圣散子主疾功效非一去年春杭州民病得此药全活者不可胜数所用中下品药略计每千钱即
得千服所济已及千人昔薄拘罗尊者以一诃梨勒施一病比丘故获报身身常无众疾
朱肱吴兴人尤深于伤寒在南阳太守盛次仲疾作召肱视之曰小柴胡汤证也请并进三服至晚
乃觉
满又视之问所服药安在取视乃小柴胡散也肱曰古人制 咀锉如麻豆大煮清汁饮之名曰汤所以
入经络攻病取快今乃为散滞在膈上所以胸满而病自如也因旋制自煮以进两服遂安(夷坚志)
刘锡镇襄阳日宠外家病伤寒暴亡众医云脉绝不可治或言市上卖药许道人有奇术可用召之曰
是寒
厥尔不死也乃请健卒三十人速掘地作坑炽炭数百斤杂薪烧之俟极热施荐覆坑舁病患卧其上盖
以毡蓐少顷气腾上如蒸炊遍体流汗衣被透湿已而顿苏始取药数种调治即日愈(同上)
论风湿不可汗下春夏之交人病如伤寒其人汗自出肢体重痛转仄难小便不利此名风湿非伤
寒也
阴雨之后卑湿或引饮过多多有此证但多服五苓散小便通利湿去则愈切忌转泻发汗小误必不可
救初虞世云医者不识作伤风治之发汗死下之死己未年京师大疫正为此予自得其说救人甚多壬
辰年予守官洪州一同官妻有此证因劝其速服五苓散不信医投发汗药一夕而毙不可不谨也大抵
五苓散能饮水去湿耳胸中有停饮及小儿吐 欲作痫服五苓散最效初君之说详矣予因广此说以
信诸人(信效方)
圣散子治疗疾病的功效不止一种。去年春天，杭州百姓患病，服用此药而保全性命者不计其数。其中所用多为中下等级的药材，粗略计算，每千钱即可得到一千服药，所救济的人数已达千人以上。从前薄拘罗尊者仅用一颗诃梨勒施予一位患病的比丘，因此获得福报之身，身上常无各种疾病。
朱肱是吴兴人，尤其精通伤寒学。在南阳太守盛次仲发病时，召请朱肱诊治。朱肱说：“这是小柴胡汤证。”请求连续服用三剂。到了晚上，患者才感到胸中胀满。再次诊视时，询问所服用的药物在哪里，拿来查看，发现是小柴胡散（粉末状）。朱肱说：“古人制作‘㕮咀’（将药材咬碎或捣碎），锉成麻豆大小，煮取清汁饮用，这叫做‘汤’，所以能进入经络，迅速攻逐病邪。如今却制成散剂，停滞在膈上，所以导致胸中胀满而病情如故。”于是随即重新制作并亲自煎煮后让患者服用两剂，病情遂得安宁。（出自《夷坚志》）
刘锡镇守襄阳时，他的外戚患伤寒突然死亡。众医生说脉象已绝，无法医治；又有人说市场上卖药的许道人拥有奇术可用。召来许道人，他说：“这是寒厥证，不会死。”于是请三十名健壮士兵迅速挖掘地坑，放入数百斤炽热的木炭，混杂薪柴燃烧，等到极热时铺设草荐覆盖在地坑上，抬着病患卧于其上，再用毡褥盖好。片刻之后，热气蒸腾而上，如同蒸炊，全身流汗，衣被湿透。不久患者顿时苏醒。随后取出几种药物调治，当天就痊愈了。（同上）
论述风湿不可使用发汗和泻下法：春夏之交，人们患病症状类似伤寒，但患者自汗出，肢体沉重疼痛，翻身困难，小便不利，这名叫风湿，而非伤寒。阴雨天气之后，处于低洼潮湿之地，或者饮水过多，多有此类证候。只要多服用五苓散，使小便通利，湿气去除即可痊愈。切忌使用泻下或发汗法，一旦误治，必不可救。初虞世说，医生不认识此证，当作伤风治疗，发汗则死，泻下亦死。己未年，京城发生大瘟疫，正是为此证所致。我自从领悟此说以来，救人甚多。壬辰年，我在洪州任职时，一位同僚的妻子有此证，我劝她迅速服用五苓散，她不听从，医生投以发汗药，一夜之间便死亡，不可不谨慎啊。大抵五苓散能利水去湿罢了。胸中有停饮以及小儿呕吐欲作痫证者，服用五苓散最为有效。初虞世的说法已经很详细了，我因此扩展这一学说以取信于人。（出自《信效方》）
The therapeutic effects of Shengsanzi (Holy Mixture Decoction) in treating diseases are manifold. Last spring, countless people in Hangzhou suffering from illness were saved by taking this medicine. The ingredients used were mostly of medium to low grade; roughly calculated, one thousand cash could procure a thousand doses, benefiting over a thousand people. In the past, the Venerable Bhadanta Kapila gave only one Chebli (Terminalia chebula, 诃子) to a sick bhikshu, thereby gaining a blessed body free from various illnesses.
Zhu Gong was a native of Wuxing and particularly proficient in Shanghan (Cold Damage). When the Prefect of Nanyang, Sheng Cizhong, fell ill, Zhu Gong was summoned to examine him. Zhu Gong said, "This is a Xiao Chaihu Tang (Minor Bupleurum Decoction) pattern." He requested that three doses be administered consecutively. By evening, the patient felt chest fullness. Upon re-examination and inquiry about the remaining medication, it was found to be Xiao Chaihu San (Minor Bupleurum Powder). Zhu Gong stated, "In ancient times, herbs were 'fujū' (crushed or chewed), cut into sizes resembling hemp seeds or beans, boiled to extract clear juice, and drunk; this is called 'Tang' (decoction), which allows entry into the meridians to attack the pathogen quickly. Now, however, it has been made into a powder, which stagnates above the diaphragm, causing chest fullness while the disease persists." Consequently, he prepared fresh decoctions and administered two doses, after which the patient recovered. (From *Yijian Zhi*)
When Liu Xi governed Xiangyang, his maternal relative died suddenly from Shanghan. Most physicians claimed the pulse had vanished and treatment was impossible; others suggested using the unique skills of Xu Daoren, a medicine seller in the market. Xu Daoren was summoned and said, "This is Han Jue (Cold Reversal); the patient will not die." He then instructed thirty strong soldiers to dig a pit quickly, place several hundred jin of hot charcoal mixed with firewood inside, and burn until extremely hot. Mats were laid over the hot pit, and the patient was carried onto it and covered with felt and bedding. Shortly afterward, heat rose like steam, causing profuse sweating throughout the body until clothes and bedding were soaked. The patient soon regained consciousness. Several types of medicine were then administered for further treatment, and the patient recovered on the same day. (Ibid.)
Discussion on why Fengshi (Wind-Dampness) should not be treated with sweating or purging methods: During the transition between spring and summer, people may fall ill with symptoms resembling Shanghan, but they sweat spontaneously, experience heaviness and pain in the limbs, find turning difficult, and have difficulty urinating. This is named Fengshi, not Shanghan. After rainy weather, living in damp lowlands or drinking excessive water often leads to such patterns. Simply taking more Wuling San (Five-Ingredient Poria Powder) to promote urination will resolve the dampness and cure the condition. One must strictly avoid purging or inducing sweating; any error here is incurable. Chu Yushi stated that if physicians fail to recognize this condition and treat it as Shangfeng (Wind-Cold), inducing sweating leads to death, and purging also leads to death. In the year Jiwei, a major epidemic broke out in the capital, caused precisely by this condition. Since understanding this theory, I have saved many lives. In the year Renchen, while serving as an official in Hongzhou, a colleague's wife presented with this pattern. I advised her to take Wuling San immediately, but she refused. The physician administered sweating drugs, and she died within one night. Caution is essential. Generally, Wuling San promotes fluid metabolism and removes dampness. It is most effective for patients with retained fluids in the chest or infants vomiting who are about to develop epilepsy. Chu Jun's explanation was already detailed; I have expanded upon this theory to convince others. (From *Xinxiao Fang*)