世人用不起人参者，党参可代。医家往往用洋参代，大错。党参即先朝之人参也。如今
力薄，无力吃参，党参加倍用之可也。（后有诸大仙制党参法，功比人参。）
有人得脾经之病，如水泻乃脾气不温，血痢乃过于燥热而成此症。水泻用白术一两，车
前
子五钱。二味煎汤立效。血痢不同，有腹痛不痛之分。痛者乃火热也，用归尾一两 黄连三
钱枳壳二钱 白芍一两 广木香二钱 甘草一钱 萝卜子二钱。用水煎服；不痛者乃寒也
，用白芍三钱 当归三钱 萝卜子一钱 枳壳一钱 槟榔一钱 甘草一钱。用水煎服。水泻
者，乃一时水气浸脾，用白术以利腰脐之气血，车前分消其水势，此正治之法也。
蓝大仙曰∶白术、车前利腰脐，消水气。然白术亦能健脾，健脾水自消，原不必借重车
前。
神耳
曹大仙曰∶血痢者，肝克脾土，虽因脾土之湿，又加暑热暗浸，瓜果内伤所致。终因肝
木火
而血
韩大仙曰∶血痢虽有痛不痛之分，其实皆火热而挟湿气也。论理二方俱可通治，而吕仙
分别
盖火邪
则火
李铁拐大仙曰∶按血痢，吕仙指为火邪挟湿，此乃壮实人之痢言之也。然内伤劳倦与中
气虚
干姜，
内伤
热汤
世人用不起人参的，可以用党参替代。医家往往用西洋参代替，这是大错特错的。党参就是前朝时期的人参。如今（党参）药力较薄，如果无力服用人参，加倍使用党参就可以了。（后面有各位大仙制作党参的方法，功效比肩人参。）
有人患上脾经的疾病，比如水样腹泻是因为脾气不温煦；血痢则是由于过于燥热而形成的病症。对于水样腹泻，使用白术一两，车前子五钱。这两味药煎汤服用，立刻见效。血痢则不同，有腹痛和不痛的区别。腹痛的是火热所致，使用当归尾一两、黄连三钱、枳壳二钱、白芍一两、广木香二钱、甘草一钱、萝卜子二钱。用水煎服；不痛的是寒邪所致，使用白芍三钱、当归三钱、萝卜子一钱、枳壳一钱、槟榔一钱、甘草一钱。用水煎服。水样腹泻，是一时的水气浸渍脾脏，使用白术来利腰脐部位的气血，用车前子分消其水势，这是正治的方法。
蓝大仙说：白术、车前子能利腰脐，消除水气。然而白术也能健脾，脾健则水自消，原本不必过分依赖车前子。
神耳曹大仙说：血痢，是肝木克制脾土，虽然因为脾土的湿气，又加上暑热暗中浸淫，以及瓜果内伤所导致。最终是因为肝木之火……（原文此处似有缺漏或断句问题，依文意理解为肝火影响血液）。
韩大仙说：血痢虽然有痛和不痛的区别，其实都是火热挟带湿气。按理说这两个方子都可以通用治疗，但吕祖分别指出……（原文此处似有缺漏，依文意理解为针对火邪的不同处理）。
李铁拐大仙说：按血痢来看，吕祖指为火邪挟湿，这是针对体质壮实之人的痢疾而言的。然而如果是内伤劳倦与中气虚弱……（原文此处似有缺漏，依文意理解为需加干姜等温补药物，针对内伤热汤等复杂情况）。
吕祖说：人有南北之分，区别在于体质的强弱。南方人的弱不及北方人的强，然而南方人也有比北方人强的，（若是）偏阴……（原文此处似有缺漏，依文意理解为偏阴体质宜用温补等法）。
果老说：是的。
For those who cannot afford to use Ren Shen (Ginseng Radix), Dang Shen (Codonopsis Radix) can be used as a substitute. Physicians often use Yang Shen (American Ginseng Radix et Rhizoma) as a substitute, which is a major error. Dang Shen is the Ren Shen of previous dynasties. Currently, its potency is weaker; if one lacks the strength to consume Ren Shen, doubling the dosage of Dang Shen is acceptable. (Later, various Great Immortals provided methods for processing Dang Shen, with efficacy comparable to Ren Shen.)
Some individuals suffer from diseases of the Spleen Meridian. For instance, watery diarrhea results from the warming deficiency of Spleen Qi, while bloody dysentery arises from excessive dryness and heat. For watery diarrhea, use Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 liang and Che Qian Zi (Plantaginis Semen) 5 qian. Decoct these two herbs in water; the effect will be immediate. Bloody dysentery is different, presenting with either abdominal pain or no pain. If painful, it is due to fire-heat; use Gui Wei (Angelicae Sinensis Radix tail), Huang Lian (Coptidis Rhizoma), Zhi Ke (Aurantii Fructus), Bai Shao (Paeoniae Radix Alba), Guang Mu Xiang (Costi Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), and Luo Bo Zi (Raphani Semen). Decoct in water and take orally. If painless, it is due to cold; use Bai Shao 3 qian, Dang Gui (Angelicae Sinensis Radix), Luo Bo Zi 1 qian, Zhi Ke 1 qian, Bing Lang (Arecae Semen), and Gan Cao 1 qian. Decoct in water and take orally. Watery diarrhea is caused by transient damp-water invading the Spleen. Bai Zhu is used to benefit the Qi and Blood of the waist and umbilicus, while Che Qian Zi helps to dissipate the water accumulation. This is the correct treatment method.
Blue Great Immortal said: Bai Zhu and Che Qian Zi benefit the waist and umbilicus and eliminate damp-water. However, Bai Zhu also strengthens the Spleen; when the Spleen is strong, water dissipates naturally, so there is originally no need to rely heavily on Che Qian Zi.
Shen'er Cao Great Immortal said: Bloody dysentery involves Liver Wood overcoming Spleen Earth. Although it stems from dampness in Spleen Earth, it is further aggravated by latent summer-heat infiltration and internal injury from melons and fruits. Ultimately, it is due to Liver Wood Fire affecting the blood.
Han Great Immortal said: Although bloody dysentery presents with differences between painful and painless types, essentially both are caused by fire-heat combined with dampness. Theoretically, both formulas could treat them generally, but Lü Zu distinguished them... [Text implies differentiation based on fire pathogen characteristics].
Li Tieguai Great Immortal said: Regarding bloody dysentery, Lü Zu identified it as fire-pathogen combined with dampness, which refers to dysentery in robust individuals. However, regarding internal injury from overwork and deficiency of Middle Qi... [Text implies the need for warming herbs like Gan Jiang (Zingiberis Rhizoma) for such cases].
Lü Zu said: People differ by North and South, distinguished by their constitution's strength. The weakness of Southerners does not reach the strength of Northerners, yet some Southerners are stronger than some Northerners. Those with Yin bias... [Text implies specific treatment principles for Yin-biased constitutions].
Guo Lao said: Correct.