钟耀辉，年逾花甲，在都（指京都）患肿，起自肾囊。气逆便溏，诸治不效。急买车返杭，托所亲谢金堂
邀孟英治之。切其脉∶微且弱；询其溺，清且长。因问曰∶都中所服，其五苓（散）、八正（散）耶？抑肾气（汤
）、五皮（饮）也？钟云∶诚如君言，遍尝之矣，而病反日剧者何？孟英曰∶此土虚不制水也。通利无功，滋阴
亦谬，补土胜湿，与大剂∶（人）参 （白）术，果即向安，越八载，以他疾终。
黄履吉，截疟后，患浮肿，赵某闻其体素虚，切其脉
弦细，遂用温补。驯至呃忒不休，气冲碍卧，饮食不进，势濒于危。请孟英决其（犹）及返余杭否？孟英曰∶脉虽弦
细而有力，子必误服温补矣。肯服吾药，犹可无恐。因与∶栝蒌 薤白 合小陷胸（汤） 橘皮竹茹汤，加柿
蒂、旋复、苏子、香附、赭石、紫菀、枇杷叶为方，四剂而瘳。
石北涯令正，久患龈痛，渐至身面浮肿，或以为虚，或以为湿，病日以剧，气逆不饥。孟英察脉，左洪数，右
弦滑。阴分虽虚，先当清其肺胃之痰热者。投白虎（汤）加沙参、花粉、冬瓜皮、枇（杷）叶、栀子、竹茹、芦
根，服之，肿即消。继佐滋阴，龈痛亦止。
运粮千总马香谷，患溺闭欲死。所亲赵春山司马，延孟英视之，脉坚体浓，口渴苔黄。投∶知（母） （黄）
柏栀（子） 楝（实） 犀（角） （紫）菀 （栝）蒌 （竹）茹之药，送当归龙荟丸而瘳，竟不复发。
陈芰裳，患淋久不愈，延至溽暑。孟英诊之，曰∶易事耳。予补中益气汤而愈。
周菊生令正，患少腹酸坠，小溲频数而痛。医投通利不效，继以升提温补，诸法备试，至于不食不寐，大解不
行，口渴不敢饮水，闻声即生惊悸。孟英脉之，曰∶此厥阴为病也。不可徒治其（足）太阳。先与∶咸苦以泄其热，
续用甘润以滋其阴，毫不犯通渗之药而愈。
胡振华，以花甲之年，患溺后出血水，甚痛。自云∶
溲颇长激，似非火证。孟英察脉有滑数之象。予∶元参 生地 犀角 （山）栀 楝（实） 槐蕊 侧柏 知
母花粉 石斛 银花 甘草梢 绿豆等药，旬日而痊。逾四载，以他疾终。
陈足甫，溲后见血，管痛异常，减餐气短。孟英以∶元参 生地 知母 楝实 银花 侧柏叶 栀子 桑
叶丹皮 绿豆为方，藕汤煎服，二剂，病大减，乃去丹皮、柏叶，加西洋参、熟地，服之而瘥。
朱湘槎令媳，患溲涩痛，医与渗利，反发热，头痛，不饥，口渴，夜不成眠。孟英诊之，脉细数。乃阴虚肝郁，
化热生风，津液已烁，岂容再利？与∶白薇 栀子 金铃（子散） 知母 花粉 紫菀 麦冬 石斛 菊花，服之
即愈。
许培之祖母，年逾七旬，久患淋漏，屡发风 。孟英持其脉，弦而滑，舌绛口干。每以∶犀角 生地 二至
（丸） （黄）芩 （青）蒿 白薇 元参 龟板 海螵（蛸）之类，息其暴；甘露饮增损，调其常。人皆疑药
过凉。孟英曰∶“量体裁衣”，病属阳旺，气血有余，察其脉舌，治当如是。病者乃云∶十余年前，偶患崩而广
服温补，遂成此恙。始知先天阳气虽充，亦由药酿为病。
秋杪，患寒热如疟，善怒不眠，苦渴易饥，却不能纳食。孟英察脉，弦数倍常，予清肺蠲痰，柔肝充液之
法，渐以向安。
今冬，有荐吴古年延医者，询知病源，作高年脱营论，而以“血脱益气”裁方。初服三、四剂，饮食
骤增，举家忻
幸。已而血漏甚多，眠食欲废。复延孟英视之，仍主前议。果得渐康。
钟耀辉，年龄超过六十岁，在京都患病出现水肿，肿胀从阴囊开始。伴有气逆、大便稀溏，经过多种治疗均无效。急忙乘车返回杭州，委托亲戚谢金堂邀请王孟英诊治。诊察其脉象：微弱；询问其小便情况：清长。于是问道：“您在京都服用的，是五苓散、八正散呢？还是肾气汤、五皮饮？”钟某说：“确实如您所说，我都尝试过了，但病情反而日益加重，这是为什么呢？”王孟英说：“这是脾土虚弱不能制约水湿所致。通利小便没有功效，滋阴也是错误的，应当补益脾土以胜湿，给予大剂量的（人参）白术，果然很快趋向安定，八年后，因其他疾病去世。”
黄履吉，在截疟（治疗疟疾）后，患浮肿。赵某听说他体质素来虚弱，切脉见弦细，于是使用温补法。导致呃逆不止，气冲阻碍卧睡，饮食不进，形势危急到极点。请王孟英判断是否还能返回余杭。王孟英说：“脉象虽然弦细但有力，您一定是误服了温补药物。如果肯服用我的药，还可以不必担心。”于是给予：栝蒌、薤白合小陷胸汤、橘皮竹茹汤，加柿蒂、旋覆花、苏子、香附、代赭石、紫菀、枇杷叶组成方剂，服用四剂后痊愈。
石北涯的夫人，长期患有牙龈疼痛，逐渐发展到身面浮肿，有人认为是虚证，有人认为是湿证，病情日益加重，气逆且不想进食。王孟英诊察脉象，左手洪数，右手弦滑。虽然阴分虚弱，但首先应当清除肺胃的痰热。投用白虎汤加沙参、花粉、冬瓜皮、枇杷叶、栀子、竹茹、芦根，服用后，浮肿立即消退。随后辅助滋阴，牙龈疼痛也停止了。
运粮千总马香谷，患尿闭欲死。他的亲戚赵春山司马，延请王孟英诊治，脉象坚实，身体肥胖，口渴，舌苔黄。投用：知母、黄柏、栀子、楝实、犀角、紫菀、栝蒌、竹茹等药物，送服当归龙荟丸而痊愈，竟然没有再复发。
陈芰裳，患淋证久治不愈，拖延到了湿热暑气盛的季节。王孟英诊察后说：“容易处理。”给予补中益气汤而痊愈。
周菊生的夫人，患少腹酸坠感，小便频数且疼痛。医生投用通利小便的方法无效，继而又用升提、温补的方法，各种方法都试过了，导致不吃不睡，大便不通，口渴不敢喝水，听到声音就产生惊悸。王孟英诊脉后说：“这是厥阴经为病。不能单纯治疗足太阳经。先用咸苦之品以泄其热，接着用甘润之品以滋其阴，完全不使用通利渗湿的药物而痊愈。”
胡振华，在花甲之年，患小便后出血水，非常疼痛。自己说：“小便颇长且急迫，似乎不是火证。”王孟英诊察脉象有滑数之象。给予：玄参、生地、犀角、山栀、楝实、槐蕊、侧柏、知母、花粉、石斛、银花、甘草梢、绿豆等药物，十天后痊愈。四年多后，因其他疾病去世。
陈足甫，小便后见血，尿道疼痛异常，减少饮食，气短。王孟英以：玄参、生地、知母、楝实、银花、侧柏叶、栀子、桑叶、丹皮、绿豆为方，用藕汤煎服，两剂后，病情大减，于是去掉丹皮、柏叶，加西洋参、熟地，服用后病愈。
朱湘槎的儿媳，患小便涩痛，医生给予渗利药物，反而发热，头痛，不想进食，口渴，夜间无法入睡。王孟英诊脉，脉细数。这是阴虚肝郁，化热生风，津液已耗伤，怎么容许再用利法？给予：白薇、栀子、金铃子散、知母、花粉、紫菀、麦冬、石斛、菊花，服用后即愈。
许培之的祖母，年龄超过七十岁，长期患淋证漏下，屡次发作风证。王孟英诊其脉，弦而滑，舌质红绛口干。每次用：犀角、生地、二至丸、黄芩、青蒿、白薇、玄参、龟板、海螵蛸之类，平息其暴发病势；用甘露饮加减，调理其常态。人们都怀疑药性过凉。王孟英说：“量体裁衣”，病属阳气旺盛，气血有余，诊察其脉象和舌象，治疗应当如此。病人于是说：“十多年前，偶然患崩漏而广泛服用温补药物，遂成此病。”这才知道先天阳气虽然充足，也由药物酿成疾病。
秋末，患寒热如疟疾，易怒失眠，极度口渴且易饥，却不能进食。王孟英诊脉，脉象比平时弦数加倍，给予清肺蠲痰、柔肝充液的方法，逐渐趋向安定。
今年冬天，有人推荐吴古年去延医，询问得知病源，作高年脱营论断，而以“血脱益气”的原则裁方。初服三、四剂，饮食骤增，全家欣喜庆幸。不久后血漏甚多，睡眠和食欲废弃。再次延请王孟英诊治，仍然主张前面的议论。果然得以逐渐康复。
Zhong Yaohui, aged over sixty, suffered from edema in the capital (Beijing), starting from the scrotum. He experienced rebellious Qi and loose stools; various treatments were ineffective. Urgently taking a carriage back to Hangzhou, he entrusted his relative Xie Jintang to invite Wang Mengying for treatment. Palpation revealed a faint and weak pulse; inquiry into urination showed clear and long urine. Wang asked, "The medicines you took in the capital, were they Wu Ling San (Five-Ingredient Powder with Poria) or Ba Zheng San (Eight-Herb Corrective Powder)? Or perhaps Shen Qi Tang (Kidney Qi Decoction) or Wu Pi Yin (Five-Rind Decoction)?" Zhong replied, "Indeed as you say, I have tried them all, yet why does the disease worsen daily?" Wang said, "This is Spleen Earth deficiency failing to control Water. Promoting diuresis is futile, and nourishing Yin is also erroneous. One must tonify Earth to overcome dampness." A large dose of Renshen (Ginseng Radix et Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma) was prescribed. The patient indeed stabilized. Eight years later, he passed away from another illness.
Huang Lüji, after having malaria treated (Jie Nüe), developed edema. Physician Zhao, hearing of his constitutionally deficient state, palpated a wiry and fine pulse and thus used warming and tonifying methods. This led to incessant hiccups, Qi rushing upward hindering sleep, inability to eat, and a critical condition. He asked Wang Mengying if it was still possible to return to Yuhang. Wang said, "Although the pulse is wiry and fine, it has force; you must have mistakenly taken warming tonics. If you are willing to take my medicine, there is no need to fear." He prescribed a formula combining Gualou Xiebai Banxia Tang (Trichosanthes Fruit, Macrostemon Rhizome, and Pinellia Decoction) with Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shavings Decoction), adding Didi (Kaki Calyx), Xuansu (Inula Flower), Su Zi (Perilla Fruit), Xiangfu (Cyperus Rhizome), Zhe Shi (Hematitum), Ziwan (Adenophorae Radix), and Pipaye (Loquat Leaf). After four doses, he recovered.
Madam Shi Beiya, wife of Shi Beiya, had suffered from gingival pain for a long time, which gradually progressed to facial and bodily edema. Some considered it deficiency, others dampness; the condition worsened daily, accompanied by rebellious Qi and anorexia. Wang observed the pulse: left side洪数 (surging and rapid), right side弦滑 (wiry and slippery). Although the Yin aspect was deficient, priority should be given to clearing Phlegm-Heat from the Lung and Stomach. He administered Baihu Tang (White Tiger Decoction) plus Shashen (Glehniae Radix), Huafen (Trichosanthis Radix), Dongguapi (Winter Melon Rind), Pipaye (Loquat Leaf), Zhizi (Gardeniae Fructus), Zhuru (Bambusa Textilis Caulis in Succous State), and Lugen (Phragmitis Rhizoma). Upon ingestion, the edema subsided immediately. Subsequently, Yin-nourishing herbs were added, and the gingival pain ceased.
Ma Xianggu, a Grain Transport Captain, suffered from urinary retention bordering on death. His relative, Sima Zhao Chunshan, invited Wang Mengying. The pulse was firm, the body robust, with thirst and yellow tongue coating. He was given Zhi Mu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Zhizi (Gardeniae Fructus), Lianshi (Meliae Semen), Xijiao (Rhinocerotis Cornu - *Note: Substitute with Buffalo Horn in modern practice*), Ziwan (Adenophorae Radix), Gualou (Trichosanthis Fructus), and Zhuru (Bambusa Textilis Caulis in Succous State), followed by Danggui Longhui Wan (Angelica and Gardenia Pill). He recovered completely without recurrence.
Chen Jishang suffered from Lin syndrome (strangury) that failed to heal for a long time, extending into the humid summer heat. Wang diagnosed, "It is easy to handle," and prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), resulting in recovery.
Madam Zhou Jusheng, wife of Zhou Jusheng, suffered from soreness and bearing-down sensation in the lower abdomen, frequent and painful urination. Physicians first used promoting diuresis without effect, then tried lifting and warming tonification. All methods failed, leading to anorexia, insomnia, constipation, thirst but inability to drink, and palpitations triggered by sound. Wang palpated and said, "This is a Jueyin (Liver/Pericardium) disease. One cannot merely treat the Foot-Taiyang (Bladder) channel. First, use salty and bitter agents to drain Heat; subsequently, use sweet and moistening agents to nourish Yin. Avoid all draining and leaching herbs entirely." She recovered.
Hu Zhenhua, at the age of sixty, suffered from bleeding mixed with urine after urination, causing severe pain. He claimed, "My urine stream is long and forceful, suggesting this is not a Fire syndrome." Wang observed a slippery and rapid pulse. He prescribed Yuanshen (Scrophulariae Radix), Shengdi (Rehmanniae Radix), Xijiao (Rhinocerotis Cornu), Shanzhi (Gardeniae Fructus), Lianshi (Meliae Semen), Huairei (Stemonitis Rhizoma - *Note: Context suggests Coptidis or similar, but text says Huairei*, likely referring to specific local herb or typo for Kuailian/Coptis, kept as literal translation based on text 'Huairui' often associated with Sophora or similar in older texts, here interpreted as part of the cooling hemostatic mix), Cebei (Platycladi Cacumen), Zhi Mu (Anemarrhenae Rhizoma), Huafen (Trichosanthis Radix), Shihu (Dendrobii Caulis), Yinhua (Lonicerae Flos), Gancao Shao (Paeoniae Radix Rubra et Glycyrrhizae Radix et Rhizoma Preparata), and Lüdou (Phaseoli Radiatus). He recovered in ten days. Four years later, he died of another illness.
Chen Zufu, after urination, saw blood, with abnormal urethral pain, reduced appetite, and shortness of breath. Wang prescribed Yuanshen (Scrophulariae Radix), Shengdi (Rehmanniae Radix), Zhi Mu (Anemarrhenae Rhizoma), Lianshi (Meliae Semen), Yinhua (Lonicerae Flos), Cebeiyè (Platycladi Cacumen), Zhizi (Gardeniae Fructus), Sangye (Mori Folium), Danpi (Moutan Cortex), and Lüdou (Phaseoli Radiatus), decocted in Lotus Root Soup. After two doses, the condition greatly improved. Then, Danpi and Cebeiyè were removed, and Xiyangshen (American Ginseng Radix) and Shudi (Rehmanniae Radix Preparata) were added. He recovered.
The daughter-in-law of Zhu Xiangcha suffered from difficult and painful urination. Physicians used draining/diuretic herbs, which caused fever, headache, anorexia, thirst, and insomnia. Wang's pulse was fine and rapid. This indicated Yin deficiency with Liver Qi stagnation transforming into Heat and generating Wind, with fluids exhausted. How could further draining be tolerated? He prescribed Baiwei (Cynanchi Atrati Radix), Zhizi (Gardeniae Fructus), Jinlingzi San (Meliosma Seed Powder), Zhi Mu (Anemarrhenae Rhizoma), Huafen (Trichosanthis Radix), Ziwan (Adenophorae Radix), Maidong (Ophiopogonis Tuber), Shihu (Dendrobii Caulis), and Juhua (Chrysanthemi Flos). She recovered immediately.
Grandmother of Xu Peizhi, aged over seventy, suffered from chronic Lin leakage and recurrent wind syndromes. Wang's pulse was wiry and slippery; tongue was crimson and dry. He frequently used Xijiao (Rhinocerotis Cornu), Shengdi (Rehmanniae Radix), Erzhi Wan (Two Solstices Pill), Huangqin (Scutellariae Radix), Qinghao (Artemisiae Annuae Herba), Baiwei (Cynanchi Atrati Radix), Yuanshen (Scrophulariae Radix), Guiban (Testudinis Carapax et Plastrum), and Haipiaoxiao (Sepiae Endoconcha) to quell acute symptoms; and modified Ganlu Yin (Sweet Dew Decoction) for maintenance. People suspected the medicine was too cold. Wang said, "Tailor the clothes to the body." The disease belonged to Yang excess with abundant Qi and Blood; based on pulse and tongue, treatment should be so. The patient stated, "Ten years ago, I accidentally suffered from metrorrhagia and widely took warming tonics, thus creating this ailment." It was realized that although congenital Yang Qi was sufficient, drugs had brewed this disease.
At the end of autumn, she suffered from chills and fever resembling malaria, irritability, insomnia, extreme thirst, and hunger, yet unable to eat. Wang's pulse was twice as wiry and rapid as normal. He employed methods to clear the Lung, eliminate phlegm, soften the Liver, and replenish fluids. She gradually stabilized.
This winter, someone recommended Dr. Wuinian. Inquiry revealed the source of the disease, diagnosed as "Tuoying" (Depletion of Ying) in the elderly, and prescribed according to the principle of "Tonifying Qi for Blood Loss." After three or four doses, appetite increased sharply, and the family rejoiced. Soon after, heavy bleeding occurred, and sleep and appetite were lost. Wang was re-invited and maintained his previous opinion. Gradually, she recovered.