德清蔡初泉，陡发寒热，咽痛大渴，脘闷舌绛。孟英诊脉，甚数。径投大剂∶犀（角） 羚（羊角） 元
参丹皮 桑（叶） 栀（子） 银花 花粉 （连）翘 （牛）蒡，服后，遍身发赤疹，而热退知饥矣。
段春木之室烂喉，内外科治之束手。姚雪蕉孝廉荐孟英视之，骨瘦如柴，肌热如烙，韧痰阻于咽喉，不能咯吐，
须以带帛搅而曳之。患处红肿白腐，龈色皆糜，米饮不沾，汛事非期而至。按其脉，
左细数，右弦滑。曰∶此阴亏之体，伏火之病，失于清降，扰及于营，先以犀角地黄汤清营分，而调妄行之血，续与
白虎汤加西洋参等，肃气道而泻燎原之火，外用锡类散扫痰腐而消恶毒，继投甘润药，蠲余热而充津液，日以向
安，月余而起。
吴雨峰明府家，嘱儿科为其仲郎所出之两孙种痘，下苗二、三日，发热咽痛，医以为痘之将形也，投以升透之
药，赤斑似锦，咽烂如焚，半月之间，阖家传染，诸医莫
敢入其室。孟英往诊时，见其三郎耕有、四郎小峰尚未病。亟曰∶已病者固当图治，未病者尤宜防患，传以青龙
白虎汤代茶恣饮，竟得无恙。其令阃洪宜人、及仲媳，皆为之治愈。此外如其长媳、其令嫒、其三孙、其仆、其
探病之女戚，殒于是病者七人焉。时雨峰、筑岩两乔梓（父子）咸官于外，仲郎亦幕游江右，不料因种痘而酿此
祸，益信孟英劝人勿种痘之说为可训也。
潘洪畴，托儿医为其仲郎所出之孙种痘，下苗三日，即咽痛，发热斑烂，七朝而夭。春波及其弟祥衍，皆染其
病。春波之证，顾听泉治而愈矣。祥衍之恙，咽喉烂至于舌，胸膈痞塞不通，牙关紧涩，小溲淋痛，口流紫黑血块，
人皆谓其脏腑烂焉。孟英视之，曰∶恶血毒涎，正欲其出，吹以锡类散，用碗承其口，流出涎血甚多，咽喉、牙环、
胸膈皆得渐舒。投以∶犀角地黄汤加元参、银花、童溺、藕汁、竺黄、花粉、贝母、石菖蒲之类，渐以向安。继与
生津填补而痊。
陈书伯之二令妹，亦患喉疹，汛事适行，四肢酸痛，略难举动，气塞于咽。孟英诊脉，弦滑。以∶犀（角
）羚（羊角） 旋（复） 赭（石） （竹）茹 贝（母） 兜铃 牛蒡 射干 豆根 花粉 银花 海 竹
沥丝瓜络等，出入为方，兼吹锡类散而瘥。
陈书伯庶母，同时患喉糜，而头偏左痛，心悸欲呕，壮热烦躁，脉弦细数。孟英曰∶此兼阴亏风动也。初以∶
犀（角） 羚（羊角） 元参 菊花 丹参 栀（子） 桑叶
马勃，投之。外吹锡类散，咽愈热退。续用二至（丸）“二冬” 生地 石英 苁蓉 龟板 茯苓，滋阴潜阳而瘳。
陈书伯庶堂令弟保和，年未弱冠，患失音咽痛。孟英予∶犀（角） 羚（羊角） 石膏 元参 豆根 牛
蒡射干等大剂清肃之药，音开而咽糜。吹以锡类散，糜愈而疹点满布，左目及耳后皆肿。方中加以鲜菊叶二两，疹
愈。（但）痰嗽不已。仍主前法，服三十余帖而痊。此证脉滑且数，口大渴，初终未曾误药，故能愈。
德清人蔡初泉，突然发作恶寒发热，咽喉疼痛且极度口渴，胃脘部闷胀，舌质深红。孟英诊察其脉象，非常急促快速。直接投以大剂量方药：犀角、羚羊角、玄参、牡丹皮、桑叶、栀子、金银花、天花粉、连翘、牛蒡子。服药之后，全身发出红色疹子，随后热退并感到饥饿。
段春木的妻子患烂喉痧，内科和外科医生治疗都束手无策。姚雪蕉孝廉推荐孟英诊治。患者骨瘦如柴，肌肤发热如同烙铁，粘稠的痰液阻塞在咽喉，无法咳出，必须用带帛（丝织品）搅动并牵引出来。患处红肿且有白色腐肉，牙龈颜色糜烂，米汤饮水都无法沾唇，月经非经期而至。按诊其脉象，左侧细数，右侧弦滑。孟英说：这是阴液亏虚的体质，潜伏火邪的疾病，失于清热降逆，扰动及营分。先用犀角地黄汤清解营分热毒，调理妄行的血液；接着给予白虎汤加入西洋参等药物，肃清气道并泻除燎原之火；外用锡类散清除痰腐并消除恶毒；继投甘润药物，清除余热并补充津液。病情日渐好转，月余后痊愈。
吴雨峰明府家中，请儿科医生为其第二个儿子所生的两个孙子种痘。下苗二三天后，出现发热咽痛，医生认为是痘疹即将发出的征兆，投以升发透达的药物，导致身上出现如锦缎般鲜艳的赤斑，咽喉腐烂如同焚烧，半个月之间，全家被传染，其他医生都不敢进入他的房间。孟英前往诊视时，看到他第三个儿子耕有、第四个儿子小峰尚未发病。急忙说道：已经患病的人固然应当图谋治疗，未患病的人尤其应该防范隐患。传授青龙白虎汤代茶随意饮用，最终得以安然无恙。他的妻子洪宜人以及第二个儿媳，都被治愈了。此外，还有大儿媳、女儿、三个孙子、仆人、探望病人的女性亲戚，因患此病死亡的有七人。当时吴雨峰、筑岩两父子都在外地做官，第二个儿子也在江西幕府游历，没想到因为种痘而酿成这场灾祸，更加相信孟英劝人不要种痘的说法是值得效法的。
潘洪畴，托儿科医生为其第二个儿子所生的孙子种痘。下苗三天后，即出现咽喉疼痛，发热并伴有斑烂，七天后夭折。春波及其弟弟祥衍，都染上了这种病。春波的病症，由顾听泉治疗而痊愈。祥衍的病状，咽喉腐烂直至舌头，胸膈痞塞不通，牙关紧闭僵硬，小便淋漓刺痛，口中流出紫黑色血块，人们都认为他的脏腑已经腐烂。孟英诊治后说：恶血毒涎，正是想要排出体外，吹入锡类散，用碗承接其口，流出的涎血非常多，咽喉、牙床周围、胸膈都得以逐渐舒缓。投以犀角地黄汤加入玄参、金银花、童便、藕汁、竹沥、天花粉、贝母、石菖蒲等药物，逐渐趋向安定。继用生津填补的药物而痊愈。
陈书伯的二位妹妹，也患有喉疹，月经恰好来潮，四肢酸痛，稍微难以活动，气塞于咽喉。孟英诊察脉象，呈弦滑之象。使用犀角、羚羊角、旋覆花、代赭石、竹茹、贝母、马兜铃、牛蒡子、射干、豆根、天花粉、金银花、海竹沥、丝瓜络等药物，加减变化作为处方，兼用锡类散吹喉而痊愈。
陈书伯的庶母，同时患有喉糜，头部偏向左侧疼痛，心悸想呕吐，高热烦躁，脉象弦细数。孟英说：这兼有阴亏风动的情况。起初使用犀角、羚羊角、玄参、菊花、丹参、栀子、桑叶、马勃，投服后，外用锡类散吹喉，咽喉症状缓解，热退。续用二至丸、“二冬”（天冬、麦冬）、生地、石英、肉苁蓉、龟板、茯苓，滋阴潜阳而痊愈。
陈书伯的堂弟保和，年龄不到二十岁，患失音咽痛。孟英给予犀角、羚羊角、石膏、玄参、豆根、牛蒡子、射干等大剂量的清肃药物，声音开通但咽喉糜烂。吹入锡类散，糜烂愈合但疹点满布全身，左眼及耳后皆肿胀。方中加入鲜菊叶二两，疹子痊愈。（但是）咳嗽痰多不止。仍然坚持前法，服用三十多帖而痊愈。此证脉象滑且数，口大渴，从头到尾未曾误用药，所以能够痊愈。
Cai Chuquan from Deqing suddenly developed aversion to cold and fever, severe throat pain with extreme thirst, epigastric fullness, and a crimson tongue. Mengying palpated the pulse, which was very rapid (Shu). He directly prescribed a large dose of: Rhinoceros Horn (Xijiao), Antelope Horn (Lingyangjiao), Scrophularia Root (Yuanshen), Moutan Cortex (Danpi), Mulberry Leaf (Sangye), Gardenia Fruit (Zizhi), Honeysuckle Flower (Yinhua), Trichosanthes Root (Huafen), Forsythia Fruit (Lianqiao), and Arctium Fruit (Niubang). After taking the medicine, red rashes appeared all over the body, and the fever subsided, followed by a sense of hunger.
The wife of Duan Chunmu suffered from rotting throat scarlet fever (Lanhou Sha). Internal and external medicine physicians were at their wits' end. Yao Xuejiao Xiaolian recommended Mengying for consultation. The patient was emaciated like firewood, skin hot as if branded, with tough phlegm obstructing the throat, unable to be expectorated, requiring a silk ribbon to stir and pull it out. The affected area was red and swollen with white putrid tissue, gums were eroded, unable to consume even rice water, and menstruation arrived out of cycle. Palpating the pulse, the left side was fine and rapid (Xi Shu), the right side was wiry and slippery (Xuan Hua). Mengying said: This is a constitution of Yin deficiency with latent fire disease, failing to clear and descend, disturbing the Ying (Nutritive) level. First, use Xijiao Dihuang Tang (Rhino-Corn Deer-Hoof Decoction) to clear the Ying level and regulate reckless bleeding; subsequently, administer Baihu Tang (White Tiger Decoction) added with American Ginseng (Xiyangshen) to肃ate the Qi pathway and purge the raging fire; externally apply Xilei San (Xilei Powder) to sweep away phlegm and putridity and eliminate malignant toxins; then administer sweet and moistening medicines to dispel residual heat and replenish fluids. The condition improved day by day, and recovery occurred after more than a month.
In the household of Wu Yufeng Mingfu, pediatricians were hired to vaccinate the two grandsons born to his second son against smallpox. Two or three days after inoculation, fever and throat pain occurred. Physicians believed this indicated the impending emergence of smallpox pustules and administered ascending and diffusing medicines. This resulted in bright red spots resembling brocade all over the body and throats rotting as if burning. Within half a month, the entire family was infected, and other physicians dared not enter his room. When Mengying went to diagnose, he saw that his third son Gengyou and fourth son Xiaofeng had not yet fallen ill. He urgently stated: Those already ill must certainly be treated, but those not yet ill are especially in need of prevention. He passed on Qinglong Baihu Tang (Green Dragon White Tiger Decoction) to be drunk freely as tea, and they remained unharmed. His wife Hong Yi-ren and his second daughter-in-law were both cured. Additionally, his eldest daughter-in-law, his daughter, his three grandsons, his servant, and female relatives visiting the sick, seven people died from this disease. At that time, Wu Yufeng and Zuyan, father and son, were both serving officials elsewhere, and the second son was also working in a yamen in Jiangxi. Unexpectedly, this disaster was brewed by vaccination, further confirming that Mengying's advice against vaccination is worthy of emulation.
Pan Hongchou entrusted a pediatrician to vaccinate the grandson born to his second son against smallpox. Three days after inoculation, throat pain, fever, and spot-rot appeared, leading to death within seven days. Chunbo and his younger brother Xiangyan both contracted the disease. Chunbo’s condition was cured by Gu Tingquan. Xiangyan’s illness involved throat rot extending to the tongue, chest and diaphragm blockage, locked jaw, painful urination, and mouth flowing with purple-black blood clots. People believed his internal organs were rotting. Mengying examined him and said: Evil blood and toxic saliva are seeking to exit. Apply Xilei San, hold a bowl under the mouth, and a large amount of saliva and blood flowed out. The throat, gum ring, and chest/diaphragm gradually relaxed. Prescribe Xijiao Dihuang Tang (Rhino-Corn Deer-Hoof Decoction) added with Scrophularia Root (Yuanshen), Honeysuckle Flower (Yinhua), Child’s Urine (Tongni), Lotus Root Juice (Ouzhi), Bamboo Sap (Zhuli), Trichosanthes Root (Huafen), Fritillaria Bulb (Beimu), and Acorus Root (Shichangpu). Gradually stabilized. Subsequently used生津 (generating fluids) and tonifying medicines for complete recovery.
Chen Shubo’s two younger sisters also suffered from throat rash (Houzhen). Menstruation happened to occur, accompanied by soreness and pain in the four limbs, slight difficulty in movement, and Qi obstruction in the throat. Mengying palpated the pulse, which was wiry and slippery (Xuan Hua). Use Rhinoceros Horn (Xijiao), Antelope Horn (Lingyangjiao), Inula Flower (Xuanfuhua), Hematite (Zheshi), Bamboo Shavings (Zhuru), Fritillaria Bulb (Beimu), Aristolochia Fruit (Doulou), Arctium Fruit (Niubang), Belamcanda Rhizome (Shegan), Polygonum Multiflorum Root (Dougen), Trichosanthes Root (Huafen), Honeysuckle Flower (Yinhua), Sea Bamboo Sap (Haizhuli), and Luffa Rind (Sigualuo) as the formula, varying ingredients. Combined with external application of Xilei San, resulting in cure.
Chen Shubo’s concubine simultaneously suffered from throat erosion (Houmi), with pain偏 (biased) to the left side of the head, palpitations with nausea, high fever and irritability, and a wiry, fine, and rapid (Xuan Xi Shu) pulse. Mengying said: This involves Yin deficiency with wind stirring. Initially prescribe Rhinoceros Horn (Xijiao), Antelope Horn (Lingyangjiao), Scrophularia Root (Yuanshen), Chrysanthemum Flower (Juhua), Salvia Root (Danshen), Gardenia Fruit (Zizhi), Mulberry Leaf (Sangye), and Pueraria Leaf (Mabo). Externally blow Xilei San into the throat. Throat healed, fever subsided. Subsequently use Erzhi Wan (Two Winter Pill), "Er Dong" (Tian Dong and Mai Dong - Asparagus Root and Ophiopogon Root), Rehmannia Root (Shengdi), Quartz (Shiying), Cistanche Stem (Rongrong), Tortoise Shell (Guiban), and Poria (Fuling) to nourish Yin and subdue Yang, resulting in cure.
Chen Shubo’s cousin Baohe, aged under twenty, suffered from aphonia and throat pain. Mengying prescribed Rhinoceros Horn (Xijiao), Antelope Horn (Lingyangjiao), Gypsum (Shigao), Scrophularia Root (Yuanshen), Polygonum Multiflorum Root (Dougen), Arctium Fruit (Niubang), and Belamcanda Rhizome (Shegan) in large doses of clearing and肃ating medicines. Voice opened, but throat became eroded. Blow Xilei San; erosion healed, but rashes covered the whole body, with swelling in the left eye and behind the ear. Add two taels of fresh Chrysanthemum Leaves to the formula; rashes healed. (However) cough with phlegm persisted. Continue the previous method; took more than thirty prescriptions for recovery. This case had a slippery and rapid (Hua Shu) pulse, extreme thirst, and never received erroneous medication from start to finish, thus achieving cure.