金母陡吐狂血。肢冷自汗。孟英切脉弦涩。察血紫黯。乃肝郁凝瘀也。证虽可愈。复发难瘳
。予丹参丹皮茺蔚旋复苓栀柏叶郁金海 之方。覆杯果愈。然不能惩忿。逾二年复吐。竟不
起。（脉弦涩。已露肝郁凝瘀。察血紫黯益信。复发难瘳者。血为阴类。阴中有阳。陡吐狂
血
。阴伤阳亦随之。脉弦涩。阴中之阳已不能鼓舞热邪升浮于上。残阴无几。何堪肝郁再吐。
阴阳交贼乎。酒炒丹参三钱。酒炒丹皮一钱半。茺蔚子杵先四钱。旋复包先三钱。云苓三钱
。黑栀皮一钱半。酒炒柏叶一钱半。黄郁金一钱。淡海 先煎一两。)
张妇年逾古稀。患气逆殿屎。烦躁不寐。孟英切脉滑实。且便 面赤。舌绛痰多。以承气
汤下之霍然。（病在气分热实。黑栀皮三钱。丝瓜络三钱。冬瓜皮三钱。川贝母杵四钱。生
冬瓜子四钱。石菖蒲次入一钱。酒炒川连一钱。元明粉一钱。生厢黄三钱。二味开水同泡冲
去渣。)
王右患痰喘。胡某进补肾纳气及二陈三子诸方。证濒于危。孟英诊之。脉沉而涩。体冷自汗
。宛似虚脱之证。惟二便不通。脘闷苔腻。是痰热为补药所遏。一身之气机窒痹而不行也。
予蒌薤旋赭杏贝栀苑兜铃海 竹沥等以开降。覆杯即减。再服而安。（病在痰热窒塞气分。
姜蒌皮三钱。西薤白打次入一钱半。旋复包先三钱。生赭石杵先五钱。苦杏泥次入二钱。川
贝杵四钱。姜栀皮三钱。紫菀茸一钱半。马兜铃三钱。姜竹沥一酒杯冲。姜汗按竹沥二成。
淡海 先煎一两。)
王右久患痰嗽。食减形消。夜不能眠。寝汗舌绛。广服补剂。病日以增。孟英视之。曰∶固
虚证之当补者。想未分经辨证。而囫囵颟顸。翻与证悖。是以无功。投以熟地苁蓉坎板胡桃
百合石英茯苓冬虫夏草等药。一剂知。旬日愈。以其左脉弦细而虚。右尺寸皆数。为阴亏气
不潜纳之候。及阅前服方。果杂用 术以助气。二陈故纸附桂等以劫阴也。宜乎愈补而愈剧
矣。（夜不能眠二句。合之脉弦细而虚。为肾脏阴亏。右尺寸皆数。为阴亏气不潜纳。多食
而
肥。皆气为之。气不潜纳则食减形消矣。大熟地八钱。淡苁蓉一钱半。血龟板杵四两。先煨
八钟。连皮胡桃肉三钱。百合花三钱。紫石英三钱杵先。云苓三钱。冬虫夏草二钱。)
张室患感。连服温散。旬日后倏然昏厥。自寅正至辰初不苏。孟英视之。脉伏而弦滑。予大
剂犀羚茹贝知母花粉元参银花。调局方至宝丹灌下即安。（此必阴虚之体。温散劫阴。内风
陡动。自寅正自辰初。为风木司令之时。肝阳贼肺。则肺气不行。故脉伏。弦滑为肝风煽痰
。方义主息风救液。镑犀角四钱。羚次尖四钱。二味同先煨八钟。姜竹茹三钱。川贝杵八钱
。南花粉五钱。元参片泡冲去渣一两。济银花一两五钱。)
赵子循患喉痹。渠叔用大剂生军下之。而药不能入。孟英以锡类散吹之即开。予白虎法而瘥
。（药不能入。为热结风升。生石膏先煎一两六钱。酒炒知母四钱。鲜竹叶二钱。济银花一
两五钱。石斛先煎一两。生冬瓜子四钱。生苡仁杵八钱。鲜薤白打一钱半。大豆卷一钱半。
半夏曲二钱。三味同次入。)
王妇患心悸眩晕广服补剂。初若甚效。继乃日剧。时时出汗。肢冷息微。气逆欲脱。灌以参
汤。稍有把握。延逾半载。孟英诊之。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。予大剂清热涤痰药。吞当归龙荟丸。服之渐以向安。
嗣娠后停药。去疾未尽。娩后复患悸运不眠。气短不饥。或作产后血虚治不效。孟英视之。
脉极滑数。曰∶病根未刈也。予蠲痰清气法果应。（脉沉弦且滑四句。痰热皆在气。汛事仍
行。则病不在血可知。大剂清热涤痰方。酒炒知母三钱。姜竹茹三钱。丝瓜络三钱。酒炒川
连
一钱。南花粉四钱。淡海 先煎一两。鲜薤白打一钱半。制半夏二钱。石菖蒲一钱。三味同
次入。药送龙荟丸三钱。脉极滑数。蠲痰清气方。姜竹茹三钱。酒炒知母四钱。鲜芦根二两
。生冬瓜子八钱。济银花一两。旋复包先三钱。生赭石杵先八钱。制半夏二钱。石菖蒲一钱
。二味同次入。川贝杵一两。姜竹沥两大酒杯冲。)
许母仲春之杪。偶患微感。医予温散。热已渐退。孟英偶过。诊右寸脉促数不调。因谓曰∶
此风温证。其误表乎。恐有骤变。渠复质之前医。以为妄论。仍用温燥。越二日。即见鼾睡
。再延孟英诊之。促数尤甚。曰∶鼻息鼾矣。必至语言难出。仲圣岂欺我哉。风温误汗。往
往皆然。（风温误表方。生石膏先煎一两二钱。酒炒知母五钱。石斛先煎一两。镑犀角先煎
四钱。济银花一两五钱。冬桑叶四钱。鲜竹叶二钱。冬瓜皮四钱。姜竹沥一大酒杯冲。连皮
北梨三两。连皮青蔗一两，同榨汁去渣冲。分次灌服。鲜青果四钱杵先。)
姚某年未三旬。烟瘾甚大。吸受温邪。胁痛筋掣。气逆痰多。热壮神昏。茎缩自汗。孟英诊
之。脉见芤数。舌绛无津。有阴虚阳越。热炽液枯之险。况初发即尔。其根蒂之不坚可知。
予犀羚元参知母壮水息风。苁蓉楝实鼠矢石英潜阳镇逆。沙参麦冬石斛葳蕤益气充津。花粉
栀子银花丝。瓜络蠲痰清热。一剂知。四剂安。随以大剂养阴而愈。（阴虚阳越。热炽液枯
。本病也。气逆痰多。标病也。本急则本反为标。故方中治本之药多于治标。且阴虚之痰。
补之则气行痰降。镑犀角四钱。羚次尖四钱。二味同先煎八钟。元参片一两。泡煎去渣。酒
炒知母五钱。淡苁蓉一钱半。川楝核杵先二钱。鼠矢三钱。紫石英杵先三钱。北沙参八钱。
花麦冬四钱。石斛先煎一两。肥玉竹三钱。南花粉五钱。黑栀皮一钱半。济银花一两五钱。
丝瓜络三钱。)
周母年逾七旬。丧子光远惨痛。渐生咳嗽。气逆痰咸。夜多旋溺。口苦不饥。孟英曰∶根蒂
虚而兼怫郁也。予沙参甘草麦冬熟地龟板石斛贝母蛤壳小麦大枣而安。迨夏间吸暑而患腹痛
滞下。小溲热涩。其嗽复作。脉仍虚弦。略加 数。但于前方增滑石。吞香连丸而瘳。因平
昔畏药。既愈即停。至仲秋嗽又作。惟口不苦而能食。因于前方去沙参加高丽参五味石英牛
膝熬膏频服而痊。十月下旬。天气骤冷。陡患吐泻腹痛。肢冷音嘶。孟英视之。脉微为寒邪
直
中。亟予大剂理中。加吴萸橘皮杜仲故纸石脂余粮而瘥。周光远妻亦因悲郁而患崩漏。面黄
腹
胀。寝食皆废。孟英用龟板海螵蛸女贞旱莲贝母柏叶青蒿白薇小麦茯苓藕肉莲子心而康。次
年夏。其母患温邪痰嗽。脘闷汗多。孟英投石膏竹茹知母花粉旋复贝母蒌仁紫菀等药三十剂
而愈。（根蒂虚兼怫郁方。方义主治阴虚挟痰。参甘麦大枣汤治怫郁。北沙参五钱。生粉草
三钱。花麦冬四钱。大熟地八钱。血龟板杵四两。先煨六钟。石斛先煎一两。川贝母杵四钱
。生蛤壳杵先一两。北小麦四钱。大枣一枚擘先。周母第二方。于前方增滑石五钱先煎。针
治小溲热涩。吞香连丸者。此次脉兼虚 。气分阳虚。不能偏任苦寒。故以木香行黄连之苦
寒。小肠为心腑。黄连泻心。而后小溲之热涩以治。周母第三方。口不苦而能食。则肺胃无
热可知。前诊脉兼虚 。肺胃热去。故加温镇以吸纳虚阳。方加丽参三钱。五味子杵先三钱
。紫石英杵先三钱。制牛膝一钱。周母第四方。脉微为寒邪直中。炒干姜五钱。炒潞党三钱
。炒白术三钱。生吴萸次入一钱。炒焦陈皮一钱半。炒故纸研五钱。酒炒石脂余粮杵调服各
一钱。周光远妻病。为肝郁崩漏。水不涵木。肝肠侮胃。血龟板杵先煨六钟四两。醋炙海螵
蛸杵先四钱。女贞杵五钱。旱莲草四钱。川贝杵四钱。酒炒柏叶一钱半。鲜青蒿一钱半。香
白薇三钱。北小麦四钱。云苓三钱。连皮藕切一两。莲子心一钱。周光远母第五方。痰热全
在气分。生石膏先煎八钱。姜竹茹三钱。一浓姜汁浸炒知母三钱。姜汁浸炒花粉三钱。旋复包
先三钱。川贝杵四钱。姜蒌仁三钱。紫菀茸一钱半。)
胡妻患乳房结核。外科杂投温补。核渐增而痛胀日甚。驯致形消汛愆。夜热减餐。骨痿于床
。孟英诊曰∶郁损情怀。徒补奚益。初以蠲痰开郁之剂。吞当归龙荟丸。痛胀降序。热退能
餐。月事乃行。改投虎潜加减法。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。予甘麦大枣加龙牡龟鳖磁朱金箔龙眼而安。（蠲痰开郁方。川贝
杵一两。南花粉五钱。生冬瓜子八钱。酒炒知母三钱。酒炒川连一钱。石菖蒲次入一钱。半
夏曲研次二钱。鲜薤白打次一钱半。淡海 先煎一两。陈木瓜一钱半。药送龙荟丸三钱。悲
哀发厥。抑郁伤肝。肝风逆上。生粉草三钱。北小麦四钱。大枣一枚擘先。 龙骨杵一两。
牡蛎杵六两。血鳖甲杵四两。血龟板杵二两。灵磁石一两。整朱砂一两二钱。六味先炭煨
六钟取汤代水煎药。飞金箔七页。桂元肉一钱半。)
王小谷体浓善饮。偶患气逆。多医咸从虚治。渐至一身尽肿。恳治孟英。脉甚细数。舌绛无
津
。间有 语。乃真阴欲匮。再勉予西洋参元参二地二冬知母花粉茹贝竹沥葱须等药。三剂而
囊肿全消。孟英以脉象依然。坚辞不肯承手。寻果不起。（西洋参三钱。元参片一两。熟地
生地各八钱。明天冬切六钱。花麦冬四钱。酒炒知母三钱。南花粉四钱。姜竹茹三钱。川贝
杵五钱。姜竹沥两大酒杯冲鲜葱须次入二分。人病脉不病者生脉病患不病者死。况脉无起色
乎。)
朱女患感。医投温散。服二剂遍身麻 。汛事适来。医进小柴胡汤。遂狂妄莫制。乞援孟英
。脉至洪滑弦数。目赤苔黄。大渴不寐。是 因温邪而发。时时大汗。何必再攻其表。汛行
为热迫于营。胡反以姜枣温之。参柴升之。宜其燎原而不可遏也。予大剂。犀角元参生地石
膏知母花粉银花竹叶贝母白薇以清卫凉营。服后即眠。久而未醒。或疑昏沉也。屡呼惊寤狂
易。孟英复视。脉象依然。仍以前方加重。和以竹沥童溲灌下即安。继用养阴清热而愈。（
热
邪由卫侵营。内风已动。镑犀角先煎八钟四钱。元参片一两。大生地八钱。二味泡煎去渣。
生石膏先煎。一两六钱。酒炒知母五钱。南花粉四钱济银花一两五钱。鲜竹叶二钱。川贝杵
八钱。香白薇三钱。惊寤狂易。前方加重。并加姜竹沥两大酒杯冲。煎去头尾童便一酒杯冲
。竹沥蠲痰清热。童溲引热下行。)
瞿媳患舌糜。沈悦亭知其素禀阴亏。虚火上炎。予清凉滋降之法及朱黄等敷药而不愈。孟
英
往视。舌心糜腐黄浓。边尖俱已无皮。汤饮入口。痛不可当。此服药所不能愈者。令将锡类
散掺之。果即霍然。或疑喉药治舌。何以敏捷如斯。孟英曰∶此散擅生肌蚀腐之长。不但喉
舌之相近者可以借用。苟能隅反未可言罄。贵用者之善悟耳。且糜腐浓腻。不仅阴虚。要须
识此。自知其故。
高绿卿室。孟夏分娩发热。初疑蒸乳。数日不退。产科治之。知挟温邪。进以清解。而大便
溏
泄。遂改温燥。其泄不减。张某予参 姜术鹿角肉果等药。泄泻愈甚。连服之。热壮神昏。
汗出不止。势濒于危。孟英按脉洪数七至。口渴苔黄。洞泻如火。小溲不行。书白头翁汤加
石膏犀角银花知母花粉竹叶栀楝桑叶予之。次日复诊。脉证较减。仍用前方大剂凉解。服至
七剂。泻全止。热尽退。乃去白头翁汤加生地元参茹贝。服半月。始解黑色燥矢。而眠食渐
安。第腑脏之邪虽已清涤。而从前温补。将热邪壅滞于膜络之间者。复发数痈于胸乳之间。
孟英令其恪守前法。复入蒲公英丝瓜络橘叶菊叶等药。服至百剂。始告全愈。而天癸亦至。
（酒炒白头翁一钱半。酒炒川连一钱。楝核杵先二钱。酒炒知母三钱。镑犀角先煎四钱。济
银花一两五钱。南花粉五钱。鲜竹叶二钱。黑栀皮三钱。冬桑叶四钱。嗣去白头翁汤。加生
地八钱。元参片一两。二味泡煎去渣。姜竹茹三钱。川贝杵八钱。第三方前方去犀角石膏花
粉元参。加蒲公英二两丝瓜络三钱。鲜橘叶一钱。鲜菊叶次入二钱。首方用白头翁汤之大苦
以敛其热下行。)
赵秋 去秋患左半不遂。伊芳弟主清热蠲痰。治之未能遽效。孟英诊之。脉甚迟缓。苔极黄腻
。便秘多言。令于药中和入竹沥一碗。且以龙荟滚痰二丸相间而投。二丸各用斤许。证始向
愈。今春出房。眠食已复。而素嗜浓味。不戒肥甘。孟夏其病陡发。孟英诊之。脉形滑驶如
蛇。断其不起。秋初果殁。（石菖蒲次入二钱。制半夏一钱。省头草三钱。姜炒知母三钱。
姜竹茹三钱。丝瓜络三钱。炒枳实一钱半。陈胆星炖和服八分。晚蚕砂五钱。姜竹沥四两冲
药送滚痰丸二钱。龙荟丸一钱。此证脉迟缓。系痰阻气机。非脾阳虚弱。盖脾阳虚弱。断不
用滚痰龙荟二丸。)
吴某年逾花甲。素患脘痛。以为虚寒。辄服温补。久而益剧。孟英诊曰∶肝火宜清。彼不之
金母突然呕吐大量鲜血。四肢冰冷，自发出汗。孟英切脉象弦而涩，观察血液颜色紫暗，这是肝气郁结导致瘀血凝滞的证候。虽然此病可以治愈，但容易复发且难以彻底痊愈。我给予丹参、丹皮、茺蔚子、旋覆花、茯苓、栀子、侧柏叶、郁金、海蛤壳等药物组成的方剂。喝完药杯即见效，果然痊愈。然而患者不能控制愤怒情绪，两年后再次吐血，最终未能挽回生命。（脉象弦涩，已经显露出肝郁凝瘀的病机；观察血液紫暗更加证实了这一点。之所以说复发难愈，是因为血属于阴类，阴中寓有阳气。突然大量吐血，阴液受损，阳气也随之耗伤。脉象弦涩，说明阴中的阳气已无力鼓动热邪升浮于上，残存的阴液无几，怎能承受肝气郁结再次导致的吐血？这会导致阴阳互相侵害。处方：酒炒丹参三钱，酒炒牡丹皮一钱半，茺蔚子捣碎先煎四钱，旋覆花包煎先下三钱，云茯苓三钱，黑栀子皮一钱半，酒炒侧柏叶一钱半，黄郁金一钱，淡海蛤壳先煎一两。）
张姓妇人年过七十。患有气逆和排便失禁（殿屎），烦躁不安，无法入睡。孟英切脉滑而实，并且面部发红，舌质绛红，痰多。用承气汤攻下后，病情立刻好转。（病在气分的热实证。处方：黑栀子皮三钱，丝瓜络三钱，冬瓜皮三钱，川贝母捣碎四钱，生冬瓜子四钱，石菖蒲后下一钱，酒炒黄连一钱，元明粉一钱，生大黄三钱。后两味药开水浸泡后冲服去渣。）
王姓右姓患者患有痰喘。胡某进补补肾纳气及二陈汤、三子养亲汤等方剂。病情危急。孟英诊察，脉沉而涩，身体冷，自发出汗，宛然像是虚脱的样子。只有大小便不通，胃脘闷胀，舌苔腻，这是痰热被补药所遏制，一身的气机窒塞痹阻而不运行。给予瓜蒌、薤白、旋覆花、代赭石、杏仁、贝母、栀子、紫菀、马兜铃、海蛤壳、竹沥等药物以开泄降逆。喝完药杯即减轻，再服用而安宁。（病在痰热窒塞气分。处方：姜制瓜蒌皮三钱，西薤白捣碎后下一钱半，旋覆花包煎先下三钱，生赭石捣碎先下五钱，苦杏仁泥后下二钱，川贝母捣碎四钱，姜制栀子皮三钱，紫菀茸一钱半，马兜铃三钱，姜竹沥一杯冲服，姜汁按竹沥比例取二成，淡海蛤壳先煎一两。）
王姓右姓患者长期患有痰嗽，食欲减退，形体消瘦，夜间不能睡眠，睡中出汗，舌质绛红。广泛服用补剂，病情日益加重。孟英查看后说：固然有虚证应当补益的地方，想必是没有分辨经络辨证，而是糊里糊涂地治疗，反而与证候相违背，所以没有功效。投以熟地黄、肉苁蓉、坎板（龟板）、胡桃仁、百合、紫石英、茯苓、冬虫夏草等药物。一剂见效，十天痊愈。因为他的左脉弦细而虚，右寸关尺皆数，这是阴亏气不潜纳的征候。等到翻阅以前服用的方子，果然杂乱使用苍术、白术以助气，二陈汤、故纸（补骨脂）、附子、肉桂等以劫夺阴液。应该说是越补病情越重啊。（“夜间不能睡眠”两句，结合脉弦细而虚，是肾脏阴亏；右寸关尺皆数，是阴亏气不潜纳。多吃而肥胖，都是气的表现；气不潜纳则食减形消。处方：大熟地黄八钱，淡肉苁蓉一钱半，血龟板捣碎四两，先煨煮六钟水，连皮胡桃仁三钱，百合花三钱，紫石英捣碎先下三钱，云茯苓三钱，冬虫夏草二钱。）
张氏妻子患外感。连续服用温散药物，十天后突然昏厥，从凌晨三点到早上九点不苏醒。孟英查看，脉伏而弦滑，给予大剂犀角、羚羊角、竹茹、贝母、知母、花粉、玄参、金银花，调匀局方至宝丹灌下，立刻安宁。（这必定是阴虚体质，温散劫夺阴液，内风突然发动。从凌晨三点到早上九点，是风木当令的时辰。肝阳克制肺金，则肺气不行，所以脉伏。弦滑为肝风煽动痰浊。方义主要在于息风救液。镑犀角四钱，羚羊角次尖四钱，这两味同先煨煮六钟水，姜竹茹三钱，川贝母捣碎八钱，南花粉五钱，玄参片浸泡冲服去渣一两，济银花一两五钱。）
赵子循患喉痹。他的叔叔用大剂量的生大黄攻下，但是药不能入口。孟英用锡类散吹入喉咙，随即开通。给予白虎汤法而痊愈。（药不能入口，是因为热结风升。处方：生石膏先煎一两六钱，酒炒知母四钱，鲜竹叶二钱，济银花一两五钱，石斛先煎一两，生冬瓜子四钱，生薏苡仁捣碎八钱，鲜薤白打碎一钱半，大豆卷一钱半，半夏曲二钱。后三味同后下。）
王姓妇人患心悸眩晕，广泛服用补剂。起初似乎很有效，后来病情日渐加重，时时出汗，四肢冰冷，气息微弱，气逆欲脱。灌服人参汤，稍微有点把握。拖延超过半年。孟英诊察，脉沉弦且滑，舌绛而有黄腻之苔，口苦，小便热，月经仍然正常。病属痰热阻滞。误用补药则气机壅塞。给予大剂清热涤痰药，吞服当归龙荟丸。服用后逐渐安宁。后来怀孕后停药，病根未除尽。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。孟英查看，脉极滑数，说：病根未除也。给予蠲痰清气法，果然见效。（脉沉弦且滑四句，痰热都在气分。月经仍行，则病不在血可知。大剂清热涤痰方：酒炒知母三钱，姜竹茹三钱，丝瓜络三钱，酒炒黄连一钱，南花粉四钱，淡海蛤壳先煎一两，鲜薤白打碎一钱半，制半夏二钱，石菖蒲一钱。后三味同后下。药送龙荟丸三钱。脉极滑数，蠲痰清气方：姜竹茹三钱，酒炒知母四钱，鲜芦根二两，生冬瓜子八钱，济银花一两，旋覆花包煎先下三钱，生赭石捣碎先下八钱，制半夏二钱，石菖蒲一钱。后两味同后下。川贝母捣碎一两，姜竹沥两大酒杯冲服。）
许母在仲春末尾，偶然患轻微外感。医生给予温散药物，热已渐退。孟英偶然经过，诊察右寸脉促数不调，于是说道：这是风温证，误用解表法了吗？恐怕会有骤然变化。家属又向前医询问，认为是妄言。仍然用温燥药物。过了两天，就出现鼾睡。再请孟英诊察，促数更甚，说：鼻息鼾响了，必然导致语言难出。仲景难道骗我吗？风温误用发汗，往往都是这样。（风温误用解表方：生石膏先煎一两二钱，酒炒知母五钱，石斛先煎一两，镑犀角先煎四钱，济银花一两五钱，冬桑叶四钱，鲜竹叶二钱，冬瓜皮四钱，姜竹沥一大酒杯冲。连皮北梨三两，连皮青蔗一两，同榨汁去渣冲服，分次灌服。鲜青果四钱捣碎先下。）
姚某年龄不到三十岁，烟瘾很大，吸受温邪，胁痛筋脉拘挛，气逆痰多，高热神昏，阴茎收缩，自发出汗。孟英诊察，脉见芤数，舌绛无津，有阴虚阳越，热炽液枯的危险。况且初发就这样，其根基不牢固可知。给予犀角、羚羊角、玄参、知母壮水息风，肉苁蓉、川楝子、鼠矢、紫石英潜阳镇逆，沙参、麦冬、石斛、玉竹益气充津，花粉、栀子、银花、丝瓜络蠲痰清热。一剂见效，四剂安宁。随后以大剂养阴而痊愈。（阴虚阳越，热炽液枯，是本病。气逆痰多，是标病。本急则本反为标，所以方中治本的药物多于治标。而且阴虚之痰，补之则气行痰降。处方：镑犀角四钱，羚羊角次尖四钱，这两味同先煎八钟水，玄参片一两，泡煎去渣，酒炒知母五钱，淡肉苁蓉一钱半，川楝核捣碎先下二钱，鼠矢三钱，紫石英捣碎先下三钱，北沙参八钱，花麦冬四钱，石斛先煎一两，肥玉竹三钱，南花粉五钱，黑栀子皮一钱半，济银花一两五钱，丝瓜络三钱。）
周母年过七十，丧子光远，悲痛深远，渐渐生出咳嗽，气逆痰咸，夜间多次小便，口苦不想吃饭。孟英说：根基虚弱兼有怫郁。给予沙参、甘草、麦冬、熟地、龟板、石斛、贝母、蛤壳、小麦、大枣而安宁。到了夏天吸受暑邪而患腹痛痢疾，小便热涩，咳嗽复发。脉仍虚弦，略微加快。只在前方增加滑石，吞服香连丸而痊愈。因为平时怕吃药，既愈即停。到了仲秋咳嗽又发作，只是口不苦而能吃饭，因此在前方去掉沙参，加入高丽参、五味子、紫石英、牛膝熬膏频繁服用而痊愈。十月下旬，天气骤冷，突然患吐泻腹痛，四肢冰冷声音嘶哑。孟英查看，脉微为寒邪直中。立即给予大剂理中汤，加吴茱萸、橘皮、杜仲、补骨脂、赤石脂、禹余粮而痊愈。周光远的妻子也因悲郁而患崩漏，面色黄，腹胀，寝食皆废。孟英用龟板、海螵蛸、女贞子、旱莲草、贝母、侧柏叶、青蒿、白薇、小麦、茯苓、藕肉、莲子心而康复。次年夏天，其母患温邪痰嗽，胃脘闷，汗多。孟英投石膏、竹茹、知母、花粉、旋覆花、贝母、瓜蒌仁、紫菀等药三十剂而痊愈。（根基虚弱兼怫郁方：方义主治阴虚挟痰。参甘麦大枣汤治怫郁。北沙参五钱，生甘草三钱，花麦冬四钱，大熟地黄八钱，血龟板捣碎四两，先煨煮六钟水，石斛先煎一两，川贝母捣碎四钱，生蛤壳捣碎先下一两，北小麦四钱，大枣一枚掰开先下。周母第二方：于前方增加滑石五钱先煎。针灸治疗小便热涩，吞香连丸者：此次脉兼虚，气分阳虚，不能偏任苦寒，故以木香行黄连之苦寒。小肠为心腑，黄连泻心，而后小溲之热涩以治。周母第三方：口不苦而能食，则肺胃无热可知。前诊脉兼虚，肺胃热去，故加温镇以吸纳虚阳。方加丽参三钱，五味子捣碎先下三钱，紫石英捣碎先下三钱，制牛膝一钱。周母第四方：脉微为寒邪直中。炒干姜五钱，炒潞党参三钱，炒白术三钱，生吴茱萸后下一钱，炒焦陈皮一钱半，炒补骨脂研末五钱，酒炒赤石脂、禹余粮捣碎调服各一钱。周光远妻病：为肝郁崩漏，水不涵木，肝肠侮胃。血龟板捣碎先煨六钟四两，醋炙海螵蛸捣碎先下四钱，女贞子捣碎五钱，旱莲草四钱，川贝母捣碎四钱，酒炒侧柏叶一钱半，鲜青蒿一钱半，香白薇三钱，北小麦四钱，云茯苓三钱，连皮藕切一两，莲子心一钱。周光远母第五方：痰热全在气分。生石膏先煎八钱，姜竹茹三钱，一浓姜汁浸炒知母三钱，姜汁浸炒花粉三钱，旋覆花包煎先下三钱，川贝母捣碎四钱，姜瓜蒌仁三钱，紫菀茸一钱半。）
胡妻患乳房结核。外科杂投温补，结节逐渐增大而疼痛肿胀日益严重。逐渐导致形体消瘦，月经失调，夜间发热，减少饮食，骨痿卧床。孟英诊察说：郁损情怀，徒然补益有何益处。起初用蠲痰开郁的药剂，吞服当归龙荟丸，疼痛肿胀依次下降，热退能吃饭，月事乃行。改投虎潜丸加减法，服用半年多而起床行走。凡前后共计用川贝母七八斤，其他药物相当。今年春天因哭母悲哀，陡然发厥。给予甘麦大枣汤加龙骨、牡蛎、龟板、鳖甲、磁石、朱砂、金箔、龙眼肉而安宁。（蠲痰开郁方：川贝母捣碎一两，南花粉五钱，生冬瓜子八钱，酒炒知母三钱，酒炒黄连一钱，石菖蒲后下一钱，半夏曲研末后下二钱，鲜薤白打碎后下一钱半，淡海蛤壳先煎一两，陈木瓜一钱半。药送龙荟丸三钱。悲哀发厥，抑郁伤肝，肝风逆上。生甘草三钱，北小麦四钱，大枣一枚掰开先下。龙骨捣碎一两，牡蛎捣碎六两，血鳖甲捣碎四两，血龟板捣碎二两，灵磁石一两，整朱砂一两二钱。六味先炭煨六钟水取汤代水煎药，飞金箔七页，桂圆肉一钱半。）
王小谷体型肥胖喜欢饮酒。偶然患气逆，多位医生都从虚证治疗，逐渐导致全身浮肿。恳求孟英治疗。脉甚细数，舌绛无津，间有谵语，这是真阴欲竭。再勉强给予西洋参、玄参、生地、熟地、天冬、麦冬、知母、花粉、竹茹、贝母、竹沥、葱须等药物。三剂而囊肿全消。孟英因为脉象依然（指脉证不符或脉象未改善），坚决推辞不肯接手。不久果然去世。（西洋参三钱，玄参片一两，熟地生地各八钱，明天冬切六钱，花麦冬四钱，酒炒知母三钱，南花粉四钱，姜竹茹三钱，川贝母捣碎五钱，姜竹沥两大酒杯冲，鲜葱须后下二分。人病脉不病者生，脉病患不病者死。何况脉无起色呢？）
朱女患外感。医生投予温散药物，服用两剂遍身麻木。月经正好来潮。医生进小柴胡汤。于是狂妄莫制。乞求援助孟英。脉至洪滑弦数，目赤苔黄，大渴不寐，这是热因温邪而发，时时大汗，何必再攻其表。月经行因为热迫于营。医生反而用姜枣温之，参柴升之，宜其燎原而不可遏也。给予大剂犀角、玄参、生地、石膏、知母、花粉、银花、竹叶、贝母、白薇以清卫凉营。服用后即眠，久而未醒。有人怀疑昏沉也。屡次呼唤惊醒，狂乱易怒。孟英复视，脉象依然，仍以前方加重，和以竹沥童便灌下即安。继用养阴清热而痊愈。（热邪由卫侵营，内风已动。镑犀角先煎八钟四钱，玄参片一两，大生地八钱，这两味泡煎去渣，生石膏先煎一两六钱，酒炒知母五钱，南花粉四钱，济银花一两五钱，鲜竹叶二钱，川贝母捣碎八钱，香白薇三钱。惊寤狂易，前方加重，并加姜竹沥两大酒杯冲，煎去头尾童便一酒杯冲。竹沥蠲痰清热，童便引热下行。）
瞿媳患舌糜。沈悦亭知道她素禀阴亏，虚火上炎，给予清凉滋降之法及朱黄等敷药而不愈。孟英前往查看，舌心糜腐黄浓，边尖俱已无皮，汤饮入口，痛不可当。这是服药所不能愈者。令将锡类散掺之，果然即霍然。有人怀疑喉药治舌，何以敏捷如斯。孟英说：此散擅长生肌蚀腐之长，不但喉舌之相近者可以借用，苟能隅反未可言罄。贵在使用者之善悟耳。且糜腐浓腻，不仅阴虚，要须识此，自知其故。
高绿卿的妻子。孟夏分娩发热。起初怀疑蒸乳。数日不退。产科治疗。知道挟温邪。进以清解。而大便溏泄。遂改温燥。其泄不减。张某给予人参、干姜、白术、鹿角、肉果等药。泄泻愈甚。连服之，热壮神昏。汗出不止。势濒于危。孟英按脉洪数七至。口渴苔黄。洞泻如火。小溲不行。书白头翁汤加石膏、犀角、银花、知母、花粉、竹叶、栀子、川楝、桑叶予之。次日复诊。脉证较减。仍用前方大剂凉解。服至七剂。泻全止。热尽退。乃去白头翁汤加生地、玄参、竹茹、贝母。服半月。始解黑色燥矢。而眠食渐安。第腑脏之邪虽已清涤。而从前温补。将热邪壅滞于膜络之间者。复发数痈于胸乳之间。孟英令其恪守前法。复入蒲公英、丝瓜络、橘叶、菊叶等药。服至百剂。始告全愈。而天癸亦至。（酒炒白头翁一钱半，酒炒黄连一钱，川楝核捣碎先下二钱，酒炒知母三钱，镑犀角先煎四钱，济银花一两五钱，南花粉五钱，鲜竹叶二钱，黑栀子皮三钱，冬桑叶四钱。嗣去白头翁汤，加生地八钱，玄参片一两，这两味泡煎去渣，姜竹茹三钱，川贝母捣碎八钱。第三方前方去犀角、石膏、花粉、玄参，加蒲公英二两，丝瓜络三钱，鲜橘叶一钱，鲜菊叶后下二钱。首方用白头翁汤之大苦以敛其热下行。）
赵秋去年患左半身不遂。他弟弟主张清热蠲痰。治疗未能立即见效。孟英诊察，脉甚迟缓，苔极黄腻，便秘多言。令于药中和入竹沥一碗。且以龙荟滚痰二丸相间而投。二丸各用斤许。证始向愈。今春出房，眠食已复。而素嗜浓味，不戒肥甘。孟夏其病陡发。孟英诊之，脉形滑驶如蛇。断其不起。秋初果殁。（石菖蒲后下二钱，制半夏一钱，省头草三钱，姜炒知母三钱，姜竹茹三钱，丝瓜络三钱，炒枳实一钱半，陈胆星炖和服八分，晚蚕砂五钱，姜竹沥四两冲。药送滚痰丸二钱，龙荟丸一钱。此证脉迟缓，系痰阻气机，非脾阳虚弱。盖脾阳虚弱，断不用滚痰龙荟二丸。）
Jin Mu suddenly vomited a large amount of bright red blood. Her limbs were cold, and she had spontaneous sweating. Mengying palpated the pulse as wiry (Xian) and choppy (Se), and observed that the blood was dark purple. This indicated Liver Qi stagnation leading to blood stasis. Although the condition could be cured, it was prone to recurrence and difficult to heal completely. I prescribed a formula containing Danshen (Salvia miltiorrhiza), Danpi (Moutan Cortex), Chongwei Zi (Leonurus Fructus), Xuanfu Hua (Inulae Flos), Ling Shen (Poria), Zhi Zi (Gardeniae Fructus), Bai Ye (Platycladi Cacumen), Yu Jin (Curcumae Radix), and Hai Zhe Ke (Concha Meretricis et Arcae). After drinking the medicine from one cup, she recovered immediately. However, she could not control her anger. Two years later, she vomited blood again and ultimately died. (The wiry and choppy pulse already revealed Liver Qi stagnation and blood stasis; observing the dark purple blood further confirmed this. The reason for recurrence and difficulty in healing is that blood belongs to Yin. Within Yin resides Yang. Sudden massive vomiting of blood damages Yin, and Yang follows suit. The wiry and choppy pulse indicates that the Yang within Yin no longer has the strength to drive heat pathogens upward. With very little residual Yin remaining, how can it withstand another episode of vomiting caused by Liver Qi stagnation? This leads to mutual damage between Yin and Yang. Prescription: Jiu Chao Danshen 3 qian, Jiu Chao Danpi 1.5 qian, Chong Wei Zi pounded and decocted first 4 qian, Xuan Fu Hua wrapped and decocted first 3 qian, Yun Ling 3 qian, Hei Zhi Pi 1.5 qian, Jiu Chao Bai Ye 1.5 qian, Huang Yu Jin 1 qian, Dan Hai Zhe Ke decocted first 1 liang.)
Madam Zhang, over seventy years old, suffered from rebellious Qi and fecal incontinence (dian shi), irritability, and insomnia. Mengying palpated the pulse as slippery (Hua) and excess (Shi), noted her flushed face, crimson tongue, and profuse phlegm. He treated her with Chengqi Tang (Cathartic Decoction), and she recovered instantly. (The disease was in the Qi level, characterized by heat and excess. Prescription: Hei Zhi Pi 3 qian, Si Gua Luo 3 qian, Dong Gua Pi 3 qian, Chuan Bei Mu pounded 4 qian, Sheng Dong Gua Zi 4 qian, Shi Chang Pu added later 1 qian, Jiu Chao Chuan Lian 1 qian, Yuan Ming Fen 1 qian, Sheng Da Huang 3 qian. The last two ingredients were soaked in boiling water, and the liquid was taken after straining.)
Mr. Wang You suffered from phlegm-asthma. Mr. Hu had administered formulas for tonifying the Kidney to grasp Qi, as well as Er Chen Tang (Two-Cured Decoction) and San Zi Yang Qin Tang (Three-Seed Decoction to Nourish the Progeny). The condition became critical. Mengying diagnosed a deep (Chen) and choppy (Se) pulse, cold body, and spontaneous sweating, which resembled collapse. However, the absence of urination and defecation, epigastric fullness, and greasy coating indicated that phlegm-heat was obstructed by tonic medicines, causing the Qi mechanism of the whole body to become blocked and stagnant. He prescribed Lou Fei Xuan Zhe Xing Bei Zhi Yuan Dou Ling Hai Ge Zhu Li (Trichosanthes Peel, Macrostemon Rhizome, Inula, Magnetite, Apricot Kernel, Fritillaria, Gardenia, Aster, Aristolochia, Concha, Bamboo Sap) to open and descend. Symptoms improved after one dose and resolved after a second. (The disease involved phlegm-heat blocking the Qi level. Prescription: Jiang Lou Pi 3 qian, Xi Xie Bai pounded and added later 1.5 qian, Xuan Fu Hua wrapped and decocted first 3 qian, Sheng Zhe Shi pounded and decocted first 5 qian, Ku Xing Ni added later 2 qian, Chuan Bei Mu pounded 4 qian, Jiang Zhi Pi 3 qian, Zi Wan Rong 1.5 qian, Ma Dou Ling 3 qian, Jiang Zhu Li diluted with one wine glass, Jiang Han (Ginger Juice) taken as 20% of Zhu Li volume, Dan Hai Zhe Ke decocted first 1 liang.)
Mr. Wang You had long suffered from phlegm-cough, reduced appetite, emaciation, insomnia, night sweats, and a crimson tongue. He had widely used tonic medicines, yet his condition worsened daily. Mengying examined him and said: "Although there are deficiencies that require tonification, you likely did not differentiate by meridians and syndromes, but rather treated blindly and confusedly, contradicting the syndrome, hence the lack of efficacy." He prescribed Shu Di, Cong Rong, Kan Ban (Tortoise Shell), Hu Tao, Bai He, Shi Ying, Fu Ling, and Dong Chong Xia Cao. One dose brought improvement, and he healed in ten days. This was because the left pulse was wiry, thin, and deficient, while the right Cun, Guan, and Chi pulses were rapid (Shu), indicating Yin deficiency with failure of Qi to submerge and grasp. Reviewing previous prescriptions, they indeed杂乱ly used Zhu (Atractylodes) to boost Qi, and Er Chen Tang combined with Gu Zhi (Psoralea), Fu Zi (Aconite), and Gui Rou (Cinnamon Bark) to consume Yin. No wonder tonification made the condition worse. (Insomnia combined with wiry, thin, deficient left pulse indicates Kidney Yin deficiency. Rapid right Cun/Guan/Chi indicates Yin deficiency with Qi failing to submerge. Excessive eating leading to obesity is due to Qi; failure of Qi to submerge leads to reduced appetite and emaciation. Prescription: Da Shu Di 8 qian, Dan Cong Rong 1.5 qian, Xue Gui Ban pounded 4 liang, simmered first in 6 zhong water, Lian Pi Hu Tao Rou 3 qian, Bai He Hua 3 qian, Zi Shi Ying pounded and decocted first 3 qian, Yun Ling 3 qian, Dong Chong Xia Cao 2 qian.)
Madam Zhang's wife contracted an external pathogen. After taking warming-dispersing medicines for ten days, she suddenly fainted and remained unconscious from Yin Zheng (3-5 AM) to Chen Chu (7-9 AM). Mengying found the pulse hidden (Fu) and wiry-slippery. He administered a large dose of Xi Jiao (Rhinoceros Horn), Ling Yang Jiao (Antelope Horn), Zhu Ru (Bamboo Sap), Bei Mu (Fritillaria), Zhi Mu (Anemarrhena), Hua Fen (Trichosanthes Root), Yuan Shen (Scrophularia), and Yin Hua (Honeysuckle), along with Ju Fang Zhi Bao Dan (Prescription Bureau Treasure Pill)灌 down, and she stabilized immediately. (This was likely a Yin-deficient constitution where warming dispersants consumed Yin, triggering sudden internal wind. From Yin Zheng to Chen Chu is the time when Wind Wood rules. Liver Yang attacking Lung Metal causes Lung Qi stagnation, hence the hidden pulse. Wiry-slippy indicates Liver wind stirring phlegm. The prescription aims to extinguish wind and save fluids. Bang Xi Jiao 4 qian, Ling Ci Jian 4 qian, these two simmered first in 8 zhong water, Jiang Zhu Ru 3 qian, Chuan Bei Mu pounded 8 qian, Nan Hua Fen 5 qian, Yuan Shen Pian soaked and taken after straining 1 liang, Ji Yin Hua 1.5 liang.)
Zhao Zixun suffered from throat obstruction (Hou Bi). His uncle used a large dose of raw Jun (Da Huang) to purge, but the medicine could not enter. Mengying applied Xi Lei San (Xi Lei Powder) to the throat, which opened immediately. He then treated with Bai Hu Fa (White Tiger Method), and the patient recovered. (Inability to take medicine is due to heat accumulation and wind rising. Prescription: Sheng Shi Gao decocted first 1.6 liang, Jiu Chao Zhi Mu 4 qian, Xian Zhu Ye 2 qian, Ji Yin Hua 1.5 liang, Shi Gao decocted first 1 liang, Sheng Dong Gua Zi 4 qian, Sheng Yi Ren pounded 8 qian, Xian Xie Bai pounded 1.5 qian, Da Dou Juan 1.5 qian, Ban Xia Qu 2 qian. The last three added later.)
Madam Wang suffered from palpitations and dizziness. She took many tonics. Initially effective, but symptoms worsened daily. She sweated frequently, had cold limbs, weak breathing, and rebellious Qi threatening collapse. A Ginseng soup provided slight relief. Half a year passed. Mengying found a deep-wiry-slippery pulse, crimson tongue with yellow-greasy coating, bitter taste, hot urine, and regular menstruation. The disease was Phlegm-Heat obstruction. Mistaken tonification caused Qi stagnation. He prescribed large doses of Heat-clearing and Phlegm-resolving medicines, along with Dang Gui Long Hui Wan (Danggui Longhui Pill). Gradually, she stabilized. Later, she stopped medication during pregnancy, leaving the root cause unresolved. Postpartum, she relapsed with palpitations, dizziness, insomnia, shortness of breath, and anorexia. Treated as postpartum Blood deficiency without effect. Mengying found an extremely slippery-rapid pulse and said: "The root cause remains." He used Jue Tan Qing Qi (Eliminate Phlegm and Clear Qi) method, which worked. (Deep-wiry-slippery pulse indicates Phlegm-Heat in Qi level. Regular menstruation confirms disease is not in Blood. Large Heat-clearing/Phlegm-resolving formula: Jiu Chao Zhi Mu 3 qian, Jiang Zhu Ru 3 qian, Si Gua Luo 3 qian, Jiu Chao Chuan Lian 1 qian, Nan Hua Fen 4 qian, Dan Hai Zhe Ke decocted first 1 liang, Xian Xie Bai pounded 1.5 qian, Zhi Ban Xia 2 qian, Shi Chang Pu 1 qian. Last three added later. Medicine delivered with Long Hui Wan 3 qian. Extremely slippery-rapid pulse, Eliminate Phlegm/Clear Qi formula: Jiang Zhu Ru 3 qian, Jiu Chao Zhi Mu 4 qian, Xian Lu Gen 2 liang, Sheng Dong Gua Zi 8 qian, Ji Yin Hua 1 liang, Xuan Fu Hua wrapped and decocted first 3 qian, Sheng Zhe Shi pounded and decocted first 8 qian, Zhi Ban Xia 2 qian, Shi Chang Pu 1 qian. Last two added later. Chuan Bei Mu pounded 1 liang, Jiang Zhu Li two large wine glasses.)
Mother Xu, at the end of mid-spring, caught a mild cold. Doctors gave warming dispersants. Heat subsided slightly. Mengying happened to pass by, palpated the right Cun pulse as hurried (Cu), rapid, and irregular, and said: "This is Wind-Warmth. Did you misuse surface-releasing methods? Beware of sudden changes." The family consulted the original doctor, who dismissed it as nonsense. They continued with warm-dry medicines. Two days later, snoring sleep appeared. Mengying re-examined, finding the hurried-rapid pulse even worse, and said: "Snoring breath means speech will soon be impossible. Does Zhongjing deceive us? Wind-Warmth misused with sweating often leads to this." (Wind-Warmth misused surface-releasing formula: Sheng Shi Gao decocted first 1.2 liang, Jiu Chao Zhi Mu 5 qian, Shi Gao decocted first 1 liang, Bang Xi Jiao decocted first 4 qian, Ji Yin Hua 1.5 liang, Dong Sang Ye 4 qian, Xian Zhu Ye 2 qian, Dong Gua Pi 4 qian, Jiang Zhu Li one large wine glass. Lian Pi Bei Li 3 liang, Lian Pi Qing Zhe 1 liang, juiced together, strained, and taken in divided doses. Xian Qing Guo 4 qian pounded first.)
Yao Mou, under thirty, had a heavy smoking habit. He absorbed Warm Pathogens, suffering from hypochondriac pain, tendon spasms, rebellious Qi, profuse phlegm, high fever, coma, penile retraction, and spontaneous sweating. Mengying found a hollow-rapid (Kou Shu) pulse and a crimson, fluidless tongue, indicating danger of Yin deficiency with Yang floating, intense heat, and dried fluids. Given the severity at onset, the root was clearly weak. He prescribed Xi Jiao, Ling Yang Jiao, Yuan Shen, Zhi Mu to nourish Water and extinguish wind; Cong Rong, Chuan Liu, Shu Shi, Zi Shi Ying to anchor Yang and direct Qi downward; Sha Shen, Mai Dong, Shi Hu, Yu Zhu to boost Qi and replenish fluids; Hua Fen, Zhi Zi, Yin Hua, Si Gua Luo to resolve phlegm and clear heat. One dose improved, four doses stabilized. Subsequently, large doses of Yin-nourishing herbs led to recovery. (Yin deficiency with Yang floating, intense heat drying fluids is the root. Rebellious Qi and phlegm are the branch. When root is urgent, root becomes branch; thus, root-treating herbs outnumber branch-treating ones. Also, phlegm due to Yin deficiency resolves when Qi moves and descends upon tonification. Prescription: Bang Xi Jiao 4 qian, Ling Ci Jian 4 qian, simmered first in 8 zhong water, Yuan Shen Pian 1 liang, soaked and decocted, strained, Jiu Chao Zhi Mu 5 qian, Dan Cong Rong 1.5 qian, Chuan Liu He pounded and decocted first 2 qian, Shu Shi 3 qian, Zi Shi Ying pounded and decocted first 3 qian, Bei Sha Shen 8 qian, Hua Mai Dong 4 qian, Shi Gao decocted first 1 liang, Fei Yu Zhu 3 qian, Nan Hua Fen 5 qian, Hei Zhi Pi 1.5 qian, Ji Yin Hua 1.5 liang, Si Gua Luo 3 qian.)
Mother Zhou, over seventy, suffered deep grief from the death of her son Guang Yuan. Gradually developed cough, rebellious Qi, salty phlegm, frequent nocturia, bitter taste, and anorexia. Mengying said: "Root is deficient accompanied by depression (Fu Yu)." Prescribed Sha Shen, Gan Cao, Mai Dong, Shu Di, Gui Ban, Shi Hu, Bei Mu, Ge Qiao, Xiao Mai, Da Zao, and she recovered. In summer, she absorbed Summer-Heat, developing abdominal pain and dysentery (Zhi Xia), hot/stiff urination, and recurring cough. Pulse remained deficient-wiry, slightly faster. Added Hua Shi to the previous formula and swallowed Xiang Lian Wan, leading to cure. Because she feared medicine, she stopped upon recovery. In mid-autumn, cough returned, but no bitter taste and appetite returned. Removed Sha Shen from previous formula, added Gao Li Shen, Wu Wei Zi, Zi Shi Ying, Niu Xi, boiled into paste for frequent intake, leading to complete recovery. Late October, weather turned cold suddenly. Acute vomiting, diarrhea, abdominal pain, cold limbs, hoarseness. Mengying saw micro-pulse indicating Cold Pathogen striking directly. Immediately prescribed large dose Li Zhong Tang, adding Wu Yu, Ju Pi, Du Zhong, Gu Zhi, Shi Zhi, Yu Liang, leading to cure. Zhou Guang Yuan's wife also suffered from metrorrhagia due to grief/depression. Yellow face, abdominal distension, loss of sleep/appetite. Mengying used Gui Ban, Hai Piao Xiao, Nu Zhen, Han Lian, Bei Mu, Bai Ye, Qing Hao, Bai Wei, Xiao Mai, Fu Ling, Ou Rou, Lian Zi Xin, leading to health. Next summer, her mother contracted Warm Pathogen with phlegm-cough, epigastric stuffiness, profuse sweating. Mengying prescribed Shi Gao, Zhu Ru, Zhi Mu, Hua Fen, Xuan Fu, Bei Mu, Lou Ren, Zi Wan for thirty doses, leading to cure. (Deficient root with Fu Yu formula: Treats Yin deficiency with phlegm. Shen Gan Mai Da Zao Tang treats Fu Yu. Bei Sha Shen 5 qian, Sheng Fen Cao 3 qian, Hua Mai Dong 4 qian, Da Shu Di 8 qian, Xue Gui Ban pounded 4 liang, simmered first in 6 zhong water, Shi Gao decocted first 1 liang, Chuan Bei Mu pounded 4 qian, Sheng Ge Qiao pounded and decocted first 1 liang, Bei Xiao Mai 4 qian, Da Zao one piece torn first. Mother Zhou Formula 2: Add Hua Shi 5 qian decocted first to previous formula. Acupuncture for hot/stiff urination, swallowing Xiang Lian Wan: Pulse indicates deficiency, Yang deficiency in Qi level cannot tolerate bitter-cold alone, so Mu Xiang guides Chuan Lian's bitter-cold. Small Intestine is Heart's腑, Chuan Lian clears Heart, treating hot/stiff urination. Mother Zhou Formula 3: No bitter taste, good appetite implies no Lung/Stomach heat. Previous pulse indicated deficiency, Lung/Stomach heat gone, so add warm/anchoring to grasp deficient Yang. Add Li Shen 3 qian, Wu Wei Zi pounded first 3 qian, Zi Shi Ying pounded first 3 qian, Zhi Niu Xi 1 qian. Mother Zhou Formula 4: Micro pulse indicates Cold striking directly. Chao Gan Jiang 5 qian, Chao Lu Dang Shen 3 qian, Chao Bai Zhu 3 qian, Sheng Wu Yu added later 1 qian, Chao Jiao Chen Pi 1.5 qian, Chao Gu Zhi powdered 5 qian, Jiu Chao Shi Zhi Yu Liang pounded and mixed 1 qian each. Zhou Guang Yuan's Wife Illness: Liver depression metrorrhagia, Water not nurturing Wood, Liver insulting Stomach. Xue Gui Ban pounded/simmered first 4 liang, Cu Zhi Hai Piao Xiao pounded first 4 qian, Nu Zhen pounded 5 qian, Han Lian Cao 4 qian, Chuan Bei Mu pounded 4 qian, Jiu Chao Bai Ye 1.5 qian, Xian Qing Hao 1.5 qian, Xiang Bai Wei 3 qian, Bei Xiao Mai 4 qian, Yun Ling 3 qian, Lian Pi Ou cut 1 liang, Lian Zi Xin 1 qian. Zhou Guang Yuan's Mother Formula 5: Phlegm-Heat entirely in Qi level. Sheng Shi Gao decocted first 8 qian, Jiang Zhu Ru 3 qian, Zhi Mu fried in thick ginger juice 3 qian, Hua Fen fried in ginger juice 3 qian, Xuan Fu Hua wrapped first 3 qian, Chuan Bei Mu pounded 4 qian, Jiang Lou Ren 3 qian, Zi Wan Rong 1.5 qian.)
Hu's wife suffered from breast tuberculosis. Surgeons indiscriminately used warming tonics. Nodules increased, pain/swelling worsened. Eventually emaciation, amenorrhea, night fever, reduced diet, bedridden from bone weakness. Mengying diagnosed: "Emotional depression damaged. What benefit is blind tonification?" Initially used Phlegm-resolving and Depression-opening agents, swallowed Dang Gui Long Hui Wan. Pain/swelling decreased sequentially, fever subsided, appetite returned, menstruation resumed. Changed to Hu Qian Wan modified. Took for over half a year and recovered. Total usage: 7-8 jin of Chuan Bei Mu, equivalent amounts of other herbs. This spring, grieving mother's death, suddenly fainted. Prescribed Gan Mai Da Zao Jia Long Mu Gui Bie Ci Zhu Jin Bo Long Yan, leading to peace. (Phlegm-resolving/Depression-opening formula: Chuan Bei Mu pounded 1 liang, Nan Hua Fen 5 qian, Sheng Dong Gua Zi 8 qian, Jiu Chao Zhi Mu 3 qian, Jiu Chao Chuan Lian 1 qian, Shi Chang Pu added later 1 qian, Ban Xia Qu powdered added later 2 qian, Xian Xie Bai pounded added later 1.5 qian, Dan Hai Zhe Ke decocted first 1 liang, Chen Mu Gua 1.5 qian. Medicine delivered with Long Hui Wan 3 qian. Grief-induced fainting: Depression injures Liver, Liver wind rebels upward. Sheng Fen Cao 3 qian, Bei Xiao Mai 4 qian, Da Zao one piece torn first. Long Gu pounded 1 liang, Mu Li pounded 6 liang, Xue Bie Jia pounded 4 liang, Xue Gui Ban pounded 2 liang, Ling Ci Shi 1 liang, Zheng Zhu Sha 1.2 liang. These six charred and simmered in 6 zhong water for decoction base. Fei Jin Bo 7 sheets, Gui Yuan Rou 1.5 qian.)
Wang Xiaogu was obese and loved alcohol. Occasionally suffered from rebellious Qi. Many doctors treated as deficiency. Gradually became generalized edema. Begged Mengying for treatment. Pulse very fine-rapid, crimson tongue fluidless, occasional delirium. True Yin was about to exhaust. Reluctantly prescribed Xi Yang Shen, Yuan Shen, Er Di (Shu/Sheng), Er Dong (Tian/Mai), Zhi Mu, Hua Fen, Zhu Ru, Bei Mu, Zhu Li, Cong Xu. Three doses eliminated cysts/edema. Mengying refused further treatment due to persistent pulse signs. Patient died soon after. (Xi Yang Shen 3 qian, Yuan Shen Pian 1 liang, Shu Di/Sheng Di 8 qian each, Ming Tian Qie 6 qian, Hua Mai Dong 4 qian, Jiu Chao Zhi Mu 3 qian, Nan Hua Fen 4 qian, Jiang Zhu Ru 3 qian, Chuan Bei Mu pounded 5 qian, Jiang Zhu Li two large wine glasses, Xian Cong Xu added later 2 fen. Disease present but pulse normal indicates life; pulse abnormal but disease absent indicates death. Especially with no pulse improvement.)
Miss Zhu contracted an external pathogen. Doctor gave warming dispersants. Two doses caused body numbness. Menstruation arrived. Doctor gave Xiao Chai Hu Tang. Resulted in uncontrollable mania. Sought Mengying. Pulse洪滑弦数 (Surging-Slippery-Wiry-Rapid), red eyes, yellow coating, extreme thirst, insomnia. Heat erupted due to Warm Pathogen. Profuse sweating. Why attack the surface again? Menstruation occurred due to Heat forcing into Ying. Doctor wrongly used Ginger/Jujube to warm, Ginseng/Chai Hu to raise. Naturally, the fire spread uncontrollably. Prescribed large dose Xi Jiao, Yuan Shen, Sheng Di, Shi Gao, Zhi Mu, Hua Fen, Yin Hua, Zhu Ye, Bei Mu, Bai Wei to Clear Wei and Cool Ying. Slept immediately, long duration. Suspected coma. Woke up startled, manic. Mengying re-examined, pulse unchanged. Increased previous formula dosage, mixed with Zhu Li and Tong Piao (Child's Urine),灌 down, stabilized. Followed by Yin-nourishing/Heat-clearing, recovered. (Heat invaded Ying from Wei, internal wind moved. Bang Xi Jiao decocted first 4 qian, Yuan Shen Pian 1 liang, Da Sheng Di 8 qian, soaked/decocted/strained, Sheng Shi Gao decocted first 1.6 liang, Jiu Chao Zhi Mu 5 qian, Nan Hua Fen 4 qian, Ji Yin Hua 1.5 liang, Xian Zhu Ye 2 qian, Chuan Bei Mu pounded 8 qian, Xiang Bai Wei 3 qian. Startled/Manic: Increase previous formula, add Jiang Zhu Li two large wine glasses, Jian Qu Tou Wei Tong Piao one wine glass. Zhu Li resolves phlegm/clears heat, Tong Piao guides heat downward.)
Qu's daughter-in-law suffered from oral thrush (She Mi). Shen Yueting knew of her inherent Yin deficiency and defaming Fire, prescribed cooling/nourishing/descending methods and Zhu/Huang topical applications without success. Mengying examined: Center of tongue ulcerated/yellow-thick, edges/tips devoid of skin. Drinking caused unbearable pain. Medication alone could not cure. Ordered application of Xi Lei San. Recovered instantly. Questioned why throat medicine worked so fast on tongue. Mengying said: "This powder excels at generating flesh and eroding腐 tissue. Not only applicable to adjacent throat/tongue, but举一反三 (inferring other cases) possibilities are endless. Depends on user's insight. Also, thick ulceration is not just Yin deficiency; must recognize this to understand the cause."
Gao Lüqing's wife. Early Summer postpartum fever. Initially suspected milk engorgement. Fever persisted days. Obstetrics treated. Realized complication with Warm Pathogen. Used clearing/resolving. Resulted in loose stools. Changed to warm-dry. Diarrhea persisted. Zhang Mou prescribed Ren Shen, Gan Jiang, Bai Zhu, Lu Jiao, Rou Guo. Diarrhea worsened. Continued use led to high fever, coma, incessant sweating, critical condition. Mengying palpated surging-rapid (7 beats per breath), thirst, yellow coating, watery diarrhea like fire, anuria. Prescribed Bai Tou Weng Tang plus Shi Gao, Xi Jiao, Yin Hua, Zhi Mu, Hua Fen, Zhu Ye, Zhi Zi, Chuan Liu, Sang Ye. Next day, symptoms reduced. Continued large dose cooling/resolving. Seven doses stopped diarrhea, cleared fever. Removed Bai Tou Weng Tang, added Sheng Di, Yuan Shen, Zhu Ru, Bei Mu. Fifteen doses passed black dry stool, sleep/appetite restored. Although internal pathogens cleared, previous warm tonics trapped heat in membrane-networks, causing multiple abscesses on chest/breast. Mengying insisted on previous method, added Pu Gong Ying, Si Gua Luo, Ju Ye, Ju Ye. Hundred doses led to full recovery, and menstruation resumed. (Jiu Chao Bai Tou Weng 1.5 qian, Jiu Chao Chuan Lian 1 qian, Chuan Liu He pounded first 2 qian, Jiu Chao Zhi Mu 3 qian, Bang Xi Jiao decocted first 4 qian, Ji Yin Hua 1.5 liang, Nan Hua Fen 5 qian, Xian Zhu Ye 2 qian, Hei Zhi Pi 3 qian, Dong Sang Ye 4 qian. Then remove Bai Tou Weng Tang, add Sheng Di 8 qian, Yuan Shen Pian 1 liang, soaked/decocted/strained, Jiang Zhu Ru 3 qian, Chuan Bei Mu pounded 8 qian. Third formula: Remove Xi Jiao, Shi Gao, Hua Fen, Yuan Shen from previous, add Pu Gong Ying 2 liang, Si Gua Luo 3 qian, Xian Ju Ye 1 qian, Xian Ju Ye added later 2 qian. First formula uses Bai Tou Weng Tang's great bitterness to gather heat downward.)
Qiu Qiu. Last autumn suffered left-sided hemiplegia. Brother advocated clearing heat/resolving phlegm. Treatment ineffective. Mengying palpated slow-decelerated pulse, extremely yellow-greasy coating, constipation, excessive talking. Ordered addition of one bowl of Zhu Li to medicine. Alternated with Long Hui and Gun Tan pills. Each pill used nearly one jin. Condition improved. Spring: Returned to normal sleep/eating. But loved rich flavors, didn't avoid fatty/sweet foods. Early Summer relapse. Mengying palpated slippery-fast pulse like snake. Predicted death. Died early autumn. (Shi Chang Pu added later 2 qian, Zhi Ban Xia 1 qian, Sheng Tou Cao 3 qian, Jiang Chao Zhi Mu 3 qian, Jiang Zhu Ru 3 qian, Si Gua Luo 3 qian, Chao Zhi Shi 1.5 qian, Chen Dan Xing stewed/mixed 8 fen, Wan Can Sha 5 qian, Jiang Zhu Li 4 liang mixed. Medicine delivered with Gun Tan Wan 2 qian, Long Hui Wan 1 qian. Slow-decelerated pulse indicates Phlegm blocking Qi mechanism, not Spleen Yang deficiency. If Spleen Yang deficient, Gun Tan/Long Hui pills would definitely not be used.)
Wu Mou, over sixty. Chronic stomach pain. Assumed deficiency-cold. Took warming tonics. Worsened over time. Mengying diagnosed: "Liver Fire should be cleared." He did not...