邵竹鱼给谏令郎之子旅，久患痰多，胸膈满闷，连年发痫，药之罔效。孟英脉之曰∶气分偏虚，痰饮阻其
清阳之旋运，宜法“天之健”以为方，则大气自强，而流行不息，胸次乃廓然如太空矣。与六君（子汤）去甘草，加
黄、桂枝、薤白、蒌仁、石菖蒲、蒺藜、旋复，服之满闷渐舒，痫亦不发矣。
郑芷塘令岳母，年逾花甲，仲春患右手足不遂，舌謇不语，面赤便闭。医与疏风不效，第四日，延诊于孟英。
右洪滑、左弦数，为阳明腑实之候。疏∶石菖蒲 胆星 知母 花粉 枳实 蒌仁 秦艽 旋复 麻仁 竹沥为方。
或虑便泻欲脱，置不敢用，而不知古人中藏宜下之“藏”字乃“府”字之伪。柯氏云∶“读书无眼，病患无命”，
此之谓也。延至两旬，病势危急。芷塘浼童秋门复恳孟英视之，苔裂舌绛，米饮不沾，腹胀息粗，阴津欲竭，非急
下不可也。即以前方加大黄四钱，绞汁服，连下黑矢五次。舌謇顿减，渐啜稀糜。乃去大黄，
加西洋参、生地、麦冬、丹皮、薄荷，服五剂，复更衣，语言乃清。专用甘凉充津涤热。又旬日，舌色始淡，
纳谷如常。改以滋阴，渐收全绩。逾三载，闻以他疾终。
赵秋 进士，去秋患左半身不遂，伊芳弟笛楼暨高弟许芷卿茂才，主清热蠲痰，治之未能遽效。邀孟英诊之，
脉甚迟缓，苔极黄腻，便秘多言。乃于药中，和入竹沥一碗。且以龙荟、滚痰二丸，相间而投。二丸各用斤许，
证始向愈。今春出房，眠食已复，而素嗜浓味，不戒肥甘。孟夏，其病陡发，孟英诊之，脉形滑驶如蛇。断
其不起。秋初果殁。
赖炳池令堂，年近古稀，患左半身不遂，医与再造丸暨补剂，服二旬，病如故。孟英按脉，弦缓而滑，颧
赤苔黄，音微舌謇，便涩无痰。曰∶此“痰中”也，伏而未化。与∶犀（角） 羚（羊角） （竹）茹 贝（母
）菖（蒲） （法半）夏 花粉 知母 白薇 豆卷 桑枝 丝瓜络等药，服三剂而苔化，音渐清朗。六、七
剂，腿知痛，痰渐吐，便亦通。既而腿痛难忍，其热如烙。孟英令涂葱、蜜以吸其热，痛果渐止。半月后，眠
食渐安。二旬外，手能握。月余，可扶掖以行矣。
徐梦香，年近六旬，患手颤不能握管，孟英以“通补”、
“熄风”之药，吞服指迷茯苓丸而安。
仲秋类中，遗溺，痰升，昏瞀，妄言，汗多，面赤。急延孟英视之，脉浮弦洪滑。盖吸受热邪，而连日
适服参汤也。与∶羚羊角 石菖蒲 连翘 栀子 桑叶 菊花 楝（实） （石）斛 知母 花粉 竹沥 银
花（青）蒿 （白）薇等药，一剂知，二剂神清。乃去羚羊角、菖蒲，加（竹）茹、贝（母） 滑石，投之，
下痢白如脓垢者数日，始知饥纳谷，渐以调理而愈。匝月即能作画，季秋仍幕游江右。
韩组林，年虽七十，饮、啖兼人，而平时喜服药。医以其老，辄用桂、附、参、茸等药，以期可
享遐龄。讵料初八日晚膳尚健饭，三更睡醒，倏寒栗发颤，俄而四肢螈 ，越日云亡。得非即世人所谓子午证
耶？孟英曰∶此老系阳旺之体，肥甘过度，痰火日增，年至古稀，真阴日耗，而久服此等助火灼阴之药，以致
风从火出，立拔根 。与儿科所云∶“急惊风”证，殆无异焉。
邵竹鱼给谏令郎之子旅，久患痰多，胸膈满闷，连年发痫，药之罔效。孟英脉之曰∶气分偏虚，痰饮阻其清阳之旋运，宜法“天之健”以为方，则大气自强，而流行不息，胸次乃廓然如太空矣。与六君子汤去甘草，加黄、桂枝、薤白、蒌仁、石菖蒲、蒺藜、旋复，服之满闷渐舒，痫亦不发矣。
邵竹鱼给事中官职的儿子的儿子邵旅，长期患有痰多，胸部和膈部胀满憋闷，连续多年发作癫痫，用药治疗没有效果。何孟英诊脉后说：气分（人体之气运行的层次）偏于虚弱，痰饮阻碍了清阳之气（轻清上升的阳气）的旋转运行，应当效法《易经》中乾卦“天行健”的含义来组方，这样宗气（胸中大气）就会自然强盛，并且流行不息，胸中的滞塞感就会像太空一样开阔明朗。给予六君子汤（由人参、白术、茯苓、甘草、陈皮、半夏组成，具有健脾益气、燥湿化痰功效的方剂）去掉甘草，加入黄芪、桂枝、薤白、瓜蒌仁、石菖蒲、蒺藜、旋覆花，服用之后胀满憋闷逐渐舒缓，癫痫也不再发作。
郑芷塘令岳母，年逾花甲，仲春患右手足不遂，舌謇不语，面赤便闭。医与疏风不效，第四日，延诊于孟英。右洪滑、左弦数，为阳明腑实之候。疏∶石菖蒲 胆星 知母 花粉 枳实 蒌仁 秦艽 旋复 麻仁 竹沥为方。或虑便泻欲脱，置不敢用，而不知古人中藏宜下之“藏”字乃“府”字之伪。柯氏云∶“读书无眼，病患无命”，此之谓也。延至两旬，病势危急。芷塘浼童秋门复恳孟英视之，苔裂舌绛，米饮不沾，腹胀息粗，阴津欲竭，非急下不可也。即以前方加大黄四钱，绞汁服，连下黑矢五次。舌謇顿减，渐啜稀糜。乃去大黄，加西洋参、生地、麦冬、丹皮、薄荷，服五剂，复更衣，语言乃清。专用甘凉充津涤热。又旬日，舌色始淡，纳谷如常。改以滋阴，渐收全绩。逾三载，闻以他疾终。
郑芷塘的岳母，年龄超过六十岁，在春季第二个月患上右侧手脚活动不便，舌头僵硬说话不清，面色发红，大便闭塞。医生给予疏风药物治疗无效，到第四天，请何孟英诊治。右手脉象洪大滑利，左手脉象弦细快速，这是阳明腑实证（邪热入里，与肠中糟粕相结，导致腑气不通的病证）的表现。开具处方：石菖蒲、胆南星、知母、天花粉、枳实、瓜蒌仁、秦艽、旋覆花、火麻仁、竹沥作为方剂。有人担心腹泻会导致正气虚脱，放置不敢使用，却不知道古人所说的中脏腑适宜用攻下法的“藏”字是“府”字的误写。柯琴说：“读书没有眼光，病人就没有性命”，说的就是这种情况。拖延到二十天，病情危急。郑芷塘委托童秋门再次恳求何孟英诊治，此时舌苔开裂，舌质深红，连米汤都喝不下，腹部胀满，呼吸粗重，阴液津血即将枯竭，必须紧急攻下才行。立即在前方中加入大黄四钱，绞取汁液服用，连续排出黑色干硬粪便五次。舌头僵硬症状顿时减轻，逐渐能喝稀粥。于是去掉大黄，加入西洋参、生地黄、麦冬、牡丹皮、薄荷，服用五剂后，再次排便，语言变得清晰。专门使用甘凉性质的药物来补充津液、清除余热。又过了十天，舌色才变淡，饮食恢复正常。改为滋阴疗法，逐渐取得痊愈的效果。三年多以后，听说因其他疾病去世。
赵秋进士，去秋患左半身不遂，伊芳弟笛楼暨高弟许芷卿茂才，主清热蠲痰，治之未能遽效。邀孟英诊之，脉甚迟缓，苔极黄腻，便秘多言。乃于药中，和入竹沥一碗。且以龙荟、滚痰二丸，相间而投。二丸各用斤许，证始向愈。今春出房，眠食已复，而素嗜浓味，不戒肥甘。孟夏，其病陡发，孟英诊之，脉形滑驶如蛇。断其不起。秋初果殁。
赵秋进士，去年秋天患上左侧半身不遂，他的弟弟赵笛楼以及高徒许芷卿秀才，主张清热祛痰，治疗未能迅速见效。邀请何孟英诊治，脉象非常迟缓，舌苔极其黄腻，便秘且多话。于是在药物中加入一碗竹沥。并且使用龙胆泻肝丸（此处指代含龙胆草等清热泻火成分的丸剂，通常指当归龙荟丸类）和滚痰丸两种丸药，交替服用。这两种丸药各用了大约一斤，病情才开始好转。今年春天走出房间，睡眠和饮食已经恢复，但他平时嗜好浓烈口味，不忌口油腻甜食。初夏时节，病情突然发作，何孟英诊察，脉象滑利急速如蛇行。判断他无法治愈。秋天初果然去世。
赖炳池令堂，年近古稀，患左半身不遂，医与再造丸暨补剂，服二旬，病如故。孟英按脉，弦缓而滑，颧赤苔黄，音微舌謇，便涩无痰。曰∶此“痰中”也，伏而未化。与∶犀角 羚羊角 竹茹 贝母 石菖蒲 法半夏 天花粉 知母 白薇 豆卷 桑枝 丝瓜络等药，服三剂而苔化，音渐清朗。六、七剂，腿知痛，痰渐吐，便亦通。既而腿痛难忍，其热如烙。孟英令涂葱、蜜以吸其热，痛果渐止。半月后，眠食渐安。二旬外，手能握。月余，可扶掖以行矣。
赖炳池的母亲，年龄接近七十岁，患上左侧半身不遂，医生给予再造丸以及补益药剂，服用二十天，病情依旧。何孟英按压脉搏，脉象弦缓而滑，颧骨发红，舌苔黄，声音微弱，舌头僵硬，大便涩滞且无痰咳出。说：这是“痰中”（痰浊阻滞经络导致的卒中），痰邪潜伏而没有化解。给予：犀角、羚羊角、竹茹、贝母、石菖蒲、法半夏、天花粉、知母、白薇、大豆卷、桑枝、丝瓜络等药物，服用三剂后舌苔化解，声音逐渐清晰响亮。六、七剂后，腿部开始感到疼痛，痰液逐渐吐出，大便也通畅了。随后腿部疼痛难以忍受，热度像被灼烧一样。何孟英命令涂抹葱白和蜂蜜以吸收热量，疼痛果然逐渐停止。半个月后，睡眠和饮食逐渐安稳。二十多天以后，手能够握持。一个多月后，可以扶着拐杖行走了。
徐梦香，年近六旬，患手颤不能握管，孟英以“通补”、“熄风”之药，吞服指迷茯苓丸而安。
徐梦香，年龄接近六十岁，患上手部颤抖不能握笔，何孟英使用“通补”（疏通经络兼以补益）、“熄风”（平息内风）的药物，并吞服指迷茯苓丸（具有化痰通络功效的方剂）而安定下来。
仲秋类中，遗溺，痰升，昏瞀，妄言，汗多，面赤。急延孟英视之，脉浮弦洪滑。盖吸受热邪，而连日适服参汤也。与∶羚羊角 石菖蒲 连翘 栀子 桑叶 菊花 楝实 石斛 知母 花粉 竹沥 银花 青蒿 白薇等药，一剂知，二剂神清。乃去羚羊角、菖蒲，加竹茹、贝母 滑石，投之，下痢白如脓垢者数日，始知饥纳谷，渐以调理而愈。匝月即能作画，季秋仍幕游江右。
仲秋时节发生类似中风的病症，小便失禁，痰涎上涌，神志昏蒙，胡言乱语，出汗多，面色发红。急忙请何孟英诊治，脉象浮取弦大洪滑。这是因为吸入热邪，而且连日来恰好服用了人参汤（补气药）。给予：羚羊角、石菖蒲、连翘、栀子、桑叶、菊花、苦楝实、石斛、知母、天花粉、竹沥、金银花、青蒿、白薇等药物，服用一剂后症状缓解，服用两剂后神志清醒。于是去掉羚羊角、石菖蒲，加入竹茹、贝母、滑石，投药服用，拉出白色如脓垢样的大便数日，才开始感到饥饿进食，逐渐通过调理而痊愈。一个月后就能作画，深秋时节仍然在江西一带游学。
韩组林，年虽七十，饮、啖兼人，而平时喜服药。医以其老，辄用桂、附、参、茸等药，以期可享遐龄。讵料初八日晚膳尚健饭，三更睡醒，倏寒栗发颤，俄而四肢螈 ，越日云亡。得非即世人所谓子午证耶？孟英曰∶此老系阳旺之体，肥甘过度，痰火日增，年至古稀，真阴日耗，而久服此等助火灼阴之药，以致风从火出，立拔根 。与儿科所云∶“急惊风”证，殆无异焉。
韩组林，年龄虽然七十岁，饮食量超过常人，而且平时喜欢服药。医生因为他年老，就常用肉桂、附子、人参、鹿茸等药物，希望他能享受长寿。没想到初八日晚餐还吃得很好，半夜睡醒，突然寒冷战栗发抖，一会儿四肢抽搐，第二天就去世了。这难道不就是世人所谓的子午证吗？何孟英说：这位老人属于阳气旺盛的体质，肥甘厚味摄入过度，痰火日益增加，年龄到了七十岁，真阴（肾阴）日渐消耗，而长期服用这种助长火热、灼伤阴液的药物，导致风从火出，根基立刻被拔除。这与儿科所说的“急惊风”证，几乎没有区别。
Shao Zhuyu, a censorial official, presented the case of his grandson, Shao Lv. He had long suffered from excessive phlegm and fullness/stuffiness in the chest and diaphragm, with epilepsy attacks occurring annually for years; medicinal treatments had been ineffective. Mengying palpated the pulse and said: "There is a deficiency in the Qi level (the functional level of Qi circulation). Phlegm-fluids are obstructing the rotation and transportation of Clear Yang (light, ascending Yang Qi). The prescription should follow the principle of 'Heaven's Strength' (referring to the Qian hexagram in the I Ching, symbolizing vigorous movement), so that the Grand Qi (Zong Qi) will naturally strengthen and flow without cessation, making the chest feel as open and vast as the sky." He prescribed Liu Jun Zi Tang (Six Gentlemen Decoction) minus Gancao (Licorice Root), plus Huangqi (Astragalus Root), Guizhi (Cinnamon Twig), Xiebai (Allium Macrostemon Bulb), Gualou Ren (Trichosanthes Seed), Shichangpu (Acorus Rhizome), Jili (Tribulus Fruit), and Xuanfu (Inula Flower). After taking it, the stuffiness gradually relieved, and the epilepsy did not recur.
Zheng Zhitang’s mother-in-law, over sixty years old, developed right-sided hemiplegia, speech impediment (tongue stiffness and inability to speak), flushed face, and constipation in the second month of spring. Physicians treated her with wind-dispelling herbs without effect. On the fourth day, she was consulted by Mengying. The right pulse was surging and slippery, and the left pulse was wiry and rapid, indicating a pattern of Yangming Fu-organ Excess Syndrome (excess heat combined with dry stool in the intestines). He prescribed: Shichangpu (Acorus Rhizome), Danningxing (Arisaema with Bile), Zhimu (Anemarrhena Rhizome), Huafen (Trichosanthes Root), Zhishi (Immature Bitter Orange), Gualou Ren (Trichosanthes Seed), Qinjiao (Gentiana Macrophylla Root), Xuanfu (Inula Flower), Maren (Hemp Seed), and Zhuli (Bamboo Sap). Some worried that purgation might lead to collapse due to diarrhea and dared not use it, not knowing that the character "Zang" (Viscera) in ancient texts referring to the suitability of purgation for stroke affecting the Zang-Fu actually refers to "Fu" (Hollow Organs). Ke Qin said, "Reading without insight costs patients their lives," which applies here. The condition worsened over twenty days. Zheng Zhitang asked Tong Qiumen to urgently request Mengying’s re-evaluation. The tongue coating was cracked, the tongue body crimson, unable to even swallow rice water, with abdominal distension and coarse breathing, indicating imminent exhaustion of Yin fluids. Urgent purgation was necessary. He added Dashuang (Rhubarb Root) four qian to the previous formula, administered as squeezed juice. Five episodes of black, hard stools were passed consecutively. The speech impediment immediately decreased, and she gradually began drinking thin gruel. Dashuang was then removed, and Xiyangshen (American Ginseng), Shengdi (Rehmannia Root), Maidong (Ophiopogon Tuber), Danpi (Moutan Bark), and Bohe (Mint) were added. After five doses, bowel movements resumed, and speech became clear. Sweet-cool herbs were used exclusively to replenish fluids and wash away heat. Ten days later, the tongue color lightened, and appetite returned to normal. The treatment shifted to nourishing Yin, achieving gradual recovery. Over three years later, she reportedly died of another illness.
Zhao Qiu, a Jinshi degree holder, suffered from left-sided hemiplegia last autumn. His brother Zhao Dilou and high disciple Xu Zhiqing, a Xiucai degree holder, advocated clearing heat and eliminating phlegm, but treatment was not rapidly effective. Mengying was invited to diagnose. The pulse was very slow and sluggish, the coating extremely yellow and greasy, with constipation and excessive talking. A bowl of Zhuli (Bamboo Sap) was mixed into the herbal decoction. Additionally, Longhui Wan (Longdan Xiegan Wan or similar bile-clearing pill) and Guntan Wan (Rolling Phlegm Pill) were administered alternately. Approximately one jin of each pill was consumed before the condition began to improve. In spring, he went out of his room, sleep and diet having recovered. However, he habitually favored rich flavors and did not abstain from fatty and sweet foods. In early summer, the disease suddenly relapsed. Mengying diagnosed the pulse as slippery and swift like a snake, prognosticating death. Indeed, he died in early autumn.
Lai Bingchi’s mother, nearing seventy, suffered from left-sided hemiplegia. Physicians prescribed Zaizao Wan (Revitalization Pill) and tonics. After twenty days, the condition remained unchanged. Mengying palpated the pulse: wiry, slow, and slippery. The malar region was red, the coating yellow, voice faint, tongue stiff, with difficult urination/defecation and no expectoration. He stated: "This is 'Phlegm Stroke' (Tan Zhong), where phlegm is latent and untransformed." He prescribed: Xijiao (Rhino Horn - *Note: modern substitutes like Buffalo Horn are used*), Lingyangjiao (Antelope Horn), Zhuru (Bamboo Sap/Dried Juice), Beimu (Fritillaria Bulb), Shichangpu (Acorus Rhizome), Fa Banxia (Prepared Pinellia Tuber), Huafen (Trichosanthes Root), Zhimu (Anemarrhena Rhizome), Baiwei (Cynanchum Root), Doujuan (Soybean Sprouts), Sangzhi (Mulberry Twig), and Sigualuo (Luffa Reticulate Fiber). After three doses, the coating transformed, and the voice became clearer. After six to seven doses, sensation returned to the legs, phlegm was expectorated, and bowels opened. Subsequently, leg pain became unbearable, feeling hot as if branded. Mengying ordered application of scallion and honey to draw out the heat, and the pain gradually ceased. Half a month later, sleep and diet stabilized. Beyond twenty days, hand grip returned. Over a month later, she could walk with support.
Xu Mengxiang, nearing sixty, suffered from hand tremors preventing him from holding a brush. Mengying treated him with "tonifying and unblocking" and "extinguishing wind" herbs, along with swallowing Zhimi Fuling Wan (Zhimi Poria Pill), resulting in stabilization.
In mid-autumn, a patient presented with symptoms resembling stroke: urinary incontinence, rising phlegm, drowsiness/confusion, delirious speech, profuse sweating, and flushed face. Mengying was urgently consulted. The pulse was floating, wiry, surging, and slippery. This was attributed to inhaling heat-pathogens, compounded by recent continuous consumption of Ginseng Decoction. He prescribed: Lingyangjiao (Antelope Horn), Shichangpu (Acorus Rhizome), Lianqiao (Forsythia Fruit), Zhizi (Gardenia Fruit), Sangye (Mulberry Leaf), Juhua (Chrysanthemum Flower), Lianshi (Melia Fruit), Shihu (Dendrobium Stem), Zhimu (Anemarrhena Rhizome), Huafen (Trichosanthes Root), Zhuli (Bamboo Sap), Yinhua (Honeysuckle Flower), Qinghao (Artemisia Annua Herb), and Baiwei (Cynanchum Root). Symptoms improved after one dose, and consciousness cleared after two. Lingyangjiao and Shichangpu were removed, and Zhuru (Bamboo Sap/Dried Juice), Beimu (Fritillaria Bulb), and Huashi (Talcum) were added. The patient passed white, pus-like stools for several days, then felt hungry and ate, gradually recovering through regulation. Within a month, he could paint; in late autumn, he was still traveling and studying in Jiangyou.
Han Zulin, though seventy years old, ate and drank heavily and liked taking medicine. Physicians, considering his age, frequently used Guizhi (Cinnamon Twig), Fuzi (Aconite Root), Renshen (Ginseng Root), and Rongsu (Deer Antler Velvet) to prolong his life. Unexpectedly, on the evening of the 8th, he ate heartily at dinner. Upon waking at midnight, he suddenly shivered and trembled, followed by convulsions of the four limbs, and died the next day. Was this not what people call the "Ziwu Syndrome"? Mengying said: "This elder has a constitution of vigorous Yang. Excessive intake of fatty and sweet foods increases phlegm-fire daily. At seventy, True Yin (Kidney Yin) is daily depleted. Long-term use of such fire-assisting and Yin-burning drugs causes Wind to emerge from Fire, uprooting the foundation instantly. This is almost identical to the 'Acute Convulsive Wind' (Ji Jing Feng) syndrome described in pediatrics."