胡蔚堂，年近古稀，患囊肿，小溲赤短，寒热如疟。孟英曰∶非外感也，乃久蕴之湿热下流，气机尚未宣泄，
予五苓散合滋肾丸加楝实、栀子，木通，两剂后，囊间出腥粘黄水甚多，小溲渐行，寒热亦去，继与知柏八味去
山药、萸肉，加栀子、楝实、芍药、苡仁等，久服而愈。
金元章媳，于甲午新寡后，患脓窠疮，大抵湿热之病耳。疡医连某，疑为遗毒，竟作广疮疗，渐至上吐下利，
不进饮食。另从内科治，亦无寸效。延至春末，更兼腹痛自汗，汛愆肌削，诸医皆见而却走矣。王仲安荐孟英视之，
曰∶此胃气为苦寒所败，肝阳为辛热所煽，前此每服阳刚，即如昏瞀，稍投滋腻，泄泻必增，遂谓不治之证，未免轻
弃，乃以四君子汤加左金（丸）、（川）椒、（乌）梅、莲子、木瓜、余粮、石脂等，出入为方，百日而愈。第信犹
未转也。诸亲友环议∶再不通经，病必有变。孟英力辨此非经阻可通之证，惟有培养生化之源，使其气旺血生，则
流行自裕，若不揣其本而齐其末，则砻（砻糠，即稻谷之粗壳。）糠不能榨油，徒伤正气，尽坠前功，岂不可惜？众议始
息。恪守其方，服至仲冬，天癸至而肌肉充，康复如常矣。
附∶王氏云∶莲子最补胃气而镇虚逆。若反胃由于胃虚之气冲不纳者，皆是热邪伤其胃中清和之气，最宜黄连
苦泄其热，即仗莲子甘镇其胃。盖以莲子清香不浑，镇胃之功独胜。爰附录于此，以备参考。
胡蔚堂，年纪接近七十岁，患有阴囊痈肿（肾囊痈），小便颜色红赤且量少，出现像疟疾一样的寒热交替症状。王孟英说：这不是外感病邪所致，而是体内长期蕴结的湿热之邪向下流注，气机尚未得到宣泄。于是给予五苓散（利水渗湿方剂）合滋肾丸（滋阴降火方剂），并加入川楝子、栀子、木通，服用两剂后，阴囊部位流出大量腥臭粘稠的黄水，小便逐渐通畅，寒热症状也随之消失。随后改用知柏八味丸（滋阴清热方剂），去掉山药、山茱萸，加入栀子、川楝子、芍药、薏苡仁等药物，长期服用后痊愈。
金元章的儿媳，在甲午年刚守寡后，患上脓窠疮（一种皮肤化脓性皮肤病），大抵属于湿热引起的疾病。外科医生连某，怀疑是梅毒遗毒，竟然按照广疮（梅毒）来治疗，导致病情逐渐发展为上吐下泻，无法进食。后来转由内科医生治疗，也没有丝毫效果。拖延到春末，又兼有腹痛、自汗，月经失调、身体消瘦，各位医生看了都摇头避开不敢诊治。王仲安推荐王孟英去诊视，王孟英说：这是胃气被苦寒药物败坏，肝阳被辛热药物煽动，之前每次服用温阳刚燥的药物，就会感到头晕目眩；稍用滋补腻滞的药物，泄泻必然加重，因此被认为是不可治愈的病证，未免过于轻易放弃。于是采用四君子汤（补气基础方剂）加入左金丸（清肝泻火方剂）、花椒、乌梅、莲子、木瓜、余粮石、赤石脂等，根据病情变化调整处方，经过一百天服药而痊愈。但此时患者的脉象仍然微弱未转。亲友环绕议论：如果不通调月经，病情必定会有变化。王孟英极力辩驳，认为这不是可以通过通经来解决的病证，只有培养气血生化之源，使气旺血生，那么月经自然通畅。如果不探究根本而只处理末端，就像用米糠不能榨出油一样，只会徒然损伤正气，毁掉之前的治疗成果，难道不可惜吗？众人的议论才停止。严格遵守这个方子，服到仲冬时节，月经来潮且肌肉丰满，康复如常人一般。
附记：王氏说：莲子最能补益胃气并镇伏虚性逆气。如果反胃是由于胃气虚弱、气冲不纳所致，这都属于热邪损伤了胃中的清和之气，最适合用黄连的苦味来泄除热邪，同时依靠莲子的甘味来镇守胃气。因为莲子清香而不浑浊，其镇胃的功效特别显著。特此附录于此，以备参考。
Hu Weitang, nearing seventy years of age, suffered from scrotal carbuncle (scrotal abscess), with red and scanty urine, and alternating chills and fever resembling malaria. Wang Mengying stated: "This is not caused by external pathogenic factors, but rather by damp-heat accumulating internally for a long time and flowing downward, with the Qi mechanism yet to be vented." He prescribed Wuling San (Five-Ingredient Poria Decoction) combined with Zishen Wan (Kidney-Nourishing Pill), adding Chuan Lian Zi (Fructus Toosendan), Zhi Zi (Gardenia Fruit), and Mu Tong (Akebia Stem). After two doses, a large amount of foul-smelling, sticky yellow fluid was discharged from the scrotum, urination gradually resumed, and the chills and fever subsided. Subsequently, he prescribed Zhibai Bawei Wan (Anemarrhena, Phellodendron and Eight-Ingredient Rehmannia Pill), removing Shan Yao (Dioscorea Rhizome) and Yu Rou (Cornus Fruit), and adding Zhi Zi, Chuan Lian Zi, Shao Yao (Peony Root), and Yi Yi Ren (Coix Seed), among others. Long-term consumption led to recovery.
The daughter-in-law of Jin Yuanzhang, after becoming a widow in the Jiawu year, contracted pustular eczema (nongkechuang), which is generally a disease of damp-heat. The surgeon Lian suspected it was a sequela of syphilis and treated it as a broad sore (syphilitic lesion), leading to progressive vomiting and diarrhea, and inability to eat. Treatment by an internal medicine physician also yielded no effect. By late spring, she developed abdominal pain and spontaneous sweating, irregular menstruation, and emaciation; all physicians who examined her turned away. Wang Zhongan recommended Wang Mengying to examine her. Wang said: "The Stomach Qi has been damaged by bitter-cold herbs, and Liver Yang has been fanned by acrid-hot herbs. Previously, every time yang-warming and rigid herbs were taken, dizziness and confusion occurred; slightly greasy tonics increased diarrhea. Thus, it was deemed incurable, which is perhaps too hasty abandonment. I will use Sijunzi Tang (Four Gentlemen Decoction) added with Zuojin Wan (Left Metal Pill), Chuan Jiao (Sichuan Pepper), Wu Mei (Mume Fruit), Lian Zi (Lotus Seed), Mu Gua (Chaenomeles Fruit), Yuliang Shi (Kaolin), and Shizhi (Red Halloysite), adjusting the formula according to changes. Recovery will take one hundred days." However, her pulse remained weak. Relatives and friends discussed: "If the menses are not unblocked, the disease will surely change." Wang Mengying strongly refuted this, stating this was not a case where unblocking the menses would cure the disease. Only by cultivating the source of bio-transformation (Qi and Blood generation), making Qi vigorous and Blood abundant, would circulation naturally become sufficient. If one does not investigate the root but treats the branch, it is like trying to press oil from husks; it only injures healthy Qi and ruins previous efforts, which is regrettable. The discussion ceased. Adhering strictly to the prescription, by mid-winter, her menses arrived, muscles became full, and she recovered completely.
Appendix: Mr. Wang stated: "Lian Zi (Lotus Seed) best tonifies Stomach Qi and calms deficiency-type rebellious Qi. If regurgitation (fanwei) is due to deficient Stomach Qi failing to receive and descend, it is caused by heat pathogens injuring the clear and harmonious Qi in the Stomach. It is most suitable to use Huang Lian (Coptis Rhizome) to drain heat with its bitterness, relying on Lian Zi's sweetness to calm the Stomach. Because Lian Zi is fragrant and pure without turbidity, its ability to calm the Stomach is superior. This is appended here for reference."