、薄荷、黄连、花粉、元参、大黄，服用后，大便通畅、神志清醒。于是去掉犀角，加丹皮，两剂后，舌苔化解、热退。只有少腹梗胀，不太知道饥饿。改投栀子、黄连、枳实、蒺藜、延胡索、橘核、肉苁蓉、花粉、制军（大黄）等药，连续排出黑色粪便，渐渐趋向安宁。正打算养阴的时候，却被旁人的言论迷惑，另外招请金某，服用大剂温补药，企图元气骤然恢复。不知道余烬在内燃烧，营血被灼伤而上溢，津液被耗损而肌肉消瘦，还认为吐血宜补，形体消瘦为虚，竟然竭力补死而后已。
周光远的母亲，患温邪，痰嗽，胃脘闷，汗多。孟英投用石膏、竹茹、知母、花粉、旋复花、贝母、栝楼仁、紫菀等药三十剂而痊愈。
陈赤堂的妻子，患感冒，面赤不眠，烦躁谵语，口甘渴腻，小便涩痛。顾听泉多剂清解未见效。孟英切其脉，左脉弦洪而数，右脉滑而溢，胸中痞结，大便未行，肝阳上浮，肺气不降，痰热阻痹，邪气逗留。给予小陷胸汤合温胆汤雪羹汤，加旋复花、薤白投服，胸中结滞逐渐开通。于是去掉半夏、薤白，而送服当归龙荟丸，谵语停止，且能睡眠。参以通幽汤攻下黑色粪便，三次后，才开始进服养阴和胃的药物而痊愈。
Shen Yukun's wife suddenly developed epigastric pain. Fan prescribed Xiaoyao San (Free and Easy Wanderer Powder), which temporarily stopped the pain, but was followed by fever and sore throat. Gu Tingquan was invited to diagnose and determined it was caused by pathogenic warm pathogens (Wen Xie). He prescribed a clearing and dispersing method. Although the pain ceased, the fever persisted. Seven days later, the patient presented with closed eyes, nasal congestion, deafness, limb convulsions, mutism, and anorexia. Gu suspected a critical condition and wished to consult Meng Ying. Shen's two sons had studied under Wang Shoushi, so they asked their master for advice. Shoushi agreed that Meng Ying's insight was superior and arranged for his invitation. It was already dusk, so a messenger was sent urgently. Upon personal examination, Meng Ying observed the severe external symptoms but noted that after finishing the pulse diagnosis on the left hand, the patient immediately withdrew it and then extended the right hand. Meng Ying abruptly stated: "This is not coma." He then pried open the teeth to inspect the tongue coating, which was white and slippery. Inquiry revealed that defecation had not occurred. Meng Ying said: "The disease is Wind-Warmth, but it has not transmitted reversely to the Pericardium (Tan Zhong); instead, it has transmitted sequentially to the Stomach Fu-organ. There is nothing to fear in this presentation. Tingquan's scholarship surpasses mine; his willingness to ask questions humbly despite having doubts shows his broad-mindedness! However, while warm pathogens transmitting to the Stomach is common, this case appears so alarming because the patient has pre-existing Phlegm-Fluids (Tan Yin) stagnating in the Stomach. The external pathogens have taken advantage of this, which explains why the tongue coating did not turn yellow and dry. One must not mistakenly equate Warmth solely with Heat pathogens. Since the pulse is wiry, slippery, and rapid, once the Phlegm-Fluids descend, the coating will surely turn yellow. This is like the time when 'clouds obscure and fog hides'; one needs the insight of Wen Taizhen (Wen Qiao) lighting the rhinoceros horn to see clearly, lest one be deceived by the disease. Ancients only spoke of reverse transmission in warm diseases, not sequential transmission, leading later generations to erroneously hold that Cold Damage affects the Foot meridians while Warmth affects the Hand meridians. They fail to realize that meridians are interconnected and cannot be rigidly separated. Yu Jia Yan (Yu Chang) stated that Cold Damage also transmits to the Hand meridians, but the Foot meridians are affected first. I say that Warmth also transmits to the Foot meridians, but the Hand meridians are affected first. By analogy, if there is reverse transmission, there must be sequential transmission. When the pathology moves from the Lung to the Pericardium, it gradually sinks inward, hence called 'reverse.' When it moves from the Lung to the Stomach Fu-organ, the pathology seeks to exit and move downward, hence called 'sequential.' Although the pathogen here is sequentially transmitting, it desires to exit but cannot. As the saying goes, 'Stomach disease leads to disharmony of the nine orifices,' which is vastly different from the syndrome of reverse transmission causing coma treated with Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction). Guo Yuntai said: 'For Stomach excess and disharmony, employing Meng Tan Wan (Rolling Phlegm Pill) is not overly harsh.' This can be considered the true essence of treating this disease." He then prescribed Xiao Xian Xiong Tang (Minor Intra-thoracic Granularity Decoction) combined with Juan Yin Liu Shen Tang (Six-God Phlegm-Fluid Eliminating Decoction), adding Zhi Shi (Immature Bitter Orange) and Hou Po (Magnolia Bark), decocted with water boiled from Lu Fu (Radish), mixed with one cup of Zhu Li (Bamboo Sap), and administered with Si Qian Meng Tan Wan (Meng Tan Pill) four qian. The Shen family felt the prescription was too harsh and showed hesitation. Meng Ying said: "Since you suffer from an alarming disease, you must take alarming medicine. If the medicine does not cause a Mingxuan reaction (severe adverse reaction indicating efficacy), the chronic illness will not heal. Why not consult Shoushi and Tingquan again?" The Shen family nodded. Wang and Gu reviewed the prescription and agreed, adding: "If you fear the heavy dosage, it can be administered gradually over time."
The next day, Meng Ying and Gu consulted together; the pulse and symptoms had not significantly improved. Upon inquiry, they learned the previous medicine had been taken in divided doses. Meng Ying said: "This is due to the dispersion of force and slow action. Now doubts can be dispelled, and aggressive treatment should proceed; the condition will surely turn." Gu deeply agreed. At dawn, several sheng of tough, turbid phlegm were excreted, and all symptoms decreased slightly. The patient could speak briefly and sip thin porridge. The tongue coating turned yellow and dry. The medication was changed to lighter, clearer formulas, and the patient gradually stabilized. Subsequently, nourishing Yin and softening the Liver treatments led to recovery.
Cheng Xieting's son, Zhixiang, contracted warmth this spring and suffered from insecure essence gates (seminal emission). Ten days later, he suddenly experienced penile retraction and chills, feeling unable to withstand it. People diagnosed it as deficiency malaria and wanted to administer Ginseng and Aconite. Meng Ying said: "It is not malaria. Usually, his body is full and damp, and rich flavors have generated phlegm-dampness, resulting in a greasy tongue coating and lack of thirst. He belches easily and vomits. Having inhaled wind-warmth, the phlegm-dampness acts as a mountain pass obstacle. Taking advantage of yin deficiency and yang disturbance, the pathogen easily flows into the Jueyin channel. How can we allow further administration of warming tonics to deplete fluids and imprison pathogens, thereby accelerating spasms and convulsions?" His family, being the sole heir for six generations, was deeply worried by his parents and insisted on good treatment. Meng Ying said: "Although I thoroughly understand the syndrome, the condition is complex. Even with excellent prescriptions, rapid cure cannot be guaranteed. Slight deviation in treatment may cause delay. Although the host trusts me completely, I have my principles. If the illness does not improve quickly, it will inevitably attract criticism. Confusion midway—who will bear the blame? If you trust my words, invite Gu Tingquan to consult together to supplement my shortcomings and silence others' baseless议论." Cheng deeply agreed. Wang and Gu deliberated carefully. In the afternoon, a formula to regulate the Lung and Stomach was given to resolve external pathogens, eliminate phlegm-dampness, and pivot the mechanism. In the morning, a cooling Kidney and soothing Liver method was used to calm floating yang, search the collaterals, and guard the key points. The disease indeed descended in order. However, the patient was prone to anger, easily caught colds, and refused bland diets, leading to repeated relapses. Each relapse brought penile retraction and chills, even purple blood clots at the gum margins, slight redness in fingernails, short dark foul-smelling urine. Meng Ying said: "Fortunately, the Upper Jiao is cleared, and the Central Jiao is functioning. It is urgent to tonify Kidney Yin and clear Liver heat." Formulas alternating among Xi Yang Shen (American Ginseng), Dong Qin (Tian Dong and Mai Dong), Er Di (Shu Di and Sheng Di), Rong Rong (Cistanche), Fen Hua (Trichosanthes Root), Zhi Mu (Anemarrhena), Huang Bai (Phellodendron), Huang Lian (Coptis), Shi Hu (Dendrobium), Bai Shao (White Peony), Shi Ying (Quartz), Mu Li (Oyster Shell), Gui Ban (Turtle Shell), Bie Jia (Softshell Turtle Shell), E Jiao (Donkey-hide Gelatin), and Ji Zi Huang (Egg Yolk) were used in large doses for over twenty prescriptions. Symptoms gradually receded. Later, these medicines were made into a paste for morning consumption, and Miao's Zisheng Wan (Zisheng Pills) was taken at noon. All ingredients were raw, sun-dried, and powdered, formed into pills with Bamboo Sap, and taken with Loquat Leaf Decoction. Health was restored by autumn. Meng Ying remarked: "Ancients used honey for pills, which is meaningless. One should adapt according to the syndrome; this is one method."
Han Zulin, nearly seventy years old, suffered from limb coldness, head swelling, delirium, and urinary incontinence in early winter. Bao treated it as deficiency wind resembling stroke and administered warming tonics, worsening the condition. Meng Ying's pulse diagnosis showed wiry and rapid on the left, slippery and overflowing on the right. He diagnosed internal obstruction by Phlegm-Heat and external invasion by Wind-Warmth. He prescribed Ling Yang Jiao (Antelope Horn), Bei Mu (Fritillaria), Zhu Ru (Bamboo Shavings), Zhi Zi (Gardenia), Lian Qiao (Forsythia), Bai Wei (Cynanchum), Sang Ye (Mulberry Leaf), Ju Hua (Chrysanthemum), Fen Hua, Dan Pi (Moutan), and Xuan Fu Hua (Inula Flower), decocted with Radish soup, leading to recovery.
Qian Wenyuan's second son contracted an exterior condition. Tang prescribed Gui Zhi (Cinnamon Twig), Hou Po, Jiang (Ginger), and Chai Hu (Bupleurum), resulting in frequent hemoptysis of phlegm-blood, mental confusion, deafness, delirium, loose stools, anorexia, extreme thirst, black tongue coating, scanty urine, and insomnia. Fan Yingshu and Gu Tingquan repeatedly used light, clearing formulas. The black coating faded, leaving a crimson tongue without fluid, while external symptoms remained, leaving them helpless. Meng Ying diagnosed fine and rapid pulses, identifying constitutional deficiency of True Yin and scorching of Ying fluids. He advised against fearing cloying herbs due to loose stools and anorexia. He prescribed Xi Yang Shen, Sheng Di (Rehmannia), Er Zhi Wan (Two Solstice Pills), Dong Qin, Gui Ban, Yan Wo (Swallow's Nest), Zhu Ru, Bei Mu, Yin Hua (Honeysuckle), Ou Zhi (Lotus Root Juice), Li Zhi (Pear Juice), Wei Rui (Polygonatum), and Bai He (Lily Bulb). After two doses, hemoptysis increased, much phlegm was expectorated, and thin gruel could be tolerated. Night sleep improved. After five doses, fever subsided, diarrhea stopped, thirst decreased, and pulse harmonized. Ten days later, dry feces were passed, and he recovered.
Wang Binghua's son contracted an exterior condition. Ye used warming dispersants, causing rebellious Qi preventing sleep. Wang Bingheng, an old physician from Siming, treated it as Kidney deficiency failing to grasp Qi, administering large doses of warming tonics, worsening wheezing and coughing, facial and ankle edema, shoulder-lifting breathing, spontaneous sweating, extreme thirst, and hypochondriac pain. Seeking Meng Ying's help, the patient had not slept for half a month. Pulse was wiry, large, and strong on the right; two black coal-like coatings were seen at the tongue root. Face was sallow, body emaciated. Fortunately, loose stools allowed tolerance of many mistaken medicines. Meng Ying directly prescribed Xuan Fu Hua, Dai Zhe Shi (Magnetite), Huang Lian, Zhi Shi, Gua Lou (Trichosanthes Fruit), Su Zi (Perilla Seed), Xing Ren (Apricot Seed), Lai Fu Zhi (Radish Seed), Zi Wan (Aster), and Sheng Shi Gao (Gypsum), six doses. Sleep became possible, but extreme thirst persisted, and epigastric/abdominal distension with hardness and pain appeared. Xuan Fu Hua and Dai Zhe Shi were removed, and small amounts of Bai Jie Zi (White Mustard Seed), Ban Xia (Pinellia), and Xie Bai (Macrostemon) were added, along with eating dozens of Northern pears daily.
After ten days, chest and abdomen relaxed, coatings disappeared, but cough remained. Formula changed to Xi Yang Shen, Xing Ren, Bei Mu, Lu Gen (Lily Rhizome), Zhi Mu, Dong Gua Zi (Winter Melon Seed), Pi Pa Ye (Loquat Leaf), Fen Hua, Shi Shuang (Persimmon Frost), and Zhu Li, ten-plus doses. Cough stopped, and edema, thirst, and diarrhea resolved miraculously. Over 300 jin of pears were consumed, astonishing everyone.
Yu Boquan's son contracted an exterior condition accompanied by abdominal pain and distension. Hu used warming dispersants, causing cessation of urination and defecation, coma, delirium, extreme thirst, and black prickly tongue coating. Meng Ying used Xi Jiao (Rhinoceros Horn - now substituted with Buffalo Horn), Lian Qiao, Zhi Shi, Bo He (Mint), Huang Lian, Fen Hua, Yuan Shen (Scrophularia), and Da Huang (Rhubarb). Bowels opened, spirit cleared. Xi Jiao was removed, Dan Pi added. Two doses later, coating dissolved, heat subsided. Only lower abdominal stiffness and lack of appetite remained. Formula changed to Zhi Zi, Huang Lian, Zhi Shi, Ji Li (Tribulus), Yan Hu Suo (Corydalis), Ju He (Tangerine Seed), Rong Rong, Fen Hua, and Zhi Jun (Prepared Rhubarb). Continuous passage of black stool led to gradual improvement. Just as nourishing Yin was planned, influenced by others, Jin was hired to administer large doses of warming tonics to rapidly restore Yuan Qi. Unaware that residual heat burned internally, scorching Ying blood causing hemorrhage and consuming fluids causing emaciation, they still believed vomiting blood required tonification and emaciation indicated deficiency. Ultimately, excessive tonification led to death.
Zhou Guangyuan's mother contracted warm pathogens, presenting with phlegm-cough, epigastric stuffiness, and profuse sweating. Meng Ying prescribed Shi Gao, Zhu Ru, Zhi Mu, Fen Hua, Xuan Fu Hua, Bei Mu, Lou Ren (Trichosanthes Seed), and Zi Wan, thirty doses, leading to recovery.
Chen Chitang's wife contracted an exterior condition, presenting with red face, insomnia, irritability, delirium, sweet taste in mouth, thirst with greasiness, dysuria, and painful urination. Gu Tingquan's multiple clearing and resolving prescriptions failed. Meng Ying's pulse diagnosis showed wiry, surging, and rapid on the left; slippery and overflowing on the right. Chest oppression, unpassed stool, floating Liver Yang, non-descending Lung Qi, Phlegm-Heat obstruction, and lingering pathogens were identified. Xiao Xian Xiong Tang was combined with Wen Dan Tang and Xue Geng Decoction, plus Xuan Fu Hua and Xie Bai. Chest oppression gradually opened. Ban Xia and Xie Bai were removed, and Dang Gui Long Hui Wan (Angelica and Gentian Pill) was administered. Delirium ceased, sleep returned. Tong You Tang was used to pass black stool. After three times, nourishing Yin and harmonizing Stomach treatments led to recovery.