沈东屏，年逾八秩，患腹胀便秘。孟英诊曰∶耄（古称九十岁）年脉实。天畀（作给予
解，此处引申作先天秉赋解）独浓。症属阳结，法宜清火。予∶西洋参 石膏 白芍 知母 花粉 桑皮 橘皮
枳壳 甘草，送更衣丸，四剂而愈。设投别药，势必迁延而败（然而即使被误药而败），人亦谓其天年之得尽，
断不料其药治之误也。后四年，始殁。
夏间，王湘筠明府，因食肉病胀。医谓老年气弱火衰，辄投温补。直至腹如抱瓮，始延孟英视之。弥留已极，不
可救药矣。
高氏妇，因戒鸦片（烟）而服外洋丸药，诸无所苦，惟便秘不通。医治两月，迄不能下。仍能安谷，而面
赤龈胀欲挑。每以银针嵌入齿缝，而拔出时银色已如煤黑。孟英诊脉，滑数。与∶犀角 石膏 （芒）硝 （大）
黄升麻 蜣螂为剂，和以鲜银花汁一杯，服后，夜间登圊三、四行，而病去及半，再与清解化毒而痊。
黄履吉，患痛（呕）吐，孟英已为治愈。仲冬复发，他医药之，已七日不进谷矣。二便秘涩，形肉遽消，再托孟
英诊之。与∶旋（复） 赭（石） （竹）茹 （茯）苓 （吴）萸 （黄）连 柿蒂 楝（实） 延胡等药，
一剂知，三剂愈。
高若舟之庶母，患脱肛。孟英脉之，弦而滑，溲涩苔黄。曰∶虽属高年，非虚证也。清其湿热而痊。
东垣云∶“中年以后，已行降令，清阳易陷，升举为宜”。
吾师赵菊斋者，年逾花甲，偶因奔走之劳，肛翻患痔，
小溲不行。医者拟用补中益气汤及肾气丸等法。孟英按其脉∶软滑而数，苔色腻滞。曰∶此平昔善饮，湿热内蕴，
奔走过劳，邪乃下注，想由其强忍肛坠之势，以致膀胱气阻，溲涩不通，既非真火无权，亦拒清阳下陷。师闻而叹
曰∶论证如见肺肝，虽我自言，无此明切也。方以∶车前 通草 乌药 延胡 栀子 橘核 金铃子 泽泻
海金沙，调膀胱之气化而渗水。服之，溲即渐行。改用∶防风 地榆 丹皮 银花 荆芥 槐蕊 石斛 黄连
当归，清血分之热而导湿，肛痔亦平。设不辨证而服升提温补之方，则气愈窒塞，浊亦上行，况在高年，告危极易。
沈东屏，年龄超过八十岁，患有腹部胀满和便秘。孟英诊断说：“这位老人脉象有力。这是先天禀赋特别浓厚所致。病症属于阳结（因热邪内结导致的便秘），治法应当清热泻火。”给予西洋参、石膏、白芍、知母、天花粉、桑白皮、橘皮、枳壳、甘草，配合送服更衣丸，服用四剂后痊愈。如果当时使用其他药物，病情势必拖延恶化，人们也会认为他是寿数已尽，绝不会想到是用药错误造成的后果。四年后，他才去世。
夏季，王湘筠县令，因为吃肉导致腹部胀满。医生认为老年人气虚火衰，就随意投用温补药物。直到腹部胀大如瓮，才请孟英诊治。此时病人已经病危至极，无法救治了。
高姓妇女，因为戒除鸦片烟而服用外国丸药，身体没有其他不适，只有便秘不通。医生治疗两个月，始终不能通便。她仍能正常进食，但面色发红，牙龈肿胀似乎要挑破。每次用银针嵌入牙缝，拔出时银色已经像煤炭一样黑。孟英诊察脉象，滑而数。给予犀角、石膏、芒硝、大黄、升麻、蜣螂作为药剂，混合一杯鲜金银花汁，服用后，夜间上厕所三到四次，病去了一半，再给予清热解表化毒的药物而痊愈。
黄履吉，患有呕吐，孟英已经治愈。仲冬时节复发，其他医生治疗他，已经七天没有进食了。大小便干涩不通，形体肌肉迅速消瘦，再次请孟英诊治。给予旋复花、代赭石、竹茹、茯苓、吴茱萸、黄连、柿蒂、楝实、延胡索等药物，一剂见效，三剂痊愈。
高若舟的庶母，患有脱肛。孟英诊脉，弦而滑，小便涩滞，舌苔黄。说：“虽然年纪很大，但不是虚证。”清除湿热后痊愈。
李东垣说：“中年以后，阳气已经下行，清阳容易下陷，适宜采用升提的方法。”
我的老师赵菊斋，年龄超过六十岁，偶然因为奔波劳累，肛门翻转并患痔疮，小便不通。医生打算使用补中益气汤及肾气丸等方法。孟英按摸他的脉象：软滑而数，舌苔腻滞。说：“这个人平时喜欢饮酒，湿热内蕴，奔波过度劳累，邪气于是向下注积，猜想是因为他强忍肛门下坠之势，导致膀胱气化受阻，小便涩滞不通，这既不是真火无力，也不是清阳下陷。”老师听后感叹说：“论证如同看见肺肝一样清晰，即使我自己来说，也没有这么明切。”方剂用车前子、通草、乌药、延胡索、栀子、橘核、金铃子、泽泻、海金沙，调理膀胱的气化功能以渗利水湿。服用后，小便逐渐通行。改用防风、地榆、丹皮、银花、荆芥、槐蕊、石斛、黄连、当归，清除血分之热以引导湿气，肛门痔疮也平复。如果不辨证而服用升提温补的方剂，那么气机更加窒塞，浊气反而上行，何况在高龄，告急危险极易发生。
Shen Dongping, aged over eighty, suffered from abdominal distension and constipation. Mengying diagnosed: "The pulse of this octogenarian is forceful. This indicates exceptional congenital endowment (innate constitution). The syndrome belongs to Yang Jie (constipation due to internal heat binding), and the treatment method should be clearing fire." Prescribed: Panax quinquefolius Radix (Xi Yang Shen), Gypsum Fibrosum (Shi Gao), Paeoniae Radix Alba (Bai Shao), Anemarrhenae Rhizoma (Zhi Mu), Trichosanthis Radix (Hua Fen), Morus Alba Cortex (Sang Pi), Citri Reticulatae Pericarpium (Ju Pi), Aurantii Fructus Immaturus (Zhi Ke), Glycyrrhizae Radix et Rhizoma (Gan Cao), administered with Jingyi Wan (Change Toilet Pill). After four doses, he recovered. Had other medicines been used, the condition would inevitably have dragged on and deteriorated; people would have attributed it to the natural expiration of his lifespan, never suspecting medical error. He died four years later.
In summer, Wang Xiangyun, a magistrate, developed abdominal distension after eating meat. Physicians, believing that elderly people suffer from Qi deficiency and declining fire, indiscriminately administered warming and tonifying drugs. By the time Mengying was consulted, his abdomen was swollen like a urn, and the patient was in extremis, beyond remedy.
A woman surnamed Gao, having quit opium smoking, took foreign pills. She had no other discomforts except for unrelieved constipation. Treatment by physicians lasted two months without success. She could still eat normally, but her face was red, and her gums were swollen as if ready to burst. Whenever silver needles were inserted into her teeth gaps, they turned black as coal upon removal. Mengying’s pulse diagnosis revealed slippery and rapid qualities. Prescribed: Rhinoceros Horn (Xi Jiao - *Note: Substitute with Buffalo Horn in modern practice*), Gypsum Fibrosum (Shi Gao), Natrii Sulfas (Mang Xiao), Rheum Palmatum Radix et Rhizoma (Da Huang), Cimicifugae Rhizoma (Sheng Ma), Silphae Carabus (Dian Lang), mixed with one cup of fresh Lonicerae Japonicae Flos juice (Yin Hua). After ingestion, she defecated three to four times at night, and half the illness was resolved. Subsequently, prescribed clearing heat, resolving exterior, and detoxifying herbs led to full recovery.
Huang Lüji suffered from vomiting, which Mengying had previously cured. In mid-winter, it recurred. Other physicians treated him for seven days without any food intake. His stool and urine became dry and difficult, and his flesh wasted away rapidly. He requested Mengying’s consultation again. Prescribed: Inulae Flos (Xuan Fu), Haematitum (Zhe Shi), Zingiberis Recens Rhizoma (Zhu Ru), Poria (Fu Ling), Evodiae Fructus (Wu Zhu Yu), Coptidis Rhizoma (Huang Lian), Diospyros Kaki Calyx (Shi Di), Toosendan Fructus (Lian Zi), Corydalis Rhizoma (Yan Hu), etc. One dose showed improvement, three doses resulted in cure.
The concubine mother of Gao Ruozhou suffered from rectal prolapse. Mengying’s pulse was wiry and slippery; urination was obstructed, and the tongue coating was yellow. He stated: "Although advanced in age, this is not a deficiency syndrome." Clearing damp-heat led to recovery.
Li Dongyuan said: "After middle age, Yang Qi tends to descend; clear Yang easily sinks, so lifting and raising is appropriate."
My teacher, Zhao Juzhai, aged over sixty, accidentally suffered from rectal prolapse and hemorrhoids due to exertion from running errands, accompanied by urinary retention. Physicians planned to use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Shenqi Wan (Kidney Qi Pill). Mengying palpated his pulse: soft, slippery, and rapid, with a greasy tongue coating. He said: "This person usually drinks alcohol, leading to internal accumulation of damp-heat. Excessive exertion caused pathogenic factors to sink downward. I hypothesize that his forced suppression of the prolapse sensation blocked the Qi transformation of the Bladder, causing obstructed and scanty urination. This is neither a lack of True Fire nor a sinking of Clear Yang." Upon hearing this, my teacher sighed and said: "Your analysis is as clear as seeing the lungs and liver; even if I spoke, it would not be so explicit." The prescription included Plantaginis Semen (Che Qian Zi), Akebia Caulis (Tong Cao), Linderae Radix (Wu Yao), Corydalis Rhizoma (Yan Hu), Gardeniae Fructus (Zhi Zi), Citri Grandis Semen (Ju He), Chuanxiong Rhizoma? (*Note: Jin Ling Zi is Melia Toosendan Fruit*), Alismatis Rhizoma (Ze Xie), and Sparganii Herba (Hai Jin Sha) to regulate the Qi transformation of the Bladder and leach out water. After administration, urination gradually resumed. Then switched to Saposhnikoviae Radix (Fang Feng), Sanguisorbae Radix (Di Yu), Moutan Cortex (Dan Pi), Lonicerae Japonicae Flos (Yin Hua), Schizonepetae Spica (Jing Jie), Sophorae Flos (Huai Rui), Dendrobii Caulis (Shi Hu), Coptidis Rhizoma (Huang Lian), Angelicae Sinensis Radix (Dang Gui) to clear heat from the Blood level and guide out dampness, resulting in the resolution of the rectal prolapse and hemorrhoids. Had one failed to differentiate the syndrome and taken lifting and warming-tonifying formulas, Qi stagnation would have worsened, turbid pathogens would have risen upward, and given the advanced age, critical danger would have ensued easily.