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)
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*)