论治膏粱宜补正气
天师曰∶富治者，治膏粱富贵之人也。身披重裘，口食肥甘，其腠理必疏，脾胃必弱。一旦感中邪
气，自当补正为先，不可以祛邪为急。若惟知推荡外邪，而不识急补正气，必至变生不测，每至丧亡，不
可不慎也。方用人参三钱，白术三钱，甘草一钱，陈皮五分，茯苓三钱，半夏五分，为君主之药。倘有风
邪，加入桂枝一钱，或柴胡一钱；伤暑，加入香薷一钱；伤湿，加入猪苓二钱；伤热，加入黄连一钱；
伤燥，加入苏子一钱、麦冬五钱；伤气，加入白芍五钱；伤寒，加入肉桂一钱，水煎服。此方之妙，妙在
健脾顺气，正补而邪自退。况又逐经各有加减妙法，使膏粱之子，永无屈死矣。此富贵之善治也。
张公曰∶富贵治法，已备极细微，不必再行加减。
论贫贱不可与富贵同治
天师曰∶贫治者，藜藿之民，单寒之子，不可与富贵同为治法，故更立一门。盖贫贱之人，其筋骨
过劳，腠理必密，所食者粗 ，无燔熬烹炙之味入于肠胃，则胃气健刚
可知。若亦以富贵治法治之，未必相宜也，方用白术二钱，茯苓三钱，白芍三钱，甘草一钱，半夏一钱，
陈皮五分，浓朴五分，共七味为主。有风者，加桂枝一钱，或柴胡一钱；有火者，加黄连一钱，或栀子一
钱∶有湿者，加猪苓二钱；有燥者，加麦冬五钱，苏叶一钱；有寒者，加肉桂一钱；有暑者，加香薷一
钱，有热者，加石膏一钱；伤米食者，加麦芽二钱；伤肉食者，加山楂二十粒；伤面食者，加萝卜子一
钱。以此方加减，无不神效。此贫贱治法，实有圆机，赖世医审之。
张公曰∶贫贱治亦同，实无可传，非好隐也。
【论治膏粱宜补正气】
天师说：所谓“富治”，是指治疗那些生活优渥、饮食肥甘的富贵之人。他们身穿厚重的皮裘，口食油腻甘甜的食物，因此他们的腠理（皮肤毛孔及纹理）必然疏松，脾胃功能必然虚弱。一旦感受了邪气，应当以补益正气为优先，不能急于祛除邪气。如果只知道推荡驱逐外邪，而不识得紧急补益正气，必然会导致病情发生不可预测的变化，甚至导致死亡，这是必须谨慎对待的。方剂用人参三钱，白术三钱，甘草一钱，陈皮五分，茯苓三钱，半夏五分，作为君药和臣药（主药）。如果有风邪侵袭，加入桂枝一钱，或者柴胡一钱；如果是伤暑，加入香薷一钱；如果是伤湿，加入猪苓二钱；如果是伤热，加入黄连一钱；如果是伤燥，加入苏子一钱、麦冬五钱；如果是伤气，加入白芍五钱；如果是伤寒，加入肉桂一钱，用水煎服。这个方子的妙处，妙在健脾顺气，正气得到补益而邪气自然退去。况且又针对各条经络各有加减的巧妙方法，使得这些富贵子弟，永远不会有因误治而屈死的情况。这是对待富贵之人的妥善治疗方法。
张公说：富贵之人的治法，已经详尽细致到了极点，不需要再进行额外的加减。
【论贫贱不可与富贵同治】
天师说：所谓“贫治”，是指对待吃粗粮、受冻挨饿的贫贱百姓，不能与富贵之人采用同样的治疗方法，所以单独设立一个门类。大概因为贫贱之人，筋骨过度劳累，腠理必然致密，所吃的食物粗糙，没有经过烧烤烹炸等厚重滋腻的味道进入肠胃，那么胃气的健强刚劲就可以知道了。如果也用治疗富贵之人的方法来治疗他们，未必适宜。方剂用白术二钱，茯苓三钱，白芍三钱，甘草一钱，半夏一钱，陈皮五分，浓朴五分，共七味药作为主药。有风邪的，加桂枝一钱，或者柴胡一钱；有火邪的，加黄连一钱，或者栀子一钱；有湿邪的，加猪苓二钱；有燥邪的，加麦冬五钱，苏叶一钱；有寒邪的，加肉桂一钱；有暑邪的，加香薷一钱；有热邪的，加石膏一钱；伤米食的，加麦芽二钱；伤肉食的，加山楂二十粒；伤面食食的，加萝卜子一钱。用这个方子进行加减，没有不神效的。这是对待贫贱之人的治法，确实具有圆通机变之妙，希望世间的医生审慎考察。
张公说：贫贱之人的治法其实与富贵相同，实在没有什么可传授的，并非故意隐瞒。
[On the Principle of Tonifying Righteous Qi When Treating Those Who Consume Rich Foods]
The Heavenly Master said: "Rich treatment" refers to treating those who live in luxury and consume rich, fatty, and sweet foods. They wear heavy furs and eat greasy, sweet delicacies; consequently, their Couli (skin pores and interstices) are necessarily loose, and their Spleen and Stomach functions are necessarily weak. Once they contract pathogenic factors, the priority must be to tonify Righteous Qi (Zheng Qi, the body's vital energy and resistance), rather than urgently expelling pathogens. If one only knows how to push away external pathogens without recognizing the urgency of tonifying Righteous Qi, it will inevitably lead to unpredictable changes in the condition, often resulting in death. This must be handled with caution. The prescription uses Ren Shen (Ginseng Radix) 3 qian, Bai Zhu (Atractylodis Rhizoma) 3 qian, Gan Cao (Licorice Root) 1 qian, Chen Pi (Citri Reticulatae Pericarpium) 5 fen, Fu Ling (Poria) 3 qian, and Ban Xia (Pinelliae Rhizoma) 5 fen as the principal drugs (Jun-Chen herbs). If Wind pathogen is present, add Gui Zhi (Cinnamomi Ramulus) 1 qian, or Chai Hu (Bupleuri Radix) 1 qian; if Summerheat injury occurs, add Xiang Ru (Moslae Herba) 1 qian; if Dampness injury occurs, add Zhu Ling (Polyporus) 2 qian; if Heat injury occurs, add Huang Lian (Coptidis Rhizoma) 1 qian; if Dryness injury occurs, add Su Zi (Perillae Fructus) 1 qian and Mai Dong (Ophiopogonis Radix) 5 qian; if Qi injury occurs, add Bai Shao (Paeoniae Radix Alba) 5 qian; if Cold injury occurs, add Rou Gui (Cinnamomi Cortex) 1 qian. Decoct in water and take orally. The brilliance of this formula lies in strengthening the Spleen and smoothing Qi; when Righteous Qi is tonified, pathogens recede naturally. Moreover, there are ingenious methods for modification according to each meridian, ensuring that these children of wealth never die unjustly due to misdiagnosis. This is the proper treatment for the wealthy.
Master Zhang said: The treatment method for the wealthy is already extremely detailed and refined; no further modifications are necessary.
[On the Inappropriateness of Treating the Poor and Lowly in the Same Manner as the Wealthy]
The Heavenly Master said: "Poor treatment" refers to the common people who eat coarse food and suffer from cold and poverty. They cannot be treated using the same methods as the wealthy; therefore, a separate category is established. Generally speaking, the poor and lowly suffer excessive physical labor, so their Couli are necessarily dense. Their diet consists of coarse grains, lacking the flavors of roasting, frying, and grilling that enter the stomach and intestines; thus, their Stomach Qi can be known to be robust and strong. If one were to use the treatment methods for the wealthy on them, it would likely be inappropriate. The prescription uses Bai Zhu (Atractylodis Rhizoma) 2 qian, Fu Ling (Poria) 3 qian, Bai Shao (Paeoniae Radix Alba) 3 qian, Gan Cao (Licorice Root) 1 qian, Ban Xia (Pinelliae Rhizoma) 1 qian, Chen Pi (Citri Reticulatae Pericarpium) 5 fen, and Hou Po (Magnoliae Officinalis Cortex) 5 fen, totaling seven ingredients as the main drugs. If Wind is present, add Gui Zhi (Cinnamomi Ramulus) 1 qian, or Chai Hu (Bupleuri Radix) 1 qian; if Fire is present, add Huang Lian (Coptidis Rhizoma) 1 qian, or Zhi Zi (Gardeniae Fructus) 1 qian; if Dampness is present, add Zhu Ling (Polyporus) 2 qian; if Dryness is present, add Mai Dong (Ophiopogonis Radix) 5 qian and Su Ye (Perillae Folium) 1 qian; if Cold is present, add Rou Gui (Cinnamomi Cortex) 1 qian; if Summerheat is present, add Xiang Ru (Moslae Herba) 1 qian; if Heat is present, add Shi Gao (Gypsum Fibrosum) 1 qian; if injured by rice food, add Mai Ya (Hordei Fructus Germinatus) 2 qian; if injured by meat food, add Shan Zha (Crataegi Fructus) 20 pills; if injured by wheat/noodle food, add Luo Bo Zi (Raphani Semen) 1 qian. By modifying this formula, miraculous effects are invariably achieved. This treatment method for the poor and lowly possesses true flexibility and ingenuity; I rely on physicians of the world to examine it carefully.
Master Zhang said: The treatment for the poor and lowly is essentially the same; there is truly nothing more to transmit. It is not out of a desire to conceal knowledge.