论少年人宜治脾胃
天师曰∶少年人血气方刚，不可动用补血，必看其强弱如何，而后因病下药，自然无差。方用浓
朴一钱；茯苓三钱，陈皮一钱，甘草一钱，半夏一钱，砂仁三粒，车前子一钱。此方为主，而逐症加减，
自易奏功。畏寒者，伤寒也，加桂枝一钱；畏风者，伤风也，加柴胡一钱；畏食者，伤食也，加麦芽三
钱、山楂三十粒；伤酒者，加干葛一钱∶畏湿者，伤湿也，加茯苓、泽泻各一钱；恶热者，伤热也，
加石膏一钱；畏暑者，伤暑也，加香薷一钱；痰多者，加半夏一钱，天花粉一钱，余可照症加之。此治
少年之方法，亦非无意。盖管其脾胃，则诸药虽加而不伤胃气，故易奏功，人不可易视之也。
张公曰∶少治法亦妥妙，不必再为加减。
论补中益气汤
天师曰∶东南治者，东方之人与南方之人同治也。东南俱系向明之地，腠理疏泄，气虚者多，且
天分甚薄，不比西北之人刚劲。若照西北人治法治之，立见危殆矣。人用人参一钱，白术二钱，当归一钱
五分，黄 三钱。紫胡一钱，升麻五分，陈皮五分，甘草一钱，此补中益气汤也。以此方出入加减，无
有不妙。加减法，照老少贫富治法用之。
张公曰，东南治法，以补中益气汤加减，俱得其妙，不必再言。
天师曰∶西北人赋质既坚，体亦甚壮，冷水冷饭，不时
常用，始觉快然，一用热剂，便觉口鼻双目火出。故治法与东南人迥别，方用黄连五分，黄芩一钱，
栀子一钱，陈皮一钱，枳壳一钱，浓朴一钱，甘草一钱，麦芽二钱，水煎服。有食，加山楂三十粒；伤
食，加大黄一钱；有痰，加天花粉三钱；伤风，加柴胡二钱；伤暑，加香薷三钱∶伤热，加石膏五钱；
怒气伤肝，加白芍五钱。余俱照病加减可也。此治西北人又如此，因其强而多用消导之品也。
张公曰∶西北治法，尚可斟酌。倘健者，可加大黄一钱。
华君曰∶无。
论少年人宜治脾胃
天师说：年轻人血气正旺盛，不可随意使用补血药物，必须观察其体质的强弱情况，然后针对疾病用药，这样自然不会有差错。方剂用厚朴一钱；茯苓三钱，陈皮一钱，甘草一钱，半夏一钱，砂仁三粒，车前子一钱。以此方为基础，根据具体症状进行加减，自然容易见效。怕冷的，是伤寒（外感寒邪），加桂枝一钱；怕风的，是伤风（外感风邪），加柴胡一钱；怕吃东西的，是伤食（饮食积滞），加麦芽三钱、山楂三十粒；饮酒过度的，加干葛一钱；怕湿气的，是伤湿（外感湿邪），加茯苓、泽泻各一钱；厌恶热感的，是伤热（外感热邪），加石膏一钱；怕暑气的，是伤暑（外感暑邪），加香薷一钱；痰多的，加半夏一钱，天花粉一钱，其余症状可参照此法加减。这是治疗年轻人的方法，并非没有深意。因为调理了脾胃，那么虽然增加了其他药物也不会损伤胃气，所以容易见效，人们不可轻视它。
天师说：东南地区的治疗，是指东方人与南方人采用相同的治疗方法。东南地区都属于向阳之地，腠理（皮肤毛孔及纹理）疏松易泄，气虚的人较多，而且先天禀赋很薄弱，不像西北之人刚劲有力。如果按照治疗西北人的方法来治疗，立刻就会见到危险。方用人参一钱，白术二钱，当归一钱五分，黄芪三钱。柴胡一钱，升麻五分，陈皮五分，甘草一钱，这就是补中益气汤。以此方为基础出入加减，没有不妙的。加减方法，参照老人、小孩、贫穷和富裕人群的治疗方法使用。
张公说：东南地区的治疗，以补中益气汤加减，都得其精妙之处，不必再多言。
天师说：西北人天赋体质既坚固，身体也很强壮，冷水冷饭不时常用，才觉得痛快，一旦使用热性药剂，便觉得口鼻双目如火冒出。所以治疗方法与东南人截然不同，方剂用黄连五分，黄芩一钱，栀子一钱，陈皮一钱，枳壳一钱，厚朴一钱，甘草一钱，麦芽二钱，水煎服。有食物积滞，加山楂三十粒；伤食，加大黄一钱；有痰，加天花粉三钱；伤风，加柴胡二钱；伤暑，加香薷三钱；伤热，加石膏五钱；怒气伤肝，加白芍五钱。其余都根据病情加减即可。这是治疗西北人的方法，也是因为他们身体强健而多用消导（消化导滞）的药物。
张公说：西北地区的治法，还可以斟酌。如果是健康强壮者，可以加大黄一钱。
华君说：无。
On the Treatment of the Spleen and Stomach in Young People
The Heavenly Master said: "Young people have vigorous blood and qi. One should not arbitrarily employ blood-nourishing methods. One must first observe their physical strength and weakness, and then prescribe medication according to the disease; this will naturally ensure accuracy without error. The prescription consists of Magnoliae Officinalis Cortex (Houpo) 1 qian; Poria (Fuling) 3 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Glycyrrhizae Radix et Rhizoma (Gancao) 1 qian, Pinelliae Rhizoma Preparatum (Banxia) 1 qian, Amomi Fructus (Sharen) 3 grains, and Plantaginis Semen (Cheqianzi) 1 qian. This formula serves as the base, and modifications are made according to specific symptoms, which naturally leads to efficacy. For those sensitive to cold, it is Taiyang Cold Damage (Shanghan); add Cinnamon Twig (Guizhi) 1 qian. For those sensitive to wind, it is Wind-Cold Attack (Shangfeng); add Bupleuri Radix (Chaihu) 1 qian. For those averse to eating, it is Food Retention (Shangshi); add Hordei Fructus Germinatus (Maiya) 3 qian and Crataegi Fructus (Shanzha) 30 grains. For alcohol injury, add Kudzu Root (Gegen) 1 qian. For sensitivity to dampness, it is Dampness Injury (Shangshi); add Poria (Fuling) and Alismatis Rhizoma (Zexie), each 1 qian. For aversion to heat, it is Heat Injury (Shangre); add Gypsum Fibrosum (Shigao) 1 qian. For sensitivity to summerheat, it is Summerheat Injury (Shangshu); add Elsholtziae Herba (Xiangru) 1 qian. For excessive phlegm, add Pinelliae Rhizoma Preparatum (Banxia) 1 qian and Trichosanthis Radix (Tianhuafen) 1 qian; other symptoms can be added accordingly. This is the method for treating young people, and it is not without profound meaning. By regulating the Spleen and Stomach, even if other herbs are added, the Stomach Qi will not be damaged, thus ensuring efficacy. One must not underestimate this."
Lord Zhang said: "The treatment method for young people is sound and exquisite; no further modifications are necessary."
On Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction)
The Heavenly Master said: "Treatment in the Southeast refers to treating people from the East and South using the same approach. The Southeast regions are all bright and sunny areas where the Cou Li (skin pores and interstices) are loose and prone to leakage, leading to frequent Qi deficiency. Moreover, their innate constitution is quite thin and weak, unlike the robust nature of people in the Northwest. If one treats them using the methods for Northwest people, danger will arise immediately. The prescription uses Ginseng Radix (Renshen) 1 qian, Atractylodis Macrocephalae Rhizoma (Baizhu) 2 qian, Angelicae Sinensis Radix (Danggui) 1.5 qian, Astragali Membranacei Radix (Huangqi) 3 qian, Bupleuri Radix (Chaihu) 1 qian, Cimicifugae Rhizoma (Shengma) 0.5 qian, Citri Reticulatae Pericarpium (Chenpi) 0.5 qian, and Glycyrrhizae Radix et Rhizoma (Gancao) 1 qian. This is Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). Modifications to this formula yield excellent results. The modification methods follow the treatment principles for the elderly, the young, the poor, and the rich."
Lord Zhang said: "For treatment in the Southeast, modifying Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) captures the essence perfectly; no further words are needed."
The Heavenly Master said: "People in the Northwest possess firm constitutions and robust bodies. They frequently consume cold water and cold rice, feeling refreshed only then; if hot-natured medicines are used, they feel as if fire is erupting from their mouths, noses, and eyes. Therefore, the treatment method is completely different from that for people in the Southeast. The prescription uses Coptidis Rhizoma (Huanglian) 0.5 qian, Scutellariae Radix (Huangqin) 1 qian, Gardeniae Fructus (Zhizi) 1 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Aurantii Fructus Immaturus (Zhiqiao) 1 qian, Magnoliae Officinalis Cortex (Houpo) 1 qian, Glycyrrhizae Radix et Rhizoma (Gancao) 1 qian, and Hordei Fructus Germinatus (Maiya) 2 qian, decocted in water. For food stagnation, add Crataegi Fructus (Shanzha) 30 grains; for food injury, add Rheum Palmatum (Dahuang) 1 qian; for phlegm, add Trichosanthis Radix (Tianhuafen) 3 qian; for wind-cold attack, add Bupleuri Radix (Chaihu) 2 qian; for summerheat injury, add Elsholtziae Herba (Xiangru) 3 qian; for heat injury, add Gypsum Fibrosum (Shigao) 5 qian; for Liver injury due to anger, add Paeoniae Radix Alba (Baishao) 5 qian. All other cases should be modified according to the disease. This is how people in the Northwest are treated; because they are strong, more resolving and guiding agents are used."
Lord Zhang said: "The treatment method for the Northwest can still be deliberated. For robust individuals, Rheum Palmatum (Dahuang) 1 qian may be added."
Lord Hua said: "None."