张氏妇，患气机不舒，似喘非喘，似逆非逆，似太息非太息，似虚促非虚促，似短非短，似闷非闷，面赤眩晕，
不饥不卧。补虚清火，行气消痰，服之不应。孟英诊之，曰∶小恙耳，旬日可安。但必须惩忿，是
嘱。予∶黄连 黄芩 栀子 楝实 鳖甲 羚羊角 旋复 赭石 海蜇 地栗为大剂，送服当归龙荟丸，未及
十日，汛至，其色如墨，其病已若失，后予养血和肝调理而康。
邻人王氏妇之父王叟，仲秋患痰嗽不食，气喘不卧，囊缩便秘，心摇摇不能把握，势极可危。伊芳女浼家慈
招孟英救之。曰∶根蒂欲脱耳，非病也。以八味地黄汤去丹皮、泽泻，合生脉散加青铅、龙骨、牡蛎、紫石英、
胡桃、楝实、苁蓉，（为剂投之）。大解行而诸恙减，乃减去苁蓉、麦冬，服旬日而瘳。
邵奕堂室，以花甲之年，仲冬患喘嗽，药之罔效。坐而不能卧者，旬日矣。乞诊于孟英。邵述病源云∶
每进参汤，则喘稍定。虽服补剂，仍易汗出，虑其欲脱。及察脉，
弦滑右甚。孟英曰∶甚矣！望、闻、问、切之难。不可胸无权衡也。此证当凭脉设治，参汤切勿沾唇。以∶栝蒌
薤白 旋复 苏子 花粉 杏仁 蛤壳 茯苓 青黛 海蜇为方，而以竹沥、（莱）菔汁和服。投匕即减，十
余帖痊愈。
同时，有石媪者，患此，（病）极相似，脉见虚弦细滑。孟英予∶沙参 蛤壳 旋复 杏仁 苏子
贝母 桂枝 茯苓（等药之）中，重加熟地而瘳。所谓病同体异，难执成方也。
张孟皋少府令堂，年逾古稀，患气逆殿屎，烦躁不寐。
孟英切脉滑实，且便秘面赤，舌绛痰多。以承气汤下之，霍然。逾年以他疾终。
王致青鹾尹令正，患痰喘，胡某进补肾纳气，及二陈（汤）、三子（养亲汤）诸方，证濒于危。顾升庵
参军令延孟英诊之∶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∶（栝）蒌 薤（白） 旋（复） 赭（石） 杏（仁） 贝（母） 栀（子） （紫
）菀 兜铃 海 竹沥等以开降，复杯即减，再服而安。
王小谷，体浓善饮，偶患气逆，多医咸从虚治，渐至一身尽肿，酷肖《回春录》所载康（康康候）副转运
之证，因恳治于孟英。脉甚细数，舌绛无津，闻（间）有谵语。乃真阴欲匮。外证虽较轻于康，然不能收
绩矣。再四求疏方。与∶西洋参 元参 “二地” “二冬” 知母 花粉 （竹）茹 贝（母） 竹沥 葱
须等药，三剂而囊肿全消，举家忻幸。孟英以脉象依然，坚辞不肯承手，寻果不起。
吴蕴香大令宰金溪，自仲春感冒而起，迨夏徂秋，痰多气逆，肌肉消瘦，延至初冬，诸证蜂起，耳鸣腰
痛，卧即火升，梦必干戈，凛寒善怒。多医咸主补虚，迄无小效，卧理南阳，已将半载，群公子计无所施，飞
函至家，嘱大公子汾伯副车，叩求孟英来署，已仲冬之杪日矣。诊脉弦细，而左寸与右尺甚数，右寸关急搏不
调，且病者颈垂不仰，气促难言，舌黯无苔，面黧不渴。孟英曰∶病虽起于劳伤挟感，而延已经年，然溯其所
自，平昔善饮，三十年来，期在必醉，非仅外来之客邪，失于清解，殆由内伏之积热，久锢深沉，温补杂投，互
相煽动，营津受灼，内削痰多，升降愆常，火浮足冷，病机错杂，求愈殊难，既承千里相招，姑且按经设法。
以∶石膏 知母 黄芩等清肺涤痰；青蒿、鳖甲、栀子、金铃等柔肝泄热；元参、女贞、天冬、黄柏等壮水
制火，竹茹、旋复、枇杷叶、橘红等宣中降气，出入为方，间佐龙荟丸，直泄胆经之酒毒，紫雪丹搜逐隧络之留
邪，服三剂而舌布黄苔，蕴热渐泄。服六剂而嗽减知饥，渴喜热饮，伏痰渐化。季冬八日，即能
出堂讯案。十剂后，凛寒始罢，足亦渐温，肺气果得下降。望日出署行香。继而兵火之梦渐清，夜亦能眠，迎春
东郊，审决积案，亦不觉其劳矣。方中参以∶西洋参、生地、麦冬充其液；银花、绿豆、雪羹化其积。至庚戌
岁朝，各处贺年，午后护日，极其裕如，且肌肉渐丰，面黑亦退，药之对病，如是之神，调养至开篆时，起居
如旧，各恙皆瘥，而孟英将赴宜黄杨明府之招，酝香为录其逐日方案，跋而记之，兹特采其大略如此。
鲍继仲，于季春望日，忽然发冷，而喘汗欲厥。速孟英视之，脉沉弦而软滑带数，是素患痰饮。必误服温补所
致也。家人始述去冬服胡某肾气汤颇若相安，至今久不吐痰矣。孟英曰∶病在肺。肺气展布，痰始能行。虽属久病，
与少阴水泛迥殊，辨证不明，何可妄治？初服颇若相安者，方中附、桂刚猛，直往无前，痰亦不得不为之辟易，又得
地黄等浓浊下趋之品，回护其跋扈跳梁之性。然暴戾之气，久而必露，柔腻之质，反阻枢机，治节不伸，二便涩少，
痰无出路，愈伏愈多。一朝卒发，遂壅塞于清阳升降之路，是以危险如斯。须知与少阴虚喘，判分霄壤。切勿畏虚妄
补。投以∶薤（白） （栝）蒌 枳（实） 杏（仁） 旋（复） 赭（石） 半（夏） 紫（菀） （竹）
茹芦根 蛤粉 雪羹之剂而平。继与整肃肺气，而涤留痰，匝月始愈。
潘肯堂室，仲冬陡患气喘，医治日剧。何新之诊其脉无常候，嘱请孟英质焉。孟英诊曰∶两气口之脉，皆肺
经所主，今肺为痰壅，气不流行。虚促虽形，未必（即）为虚谛。况年甫三旬，平昔善饭，病起于暴，苔腻痰浓，
纵有足冷面红，不饥、不寐、自汗等症，无非痰阻枢机，有升无降耳。遂与∶石膏 黄芩 知母 花粉 旋复 赭石
蒌仁 通草 海蜇 竹沥 （芦）菔汁 梨汁等药，一剂知，二剂平。乃去“二石”（石膏、赭石），加元参、
杏仁，服旬日而安。俟其痰嗽全蠲，始用∶沙参 地黄 麦冬等，以滋阴善后。
余朗斋令堂，秋间患伏暑，孟英已为治愈，失于调理，复患气冲（喘）自汗，肢冷少餐，攻补不投，仍邀
孟英治之。与∶填补冲任，清涤伏痰法，合∶甘（草）、（小）麦、大枣以补血而愈。
Mrs. Zhang suffered from stagnant qi mechanism, with symptoms resembling panting but not quite so, resembling rebellious qi but not quite so, resembling sighing but not quite so, resembling deficiency-induced rapid breathing but not quite so, resembling shortness of breath but not quite so, resembling chest oppression but not quite so. Her face was red and she experienced dizziness. She had no appetite and could not lie down. Treatments for tonifying deficiency, clearing fire, moving qi, and resolving phlegm were ineffective. Wang Mengying diagnosed her and said, "This is a minor ailment; it will heal within ten days. However, you must control your anger; this is my only instruction." He prescribed a large dose consisting of Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), Chuanlianzi (Meliae Semen), Biejia (Testudinis Carapax et Plastrum), Lingyangjiao (Saigae Tataricae Cornu), Xuanfuhua (Inulae Flos), Zhesishi (Hematitum), Haizhe (Metereorites), and Didou (Dioscoreae Hypoglaucae Rhizoma), along with Danggui Longhui Wan (Angelica Sinensis and Gardenia Pill) taken as a supplement. Within ten days, her menstruation arrived with dark, ink-like blood, and the illness vanished. Subsequently, she was treated with formulas to nourish blood and harmonize the liver, leading to full recovery.
Mr. Wang, father of Mrs. Wang's neighbor, suffered from phlegm-cough, anorexia, asthma preventing lying down, retraction of the scrotum, constipation, and mental instability where he could not grasp things steadily, in a critical condition. His daughter requested Wang Mengying's help. Wang stated, "The root of vitality is about to collapse; this is not a typical disease." He used Ba Wei Di Huang Tang (Eight-Ingredient Rehmannia Decoction) removing Mudanpi (Moutan Cortex) and Zexie (Alismatis Rhizoma), combined with Sheng Mai San (Generate the Pulse Powder), adding Qingqian (Lead), Longgu (Fossilia Ossis Mastodi), Muli (Concha Ostreae), Zi Shiyun (Fluoritum), Hetao (Juglandis Semen), Chuanlianzi (Meliae Semen), and Rongrongsu (Cynomorii Fructus). After bowel movements occurred, symptoms subsided. Rongrongsu and Maidong (Ophiopogonis Radix) were then removed. After ten days, he recovered.
Mrs. Shoyi Tang, at the age of sixty, suffered from asthma and cough in mid-winter, unresponsive to medication. She had been unable to lie down for ten days. Upon diagnosis, Mr. Shao reported that drinking Ginseng soup temporarily relieved the asthma, but sweating persisted despite tonic use, raising fears of collapse. The pulse was wiry and slippery, especially on the right side. Wang Mengying remarked, "The difficulty of observation, listening, inquiry, and palpation is profound; one must have internal standards. This case should be treated based on the pulse; absolutely avoid Ginseng soup." He prescribed Gualou (Trichosanthis Fructus), Xiebai (Allii Macrostemonis Bulbus), Xuanfuhua (Inulae Flos), Suzi (Perillae Fructus), Huafen (Trichosanthis Radix), Xingren (Armeniacae Semen Amarum), Geqiao (Cockle Shell), Fuling (Poria), Qingdai (Indigo Naturalis), and Haizhe (Metereorites), mixed with Zhuli (Bamboo Sap) and Laifuji (Radish Juice). Symptoms decreased after the first dose, and she recovered after more than ten doses.
At the same time, an elderly woman surnamed Shi suffered from a very similar condition, with a deficient, wiry, fine, and slippery pulse. Wang Mengying prescribed Shashen (Glehniae Radix), Geqiao (Cockle Shell), Xuanfuhua (Inulae Flos), Xingren (Armeniacae Semen Amarum), Suzi (Perillae Fructus), Beimu (Fritillariae Bulbus), Guizhi (Cinnamomi Ramulus), and Fuling (Poria), heavily supplemented with Shudi (Rehmanniae Radix Praeparata), leading to recovery. This illustrates that while diseases may be identical, constitutions differ, making rigid adherence to fixed formulas difficult.
Madam Zhang, mother of Vice Prefect Zhang Menggao, over seventy years old, suffered from rebellious qi accompanied by fecal incontinence, irritability, and insomnia. Wang Mengying felt a slippery and solid pulse, along with constipation, red face, crimson tongue, and profuse phlegm. He administered Chengqi Tang (Chengqi Decoction) to purge, resulting in immediate relief. She passed away the following year from another illness.
Madam Wang, wife of Salt Commissioner Wang Zhiqing, suffered from phlegm-asthma. Dr. Hu had prescribed kidney-tonifying and qi-grasping formulas, Er Chen Tang (Two-Cured Decoction), and Sanzi Yangqin Tang (Three-Seed Nourishing Parents Decoction), pushing her condition to the brink of danger. Wang Mengying diagnosed a deep and choppy pulse, cold body with spontaneous sweating, resembling deficiency collapse, except for blocked urination and defecation, epigastric fullness, and greasy coating. He identified this as phlegm-heat obstructed by tonics, causing stagnation of the entire body's qi mechanism. He prescribed Gualou (Trichosanthis Fructus), Xiebai (Allii Macrostemonis Bulbus), Xuanfuhua (Inulae Flos), Zhesishi (Hematitum), Xingren (Armeniacae Semen Amarum), Beimu (Fritillariae Bulbus), Zhizi (Gardeniae Fructus), Ziwan (Asternatis Herba), Doulou (Sinosenecionis Flos), Haifushi (Calcitum), and Zhuli (Bamboo Sap) to open and descend. Relief came after one cup, and stability after two doses.
Wang Xiaogu, obese and fond of drinking, occasionally suffered from rebellious qi. Many doctors treated him for deficiency, leading to generalized edema resembling the case of Transport Commissioner Kang recorded in *Huichun Lu*. Wang Mengying diagnosed a very fine and rapid pulse, crimson tongue without fluids, and occasional delirium, identifying true yin depletion. Although external symptoms were milder than Kang's, recovery was impossible. He prescribed Xiyangshen (American Ginseng), Xuanshen (Scrophulariae Radix), "Er Di" (Shengdi and Shudi), "Er Dong" (Tiandong and Maidong), Zhimu (Anemarrhenae Rhizoma), Huafen (Trichosanthis Radix), Zhuru (Bambusae Caulis in Taenia), Beimu (Fritillariae Bulbus), Zhuli (Bamboo Sap), and Congxu (Scallion Stamen). After three doses, the swelling disappeared. Wang refused further treatment due to the persistent pulse condition, and the patient died soon after.
Magistrate Wu Yunxiang governed Jinxī. Starting from spring cold, by late summer and early autumn, he had profuse phlegm, rebellious qi, and emaciation. By early winter, symptoms multiplied: tinnitus, lower back pain, sensation of heat rising when lying down, fighting dreams, aversion to cold, and irritability. Doctors insisted on tonification with no effect. After half a year, his sons invited Wang Mengying. The pulse was wiry and fine, with rapid left cun and right chi, and urgent, irregular right cun and guan. The patient's neck hung low, unable to lift it; he had rapid breathing, dark tongue without coating, sallow complexion, and no thirst. Wang identified the root as long-term alcohol abuse causing internal accumulated heat, exacerbated by inappropriate tonics, damaging yin fluids and disrupting ascending/descending mechanisms. He prescribed Shigao (Gypsum), Zhimu (Anemarrhenae Rhizoma), Huangqin (Scutellariae Radix) to clear lung heat; Qinghao (Artemisiae Annuae Herba), Biejia (Testudinis Carapax et Plastrum), Zhizi (Gardeniae Fructus), Jinlingzi (Meliae Fructus) to soften liver and drain heat; Xuanshen (Scrophulariae Radix), Nvzhenzi (Ligustri Lucidi Fructus), Tiandong (Asparagi Radix), Huangbai (Phellodendri Cortex) to nourish water and control fire; Zhuru (Bambusae Caulis in Taenia), Xuanfuhua (Inulae Flos), Pipaye (Loquat Leaf), Juhong (Citri Reticulatae Pericarpium Rubrum) to regulate middle jiao and descend qi. He also used Longhui Wan (Longhui Pill) to drain gallbladder heat from alcohol and Zixue Dan (Purple Snow Pellet) to remove lingering pathogens. After three doses, yellow coating appeared on the tongue, indicating heat release. After six doses, cough decreased, hunger returned, and phlegm resolved. By mid-winter, he could hold court. After ten doses, chills ceased, feet warmed, and lung qi descended. Later, Xiyangshen (American Ginseng), Shengdi (Rehmanniae Radix), Maidong (Ophiopogonis Radix) were added to nourish fluids; Yinhua (Lonicerae Japonicae Flos), Lvdou (Phaseoli Radiatus Semen), and Xue Geng (Snow Broth) were used to resolve accumulation. By New Year's Day, he recovered fully.
Bao Jizhong suddenly felt cold with asthma, sweating, and near-syncope on the fifteenth day of late spring. Wang diagnosed a deep, wiry, soft, slippery, and slightly rapid pulse, attributing it to pre-existing fluid retention exacerbated by mistaken warm-tonifying herbs. The family reported taking Shenqi Tang (Kidney Qi Decoction) previously with temporary relief but subsequent retention of phlegm. Wang explained that Lung qi governs the distribution of fluids; the strong warming herbs (Aconite, Cinnamon) forced phlegm aside temporarily, but heavy yin-nourishing herbs (Rehmannia) trapped the pathogenic heat. This led to obstruction of the pivot mechanism, dry stool and urine, and hidden phlegm accumulating until sudden blockage of clear yang pathways. He prescribed Xiebai (Allii Macrostemonis Bulbus), Gualou (Trichosanthis Fructus), Zhishi (Aurantii Fructus Immaturus), Xingren (Armeniacae Semen Amarum), Xuanfuhua (Inulae Flos), Zhesishi (Hematitum), Banxia (Pinelliae Rhizoma), Ziwan (Asternatis Herba), Zhuru (Bambusae Caulis in Taenia), Lugeng (Imperatae Rhizoma), Gefen (Clam Shell Powder), and Xue Geng (Snow Broth) to calm the condition. Subsequent treatment regulated lung qi and cleared residual phlegm, curing him in a month.
Madam Pan Kentang, in mid-winter, suddenly developed asthma worsening daily under other doctors. He Xin zhi found irregular pulses and referred her to Wang Mengying. Wang diagnosed that both qikou pulses are governed by the Lung; current phlegm obstruction prevented qi flow. Although the pulse suggested deficiency, at thirty years old with good appetite and acute onset, greasy coating and thick phlegm indicated phlegm blocking the pivot mechanism, causing upward rebellion without descent, explaining cold feet, red face, anorexia, insomnia, and sweating. He prescribed Shigao (Gypsum), Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma), Huafen (Trichosanthis Radix), Xuanfuhua (Inulae Flos), Zhesishi (Hematitum), Louren (Trichosanthis Semen), Tongcao (Tetrapanacis Medulla), Haizhe (Metereorites), Zhuli (Bamboo Sap), Lafuzhi (Radish Juice), and Lizhi (Pear Juice). Improvement after one dose, stability after two. He then removed Shigao and Zhesishi, adding Xuanshen (Scrophulariae Radix) and Xingren (Armeniacae Semen Amarum). After ten days, stability was achieved. Finally, Shashen (Glehniae Radix), Dihuang (Rehmanniae Radix), and Maidong (Ophiopogonis Radix) were used to nourish yin for convalescence.
Madam Yu Langzhai, in autumn, suffered from latent summerheat, cured by Wang but neglected in aftercare. She later developed rebellious qi (asthma), spontaneous sweating, cold limbs, and poor appetite. Inappropriate attacking or tonifying treatments failed. Wang prescribed methods to fill the Chong and Ren vessels and clear latent phlegm, combined with Gancao (Licorice), Xiaomai (Wheat), and Dazao (Jujube) to nourish blood, leading to recovery.