费伯元分司，患烦躁不眠。医见其（舌）苔白也，投以温药，因而狂妄螈 ，多方不应。孟英视之，左脉
弦细而数，右软滑，乃阴虚之体，心火炽，肝风动，而痰盛于中也。先以∶犀（角）、羚（羊角）、桑（叶）、
菊（花）熄其风；元参、丹皮、莲心、童溲清其火；（竹）茹、贝（母）、雪羹化其痰。两剂而安。随与∶“
三甲”、二至（丸）、磁朱（丸）潜其阳，甘（草）、（小）麦、大枣缓其急；地黄、麦冬养其阴。渐次康复。
邵竹鱼给谏，起居饮食如常，唯仅能侧眠，略难仰卧。仰而寤，无恙也。稍一合眼，则惊窜而醒，虽再侧
眠，亦彻夜不得寐矣。多年莫能治。孟英以三才（汤）合枕中丹加黄连、肉桂（交泰丸）服之，良效。
一少年，骤患遗精，数日后，形肉大脱。连服滋阴涩精之药，如水投石。孟英与桂枝汤加（高丽）参、（
黄） 、龙（骨）、牡（蛎），服下即效，匝
月而瘳。
屠某，患梦遗，久治不愈。耳出脓水，目泪难开，肩胁胸背酸疼，微有寒热，食减神疲。孟英察脉，左弦数，
右虚软，以∶三才（汤）封髓（丹）加龙（骨）、牡（蛎）、黄 、丹（皮）、（山）栀、菊（花），旬日而瘳。
李某，戊年冬，醉饮夜归，为查段人员所吓，神志即以渐昏，治之罔效。至于不避亲疏，裸衣笑骂，力大
无制，粪秽不知。己年夏延孟英视之，用∶石菖蒲 远志 龙齿 龟板 犀角 羚羊角 元参 丹参 知（母
）（黄）柏 栀子 龙胆草 枳实 黄连 竺黄 竹沥 石膏 赭石 黑铅 铁落，出入为方，十余帖，
吐泻胶痰甚多。继予磁朱丸，渐以向愈。
李叟，年逾古稀，意欲纳外家，虽露其情，而子孙以其耄且瞽也，不敢从。因此渐病狂惑，群医咸谓神志不
足，广投热补之药，愈服愈剧。始延孟英诊之∶脉劲搏指，面赤不言，口涎自流，力大无制。曰∶此因秉赋过强，
阳气偏盛。姑勿论其脉证，即起病一端，概可见矣。如果命门火衰，早已萎靡不振，焉能兴此念头？医见其
老，辄疑其虚。
须知根本不坚实者，不能享长年。既享大寿，其得于天者必浓。况人年五十，阴年先衰。徐灵胎所谓∶“千年之木，
往往自焚”，夫阴尽火炎，万物皆然。去年冬，吾治邵可亭孤阳喘逆，壮水清火之外，天生甘露饮（即北梨汁）
灌至二百余斤，病已渐平。仅误于两盏姜汤，前功尽坠。可见阴难充长，火易燎原。今（肉）桂、附（片）、
仙茅、鹿茸、（人）参、（巴）戟、（紫）河车等药，服之已久。更将何物以生其涸竭之水，而和其亢极之阳
乎？寻果不起。
江某，年三十余，忽两目发赤，牙龈肿痛，渐至狂妄，奔走骂人，不避亲长，其父惶惶，求孟英诊之，脉
大而数，重按虚散。与∶东洋参 熟地黄 辰砂 磁石 龙齿 菖蒲 枣仁 琥珀 肉桂 金箔 龙眼肉为剂
，投匕即安，翼日能课徒矣。
王月锄令媳，于庙见（古时结婚仪式）时，忽然目偏左视，扬手妄言，诸亲骇然。诘其婢媵，
素无此恙。速
孟英视之，脉弦滑而微数，苔黄脘闷。盖时虽春暮，天气酷热，兼以劳则火升，挟其素有之痰而使然也。与∶
犀（角） 羚（羊角） 栀（子） （连）翘 元参 丹参 薄荷 花粉，送（服）礞石滚痰丸，三服而痰下
神清。改投清养遂愈。次年即诞子。
朱养心后人名大镛者，新婚后，神呆目瞪，言语失伦，或疑其体弱神怯，与镇补安神诸药，驯至善饥善怒，
骂詈如狂，其族兄已生邀孟英诊之，右脉洪滑。与∶犀角 石膏 菖蒲
胆星 竹沥 知母，吞礞石滚痰丸而愈。
费伯元担任分司一职，患烦躁且无法入睡。医生看到他的舌苔发白，便投用温性药物，导致他出现狂妄、抽搐等症状，多方治疗均无效。孟英诊察发现，其左脉弦细而数，右脉软滑，判断为阴虚体质，心火炽盛，肝风内动，且中焦痰浊壅盛。先使用犀角、羚羊角、桑叶、菊花以平息肝风；玄参、丹皮、莲子心、童便以清泻心火；竹茹、贝母、雪羹（海蜇与荸荠组成的方剂）以化解痰浊。服用两剂后病情安定。随后给予“三甲”散、二至丸、磁朱丸以潜镇浮阳，甘草、小麦、大枣以缓急迫，地黄、麦冬以滋养阴液。患者逐渐康复。
邵竹鱼担任给谏一职，起居饮食如常，只是只能侧卧睡眠，略微难以仰卧。仰卧时醒来，并无异常。稍一闭眼，则惊恐窜动而醒，即使再改为侧卧，也整夜无法入睡。多年未能治愈。孟英使用三才汤合枕中丹，并加入黄连、肉桂（即交泰丸之意）服用，效果良好。
一名少年，突然患遗精，数日后，形体肌肉严重消瘦。连续服用滋阴涩精的药物，如同水浇石头般毫无作用。孟英给予桂枝汤加高丽参、黄芩、龙骨、牡蛎，服药后立即见效，一个月左右痊愈。
屠某，患梦遗，久治不愈。耳道流出脓水，眼睛流泪难开，肩胁胸背酸痛，微有寒热感，食欲减退，精神疲乏。孟英诊察脉象，左脉弦数，右脉虚软，使用三才汤合封髓丹，加龙骨、牡蛎、黄芩、丹皮、山栀、菊花，十天左右痊愈。
李某，在戊年冬天，醉酒夜归，被查夜人员惊吓，神志逐渐昏沉，治疗无效。以至于不避亲疏，裸衣笑骂，力气大得无法控制，连粪便污秽都不知清理。己年夏天请孟英诊治，使用石菖蒲、远志、龙齿、龟板、犀角、羚羊角、玄参、丹参、知母、黄柏、栀子、龙胆草、枳实、黄连、竺黄、竹沥、石膏、赭石、黑铅、铁落等药，随证加减组成方剂，服用十余帖后，吐出和泻下大量胶结的痰涎。继予磁朱丸，病情逐渐好转。
李老翁，年龄超过七十岁，想要纳妾，虽然流露了这种意愿，但子孙因为他年老且失明，不敢顺从。因此逐渐病发狂惑，众医都认为他是神志不足，广泛投用温热补益的药物，越服病情越重。开始请孟英诊察：脉象强劲搏指，面色赤红不语，口涎自流，力气大得无法控制。孟英说：这是因为禀赋过强，阳气偏盛。姑且不论其脉证，仅从起病的一端，就可以概见全貌了。如果是命门火衰，早已萎靡不振，怎么能兴起这个念头？医生见到他年老，就怀疑是虚证。
须知根本不坚实的人，不能享尽天年。既然享尽高寿，那么先天禀赋必然浓厚。况且人到了五十岁，阴气先衰。徐灵胎曾说：“千年的树木，往往自焚”，这是阴尽火炎的道理，万物皆然。去年冬天，我治疗邵可亭的孤阳喘逆症，在壮水清火之外，灌服天生甘露饮（即北梨汁）达二百多斤，病情已逐渐平稳。仅仅误喝了两盏姜汤，前功尽弃。可见阴液难充长，火势易燎原。如今（肉）桂、附（片）、仙茅、鹿茸、（人）参、（巴）戟天、（紫）河车等药物，已经服用很久。还能用什么东西来生发枯竭之水，调和亢极之阳呢？最终果然不治身亡。
江某，三十多岁，忽然双眼发红，牙龈肿痛，逐渐发展到狂妄，奔走骂人，不避长辈，其父惊慌失措，求孟英诊治，脉象大而数，重按虚散。给予东洋参、熟地黄、辰砂、磁石、龙齿、菖蒲、枣仁、琥珀、肉桂、金箔、龙眼肉为剂，投药即安，第二天就能教书授课了。
王月锄的儿媳，在庙见（古时结婚仪式）时，忽然目光向左偏视，扬手乱语，众亲属惊骇。询问其婢女，平时没有这种病症。急忙请孟英诊治，脉象弦滑而微数，舌苔黄，胃脘闷堵。当时虽为春末，天气酷热，加之劳累导致火升，挟带其素有之痰所致。给予犀角、羚羊角、栀子、连翘、玄参、丹参、薄荷、花粉，送服礞石滚痰丸，服用三剂后痰下行通，神志清醒。改投清养之法遂痊愈。次年即生下孩子。
朱养心的后人中有名大镛者，新婚后，神情呆滞，双目直视，言语失去条理。有人怀疑他体弱神怯，给予镇补安神诸药，逐渐演变为善饥善怒，骂詈如狂。其族兄已生邀请孟英诊治，右脉洪滑。给予犀角、石膏、菖蒲、胆星、竹沥、知母，吞服礞石滚痰丸而痊愈。
Fe Boyuan, serving as a Branch Commissioner, suffered from irritability and insomnia. The physician observed his white tongue coating and administered warming medicines, which led to delirium and convulsions; multiple treatments proved ineffective. Meng Ying examined him and found the left pulse wiry, fine, and rapid, while the right pulse was soft and slippery. He diagnosed this as a Yin-deficient constitution with blazing Heart Fire, stirring Liver Wind, and abundant Phlegm obstructing the Middle Jiao. Initially, he prescribed Rhinoceros Horn (Xijiao), Antelope Horn (Lingyangjiao), Mulberry Leaf (Sangye), and Chrysanthemum Flower (Juhua) to extinguish the wind; Scrophularia Root (Xuanshen), Moutan Bark (Danpi), Lotus Plumule (Lianxin), and Child’s Urine (Tongsui) to clear the fire; Bamboo Shavings (Zhuru), Fritillaria Bulb (Beimu), and Xue Geng Decoction (Snow Soup, composed of Manxman Jellyfish and Water Chestnut) to resolve the phlegm. After two doses, the patient stabilized. Subsequently, he prescribed Sanjia Powder (Three Shells), Erzhi Pill (Two Solstices), and Cizhu Wan (Magnetite Pill) to submerge floating Yang; Licorice Root (Gancao), Wheat (Xiaomai), and Jujube (Dazao) to relieve urgency; Rehmannia Root (Dihuang) and Ophiopogon Tuber (Maidong) to nourish Yin. The patient gradually recovered.
Shao Zhuyu, serving as a Remonstrator, had normal daily routines and diet, but could only sleep on his side and found supine sleeping difficult. Upon waking in a supine position, he felt fine. However, closing his eyes briefly caused him to startle and wake up; even switching back to side-sleeping did not allow him to sleep through the night. This condition persisted for years without cure. Meng Ying prescribed Santang Tang (Three Talents Decoction) combined with Zhenzhong Dan (Pillow Center Pill), adding Coptis Rhizome (Huanglian) and Cinnamon Bark (Rougui) — effectively utilizing the principle of Jiaotai Wan (Interacting Pills). The effect was excellent.
A young man suddenly developed nocturnal emissions. After several days, his flesh and muscles wasted away significantly. Continuous administration of Yin-nourishing and astringent herbs for seminal loss proved as effective as pouring water on stone. Meng Ying prescribed Guizhi Tang (Cinnamon Twig Decoction) added with Korean Ginseng (Gaolishen), Scutellaria Root (Huangqin), Dragon Bone (Longgu), and Oyster Shell (Muli). The effect was immediate upon ingestion, and he recovered within a month.
Tu Mou suffered from dream-impregnation that resisted long-term treatment. He had purulent discharge from the ears, difficulty opening his eyes due to tearing, soreness and pain in the shoulders, hypochondrium, chest, and back, slight aversion to cold and fever, reduced appetite, and mental fatigue. Meng Ying palpated the pulse: wiry and rapid on the left, deficient and soft on the right. He prescribed Santang Tang combined with Fengsui Dan (Seal the Marrow Pill), added with Dragon Bone (Longgu), Oyster Shell (Muli), Scutellaria Root (Huangqin), Moutan Bark (Danpi), Gardenia Fruit (Shanzhi), and Chrysanthemum Flower (Juhua). He recovered within ten days.
Li Mou, in the winter of the Wu year, returned home drunk at night and was frightened by night-watch personnel. His consciousness gradually became clouded; treatments were ineffective. Eventually, he failed to distinguish between relatives and strangers, stripped naked, laughed and cursed, possessed uncontrollable strength, and was unaware of defecating or soiling himself. In the summer of the Ji year, he invited Meng Ying to treat him. The prescription included Acorus Rhizome (Shichangpu), Polygala Root (Yuanzhi), Dragon Teeth (Longchi), Turtle Shell (Guiban), Rhinoceros Horn (Xijiao), Antelope Horn (Lingyangjiao), Scrophularia Root (Xuanshen), Salvia Root (Danshen), Anemarrhena Rhizome (Zhimu), Phellodendron Bark (Huangbai), Gardenia Fruit (Zhizi), Gentian Root (Longdancao), Immature Bitter Orange (Zhishi), Coptis Rhizome (Huanglian), Pinellia Paste (Zhuhu), Bamboo Juice (Zhulü), Gypsum (Shigao), Hematite (Zhesi), Black Lead (Heiqian), and Iron Filings (Tielluo), adjusted according to symptoms. After more than ten doses, copious sticky phlegm was vomited and purged. Subsequently, Cizhu Wan (Magnetite Pill) was given, and the condition gradually improved.
Elder Li, over seventy years old, desired to take a concubine. Although he expressed this desire, his descendants refused due to his advanced age and blindness. Consequently, he gradually developed madness and confusion. All physicians attributed this to deficiency of Spirit and Mind, administering extensive warming and tonifying drugs, which exacerbated the condition. When Meng Ying finally examined him, the pulse was strong and pounding against the fingers, the face was red, he did not speak, saliva flowed involuntarily, and his strength was uncontrollable. Meng Ying stated: “This is due to excessive innate endowment and hyperactive Yang. Regardless of the pulse and signs, the onset itself reveals the nature of the disease. If it were decline of Mingmen Fire (Gate of Life Fire), he would have long been listless and weak; how could he harbor such desires? Physicians see an old person and immediately suspect deficiency.”
It must be known that those whose foundation is not solid cannot enjoy longevity. Since he enjoyed a long life, his congenital essence must have been abundant. Moreover, after age fifty, Yin declines first. As Xu Lingtai said: “Millennium-old trees often burn themselves,” illustrating that when Yin is exhausted, Fire flares up—a universal law. Last winter, I treated Shao Keting for rebellious Qi wheezing due to solitary Yang. Besides nourishing Water and clearing Fire, I administered Tian Sheng Gan Lu Yin (Natural Sweet Dew Drink, i.e., Northern Pear Juice) totaling over 200 jin. The illness had gradually subsided. However, mistakenly consuming just two bowls of Ginger Decoction ruined all previous efforts. This demonstrates that Yin is hard to replenish, while Fire easily spreads like a prairie fire. He had already taken Cinnamon Bark (Rougui), Prepared Aconite (Fupian), Curculigo Rhizome (Xianmao), Deer Antler (Lurong), Ginseng (Renshen), Morinda Root (Bajitian), and Placenta (Ziheche) for a long time. What substance could now generate depleted Water and harmonize extreme Yang? Ultimately, he died.
Jiang Mou, in his thirties, suddenly developed red eyes and swollen, painful gums, progressing to delirium, running about cursing, and disrespecting elders. His father, panicked, sought Meng Ying’s consultation. The pulse was large and rapid, but empty and scattered upon deep pressure. The prescription consisted of Japanese Ginseng (Dongyangshen), Prepared Rehmannia Root (Shudihuang), Cinnabar (Chensha), Magnetite (Cishi), Dragon Teeth (Longchi), Acorus Rhizome (Changpu), Jujube Seed (Zaoren), Amber (Hupo), Cinnamon Bark (Rougui), Gold Leaf (Jinbo), and Longan Aril (Longyanrou). One dose brought immediate calm; by the next day, he was able to teach students.
The daughter-in-law of Wang Yuechu, during the temple viewing ceremony (ancient wedding ritual), suddenly looked deviated to the left, raised her hands and spoke nonsensically, alarming her relatives. Inquiry revealed she had no history of such symptoms. Meng Ying was summoned urgently. The pulse was wiry, slippery, and slightly rapid; the tongue coating was yellow, and there was epigastric stuffiness. Although it was late spring, the weather was intensely hot. Combined with labor-induced rising of Fire and her inherent Phlegm, this condition arose. He prescribed Rhinoceros Horn (Xijiao), Antelope Horn (Lingyangjiao), Gardenia Fruit (Zhizi), Forsythia Fruit (Lianqiao), Scrophularia Root (Xuanshen), Salvia Root (Danshen), Mint (Bohe), and Trichosanthes Root (Huafen), administered with Mengshi Gutan Wan (Magnesium Chloride Phlegm-Rolling Pill). After three doses, Phlegm was expelled, and clarity of mind returned. Treatment was then changed to clearing and nourishing methods, leading to full recovery. She gave birth to a child the following year.
Da Yong, a descendant of Zhu Yangxin, after his new marriage, became mentally dull, stared blankly, and lost coherence in speech. Suspecting physical weakness and timid spirit, others administered sedative and tonifying安神 (calming Spirit) herbs. This gradually worsened into polyphagia, irritability, and狂躁 (mad-like) cursing. His clan brother, Yi Sheng, invited Meng Ying to diagnose. The right pulse was surging and slippery. The prescription included Rhinoceros Horn (Xijiao), Gypsum (Shigao), Acorus Rhizome (Shichangpu), Pinellia with Bile (Danning), Bamboo Juice (Zhulü), and Anemarrhena Rhizome (Zhimu), along with swallowing Mengshi Gutan Wan (Magnesium Chloride Phlegm-Rolling Pill). He recovered.