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Hu Weitang, nearing seventy years of age, suffered from scrotal carbuncle (scrotal abscess), with red and scanty urine, and alternating chills and fever resembling malaria. Wang Mengying stated: "This is not caused by external pathogenic factors, but rather by damp-heat accumulating internally for a long time and flowing downward, with the Qi mechanism yet to be vented." He prescribed Wuling San (Five-Ingredient Poria Decoction) combined with Zishen Wan (Kidney-Nourishing Pill), adding Chuan Lian Zi (Fructus Toosendan), Zhi Zi (Gardenia Fruit), and Mu Tong (Akebia Stem). After two doses, a large amount of foul-smelling, sticky yellow fluid was discharged from the scrotum, urination gradually resumed, and the chills and fever subsided. Subsequently, he prescribed Zhibai Bawei Wan (Anemarrhena, Phellodendron and Eight-Ingredient Rehmannia Pill), removing Shan Yao (Dioscorea Rhizome) and Yu Rou (Cornus Fruit), and adding Zhi Zi, Chuan Lian Zi, Shao Yao (Peony Root), and Yi Yi Ren (Coix Seed), among others. Long-term consumption led to recovery.

The daughter-in-law of Jin Yuanzhang, after becoming a widow in the Jiawu year, contracted pustular eczema (nongkechuang), which is generally a disease of damp-heat. The surgeon Lian suspected it was a sequela of syphilis and treated it as a broad sore (syphilitic lesion), leading to progressive vomiting and diarrhea, and inability to eat. Treatment by an internal medicine physician also yielded no effect. By late spring, she developed abdominal pain and spontaneous sweating, irregular menstruation, and emaciation; all physicians who examined her turned away. Wang Zhongan recommended Wang Mengying to examine her. Wang said: "The Stomach Qi has been damaged by bitter-cold herbs, and Liver Yang has been fanned by acrid-hot herbs. Previously, every time yang-warming and rigid herbs were taken, dizziness and confusion occurred; slightly greasy tonics increased diarrhea. Thus, it was deemed incurable, which is perhaps too hasty abandonment. I will use Sijunzi Tang (Four Gentlemen Decoction) added with Zuojin Wan (Left Metal Pill), Chuan Jiao (Sichuan Pepper), Wu Mei (Mume Fruit), Lian Zi (Lotus Seed), Mu Gua (Chaenomeles Fruit), Yuliang Shi (Kaolin), and Shizhi (Red Halloysite), adjusting the formula according to changes. Recovery will take one hundred days." However, her pulse remained weak. Relatives and friends discussed: "If the menses are not unblocked, the disease will surely change." Wang Mengying strongly refuted this, stating this was not a case where unblocking the menses would cure the disease. Only by cultivating the source of bio-transformation (Qi and Blood generation), making Qi vigorous and Blood abundant, would circulation naturally become sufficient. If one does not investigate the root but treats the branch, it is like trying to press oil from husks; it only injures healthy Qi and ruins previous efforts, which is regrettable. The discussion ceased. Adhering strictly to the prescription, by mid-winter, her menses arrived, muscles became full, and she recovered completely.

Appendix: Mr. Wang stated: "Lian Zi (Lotus Seed) best tonifies Stomach Qi and calms deficiency-type rebellious Qi. If regurgitation (fanwei) is due to deficient Stomach Qi failing to receive and descend, it is caused by heat pathogens injuring the clear and harmonious Qi in the Stomach. It is most suitable to use Huang Lian (Coptis Rhizome) to drain heat with its bitterness, relying on Lian Zi's sweetness to calm the Stomach. Because Lian Zi is fragrant and pure without turbidity, its ability to calm the Stomach is superior. This is appended here for reference."