婺人罗元奎，丁亥夏，卒发寒热，旋即呕吐不能立，自言胯间痛不可当。孟英视其痛处∶ 赤肿硬，形如肥皂
荚，横梗于毛际之左。乃曰∶此证颇恶，然乘初起，可一击去之也。用∶金银花（六两） 生甘草（一两） 皂角刺（五
钱），水煎和酒服之，一剂减其势，再剂病若失。
逾年，患伤寒。孟英切脉∶虚细已极。曰，此不可徒攻其病者，以阴分太亏耳，与景岳法。以∶熟地 当归
酒炒白芍 炙甘草 橘皮 柴胡等药，一剂而瘳。
李燕标参戎，于癸夏将赴都，馆于石北涯家，项后患疽，外科佥云不治。孟英荐老医朱嵩年疗之渐安。孟英偶
诊其脉，谓北涯曰∶李证有可愈之机，脉难久享其年。北涯惊问所以？孟英曰∶左尺坚抟，真阴已伤，非善象也！
既而告痊北上，今春果卒于京。
茅家埠翁嘉润，患腰疽，愈而复发者五年，费用不资，诸疡医治之不效。盛少云嘱其求治于孟英，切其脉，弦细
以数。曰∶子之幸也。此内损证，外科恶（乌）乎知？与大剂甘润滋填之药，匝月而痊，至今不发。
翁嘉顺，去年秋间，从梯半跌扑，初无所伤，旬日外，陡发寒热，膝旁肿痛。外科汪某治之，溃后不能收功。另
招许某疗之，识为伤络，应手渐效，翁极信服。然培补年余，虽纳食不减，而肌肉渐削，面色黧黑，步履蹇滞。且
一旬半月之间，必患处疼痛，大发寒热，卧榻数日，始能强起，大费不资，愈发愈剧。至冬间，咽糜龈腐，睛赤音
嘶。乃恳孟英以决吉凶。按脉滑数，舌绛，便艰，口臭，溲少，蕴隆虫虫。良由疡医仅知温托一法，既溃之后，更
以温补收功善后，竟未察其体气病情，以致平时所有之湿热痰火，一齐关住，病犹自寻出路，寒热频作。而医者不
识，妄指为虚，补其逾年，人财两瘠。真谚所云∶将钱买憔悴也。与∶元参 黄柏 知母 甘草 银花 花粉 绿
豆栀子 海 荸荠，为大剂投之，吹以锡类散，且令日啖梨、蔗、麒麟菜、柿饼等物，至五十日，诸恙悉蠲，
体腴善步。
浙江人罗元奎，在丁亥年夏天，突然发作寒热症状，随即呕吐得无法站立，自己说胯部疼痛难忍。王孟英查看他疼痛的部位：皮肤发红、肿胀、坚硬，形状像肥皂荚，横梗在阴毛左侧的交界处。于是他说：“这个病证相当凶险，但趁着刚发病初期，可以一击将其消除。”用药方为：金银花（六两）、生甘草（一两）、皂角刺（五钱），用水煎煮后兑入酒服用。服一剂后病情势头减弱，再服一剂病若消失。
过了一年，他又患伤寒。王孟英切脉发现脉象虚细到了极点。他说：“此症不能单纯攻伐病邪，因为阴分亏损太严重了。”采用张景岳的方法治疗。用药包括：熟地黄、当归、酒炒白芍、炙甘草、橘皮、柴胡等药物，服一剂后痊愈。
李燕标参戎，在癸年夏天即将前往京城时，住在石北涯家中，颈部后方患了疽疮，外科医生都说无法治愈。王孟英推荐老中医朱嵩年治疗，病情逐渐安定。王孟英偶然诊察他的脉象，对石北涯说：“李先生的病证有可愈的转机，但脉象显示难以长寿。”石北涯惊讶地询问原因。王孟英说：“左尺脉坚硬聚结，真阴已经受损，这不是吉兆！”后来李先生果然痊愈北上，今年春天果然在京城中去世。
茅家埠的翁嘉润，患有腰部疽疮，好了又复发长达五年，费用巨大，众多疡医治疗都无效。盛少云嘱咐他去求治于王孟英。王孟英切其脉象，弦细且数。他说：“这是你的幸运。这是内伤损败的病证，外科医生怎么能懂得呢？”给予大剂量的甘润滋填药物，一个月左右痊愈，至今未再复发。
翁嘉顺，去年秋天，从梯子上摔下跌倒，起初没有受伤，十几天后，突然发作寒热，膝盖旁边肿痛。外科医生汪某治疗，溃破后未能收功。另外聘请许某治疗，识别为损伤脉络，应手渐见疗效，翁嘉顺非常信服。然而经过一年多的培补，虽然进食量不减，但肌肉逐渐消瘦，面色黧黑，行走艰难迟缓。而且每隔十天半个月之间，患处必然疼痛，大发寒热，卧床数日，才能勉强起身，耗费巨大，病情愈发越重。到了冬天，咽喉糜烂，牙龈腐烂，眼睛红赤，声音嘶哑。于是恳请王孟英判断吉凶。诊脉滑数，舌质绛红，大便困难，口臭，小便量少，体内蕴积热气如虫蠕动般不适。这主要是因为疡医只知道温托这一种方法，溃破之后，更用温补来收功善后，竟然没有察觉患者的体质和病情，导致平时所有的湿热痰火，全部被关住，病邪还要寻找出路，所以寒热频繁发作。而医生不认识这一点，错误地指认为虚证，补了一年多，使人财两空。真是谚语所说的：“花钱买憔悴。”用药方为：玄参、黄柏、知母、甘草、银花、花粉、绿豆、栀子、海浮石、荸荠，作为大剂量投服，外用锡类散吹敷，并且让他每天吃梨、甘蔗、麒麟菜、柿饼等食物，到五十天时，所有病症全部消除，身体丰满，行走良好。
Luo Yuan Kui, a native of Wuzhou, suddenly developed chills and fever in the summer of the Dinghai year, followed immediately by vomiting so severe that he could not stand. He reported unbearable pain in his groin area. Wang Mengying examined the painful site: it was red, swollen, and hard, resembling a soap pod, protruding horizontally to the left at the pubic hairline. He stated, "This condition is quite malignant; however, since it has just begun, it can be eliminated with a single strike." The prescription used was: Jin Yin Hua (Lonicerae Japonicae Flos, 6 liang), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma, 1 liang), and Zao Jiao Ci (Gleditsiae Spina, 5 qian). These were decocted in water, mixed with wine, and taken orally. After one dose, the severity of the illness decreased; after two doses, the disease seemed to vanish.
A year later, he contracted Shang Han (Cold Damage Syndrome). Wang Mengying palpated the pulse and found it extremely deficient and thin. He said, "This condition cannot be treated solely by attacking the pathogen, as the Yin aspect is severely depleted." He adopted the method of Zhang Jingyue, prescribing: Shu Di Huang (Prepared Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Bai Shao fried with wine (Paeoniae Radix Alba), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Ju Pi (Citri Reticulatae Pericarpium), and Chai Hu (Bupleuri Radix), among other herbs. One dose resulted in recovery.
Li Yan Biao Canrong, while preparing to travel to the capital in the summer of the Gui year, stayed at the home of Shi Beiya. He developed Ju (carbuncle) on the back of his neck. Surgeons all claimed it was incurable. Wang Mengying recommended an old physician, Zhu Songnian, who treated him until he gradually stabilized. Wang Mengying occasionally palpated his pulse and told Shi Beiya, "Mr. Li's condition shows signs of potential recovery, but the pulse indicates he will not enjoy a long life." Shi Beiya asked in surprise for the reason. Wang Mengying replied, "The left Chi pulse is firm and knotted, indicating damage to True Yin; this is not a favorable sign!" Later, Mr. Li recovered and traveled north. Indeed, he passed away in Beijing that spring.
Weng Jiarun from Maojiabu suffered from a lumbar Ju (carbuncle) that recurred over five years despite healing. Expenses were immense, and numerous surgeons failed to achieve efficacy. Sheng Shaoyun advised him to seek treatment from Wang Mengying. Upon palpation, the pulse was wiry, thin, and rapid. Wang said, "This is your fortune. This is an internal depletion syndrome; how could surgeons understand it?" He prescribed large doses of sweet, moistening, and nourishing tonics. Recovery occurred within a month, and there has been no recurrence since.
Weng Jiashun fell from a ladder in the autumn of the previous year. Initially, there was no apparent injury. However, ten days later, he suddenly developed chills and fever with swelling and pain beside the knee. A surgeon named Wang treated him, but after ulceration, the wound failed to heal. Another doctor, Xu, was invited, identified it as collateral damage, and the condition gradually improved with treatment, earning Weng's trust. However, after more than a year of tonic supplementation, although his appetite remained unchanged, his muscles wasted away, his complexion turned dark, and his gait became stiff and slow. Furthermore, every ten to fifteen days, the affected area would become painful, accompanied by severe chills and fever, confining him to bed for several days before he could勉强 rise. Costs were high, and the condition worsened with each episode. By winter, he developed throat erosion, gingival decay, red eyes, and hoarseness. He earnestly requested Wang Mengying to determine the prognosis. Palpation revealed a slippery and rapid pulse; the tongue was crimson; defecation was difficult; there was halitosis and oliguria; and there was a sensation of internal heat accumulation like insects wriggling. This was primarily because surgeons only knew the method of warming and supporting. After ulceration, they continued using warming tonics for recovery, failing to observe the patient's constitution and pathology. Consequently, the damp-heat, phlegm, and fire accumulated normally were trapped. The pathogenic factors sought an outlet, causing frequent chills and fever. The physicians, failing to recognize this, erroneously diagnosed deficiency and supplemented for over a year, resulting in both financial loss and physical deterioration. As the proverb says, "Buying emaciation with money." The prescription included: Xuan Shen (Scrophulariae Radix), Huang Bo (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Yin Hua (Lonicerae Japonicae Flos), Hua Fen (Trichosanthis Radix), Lu Dou (Phaseoli Semen), Zhi Zi (Gardeniae Fructus), Hai Fu Shi (Pumex), and Bi Qi (Dioscoreae Hypoglaucae Rhizoma), administered in large doses. Xi Lei San (Xi Lei Powder) was blown into the lesion. He was also instructed to consume pears, sugarcane, Qilin Cai (Gracilaria lemaneiformis), and dried persimmons daily. After fifty days, all ailments disappeared, his body regained plumpness, and his walking ability improved.