钟耀辉，年逾花甲，在都（指京都）患肿，起自肾囊。气逆便溏，诸治不效。急买车返杭，托所亲谢金堂
邀孟英治之。切其脉∶微且弱；询其溺，清且长。因问曰∶都中所服，其五苓（散）、八正（散）耶？抑肾气（汤
）、五皮（饮）也？钟云∶诚如君言，遍尝之矣，而病反日剧者何？孟英曰∶此土虚不制水也。通利无功，滋阴
亦谬，补土胜湿，与大剂∶（人）参 （白）术，果即向安，越八载，以他疾终。
黄履吉，截疟后，患浮肿，赵某闻其体素虚，切其脉
弦细，遂用温补。驯至呃忒不休，气冲碍卧，饮食不进，势濒于危。请孟英决其（犹）及返余杭否？孟英曰∶脉虽弦
细而有力，子必误服温补矣。肯服吾药，犹可无恐。因与∶栝蒌 薤白 合小陷胸（汤） 橘皮竹茹汤，加柿
蒂、旋复、苏子、香附、赭石、紫菀、枇杷叶为方，四剂而瘳。
石北涯令正，久患龈痛，渐至身面浮肿，或以为虚，或以为湿，病日以剧，气逆不饥。孟英察脉，左洪数，右
弦滑。阴分虽虚，先当清其肺胃之痰热者。投白虎（汤）加沙参、花粉、冬瓜皮、枇（杷）叶、栀子、竹茹、芦
根，服之，肿即消。继佐滋阴，龈痛亦止。
运粮千总马香谷，患溺闭欲死。所亲赵春山司马，延孟英视之，脉坚体浓，口渴苔黄。投∶知（母） （黄）
柏栀（子） 楝（实） 犀（角） （紫）菀 （栝）蒌 （竹）茹之药，送当归龙荟丸而瘳，竟不复发。
陈芰裳，患淋久不愈，延至溽暑。孟英诊之，曰∶易事耳。予补中益气汤而愈。
周菊生令正，患少腹酸坠，小溲频数而痛。医投通利不效，继以升提温补，诸法备试，至于不食不寐，大解不
行，口渴不敢饮水，闻声即生惊悸。孟英脉之，曰∶此厥阴为病也。不可徒治其（足）太阳。先与∶咸苦以泄其热，
续用甘润以滋其阴，毫不犯通渗之药而愈。
胡振华，以花甲之年，患溺后出血水，甚痛。自云∶
溲颇长激，似非火证。孟英察脉有滑数之象。予∶元参 生地 犀角 （山）栀 楝（实） 槐蕊 侧柏 知
母花粉 石斛 银花 甘草梢 绿豆等药，旬日而痊。逾四载，以他疾终。
陈足甫，溲后见血，管痛异常，减餐气短。孟英以∶元参 生地 知母 楝实 银花 侧柏叶 栀子 桑
叶丹皮 绿豆为方，藕汤煎服，二剂，病大减，乃去丹皮、柏叶，加西洋参、熟地，服之而瘥。
朱湘槎令媳，患溲涩痛，医与渗利，反发热，头痛，不饥，口渴，夜不成眠。孟英诊之，脉细数。乃阴虚肝郁，
化热生风，津液已烁，岂容再利？与∶白薇 栀子 金铃（子散） 知母 花粉 紫菀 麦冬 石斛 菊花，服之
即愈。
许培之祖母，年逾七旬，久患淋漏，屡发风 。孟英持其脉，弦而滑，舌绛口干。每以∶犀角 生地 二至
（丸） （黄）芩 （青）蒿 白薇 元参 龟板 海螵（蛸）之类，息其暴；甘露饮增损，调其常。人皆疑药
过凉。孟英曰∶“量体裁衣”，病属阳旺，气血有余，察其脉舌，治当如是。病者乃云∶十余年前，偶患崩而广
服温补，遂成此恙。始知先天阳气虽充，亦由药酿为病。
秋杪，患寒热如疟，善怒不眠，苦渴易饥，却不能纳食。孟英察脉，弦数倍常，予清肺蠲痰，柔肝充液之
法，渐以向安。
今冬，有荐吴古年延医者，询知病源，作高年脱营论，而以“血脱益气”裁方。初服三、四剂，饮食
骤增，举家忻
幸。已而血漏甚多，眠食欲废。复延孟英视之，仍主前议。果得渐康。
Zhong Yaohui, aged over sixty, suffered from edema in the capital (Beijing), starting from the scrotum. He experienced rebellious Qi and loose stools; various treatments were ineffective. Urgently taking a carriage back to Hangzhou, he entrusted his relative Xie Jintang to invite Wang Mengying for treatment. Palpation revealed a faint and weak pulse; inquiry into urination showed clear and long urine. Wang asked, "The medicines you took in the capital, were they Wu Ling San (Five-Ingredient Powder with Poria) or Ba Zheng San (Eight-Herb Corrective Powder)? Or perhaps Shen Qi Tang (Kidney Qi Decoction) or Wu Pi Yin (Five-Rind Decoction)?" Zhong replied, "Indeed as you say, I have tried them all, yet why does the disease worsen daily?" Wang said, "This is Spleen Earth deficiency failing to control Water. Promoting diuresis is futile, and nourishing Yin is also erroneous. One must tonify Earth to overcome dampness." A large dose of Renshen (Ginseng Radix et Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma) was prescribed. The patient indeed stabilized. Eight years later, he passed away from another illness.
Huang Lüji, after having malaria treated (Jie Nüe), developed edema. Physician Zhao, hearing of his constitutionally deficient state, palpated a wiry and fine pulse and thus used warming and tonifying methods. This led to incessant hiccups, Qi rushing upward hindering sleep, inability to eat, and a critical condition. He asked Wang Mengying if it was still possible to return to Yuhang. Wang said, "Although the pulse is wiry and fine, it has force; you must have mistakenly taken warming tonics. If you are willing to take my medicine, there is no need to fear." He prescribed a formula combining Gualou Xiebai Banxia Tang (Trichosanthes Fruit, Macrostemon Rhizome, and Pinellia Decoction) with Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shavings Decoction), adding Didi (Kaki Calyx), Xuansu (Inula Flower), Su Zi (Perilla Fruit), Xiangfu (Cyperus Rhizome), Zhe Shi (Hematitum), Ziwan (Adenophorae Radix), and Pipaye (Loquat Leaf). After four doses, he recovered.
Madam Shi Beiya, wife of Shi Beiya, had suffered from gingival pain for a long time, which gradually progressed to facial and bodily edema. Some considered it deficiency, others dampness; the condition worsened daily, accompanied by rebellious Qi and anorexia. Wang observed the pulse: left side洪数 (surging and rapid), right side弦滑 (wiry and slippery). Although the Yin aspect was deficient, priority should be given to clearing Phlegm-Heat from the Lung and Stomach. He administered Baihu Tang (White Tiger Decoction) plus Shashen (Glehniae Radix), Huafen (Trichosanthis Radix), Dongguapi (Winter Melon Rind), Pipaye (Loquat Leaf), Zhizi (Gardeniae Fructus), Zhuru (Bambusa Textilis Caulis in Succous State), and Lugen (Phragmitis Rhizoma). Upon ingestion, the edema subsided immediately. Subsequently, Yin-nourishing herbs were added, and the gingival pain ceased.
Ma Xianggu, a Grain Transport Captain, suffered from urinary retention bordering on death. His relative, Sima Zhao Chunshan, invited Wang Mengying. The pulse was firm, the body robust, with thirst and yellow tongue coating. He was given Zhi Mu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Zhizi (Gardeniae Fructus), Lianshi (Meliae Semen), Xijiao (Rhinocerotis Cornu - *Note: Substitute with Buffalo Horn in modern practice*), Ziwan (Adenophorae Radix), Gualou (Trichosanthis Fructus), and Zhuru (Bambusa Textilis Caulis in Succous State), followed by Danggui Longhui Wan (Angelica and Gardenia Pill). He recovered completely without recurrence.
Chen Jishang suffered from Lin syndrome (strangury) that failed to heal for a long time, extending into the humid summer heat. Wang diagnosed, "It is easy to handle," and prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), resulting in recovery.
Madam Zhou Jusheng, wife of Zhou Jusheng, suffered from soreness and bearing-down sensation in the lower abdomen, frequent and painful urination. Physicians first used promoting diuresis without effect, then tried lifting and warming tonification. All methods failed, leading to anorexia, insomnia, constipation, thirst but inability to drink, and palpitations triggered by sound. Wang palpated and said, "This is a Jueyin (Liver/Pericardium) disease. One cannot merely treat the Foot-Taiyang (Bladder) channel. First, use salty and bitter agents to drain Heat; subsequently, use sweet and moistening agents to nourish Yin. Avoid all draining and leaching herbs entirely." She recovered.
Hu Zhenhua, at the age of sixty, suffered from bleeding mixed with urine after urination, causing severe pain. He claimed, "My urine stream is long and forceful, suggesting this is not a Fire syndrome." Wang observed a slippery and rapid pulse. He prescribed Yuanshen (Scrophulariae Radix), Shengdi (Rehmanniae Radix), Xijiao (Rhinocerotis Cornu), Shanzhi (Gardeniae Fructus), Lianshi (Meliae Semen), Huairei (Stemonitis Rhizoma - *Note: Context suggests Coptidis or similar, but text says Huairei*, likely referring to specific local herb or typo for Kuailian/Coptis, kept as literal translation based on text 'Huairui' often associated with Sophora or similar in older texts, here interpreted as part of the cooling hemostatic mix), Cebei (Platycladi Cacumen), Zhi Mu (Anemarrhenae Rhizoma), Huafen (Trichosanthis Radix), Shihu (Dendrobii Caulis), Yinhua (Lonicerae Flos), Gancao Shao (Paeoniae Radix Rubra et Glycyrrhizae Radix et Rhizoma Preparata), and Lüdou (Phaseoli Radiatus). He recovered in ten days. Four years later, he died of another illness.
Chen Zufu, after urination, saw blood, with abnormal urethral pain, reduced appetite, and shortness of breath. Wang prescribed Yuanshen (Scrophulariae Radix), Shengdi (Rehmanniae Radix), Zhi Mu (Anemarrhenae Rhizoma), Lianshi (Meliae Semen), Yinhua (Lonicerae Flos), Cebeiyè (Platycladi Cacumen), Zhizi (Gardeniae Fructus), Sangye (Mori Folium), Danpi (Moutan Cortex), and Lüdou (Phaseoli Radiatus), decocted in Lotus Root Soup. After two doses, the condition greatly improved. Then, Danpi and Cebeiyè were removed, and Xiyangshen (American Ginseng Radix) and Shudi (Rehmanniae Radix Preparata) were added. He recovered.
The daughter-in-law of Zhu Xiangcha suffered from difficult and painful urination. Physicians used draining/diuretic herbs, which caused fever, headache, anorexia, thirst, and insomnia. Wang's pulse was fine and rapid. This indicated Yin deficiency with Liver Qi stagnation transforming into Heat and generating Wind, with fluids exhausted. How could further draining be tolerated? He prescribed Baiwei (Cynanchi Atrati Radix), Zhizi (Gardeniae Fructus), Jinlingzi San (Meliosma Seed Powder), Zhi Mu (Anemarrhenae Rhizoma), Huafen (Trichosanthis Radix), Ziwan (Adenophorae Radix), Maidong (Ophiopogonis Tuber), Shihu (Dendrobii Caulis), and Juhua (Chrysanthemi Flos). She recovered immediately.
Grandmother of Xu Peizhi, aged over seventy, suffered from chronic Lin leakage and recurrent wind syndromes. Wang's pulse was wiry and slippery; tongue was crimson and dry. He frequently used Xijiao (Rhinocerotis Cornu), Shengdi (Rehmanniae Radix), Erzhi Wan (Two Solstices Pill), Huangqin (Scutellariae Radix), Qinghao (Artemisiae Annuae Herba), Baiwei (Cynanchi Atrati Radix), Yuanshen (Scrophulariae Radix), Guiban (Testudinis Carapax et Plastrum), and Haipiaoxiao (Sepiae Endoconcha) to quell acute symptoms; and modified Ganlu Yin (Sweet Dew Decoction) for maintenance. People suspected the medicine was too cold. Wang said, "Tailor the clothes to the body." The disease belonged to Yang excess with abundant Qi and Blood; based on pulse and tongue, treatment should be so. The patient stated, "Ten years ago, I accidentally suffered from metrorrhagia and widely took warming tonics, thus creating this ailment." It was realized that although congenital Yang Qi was sufficient, drugs had brewed this disease.
At the end of autumn, she suffered from chills and fever resembling malaria, irritability, insomnia, extreme thirst, and hunger, yet unable to eat. Wang's pulse was twice as wiry and rapid as normal. He employed methods to clear the Lung, eliminate phlegm, soften the Liver, and replenish fluids. She gradually stabilized.
This winter, someone recommended Dr. Wuinian. Inquiry revealed the source of the disease, diagnosed as "Tuoying" (Depletion of Ying) in the elderly, and prescribed according to the principle of "Tonifying Qi for Blood Loss." After three or four doses, appetite increased sharply, and the family rejoiced. Soon after, heavy bleeding occurred, and sleep and appetite were lost. Wang was re-invited and maintained his previous opinion. Gradually, she recovered.