邵竹鱼给谏令郎之子旅，久患痰多，胸膈满闷，连年发痫，药之罔效。孟英脉之曰∶气分偏虚，痰饮阻其
清阳之旋运，宜法“天之健”以为方，则大气自强，而流行不息，胸次乃廓然如太空矣。与六君（子汤）去甘草，加
黄、桂枝、薤白、蒌仁、石菖蒲、蒺藜、旋复，服之满闷渐舒，痫亦不发矣。
郑芷塘令岳母，年逾花甲，仲春患右手足不遂，舌謇不语，面赤便闭。医与疏风不效，第四日，延诊于孟英。
右洪滑、左弦数，为阳明腑实之候。疏∶石菖蒲 胆星 知母 花粉 枳实 蒌仁 秦艽 旋复 麻仁 竹沥为方。
或虑便泻欲脱，置不敢用，而不知古人中藏宜下之“藏”字乃“府”字之伪。柯氏云∶“读书无眼，病患无命”，
此之谓也。延至两旬，病势危急。芷塘浼童秋门复恳孟英视之，苔裂舌绛，米饮不沾，腹胀息粗，阴津欲竭，非急
下不可也。即以前方加大黄四钱，绞汁服，连下黑矢五次。舌謇顿减，渐啜稀糜。乃去大黄，
加西洋参、生地、麦冬、丹皮、薄荷，服五剂，复更衣，语言乃清。专用甘凉充津涤热。又旬日，舌色始淡，
纳谷如常。改以滋阴，渐收全绩。逾三载，闻以他疾终。
赵秋 进士，去秋患左半身不遂，伊芳弟笛楼暨高弟许芷卿茂才，主清热蠲痰，治之未能遽效。邀孟英诊之，
脉甚迟缓，苔极黄腻，便秘多言。乃于药中，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。
赖炳池令堂，年近古稀，患左半身不遂，医与再造丸暨补剂，服二旬，病如故。孟英按脉，弦缓而滑，颧
赤苔黄，音微舌謇，便涩无痰。曰∶此“痰中”也，伏而未化。与∶犀（角） 羚（羊角） （竹）茹 贝（母
）菖（蒲） （法半）夏 花粉 知母 白薇 豆卷 桑枝 丝瓜络等药，服三剂而苔化，音渐清朗。六、七
剂，腿知痛，痰渐吐，便亦通。既而腿痛难忍，其热如烙。孟英令涂葱、蜜以吸其热，痛果渐止。半月后，眠
食渐安。二旬外，手能握。月余，可扶掖以行矣。
徐梦香，年近六旬，患手颤不能握管，孟英以“通补”、
“熄风”之药，吞服指迷茯苓丸而安。
仲秋类中，遗溺，痰升，昏瞀，妄言，汗多，面赤。急延孟英视之，脉浮弦洪滑。盖吸受热邪，而连日
适服参汤也。与∶羚羊角 石菖蒲 连翘 栀子 桑叶 菊花 楝（实） （石）斛 知母 花粉 竹沥 银
花（青）蒿 （白）薇等药，一剂知，二剂神清。乃去羚羊角、菖蒲，加（竹）茹、贝（母） 滑石，投之，
下痢白如脓垢者数日，始知饥纳谷，渐以调理而愈。匝月即能作画，季秋仍幕游江右。
韩组林，年虽七十，饮、啖兼人，而平时喜服药。医以其老，辄用桂、附、参、茸等药，以期可
享遐龄。讵料初八日晚膳尚健饭，三更睡醒，倏寒栗发颤，俄而四肢螈 ，越日云亡。得非即世人所谓子午证
耶？孟英曰∶此老系阳旺之体，肥甘过度，痰火日增，年至古稀，真阴日耗，而久服此等助火灼阴之药，以致
风从火出，立拔根 。与儿科所云∶“急惊风”证，殆无异焉。
Shao Zhuyu, a censorial official, presented the case of his grandson, Shao Lv. He had long suffered from excessive phlegm and fullness/stuffiness in the chest and diaphragm, with epilepsy attacks occurring annually for years; medicinal treatments had been ineffective. Mengying palpated the pulse and said: "There is a deficiency in the Qi level (the functional level of Qi circulation). Phlegm-fluids are obstructing the rotation and transportation of Clear Yang (light, ascending Yang Qi). The prescription should follow the principle of 'Heaven's Strength' (referring to the Qian hexagram in the I Ching, symbolizing vigorous movement), so that the Grand Qi (Zong Qi) will naturally strengthen and flow without cessation, making the chest feel as open and vast as the sky." He prescribed Liu Jun Zi Tang (Six Gentlemen Decoction) minus Gancao (Licorice Root), plus Huangqi (Astragalus Root), Guizhi (Cinnamon Twig), Xiebai (Allium Macrostemon Bulb), Gualou Ren (Trichosanthes Seed), Shichangpu (Acorus Rhizome), Jili (Tribulus Fruit), and Xuanfu (Inula Flower). After taking it, the stuffiness gradually relieved, and the epilepsy did not recur.
Zheng Zhitang’s mother-in-law, over sixty years old, developed right-sided hemiplegia, speech impediment (tongue stiffness and inability to speak), flushed face, and constipation in the second month of spring. Physicians treated her with wind-dispelling herbs without effect. On the fourth day, she was consulted by Mengying. The right pulse was surging and slippery, and the left pulse was wiry and rapid, indicating a pattern of Yangming Fu-organ Excess Syndrome (excess heat combined with dry stool in the intestines). He prescribed: Shichangpu (Acorus Rhizome), Danningxing (Arisaema with Bile), Zhimu (Anemarrhena Rhizome), Huafen (Trichosanthes Root), Zhishi (Immature Bitter Orange), Gualou Ren (Trichosanthes Seed), Qinjiao (Gentiana Macrophylla Root), Xuanfu (Inula Flower), Maren (Hemp Seed), and Zhuli (Bamboo Sap). Some worried that purgation might lead to collapse due to diarrhea and dared not use it, not knowing that the character "Zang" (Viscera) in ancient texts referring to the suitability of purgation for stroke affecting the Zang-Fu actually refers to "Fu" (Hollow Organs). Ke Qin said, "Reading without insight costs patients their lives," which applies here. The condition worsened over twenty days. Zheng Zhitang asked Tong Qiumen to urgently request Mengying’s re-evaluation. The tongue coating was cracked, the tongue body crimson, unable to even swallow rice water, with abdominal distension and coarse breathing, indicating imminent exhaustion of Yin fluids. Urgent purgation was necessary. He added Dashuang (Rhubarb Root) four qian to the previous formula, administered as squeezed juice. Five episodes of black, hard stools were passed consecutively. The speech impediment immediately decreased, and she gradually began drinking thin gruel. Dashuang was then removed, and Xiyangshen (American Ginseng), Shengdi (Rehmannia Root), Maidong (Ophiopogon Tuber), Danpi (Moutan Bark), and Bohe (Mint) were added. After five doses, bowel movements resumed, and speech became clear. Sweet-cool herbs were used exclusively to replenish fluids and wash away heat. Ten days later, the tongue color lightened, and appetite returned to normal. The treatment shifted to nourishing Yin, achieving gradual recovery. Over three years later, she reportedly died of another illness.
Zhao Qiu, a Jinshi degree holder, suffered from left-sided hemiplegia last autumn. His brother Zhao Dilou and high disciple Xu Zhiqing, a Xiucai degree holder, advocated clearing heat and eliminating phlegm, but treatment was not rapidly effective. Mengying was invited to diagnose. The pulse was very slow and sluggish, the coating extremely yellow and greasy, with constipation and excessive talking. A bowl of Zhuli (Bamboo Sap) was mixed into the herbal decoction. Additionally, Longhui Wan (Longdan Xiegan Wan or similar bile-clearing pill) and Guntan Wan (Rolling Phlegm Pill) were administered alternately. Approximately one jin of each pill was consumed before the condition began to improve. In spring, he went out of his room, sleep and diet having recovered. However, he habitually favored rich flavors and did not abstain from fatty and sweet foods. In early summer, the disease suddenly relapsed. Mengying diagnosed the pulse as slippery and swift like a snake, prognosticating death. Indeed, he died in early autumn.
Lai Bingchi’s mother, nearing seventy, suffered from left-sided hemiplegia. Physicians prescribed Zaizao Wan (Revitalization Pill) and tonics. After twenty days, the condition remained unchanged. Mengying palpated the pulse: wiry, slow, and slippery. The malar region was red, the coating yellow, voice faint, tongue stiff, with difficult urination/defecation and no expectoration. He stated: "This is 'Phlegm Stroke' (Tan Zhong), where phlegm is latent and untransformed." He prescribed: Xijiao (Rhino Horn - *Note: modern substitutes like Buffalo Horn are used*), Lingyangjiao (Antelope Horn), Zhuru (Bamboo Sap/Dried Juice), Beimu (Fritillaria Bulb), Shichangpu (Acorus Rhizome), Fa Banxia (Prepared Pinellia Tuber), Huafen (Trichosanthes Root), Zhimu (Anemarrhena Rhizome), Baiwei (Cynanchum Root), Doujuan (Soybean Sprouts), Sangzhi (Mulberry Twig), and Sigualuo (Luffa Reticulate Fiber). After three doses, the coating transformed, and the voice became clearer. After six to seven doses, sensation returned to the legs, phlegm was expectorated, and bowels opened. Subsequently, leg pain became unbearable, feeling hot as if branded. Mengying ordered application of scallion and honey to draw out the heat, and the pain gradually ceased. Half a month later, sleep and diet stabilized. Beyond twenty days, hand grip returned. Over a month later, she could walk with support.
Xu Mengxiang, nearing sixty, suffered from hand tremors preventing him from holding a brush. Mengying treated him with "tonifying and unblocking" and "extinguishing wind" herbs, along with swallowing Zhimi Fuling Wan (Zhimi Poria Pill), resulting in stabilization.
In mid-autumn, a patient presented with symptoms resembling stroke: urinary incontinence, rising phlegm, drowsiness/confusion, delirious speech, profuse sweating, and flushed face. Mengying was urgently consulted. The pulse was floating, wiry, surging, and slippery. This was attributed to inhaling heat-pathogens, compounded by recent continuous consumption of Ginseng Decoction. He prescribed: Lingyangjiao (Antelope Horn), Shichangpu (Acorus Rhizome), Lianqiao (Forsythia Fruit), Zhizi (Gardenia Fruit), Sangye (Mulberry Leaf), Juhua (Chrysanthemum Flower), Lianshi (Melia Fruit), Shihu (Dendrobium Stem), Zhimu (Anemarrhena Rhizome), Huafen (Trichosanthes Root), Zhuli (Bamboo Sap), Yinhua (Honeysuckle Flower), Qinghao (Artemisia Annua Herb), and Baiwei (Cynanchum Root). Symptoms improved after one dose, and consciousness cleared after two. Lingyangjiao and Shichangpu were removed, and Zhuru (Bamboo Sap/Dried Juice), Beimu (Fritillaria Bulb), and Huashi (Talcum) were added. The patient passed white, pus-like stools for several days, then felt hungry and ate, gradually recovering through regulation. Within a month, he could paint; in late autumn, he was still traveling and studying in Jiangyou.
Han Zulin, though seventy years old, ate and drank heavily and liked taking medicine. Physicians, considering his age, frequently used Guizhi (Cinnamon Twig), Fuzi (Aconite Root), Renshen (Ginseng Root), and Rongsu (Deer Antler Velvet) to prolong his life. Unexpectedly, on the evening of the 8th, he ate heartily at dinner. Upon waking at midnight, he suddenly shivered and trembled, followed by convulsions of the four limbs, and died the next day. Was this not what people call the "Ziwu Syndrome"? Mengying said: "This elder has a constitution of vigorous Yang. Excessive intake of fatty and sweet foods increases phlegm-fire daily. At seventy, True Yin (Kidney Yin) is daily depleted. Long-term use of such fire-assisting and Yin-burning drugs causes Wind to emerge from Fire, uprooting the foundation instantly. This is almost identical to the 'Acute Convulsive Wind' (Ji Jing Feng) syndrome described in pediatrics."