冯媪，患左目胞起瘰，继而痛及眉棱、额角、巅顶脑后，筋掣难忍。医投风药，其势孔亟。孟英诊脉，弦劲，舌
绛不饥。予∶固本丸合二至丸加桑（叶）、菊（花）、犀（角）、羚（羊角）、玄参、牡蛎、鳖甲、白芍、知
母、石斛、丹皮、细茶等，出入互用，匝月始愈。
一男子，患喉痹，专科治之甫愈，而通身肿势日增，医者惊走。孟英诊之曰∶病药（病药∶谓病由误药所致）
也。投附子理中汤，数剂而愈。予谓喉痹治以寒凉，法原不谬，而药过于病，翻成温补之症，是病于药也。尝
闻孟英云∶病于病而死者十之三，病于药而死者，十之七，以余观之诚非激论也。吁！可叹矣。
潘馥堂令嫒，患感。沈悦亭治之渐愈，惟咽阻无形，
水谷碍下。孟英以竹叶石膏汤加紫菀、白前、旋复、枇杷叶以清肺热而降肺气。果即贴然。
许安卿，患咽痛，疡科黄秀元，连予升散之药，延及龈肿，牙关不开，舌不出齿，自汗脉涩，绝谷濒危。孟
英往勘，即令洗去满颈敷药。以菊叶捣涂，吹以锡类散，煎∶犀（角） 羚（羊角） 射干 马勃 栀（子） 贝
（母） 山豆根等药，灌之，数日而痊。
沈春 之母，偶患咽喉微痛，服轻药一剂，即觉稍安，且起居作劳如常。第五日犹操针黹
至四鼓；第六日，忽云坐立不支，甫就榻，即昏沉如寐。亟延王瘦石视之，用犀角地黄汤化万氏牛黄丸灌之，继邀
徐小波（诊），亦主是汤。云∶恐无济，乃邀孟英决之。切其脉，左数右滑皆极虚软。曰∶王、徐所见极是。但
虽感冬温，邪尚轻微，因积劳久虚之体，肝阳内动，灼液成痰，逆升而厥，俨似温邪内陷之候。方中犀角靖内风，
牛黄化痰，不妨借用，病可无虞，今日不必再投药饵矣。
翌日复诊，神气虽清，苔色将黑。孟英予∶肃肺蠲痰，熄风充液之剂，热退而苔色松浮。孟英曰∶舌将蜕矣。仍
予前药。
越宿视之，苔果尽褪，宛如脱液之舌，且呕恶时作，大解未行。孟英于甘润生津药内，乃佐竹茹、竹沥、柿蒂、
海蜇，数剂。呕止便行，而舌上忽布白腐之苔，及齿龈唇颊满口遍生，揩拭不去，人皆异之。孟英坚守整肃肺胃，
仍佐（竹）茹、（竹）沥，加橄榄、银花、建兰叶，数剂，白腐渐以脱下，舌色始露，惟啜粥则胸次梗梗不舒，夜
不成寐。孟英曰∶胃汁不充，热痰未净也。仍守前议。病家疑之，复商于瘦石，瘦石云∶勿论其他，即如满口腐苔，
酷似小儿“鹅白”（即鹅口疮），大方证甚属罕见，苟胸无学识者见之，必按剑而诧，今医者有不惑之智，而病家
乃中道生疑，岂求愈之道焉？沈大愧服，一遵孟英设法。既而吐痰渐少，纳谷颇适，两胁又添辣痛。孟英诊脉，左
关弦数，曰∶必犯忿怒矣。诘之果然。加（山）栀、（川）楝、旱莲、女贞、生白芍、绿
萼梅等，数服，各恙皆减，肤蜕如片，而右腿肿痛，不能
屈伸。或疑风气，思用艾灸，孟英急止之曰∶此阴亏耳，误灸必成废疾。吾以妙药奉赠，但不许速效也。疏方以∶
西洋参 熟地 苁蓉 桑椹 石斛 木瓜 （当）归 （白）芍 “二冬” 杞（子） 菊（花） 楝实 牛
膝无核白葡萄干为剂，久服果得向愈。越三载，以他疾终。
冯家老妇人，患有左侧眼睑长出瘰疬样肿块，随后疼痛蔓延至眉棱骨、额角、头顶及脑后，筋脉拘挛难以忍受。医生投用祛风药物，病情变得非常危急。王孟英诊察脉搏，呈弦而劲急之象，舌质红绛且无饥饿感。给予固本丸合二至丸，加入桑叶、菊花、犀角、羚羊角、玄参、牡蛎、鳖甲、白芍、知母、石斛、丹皮、细茶等药，交替使用，经过一个月才痊愈。
一名男子，患喉痹（咽喉肿痛闭塞），专科医生治疗刚愈，但全身肿胀日益加重，其他医生惊恐离去。王孟英诊治后说：这是“病于药”（即疾病由误治用药所致）。投用附子理中汤，服用数剂后痊愈。我认为喉痹用寒凉药物治疗，方法原本没有错误，但药力超过了病情需要，反而变成了需要温补的证候，这就是因药致病。曾听王孟英说：因病而死的人占十分之三，因误药而死的人占十分之七，从我观察来看，这确实不是偏激之论。唉！真是令人感叹啊。
潘馥堂先生的女儿，患外感病。沈悦亭治疗逐渐好转，唯独咽喉有阻塞感，水谷难以下咽。王孟英用竹叶石膏汤加紫菀、白前、旋覆花、枇杷叶，以清肺热并降肺气。果然立刻感到舒适。
许安卿，患咽痛，疡科医生黄秀元连续给他使用升散类药物，导致牙龈肿胀，牙关紧闭，舌头伸不出牙齿，自汗出，脉涩，绝食濒危。王孟英前往查看，立即让人洗去满颈涂抹的药物。用菊叶捣烂外涂，吹入锡类散，煎服犀角、羚羊角、射干、马勃、栀子、贝母、山豆根等药，灌服后，数日痊愈。
沈春的母亲，偶然患咽喉微痛，服用轻清药物一剂，觉得稍安，且起居劳作如常。第五天还在做针线活到深夜四更；第六天，突然说坐立支撑不住，刚躺上床榻，就昏沉如睡。急忙请王瘦石诊治，用犀角地黄汤化开万氏牛黄丸灌服，接着邀请徐小波会诊，也主张用此方。徐小波说：恐怕无济于事，于是请王孟英决断。切其脉，左脉数疾右脉滑利但都极虚软。王孟英说：王、徐两位医生的见解非常正确。但这虽然是感受冬温邪气，邪气尚轻微，因为患者是积劳久虚的体质，肝阳内动，灼伤津液成痰，逆升而上厥，俨然像是温邪内陷的征候。方中犀角能平息内风，牛黄能化痰，不妨借用，病情可以无忧，今天不必再投药饵了。
第二天复诊，神气虽然清醒，舌苔颜色将要变黑。王孟英给予肃肺蠲痰、熄风充液的药剂，热退而舌苔颜色松浮。王孟英说：舌苔将要脱落了。仍然给予前面的药物。
过了一夜再看，舌苔果然全部褪去，宛如脱液之舌，且呕吐恶心时常发作，大便未行。王孟英在甘润生津的药内，佐以竹茹、竹沥、柿蒂、海蜇，服用数剂。呕吐停止，大便通畅，但舌上忽然布满白色腐腻之苔，以及齿龈唇颊满口遍生，揩拭不去，人们都对此感到奇异。王孟英坚守整肃肺胃的原则，仍佐以竹茹、竹沥，加橄榄、银花、建兰叶，数剂后，白腐逐渐脱下，舌色始露，只是喝粥则胸中梗塞不舒，夜间不能入睡。王孟英说：胃汁不充足，热痰未清除干净。仍然坚持前面的方案。病人家属怀疑，又咨询王瘦石，王瘦石说：不论其他，就像这满口腐苔，酷似小儿“鹅白”（即鹅口疮），大方证甚属罕见，如果胸无学识者见到，必定按剑惊呼，现在的医生有不惑的智慧，但病人家属却中途产生怀疑，这难道是求愈之道吗？沈大愧服，完全遵照王孟英的方法。不久吐痰渐少，进食颇适，两胁又添辣痛。王孟英诊脉，左关脉弦数，说：一定是犯了愤怒了。询问后果然如此。加栀子、川楝子、旱莲草、女贞子、生白芍、绿萼梅等，服用数剂，各种病症皆减，皮肤蜕皮如片状，但右腿肿痛，不能屈伸。有人怀疑是风气，想用艾灸，王孟英急忙制止说：这是阴亏耳，误灸必成废疾。我赠送妙药给你，但不许追求速效。处方为：西洋参、熟地、肉苁蓉、桑椹、石斛、木瓜、当归、白芍、“二冬”（天冬、麦冬）、枸杞子、菊花、楝实、牛膝，无核白葡萄干为引，久服果然趋向痊愈。三年后，因其他疾病去世。
Madam Feng suffered from a scrofula-like nodule on the left eyelid, which subsequently caused pain extending to the brow ridge, temple, vertex, and back of the head, with unbearable tendon spasms. Physicians administered wind-dispelling herbs, and the condition became critical. Wang Mengying examined the pulse, finding it wiry and forceful; the tongue was crimson, and the patient felt no hunger. He prescribed Gu Ben Wan (Solidify the Root Pill) combined with Er Zhi Wan (Two Solstices Pill), supplemented with Mulberry Leaf (Morus albae Folium), Chrysanthemum Flower (Chrysanthemi Flos), Rhinoceros Horn (Rhinocerotis Cornu), Antelope Horn (Antilopis Cornu), Scrophulariae Radix (Scrophulariae Radix), Ostreae Concha (Ostreae Concha), Trionycis Carapax et Plastrum (Trionycis Carapax et Plastrum), White Peony Root (Paeoniae Radix Alba), Anemarrhenae Rhizoma (Anemarrhenae Rhizoma), Dendrobii Caulis (Dendrobii Caulis), Moutan Cortex (Moutan Cortex), and fine tea, alternating their use. The patient recovered after one month.
A man suffered from Hou Bi (sore throat with swelling and obstruction). After specialist treatment had just cured him, his whole body began to swell progressively. Other physicians fled in alarm. Wang Mengying diagnosed: "This is 'illness caused by medicine' (disease resulting from erroneous medication)." He prescribed Fu Zi Li Zhong Tang (Aconite Decoction to Regulate the Middle), and the patient recovered after several doses. I believe that treating Hou Bi with cold-natured herbs is not inherently wrong, but when the medicinal strength exceeds the pathology, it can transform into a pattern requiring warm-tonification, thus causing illness through medication. I once heard Wang Mengying say: "Three out of ten deaths are due to the disease itself, while seven out of ten are due to medication errors." From my observation, this is indeed not an exaggerated statement. Alas! It is truly lamentable.
Miss Pan Futang contracted an exogenous pathogen. Shen Yueting’s treatment gradually improved her condition, except for a sensation of formless obstruction in the throat, making swallowing water and food difficult. Wang Mengying used Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction) added with Aster Root (Asteris Radix), Cynanchum Root (Cynanchi Atrati Radix), Inula Flower (Inulae Flos), and Loquat Leaf (Eriobotryae Folium) to clear lung heat and descend lung qi. She immediately felt relief.
Xu Anqing suffered from sore throat. Surgeon Huang Xiuyuan continuously administered ascending and dispersing herbs, leading to swollen gums, trismus (lockjaw), inability to protrude the tongue beyond the teeth, spontaneous sweating, a choppy pulse, refusal of food, and a critical state. Wang Mengying examined the case, ordered the removal of all plaster applied to the neck, and applied crushed chrysanthemum leaves externally. He also blew Xi Lei San (Xi Lei Powder) into the mouth and prepared a decoction of Rhinoceros Horn, Antelope Horn, Belamcanda Rhizome (Belamcandae Rhizoma), Moth Flower (Leucadendri Flos), Gardenia Fruit (Gardeniae Fructus), Fritillaria Bulb (Fritillariae Bulbus), and Sophora Root (Sophorae Flavescentis Radix). After administration, he recovered in a few days.
Mrs. Shen Chun occasionally suffered from slight sore throat. After one dose of mild herbs, she felt slightly relieved and resumed normal daily activities and labor. On the fifth day, she continued needlework until the fourth watch of the night. On the sixth day, she suddenly complained of inability to sit or stand upright. As soon as she lay down, she fell into a coma-like sleep. Physician Wang Shoushi was urgently summoned and administered Xi Jiao Di Huang Tang (Rhino-horn and Rehmannia Decoction) mixed with Wan Shi Niu Huang Wan (Wan’s Calculus Bovis Pill). Dr. Xu Xiaobo was then invited for consultation and also advocated this formula. Xu stated: "It may be ineffective," so they invited Wang Mengying for a final decision. His pulse was rapid on the left and slippery on the right, both extremely deficient and soft. Wang said: "The views of Drs. Wang and Xu are correct. Although this is a contraction of Winter-Warmth pathogen, the evil is still mild. However, due to the patient's constitution of chronic fatigue and long-term deficiency, Liver Yang moves internally, scorching fluids into phlegm, which rises counterflow and causes jue (reversal). This resembles the presentation of Warm-Evil sinking inward. Rhinoceros Horn in the formula calms internal wind, and Calculus Bovis resolves phlegm; borrowing them is acceptable. The condition is safe. No further medication is needed today."
On the second-day follow-up, although mental clarity returned, the tongue coating was turning black. Wang Mengying prescribed herbs to purify the lungs, eliminate phlegm, extinguish wind, and replenish fluids. The fever subsided, and the tongue coating became loose and floating. Wang said: "The tongue coating will shed." He continued the previous prescription.
Overnight, the coating indeed completely shed, leaving a tongue resembling fluid depletion. Vomiting and nausea occurred intermittently, and defecation had not taken place. Wang Mengying added Bamboo Rament (Zhu Ru), Bamboo Sap (Zhu Li), Persimmon Calyx (Kaki Calyx), and Jellyfish (Rhodostomae Medusa) to sweet-moistening and fluid-generating herbs. After several doses, vomiting stopped, bowel movements resumed, but white, putrid coating suddenly appeared on the tongue, covering the gums, lips, cheeks, and entire mouth, unable to be scraped off. People were astonished. Wang Mengying adhered to the principle of regulating the Lung and Stomach, continuing to add Bamboo Rament and Bamboo Sap, along with Olive (Olivae Fructus), Honeysuckle Flower (Lonicerae Japonicae Flos), and Jian Lan Ye (Orchid Leaf). After several doses, the white putrid coating gradually shed, revealing the tongue color. However, drinking congee caused chest stuffiness and discomfort, and insomnia persisted at night. Wang said: "Stomach juice is insufficient, and hot phlegm remains. We must stick to the previous plan." The family doubted this and consulted Wang Shoushi again. Wang Shoushi said: "Regardless of other factors, this full-mouth putrid coating closely resembles infant 'Goose White' (Thrush/Oral Candidiasis). Such presentations are rare in adult formulas. If a physician without knowledge saw this, they would surely panic. Our physician possesses discernment, yet the patient's family doubts midway. Is this the way to seek recovery?" Shen Da Kui accepted this fully and followed Wang Mengying’s method. Soon, expectoration decreased, appetite improved, but burning pain appeared in both hypochondria. Wang’s pulse showed a wiry and rapid character at the left Guan position. He said: "There must have been anger." Upon inquiry, this was confirmed. He added Gardenia Fruit, Melia Toosendan Fruit (Meliae Fructus), Eclipta Herb (Ecliptae Herba), Ligustrum Fruit (Ligustri Lucidi Fructus), Raw White Peony Root, and Green Calyx Plum (Prunus mume flos). After several doses, all symptoms diminished, skin peeled in sheets, but right leg swelling and pain prevented flexion and extension. Some suspected wind-dampness and suggested moxibustion. Wang Mengying urgently stopped them: "This is Yin deficiency. Erroneous moxibustion will lead to disability. I offer you excellent medicine, but do not expect quick results." The prescription included American Ginseng (Panacis Quinquefolii Radix), Prepared Rehmannia Root (Rehmanniae Radix Praeparata), Cistanche Stem (Cistanches Herba), Mulberry Fruit (Mori Fructus), Dendrobium Stem, Quince (Chaenomelis Fructus), Angelica Root (Angelicae Sinensis Radix), White Peony Root, "Er Dong" (Asparagi Radix and Ophiopogonis Radix), Goji Berry (Lycii Fructus), Chrysanthemum Flower, Melia Fruit, Achyranthes Root (Achyranthis Bidentatae Radix), using seedless white raisins as a guide. Long-term consumption led to gradual recovery. Three years later, the patient passed away due to another illness.