壬寅春，邵小墀室，患汛愆。释医诊以为妊，广服保胎药，渐至腹胀跗肿，气逆碍卧，饮食不进。入夏延孟英
视之，曰∶血虚气滞，误补成胀也。先以∶黄连 浓朴 山楂 鸡内金 橘皮 大腹皮 枳实 茯苓 栀子 楝
实杏仁 紫菀 旋复等药，稍佐参、术服之，气机旋运，胀去食安。渐入滋阴养血之治，数月经行而愈。
张养之令正，饮食如常而肌肤消瘦，汛事如期而紫淡不恒，两腓发热而别处仍和，面色青黄而隐隐有黑气（色）。
俨似虚寒，多药不效。始延孟英诊之，脉似虚细，而沉分略形弦滑。曰∶此阳明有余，少阴不足，土燥水涸。仲
圣有急下存阴之法，然彼外感也。有余之邪，可以直泄，此内伤也。无形之热，宜以甘寒，义虽同而药则异，赠以∶
西洋参 生地 生白芍 生石膏 知（母） （黄）柏 （茯）苓 栀（子） 麦冬 花粉 楝实 丹皮 （麦）
门冬 木通诸品，服至数斤，黑气退而肌渐充，腓热去而经亦调矣。
张养之侄女，患汛愆，而饮食渐减。于甘予通经药。服之尤恶谷。请孟英诊之∶脉缓滑。曰∶此痰气凝滞，经隧不
宣，病由安坐不劳，法以豁痰流气，勿投血药，经自
流通。于某闻而笑曰∶其人从不吐痰，血有病而妄治其气，胀病可立待也。及服孟英药，果渐吐痰，而病遂愈，养之
大为折服。予谓世人头痛治头，脚痛疗脚，偶中而愈，贪为己功，误药而亡，冤将奚白？此《寓意草》之所以首列
议病之训也。孟英深得力于喻氏，故其议病，迥出凡流，安知见识之超，总由读书而得，虽然人存政举，未易言也。
吴馥斋令姊，禀质素弱，幼时，凤山诊之，许其不秀。癸已失其怙恃，情怀悒悒，
汛事渐愆，寝食皆废，肌瘦吞酸，势极可畏。孟英以∶高
丽参 盐水炒黄连 甘草 小麦 红枣 百合 茯苓 白芍 旋复花 新绛 牡蛎等药治之，各恙渐已。继（以）∶
（高丽参） （当）归 （熟）地滋阴，康强竟胜于昔。
赵听樵令妹，每汛至则腹胀呕吐，腰脊酸痛，两腿肿痛，筋掣脘痛，甚至痉厥，多药不效。孟英以金铃子散
合左金（丸）加“二陈”（橘皮、半夏）、竹茹、枳实、桂（枝）、茯（苓），数剂而愈。续用∶苁蓉 菟丝 淫
羊（藿） 杜仲 桑椹 木瓜 续断 香附 （当）归 （白）芍 茴（香） 楝（实）调之，汛至如期，略无
痛苦。初冬适杨子朴，寻即受孕。
褚芹香女校书，患汛愆寒热，医以为损，辄投温补。驯至腹胀不饥，带淋便闭，溲涩而痛。孟英诊脉，弦
劲而数。乃热伏厥阴，误治而肺亦壅塞也。与清肃开上之剂，吞当归龙荟丸，两服，寒热不作而知饥，旬日后，
诸恙悉安。
清宣宗道光十二年（壬寅年）春季，邵小墀的妻子患月经延期。医生诊断后认为是怀孕，让她大量服用保胎药，结果逐渐出现腹部胀满、足背浮肿，气逆导致无法平卧，饮食不进。入夏后请王孟英诊治，他说：“这是血虚气滞，误用补药导致了胀满。”先用黄连、厚朴、山楂、鸡内金、橘皮、大腹皮、枳实、茯苓、栀子、楝实、杏仁、紫菀、旋覆花等药物，稍加人参、白术服用，气机随即运转，胀满消除，食欲安定。随后逐渐转入滋阴养血的治法，几个月后月经来潮而痊愈。
张养之的夫人，饮食正常但肌肤消瘦，月经如期而至但经色紫淡且不稳定，两小腿发热而身体其他部位仍温和，面色青黄且隐隐有黑色气色（色泽），看起来极像虚寒证，多种药物治疗无效。才请王孟英诊治，脉象看似虚细，但沉取略呈弦滑。他说：“这是阳明有余，少阴不足，土燥水涸。”仲景有急下存阴的方法，但那是针对外感病。对于有余之邪，可以直接攻泄；这是内伤病，无形之热，宜用甘寒之法，道理相同但用药不同。赠送西洋参、生地、生白芍、生石膏、知母、黄柏、茯苓、栀子、麦冬、花粉、楝实、丹皮、麦门冬、木通等药，服至数斤，黑气消退，肌肉逐渐丰满，小腿热感消失，月经也调理正常了。
张养之的侄女，患月经延期，且饮食逐渐减少。有人给予通经药，服用后更加厌恶谷物。请王孟英诊治：脉缓滑。他说：“这是痰气凝滞，经络不通，病因是久坐不劳动，治法应以豁痰理气为主，不要投用活血药，月经自然会流通。”于某听说后笑道：“这个人从不吐痰，血有病却胡乱治气，胀病马上就会到来。”等到服用王孟英的药，果然逐渐吐出痰液，病于是痊愈，张养之非常佩服。我认为世人头痛治头，脚痛疗脚，偶尔治好便贪为己功，误药致死，冤屈向谁申诉？这就是《寓意草》之所以首先列出议病训诫的原因。王孟英深得喻嘉言（喻氏）的真传，所以他的议病，远超常人，怎知见识的超群，总归是由读书得来的，虽然如此，人存政举，也不容易做到啊。
吴馥斋的姐姐，体质素来虚弱，幼年时凤山诊察，预言她不能生育。癸巳年失去了父母，心情忧郁，月经逐渐延期，寝食皆废，肌肉消瘦吞酸，形势极其可怕。王孟英用高丽参、盐水炒黄连、甘草、小麦、红枣、百合、茯苓、白芍、旋覆花、新绛、牡蛎等药物治疗，各种症状逐渐缓解。继以高丽参、当归、熟地滋阴，康复强壮竟胜过从前。
赵听樵的妹妹，每次月经来潮则腹胀呕吐，腰脊酸痛，双腿肿痛，筋脉拘挛胃脘痛，甚至发生痉厥，多种药物治疗无效。王孟英用金铃子散合左金丸加“二陈汤”（橘皮、半夏）、竹茹、枳实、桂枝、茯苓，几剂后痊愈。续用肉苁蓉、菟丝子、淫羊藿、杜仲、桑椹、木瓜、续断、香附、当归、白芍、茴香、楝实调理，月经如期而至，毫无痛苦。初冬恰逢杨子朴，随即受孕。
褚芹香是位女校书，患月经延期伴寒热，医生认为是虚损，就投用温补药。逐渐导致腹部胀满不思饮食，白带淋漓大便闭塞，小便涩痛。王孟英诊脉，脉弦劲而数。乃是热伏厥阴，误治导致肺亦壅塞。给予清肃开上之剂，吞服当归龙荟丸，服两次，寒热不再发作且知道饥饿，十天后，各种症状全部安宁。
In the spring of Renyin year, the wife of Shao Xiaochi suffered from delayed menstruation (Menstrual Delay). The physician diagnosed it as pregnancy and prescribed a large amount of fetal preservation medicine. Gradually, abdominal distension and edema of the dorsum of the foot developed, with rebellious Qi preventing lying down and loss of appetite. In summer, Wang Mengying was consulted. He said: "This is Blood deficiency with Qi stagnation, caused by mistaken tonification leading to distension." First, he prescribed Coptis Rhizome (Huanglian), Magnolia Bark (Houpo), Hawthorn Fruit (Shanzha), Chicken Gizzard Lining (Jineijin), Tangerine Peel (Chenpi), Areca Pericarpium (Dafupi), Immature Bitter Orange (Zhishi), Poria (Fuling), Gardenia Fruit (Zhizi), Prunus Spinosa Seed (Lianshi), Apricot Kernel (Xingren), Aster Tataricus Root (Ziwan), and Inula Flower (Xuanfu), with a slight addition of Ginseng Radix (Renshen) and Atractylodes Macrocephala Rhizome (Baizhu). After administration, the Qi mechanism rotated, distension resolved, and appetite stabilized. Gradually, treatment shifted to nourishing Yin and Blood. After several months, menstruation resumed and she recovered.
The wife of Zhang Yangzhi had normal diet but emaciated skin. Her menstruation was on time but the flow was purple, pale, and irregular. Her calves were hot while other parts of the body remained warm. Her complexion was greenish-yellow with a faint black hue, resembling deficiency-cold syndrome. Multiple medicines failed. Finally, Wang Mengying was consulted. The pulse seemed deficient and fine, but at the deep level, it was slightly wiry and slippery. He said: "This is excess in Yangming and insufficiency in Shaoyin, resulting in dry Earth and depleted Water." Zhang Zhongjing's method of urgent purgation to preserve Yin applies to external contraction. For excess pathogens, direct draining is suitable; however, this is an internal injury. For formless heat, sweet and cold methods are appropriate. Although the principle is similar, the herbs differ. He prescribed American Ginseng (Xiyangshen), Rehmannia Root (Shengdihuang), White Peony Root (Shengbaishao), Gypsum Fibrosum (Shengshigao), Anemarrhena Rhizome (Zhimu), Phellodendron Bark (Huangbai), Poria (Fuling), Gardenia Fruit (Zhizi), Ophiopogon Tuber (Maidong), Trichosanthes Root (Huafen), Prunus Spinosa Seed (Lianshi), Moutan Cortex (Danpi), Ophiopogon Tuber (Maigendong), and Akebia Caulis (Mutong). After consuming several jin, the black hue receded, muscles filled out, calf heat disappeared, and menstruation regulated.
The niece of Zhang Yangzhi suffered from menstrual delay and gradually decreasing appetite. Someone administered blood-invigorating and menstruation-promoting drugs, which made her more averse to grain. Wang Mengying was consulted. The pulse was slow and slippery. He said: "This is phlegm-Qi stagnation blocking the meridians. The cause is sedentary lifestyle without labor. The treatment should focus on resolving phlegm and moving Qi. Do not use blood-activating herbs; menstruation will flow naturally." Yu laughed and said: "This person never expectorates phlegm. Treating Qi for a blood disorder will immediately lead to distension." Upon taking Wang's prescription, she indeed began to expectorate phlegm, and the disease cured. Zhang Yangzhi was deeply convinced. I believe that people treat the head for headache and feet for foot pain; if they occasionally cure, they claim credit, but if wrong medicines cause death, where is the grievance redressed? This is why *Yuyi Cao* lists the instruction on discussing diseases first. Wang Mengying derived great benefit from Yu Jiayan (Yu Shi), so his discussion of diseases far exceeds ordinary levels. How can one know that superior insight comes from reading? Although, as the saying goes, when capable men are present, good governance follows, this is not easy to achieve.
The elder sister of Wu Fuzhai had always been constitutionally weak. In her childhood, Fengshan diagnosed her and predicted she would be infertile. In the Guisi year, she lost both parents and became depressed. Menstruation gradually delayed, sleep and appetite ceased, muscles emaciated, and acid regurgitation occurred, presenting a dire situation. Wang Mengying treated her with Korean Ginseng (Gaolishen), Coptis Rhizome stir-fried with salt water, Licorice Root (Gancao), Wheat (Xiaomai), Jujube (Hongzao), Lily Bulb (Baihe), Poria (Fuling), White Peony Root (Baishao), Inula Flower (Xuanfuhua), Safflower Stamen (Xinjjiang), and Oyster Shell (Muli). Various symptoms gradually subsided. Subsequently, he used Korean Ginseng, Angelica Sinensis Root (Danggui), and Prepared Rehmannia Root (Shudihuang) to nourish Yin. She recovered strength surpassing her previous state.
The younger sister of Zhao Tingqiao suffered from abdominal distension and vomiting upon menstruation, along with soreness and pain in the waist and spine, swelling and pain in both legs, tendon spasms and epigastric pain, and even convulsions and syncope. Multiple medicines failed. Wang Mengying prescribed Jinlingzi San combined with Zuojin Wan, added with Erchen Tang (Tangerine Peel, Pinellia Tuber), Bamboo Shavings (Zhuru), Immature Bitter Orange (Zhishi), Cinnamon Twig (Guizhi), and Poria (Fuling). After a few doses, she recovered. Continuously using Cistanche Stem (Rongshen), Dodder Seed (Tusizi), Epimedium Herb (Yinyanghuo), Eucommia Bark (Duzhong), Mulberry Fruit (Sangshen), Quince (Mugua), Dipsacus Root (Xuduan), Cyperus Rhizome (Xiangfu), Angelica Sinensis Root (Danggui), White Peony Root (Baishao), Fennel Fruit (Huixiang), and Prunus Spinosa Seed (Lianshi) for regulation, menstruation arrived on time without pain. In early winter, she met Yang Zipu and soon conceived.
Chu Qinxiang, a female scholar, suffered from menstrual delay accompanied by alternating chills and fever. Physicians considered it a consumptive disease and administered warming and tonifying drugs. This gradually led to abdominal distension, loss of appetite, leukorrhea, constipation, and painful, difficult urination. Wang Mengying palpated the pulse, which was wiry, forceful, and rapid. It was heat lurking in the Jueyin channel, and mistaken treatment caused lung congestion. He gave formulas to clear and descend Lung Qi, and she took Danggui Longhui Wan. After two doses, chills and fever ceased, and hunger returned. Ten days later, all symptoms resolved.