脉∶遗精白浊，当验于尺，结芤动紧，二症之的。微涩精伤，洪数火逼，亦有心虚，左
寸短小。脉迟可生，急疾便夭。
邪客于阴，神不守舍，故心有所感，梦而后泄也。其后有三∶年少气盛、鳏旷矜持，强
制情欲，不自觉知，此泄如瓶之满溢者也。人或有之，是为无病，勿药可矣。心家气虚，不
能主宰，或心受热，阳气不收，此泄如瓶之侧而出者也。人多有之，其病尤轻，合用和平之
剂。脏腑积弱，真元久亏，心不摄念，肾不摄精，一泄如瓶之罅而漏者也。人少有之，其
病最重，须当大作补汤。或谓梦泄尤甚于房劳，此世俗习闻其说也。独不观候之有轻重乎?
外此又有一辈，神气消磨，怪异横生，风邪乘其虚，鬼气干其正，往往与鬼魅交通，是又厄
运之不可晓者也。法药相助，诚哉是言。
久无色欲而精神满者，不必虑也。心有所慕而梦遗者，君火动、相火随也。夜梦与人交
感而精泄者，谓之梦遗（俱用后方）。
清心汤
黄连 生地黄 当归 石莲肉 远志（甘草水泡，去心） 茯神（去皮木） 酸枣仁（炒）
人参（去芦，各等分） 甘草（减半）
上锉一剂。水煎服。
有不因梦而精自出者，此精道滑也。因心肾内虚，不能固守，皆相火动。
养心汤
辰砂（另研末，调入服） 远志（去心） 酸枣仁 石莲肉 芡实 莲蕊 天门冬 桔梗（
去芦） 车前子 龙骨（各等分） 甘草（减半） 麦门冬（去心）
上锉一剂。灯心二十寸，水煎服。
治阴虚火动而遗精者，宜滋阴降火也。
保精汤 治阴虚火动，夜梦遗精，或虚劳发热。
当归（酒洗） 川芎 白芍（酒炒） 生地黄（姜汁炒） 黄柏（酒炒） 知母（蜜炒） 黄连（
姜汁炒） 栀子（童便炒） 沙参 麦门冬（去心） 干姜（炒黑）减半 牡蛎（火 ） 山茱萸（酒
蒸，去核，各等分）
上锉一剂。水煎，空心温服。
有梦遗日久，气下陷者，宜升提肾气以归原也。
归元散
人参（去芦） 白术（去芦） 茯苓（去皮） 远志（去心） 酸枣仁（炒） 麦门冬（去心） 黄
柏（童便炒） 知母（童便炒） 芡实 莲花须 枸杞子 陈皮 川芎（各等分） 升麻（减半） 甘草
（减半）
上锉一剂。莲肉三个，枣子一枚，水煎，空心服。
固精丸
当归（酒洗） 熟地黄 山药（炒） 人参（去芦） 白术（去芦） 茯苓（去皮） 锁阳 牡蛎
蛤粉 黄柏（酒炒） 知母（酒炒） 杜仲（酒和，姜汁炒） 椿根皮 破故纸（酒炒，各一两）
上为细末，炼蜜为丸，辰砂为衣，如梧桐子大。每服五十丸，空心酒吞下。
有湿热而遗精者，宜健脾除湿热也。
猪肚丸 治遗精梦泄，不思饮食。健肢体及治肌瘦。气弱咳嗽，渐成劳嗽，并宜服之。
白术（去芦炒，五两） 苦参（去红皮，色白者，三两） 牡蛎（左顾者， ，另为末，四两）
上为末，用 猪肚一具洗净，砂罐内煮得极烂，石臼内捣半日，丸如小豆大。每服
四十丸，半汤送下，日进三次或四次。久服，自觉身强体健而梦遗立止。
虚弱人患梦遗精滑者，宜补心肾也。
辰砂既济丸 治元阳虚惫，精气不固，夜梦遗精，盗汗遗精者，服此药大补元气，涩精
固阳，神效。
黄 （盐水炒） 人参 当归（酒洗） 山药 枸杞子 锁阳 败龟板（酥炙） 牡蛎（酒浸
一宿， ，各二两） 熟地（酒洗，四两） 牛膝（去芦，酒洗） 知母（酒炒，各一两半） 破故纸（盐
水炒，一两二钱） 黄柏（酒炒，一两）
上为末，用白术八两，水八碗，煎至一半，取渣再易水煎，漉净，合煎至二碗成膏，和
丸如梧桐子大，辰砂为衣。空心盐汤下或酒下七十丸。用干物压之。
梦遗精滑，属肝肾虚热者，用四物汤加柴胡、山栀、山茱萸、山药（方见补益）；脾胃气
虚者，用补中益气汤加山茱萸、山药；思虑伤脾者，兼用归脾汤加山茱萸、山药（方见补益）
；心肾不交者，用水火厘清饮（方见浊症）；心气虚热者，用清心莲子饮（方见浊症）；气血虚
损者，用十全大补汤加山茱、山药、五味、麦门（方见补益）。
补遗方
止遗精盗汗法 用短床或蒲罗，内侧身曲腿而卧，不许伸脚，病自安。
保生丹 治夜梦遗精，旬无虚夕，或经宿而再者。
嫩乌药 益智仁 朱砂（另研，水飞过，留一半为衣，以上各一两） 干山药（二两）
上各另为末，将山药打糊为丸。如不成，再加些酒，糊丸如梧桐子大。每服百丸，空心
淡盐汤送下。
倒阳法 夜半子时分，阳正兴时，仰卧瞑目闭口，舌顶上 ，将腰拱起，用左手中指顶
住尾闾穴，用右手大指顶住无名指根拳着；又将两腿俱伸，两脚十趾俱抠，提起一口气，心
中存想脊背脑后，上贯至顶门，慢慢直至丹田，方将腰腿手脚从容放下。如再行照前，而阳
衰矣。如阳未衰，再行两、三遍。如初行时，阳未兴，勉强兴之，方可行矣。夫人之所有虚
实者，因年少欲心大盛，房事过多，水火不能相济，以致此疾。若能行此法，不唯速去泄精
之病，久而肾水上升，心火下降，则水火既济永无疾病矣。
陈桂林秀才，患夜梦遗精，每月一、二次或三、五次。遗后神思昏沉、身体困倦。予诊
六脉微涩无力，此阴虚火动之症。以辰砂既济丸加紫河车、龙骨服之，数月奏效。奈其数患
于不能谨守，因口占俚语一章以戒之曰∶培养精元贵节房，更祛尘累最为良；食唯半饱宜清
淡，酒止三分勿过伤；药饵随时应勉进，功名有分不须忙；几行俚语君能味，便是长生不老
方。
朱工部，劳则遗精，齿牙即痛。用补中益气加半夏、茯苓、芍药，并六味地黄丸，渐愈
；更以十全大补加麦门、五味而痊（方见补益）。
一男子遗精白浊、口干作渴，大便闭涩，午后热甚。用补中益气加芍药、玄参，并加减
八味丸而愈（方见补益）。
Pulse Diagnosis: For spermatorrhea (spermatorrhea) and leukorrhea (leukorrhea), verification should be sought in the Chi (Cun, Guan, Chi) pulse position. If the pulse presents as Jie (Knotted), Kou (Hollow), Dong (Surging), or Jin (Tight), these are definitive indicators of these two conditions. A Wei (Fine) and Se (Choppy) pulse indicates damage to essence; a Hong (Surging) and Shuo (Rapid) pulse indicates forcing by fire; there may also be Heart Qi deficiency, manifesting as a short and small pulse at the Left Cun position. A Chi (Slow) pulse suggests the condition is treatable, while a Ji (Urgent) and Xi (Rapid) pulse portends premature death.
Evil pathogens invade the Yin aspect, causing the Shen (Spirit) to fail to reside within its abode. Thus, when the mind is moved by external stimuli, emission occurs during dreams. This condition subsequently manifests in three ways: In youth, when Qi and blood are vigorous, or for widowers who restrain themselves, forcibly suppressing sexual desire without realizing it, this emission is like a bottle overflowing when full. Some people experience this; it is considered disease-free and requires no medication. If Heart Qi is deficient and unable to govern, or if Heat affects the Heart causing Yang Qi to fail to consolidate, this emission is like liquid pouring from a tilted bottle. Many people suffer from this; the pathology is particularly mild, and mild-acting formulas are appropriate. If Zang-Fu organs are chronically weak and True Yuan (Original Qi) has been depleted for a long time, with the Heart failing to control thoughts and the Kidney failing to secure essence, this emission is like water leaking from a cracked bottle. Few people suffer from this; the pathology is most severe, requiring strong tonic decoctions. Some claim that dream emission is worse than sexual exhaustion; this is merely a common secular belief. Have they not observed the differences in severity? Furthermore, there is another group whose Shen Qi (Spiritual Energy) is consumed, generating bizarre phenomena. Wind pathogens exploit their deficiency, and "ghost qi" interferes with righteous Qi, often leading to interactions with spirits. This represents an incomprehensible misfortune. Pharmacological therapy indeed assists in treatment; this statement is true.
Those who have abstained from sexual activity for a long time and possess abundant spirit need not worry. Dream emission caused by mental attachment results from the movement of Minister Fire following the Sovereign Fire. Nocturnal emission occurring after dreaming of sexual intercourse is termed Meng Yi (Dream Emission) (use the following formulas).
Qing Xin Tang (Clear the Heart Decoction)
Coptidis Rhizoma (Huanglian), Rehmanniae Radix Recens (Shengdihuang), Angelicae Sinensis Radix (Danggui), Nelumbinis Plumula (Shilianrou), Polygalae Radix (Yuanzhi) [soaked in Licorice water, remove heart], Sparganii Sclerotium (Fushen) [remove bark and wood], Ziziphi Spinosae Semen (Suanzaoren) [stir-fried], Ginseng Radix et Rhizoma (Renshen) [remove rhizome, equal parts each], Glycyrrhizae Radix et Rhizoma (Gancao) [halved].
Crush one dose. Decoct in water and take orally.
Emission occurring without dreams, where semen flows out spontaneously, is due to slippage of the seminal pathway. This arises from internal deficiency of the Heart and Kidney, failing to maintain consolidation, all driven by the movement of Minister Fire.
Yang Xin Tang (Nourish the Heart Decoction)
Cinnabaris (Chensha) [separately ground into powder, mix into dosage for administration], Polygalae Radix (Yuanzhi) [remove heart], Ziziphi Spinosae Semen (Suanzaoren), Nelumbinis Plumula (Shilianrou), Euryales Semen (Qianshi), Nelumbinis Stamen (Lianrui), Asparagi Radix (Tianmendong), Platycodonis Radix (Jiegeng) [remove rhizome], Plantaginis Semen (Cheqianzi), Ostreae Concha (Longgu) [equal parts each], Glycyrrhizae Radix et Rhizoma (Gancao) [halved], Ophiopogonis Radix (Maimendong) [remove heart].
Crush one dose. Decoct with twenty cun of Juncus effusus (Dengxincao) in water and take orally.
For treating spermatorrhea caused by Yin deficiency with hyperactive fire, nourishing Yin and descending fire is indicated.
Bao Jing Tang (Preserve Essence Decoction) Treats Yin deficiency with hyperactive fire, nocturnal dream emission, or deficiency-labor fever.
Angelicae Sinensis Radix (Danggui) [wine-washed], Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao) [wine-stir-fried], Rehmanniae Radix Recens (Shengdihuang) [fried with ginger juice], Phellodendri Cortex (Huangbai) [wine-stir-fried], Anemarrhenae Rhizoma (Zhimu) [honey-stir-fried], Coptidis Rhizoma (Huanglian) [fried with ginger juice], Gardeniae Fructus (Zhizi) [fried with child's urine], Glehniae Radix (Shashen), Ophiopogonis Radix (Maimendong) [remove heart], Zingiberis Rhizoma Ustus (Ganjiang) [charred, halved], Ostreae Concha (Muli) [calcined], Corni Fructus (Shanzhuyu) [wine-steamed, pitted, equal parts each].
Crush one dose. Decoct in water, take warm on an empty stomach.
For those with prolonged dream emission leading to sinking of Qi, lifting Kidney Qi to return it to its origin is indicated.
Gui Yuan San (Restore the Origin Powder)
Ginseng Radix et Rhizoma (Renshen) [remove rhizome], Atractylodis Macrocephalae Rhizoma (Baizhu) [remove rhizome], Poria (Fuling) [remove bark], Polygalae Radix (Yuanzhi) [remove heart], Ziziphi Spinosae Semen (Suanzaoren) [stir-fried], Ophiopogonis Radix (Maimendong) [remove heart], Phellodendri Cortex (Huangbai) [fried with child's urine], Anemarrhenae Rhizoma (Zhimu) [fried with child's urine], Euryales Semen (Qianshi), Nelumbinis Stamen (Lianhua Xu), Lycii Fructus (Gouqizi), Citri Reticulatae Pericarpium (Chenpi), Chuanxiong Rhizoma (Chuanxiong) [equal parts each], Cimicifugae Rhizoma (Shengma) [halved], Glycyrrhizae Radix et Rhizoma (Gancao) [halved].
Crush one dose. Decoct with three Lotus Seeds (Lianrou) and one Jujube (Zao) in water, take on an empty stomach.
Gu Jing Wan (Secure Essence Pill)
Angelicae Sinensis Radix (Danggui) [wine-washed], Rehmanniae Radix Praeparata (Shudihuang), Dioscoreae Rhizoma (Shanyao) [stir-fried], Ginseng Radix et Rhizoma (Renshen) [remove rhizome], Atractylodis Macrocephalae Rhizoma (Baizhu) [remove rhizome], Poria (Fuling) [remove bark], Cynomorii Herba (Suoyang), Ostreae Concha (Muli) [coated with clam powder], Phellodendri Cortex (Huangbai) [wine-stir-fried], Anemarrhenae Rhizoma (Zhimu) [wine-stir-fried], Eucommiae Cortex (Duzhong) [mixed with wine, stir-fried with ginger juice], Toosendan Cortex (Chungenpi), Cistanches Herba (Po Gu Zhi) [wine-stir-fried, one tael each].
Grind into fine powder, form pills with refined honey, coat with Cinnabaris (Chensha), size of Sophora japonica seeds. Take fifty pills per dose, swallow with wine on an empty stomach.
For spermatorrhea caused by Damp-Heat, strengthening the Spleen and eliminating Damp-Heat is indicated.
Zhu Du Wan (Pig Stomach Pill) Treats spermatorrhea and dream emission, loss of appetite. Strengthens limbs and treats emaciation. Suitable for weak Qi cough progressing to consumption cough.
Atractylodis Macrocephalae Rhizoma (Baizhu) [remove rhizome, stir-fried, five taels], Sophorae Flavescentis Cortex (Kushen) [remove red skin, white ones selected, three taels], Ostreae Concha (Muli) [left-facing ones, calcined, separately ground into powder, four taels].
Grind into powder. Wash one pig stomach, boil until extremely tender in a clay pot, pound for half a day in a stone mortar. Form pills the size of small beans. Take forty pills per dose, send down with half a bowl of soup. Take three or four times daily. Long-term use will result in feeling strong and healthy, and dream emission will stop immediately.
For weak individuals suffering from dream emission and seminal slipperiness, tonifying the Heart and Kidney is indicated.
Chensha Jiji Wan (Cinnabar Equilibrium Pill) Treats depletion of Primordial Yang, insecurity of essence and Qi, nocturnal dream emission, night sweats, and seminal leakage. Taking this medicine greatly tonifies Primordial Qi, secures essence and consolidates Yang, with miraculous effects.
Astragali Membranacei Radix (Huangqi) [salt-water stir-fried], Ginseng Radix et Rhizoma (Renshen), Angelicae Sinensis Radix (Danggui) [wine-washed], Dioscoreae Rhizoma (Shanyao), Lycii Fructus (Gouqizi), Cynomorii Herba (Suoyang), Testudinis Carapax et Plastrum (Baiguiban) [roasted with butter], Ostreae Concha (Muli) [soaked in wine overnight, calcined, two taels each], Rehmanniae Radix Praeparata (Shudihuang) [wine-washed, four taels], Achyranthis Bidentatae Radix (Niuxi) [remove rhizome, wine-washed], Anemarrhenae Rhizoma (Zhimu) [wine-stir-fried, one tael and a half each], Cistanches Herba (Po Gu Zhi) [salt-water stir-fried, one tael and two qian], Phellodendri Cortex (Huangbai) [wine-stir-fried, one tael].
Grind into powder. Use eight taels of Atractylodis Macrocephalae Rhizoma (Baizhu) and eight bowls of water, decoct until half remains. Take the dregs, change water, decoct again, filter cleanly, combine and decoct until two bowls remain to form a paste. Mix to form pills the size of Sophora japonica seeds, coat with Cinnabaris (Chensha). Take seventy pills on an empty stomach with salt water or wine. Press with dry food.
For dream emission and seminal slipperiness belonging to Liver-Kidney deficiency heat, use Si Wu Tang (Four Substances Decoction) plus Bupleuri Radix (Chaihu), Gardeniae Fructus (Shanzhi), Corni Fructus (Shanzhuyu), and Dioscoreae Rhizoma (Shanyao) (see Tonification section); for Spleen-Stomach Qi deficiency, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Corni Fructus (Shanzhuyu) and Dioscoreae Rhizoma (Shanyao); for Spleen injury due to overthinking, additionally use Gui Pi Tang (Restore the Spleen Decoction) plus Corni Fructus (Shanzhuyu) and Dioscoreae Rhizoma (Shanyao) (see Tonification section); for Heart-Kidney non-interaction, use Shui Huo Li Qing Yin (Water and Fire Clarifying Decoction) (see Turbid Symptoms section); for Heart Qi deficiency with heat, use Qing Xin Lian Zi Yin (Clear the Heart and Lotus Seed Decoction) (see Turbid Symptoms section); for Qi and Blood deficiency, use Shi Quan Da Bu Tang (Ten Complete Great Tonifying Decoction) plus Corni Fructus (Shanzhuyu), Dioscoreae Rhizoma (Shanyao), Schisandrae Fructus (Wuweizi), and Ophiopogonis Radix (Maimendong) (see Tonification section).
Supplementary Prescriptions
Method to Stop Spermatorrhea and Night Sweats: Use a short bed or rush mat, sleep on your side with legs curled, do not extend your feet; the illness will heal naturally.
Bao Sheng Dan (Protect Life Pill) Treats nocturnal dream emission occurring every night for ten days, or recurring after a night's rest.
Young Linderae Radix (Nen Wuyao), Alpiniae Oxyphyllae Fructus (Yizhiren), Cinnabaris (Zhusha) [separately ground, water-flavored, reserve half for coating, one tael each above], Dry Dioscoreae Rhizoma (Gan Shanyao) [two taels].
Grind each into powder separately. Make a paste from the Shanyao to form pills. If not cohesive, add some wine. Form pills the size of Sophora japonica seeds. Take one hundred pills per dose, send down with light salt water on an empty stomach.
Dao Yang Method (Reverse Yang Method): At midnight (Zi hour), when Yang Qi is rising, lie supine with eyes closed and mouth shut, tongue pressing against the palate, arch the waist. Use the middle finger of the left hand to press the Weilu acupoint. Use the thumb of the right hand to press the root of the ring finger while making a fist. Extend both legs, curl both feet' ten toes inward. Draw up one breath, visualize the spine and back of the head, ascending to the top of the head, slowly reaching the Dantian. Only then calmly lower the waist, legs, hands, and feet. Repeat as before if Yang declines. If Yang has not declined, repeat two or three times. If Yang does not rise initially, force it to rise to proceed. The deficiency or excess in humans arises from excessive sexual desire in youth and excessive coitus, causing Water and Fire to fail to interact, leading to this disease. Practicing this method not only quickly cures seminal emission but, over time, raises Kidney Water and lowers Heart Fire, achieving equilibrium of Water and Fire, ensuring permanent health.
Scholar Chen Guilin suffered from nocturnal dream emission, occurring one to two or three to five times monthly. After emission, he experienced mental confusion and physical fatigue. I diagnosed his six pulses as Fine, Choppy, and powerless, indicating Yin deficiency with hyperactive fire. I administered Chen Sha Ji Ji Wan (Cinnabar Equilibrium Pill) added with Placenta Hominis (Ziheche) and Ostreae Concha (Longgu). It took effect after several months. Unfortunately, he relapsed frequently due to failure to observe precautions. Therefore, I composed a colloquial verse to warn him: "Nurturing Essence and Yuan requires regulating intercourse; dispelling worldly burdens is best. Eat only half-full, prefer bland diet; limit alcohol to three tenths, avoid harm. Medicines should be taken diligently as needed; fame and fortune have their share, do not rush. If you savor these few lines, it is the prescription for immortality."
Director Zhu suffered from emission upon exertion, followed immediately by toothache. Using Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with Pinelliae Rhizoma (Banxia), Poria (Fuling), and Paeoniae Radix Alba (Shaoyao), along with Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia), he gradually recovered; further treated with Shi Quan Da Bu Tang (Ten Complete Great Tonifying Decoction) added with Ophiopogonis Radix (Maimendong) and Schisandrae Fructus (Wuweizi) until cured (see Tonification section).
A man suffered from spermatorrhea and leukorrhea, dry mouth with thirst, constipation, and severe afternoon fever. Treated with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with Paeoniae Radix Alba (Shaoyao) and Scrophulariae Radix (Xuanshen), along with Jian Ba Wei Wan (Modified Eight-Ingredient Pill), he recovered (see Tonification section).