有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或 ，四时五脏，病随五味所宜也。
（用五味而调五脏，配肝以甘、心以酸、脾以咸、肺以苦、肾以辛，各随其宜，欲缓、欲收、欲 、欲泄、欲散、
欲坚而为用，非以相生相养而为义也。按∶此前王本有“辛散酸收甘缓苦坚咸 ”十字，而此一段，王本又刻
在篇末。详察字义，前十字已具于此段内，因去之，移此段补之，庶几上下文义不致参错云。）
毒药攻邪，（辟邪安正，唯毒乃能，以其能然，故通谓之毒药也。按，邪者不正之气，所以害人正气者也。
欲扶正不得不攻邪，是非毒药不可。然所谓毒药者，非必如野狼毒、人言也。凡气味俱重，质性驶利，足以辟除
邪气者，皆是也。新校正单指下药，偏矣。）五谷为养，（按∶凡药性皆偏，所以扶正气之不逮也。若五谷之
性味和平，充胃补脾，化生气血，人之性命实资之为养也。）五果为助，（按∶助者辅正之称，所以补五谷之
不足也。）五畜为益，（按∶精血不充，非草木之
类所能益，是必血气之属以补之，经曰“精不足者补之以味”是也。）五菜为充，（按，充者，盈其量而实
之也。菜质粗 ，易食易消，用以充塞虚肠而已。）气味合而服之，以补精益气。（气为阳化，味为阴施，气
味和合，则补益精气矣。）
辛、酸、甘、苦、咸五味，各自有其特定的功效，有的能发散，有的能收敛，有的能缓和，有的能急迫（注：此处原文缺字，据上下文及王冰注本补为“软”或“坚”，结合后文“欲坚”及常规五味理论，通常指咸能软坚，但此处语境为“或...或...”，对应前文五味特性。根据姚止庵按语中提到的“辛散酸收甘缓苦坚咸濡/软”，以及后文“欲坚而为用”，此处原文缺失的字极大概率为“软”或“濡”，但在翻译时我将依据通行的五味功能逻辑进行意译补充说明，或者保留空缺并解释。鉴于要求不增添内容，且原文确实缺字，我将译为“有的能...”，并在括号内注明原文缺失），这四种（或五种）作用与四季五脏相关，疾病的治疗应遵循五味各自的适宜性。
（运用五味来调理五脏，配伍原则是：肝宜甘，心宜酸，脾宜咸，肺宜苦，肾宜辛，各随其适宜之性。目的是为了使脏腑之气达到舒缓、收敛、柔软（原文缺）、泄利、发散、坚固等状态以发挥治疗作用，而不是依据五行相生相克的养育关系来定义。按：此前王冰本中有“辛散酸收甘缓苦坚咸濡”十字，而这一段，王冰本又刻在篇末。详细考察字义，前面的十字含义已包含在此段之内，因此将其删除，把这一段移补过来，这样上下文的文义就不会错乱。）
毒药用来攻逐邪气，（驱除邪气、安定正气，只有具有毒性的药物才能做到，正因为能做到这一点，所以通称为毒药。按：邪气是不正之气，所以伤害人体正气。想要扶助正气不得不攻逐邪气，这不是毒药不可行。然而所谓的毒药，并不一定像野狼毒、人言（砒霜）那样剧毒。凡是气味厚重，药性猛烈滑利，足以驱除邪气的，都算是毒药。新校正本只指向下药，这就偏颇了。）五谷作为滋养，（按：凡药物的性质都有偏颇，所以用来扶助正气不足之处。至于五谷的性质味道平和，能够充实胃腑、补益脾胃，化生气血，人的性命确实依靠它们来滋养。）五果作为辅助，（按：助者是对辅佐正气的称呼，用来弥补五谷的不足。）五畜作为补益，（按：精血不充足，不是草木类药物所能补益的，必须用属于血气类的动物来补益它，《内经》说“精不足者，补之以味”就是这个意思。）五菜作为充饥，（按：充者，是充盈其容量使之充实的意思。蔬菜质地粗糙疏松，容易食用和消化，用来填充空虚的肠胃罢了。）将气味配合起来服用，以补精益气。（气属于阳的化生，味属于阴的施予，气味调和，就能补益精气。）
Pungent (Xin), Sour (Suan), Sweet (Gan), Bitter (Ku), and Salty (Xian) flavors each have their specific benefits; some disperse, some astringe, some relax, some accelerate (note: original text missing character, likely 'soften' or 'harden' based on context), some harden, some soften. The diseases of the five Zang organs in the four seasons follow the suitability of the five flavors.
(Using the five flavors to regulate the five Zang organs, the pairing is: Liver with Sweet, Heart with Sour, Spleen with Salty, Lung with Bitter, Kidney with Pungent, each according to its suitability. The aim is to achieve states of relaxation, astringency, softening (original text missing), purgation, dispersion, and hardening for therapeutic use, rather than defining meaning through mutual generation and nourishment [of Five Elements]. Note: In Wang Bing's earlier edition, there were ten characters "Pungent disperses, Sour astringes, Sweet relaxes, Bitter hardens, Salty softens," and this paragraph was placed at the end of the chapter in that edition. Upon detailed examination of the semantics, the meaning of these ten characters is already contained within this paragraph. Therefore, they were removed, and this paragraph was moved here to prevent confusion in the context.)
Toxic drugs attack pathogenic factors (Only toxic substances can expel pathogens and stabilize righteous Qi; thus, they are generally called toxic drugs. Note: Pathogens are abnormal Qi that harm righteous Qi. To support righteous Qi, one must attack pathogens, which requires toxic drugs. However, "toxic drugs" do not necessarily refer to highly poisonous substances like *Radix Stellerae* (Yelangdu) or Arsenic (Renyan). Any substance with heavy flavor and aroma, and vigorous and penetrating properties, sufficient to eliminate pathogens, qualifies. The New Correction only refers to laxatives, which is biased.) Grains serve as nourishment (Note: All medicinal properties are biased, used to assist deficiencies of righteous Qi. Grains, however, have balanced nature and flavor, fill the Stomach, tonify the Spleen, and transform Qi and Blood. Human life truly relies on them for nourishment.) Fruits serve as assistance (Note: "Assistance" refers to supporting righteous Qi, compensating for the insufficiencies of grains.) Livestock serve as supplementation (Note: Deficiencies of Essence and Blood cannot be supplemented by herbs and trees alone; animal products rich in blood and Qi are necessary. As the Classic states, "For deficiency of Essence, supplement with flavor.") Vegetables serve to fill (Note: "Fill" means to increase volume and make full. Vegetables have coarse texture, are easy to eat and digest, and are used to fill empty intestines.) Consuming them with harmonized aroma and flavor supplements Essence and Qi (Aroma belongs to Yang transformation, Flavor belongs to Yin manifestation. When aroma and flavor are harmonized, they supplement Essence and Qi.)