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Among the strange and bizarre symptoms in the world, if the pulse upon diagnosis remains round, quiet, and peaceful, it is due to old phlegm (Lao Tan). The term "phlegm" varies, and its origins are diverse; all can alter the pulse. However, only old phlegm hides in the extremely thin spaces between the intestines and stomach, not involving the five zang organs nor damaging the six fu organs, thus the pulse remains unchanged. Yet, accumulating over years, it causes disturbances. Based on my personal experiences of various bizarre cases: some initially hear cicada sounds, then wind and rain sounds, and eventually thunder sounds; some initially see houses tilting, then mountains and rivers cracking, and finally flat land sinking; some rejoice at auspicious words, such as passing imperial examinations or being named top scholar, becoming energetic and dancing with joy; but upon hearing of misfortunes like illness, disaster, or death, they lose their spirit and qi and die; some feel a worm crawling from head to back, then to chest, causing pain and itching that cannot be endured by hand; some see a white mouse during the day climbing from walls to beams and down to the ground, calling for people to catch it; some see a white cat walking in the hall or lying on the desk, with a lion-like tail, fur about one inch long, glossy and full, tame and lovely, attracting viewers; some are calm during the day like normal people, but at night refuse to go to bed, sleeping intermittently, speaking ambiguously, requiring two or three people to sit with them until dawn; some act normally and eat as usual during the day, but at night suffer from myriad indescribable symptoms, groaning in bed until morning; some sit alone in a room, allowing only wife and children to visit, but become terrified and seek refuge when seeing others; some see objects normally but perceive children as only inches high and adults as only about a foot tall; some appear vigorous but predict their own death at night, entrusting family affairs to relatives, gradually losing spirit and qi as if dead, only to recover upon waking, recurring every few days or months; some sleep for half a month before waking, then regain strength and double their food intake, only to fall asleep again after two or three days; some eat only once a month without loss of qi and blood, though spirit slightly declines. All these were cured using Wang Yinju's Gun Tan Wan (Rolling Phlegm Pill) [Gun Tan Wan: Qing Meng Shi (Fluorite Ore) 1 liang, Chen Xiang (Agarwood) 5 qian, Jiu Da Huang (Rhubarb processed with wine) and Jiu Huang Qin (Scutellaria processed with wine) each 8 liang. First crush Qing Meng Shi, mix with 1 liang Yan Xiao (Saltpeter), place in a clay pot, seal tightly with salt mud, dry, calcine until stone turns golden color, grind to powder, mix with other herbs, form water pills, take 2.5 qian before bed with ginger decoction]. Regrettably, Wang Yinju formulated this prescription without mentioning the pulse, so physicians lacked basis and dared not use it lightly. Jiang Weipu (courtesy name Xiong Zao) of our county wrote *Jiumen Qifang Shu* (Book of Strange Formulas from Nine Gates), placing phlegm diseases first and uniquely recommending this formula, truly deserving credit as a merit-maker for Wang Yinju. However, he did not integrate pulse diagnosis, limiting its use to individuals rather than sharing it widely, causing the book and formula to remain shelved and unspread. If one understands diagnosing disease through pulse signs, using Gun Tan Wan directly would suffice without hindrance. For those suffering from bizarre symptoms, encountering this cure removes deep-seated ailments. Wang Yinju's compassionate heart to save the world is thereby clarified, and Jiang Weipu's intention to create the book finds worthy successors in the current era.