相火旺而兼湿热下注，以致阳举精泄，六脉弦滑。以滋清佐苦泄法。
鲜生地 莲须 赤苓 丹皮 米仁 川柏 龟板 萆 泽泻 甘草
精关不固，腰脊痿痛，六脉细软无力。宜涩精温补。
炒熟地 淮山药 川断 北五味 湘莲肉 制于术 金樱子 杜仲 白茯苓
丸方去金樱，加党参、狗脊、线鱼胶、砂仁。
厥阴气郁，膈胀目昏，君火内迫，阴精属泄，脉不柔软，当用交心肾苦泄法（兼心悸过度，作肝火看，由用心服过
补药不效。）
川黄连 黑山栀 泽泻 莲须 柏子霜 法半夏 赤苓 郁金 橘叶
坎离不交，惊恐自汗，近兼精滑，精气神俱亏，脉空无力。须重剂频补（足痿艰行）
炙 （三钱） 五味（四分，炙） 茯神（二钱） 牡蛎（五钱） 川柏（一钱） 贡干（一两） 熟地（八钱）
麦冬（三钱） 枣仁（三钱） 淮山药（三钱） 湘莲（七粒）
失血兼精滑，肝肾虚损，筋拘而坐卧不宁，六脉细软无力，属下虚而血不养肝。并泄自汗，此大虚候也，须重剂培
补。
炙 （二钱） 北五味子（四分） 茯神（二钱） 金狗脊（一钱五分） 甘杞子（二钱） 熟地（五钱） 麦冬
肉（二钱） 枣仁（三钱） 龙齿（二钱） 川郁金（一钱）
心肾不交，多梦遗泄，素有便血。宜黑归脾调理。
制于术 茯神 金樱子 麦冬肉 泽泻 炒生地 枣仁 莲须 北五味
丸方
西党参 熟地 茯神 金樱子 麦冬 龟板心 制于术 湘莲 枣仁 五味肉 牡蛎 川柏 蜜丸。
咳血复萌，近兼遗泄，幸不脉数气喘，想见阴分不致大亏，乃阴络伤也。先理后补。
北沙参 陈阿胶 丹参 莲须 花粉 麦冬肉 川百合 茜草 茯神
丸方
西党 麦冬 茯神 白线胶 龟板 北沙参 熟地 五味 枣仁 牡蛎 湘莲 丹皮 藕汁泛丸。
阴分不足，又兼湿火上冲，脑顶下陷，遗泄，督脉痿痛，清上纳下治。
熟地 龟板 莲须 石决明 首乌 川柏 茯苓 冬桑叶
When Minister Fire (Xiang Huo) is hyperactive and accompanied by Damp-Heat pouring downward, it leads to erection with seminal emission. The six pulses are wiry and slippery. Treatment employs the method of nourishing Yin and clearing heat, assisted by bitter purgation.
Fresh Rehmanniae Radix (Sheng Di Huang), Lotus Stamen (Lian Xu), Red Poria (Chi Ling), Moutan Cortex (Dan Pi), Coix Seed (Yi Yi Ren), Phellodendri Cortex (Chuan Bai), Tortoise Plastron (Gui Ban), Dioscoreae Hypoglaucae Rhizoma (Bi Xie), Alisma Rhizome (Ze Xie), Licorice Root (Gan Cao).
The essence gate is not secure, causing flaccidity and pain in the waist and spine. The six pulses are fine, soft, and powerless. Astringing essence and warming tonification should be applied.
Fried Rehmanniae Radix Preparata (Chao Shu Di), Chinese Yam (Huai Shan Yao), Dipsacus Root (Chuan Duan), Schisandra Berry (Bei Wu Wei), Lotus Seed Meat (Xiang Lian Rou), Processed Atractylodes Macrocephala Rhizome (Zhi Yu Zhu), Rosa Laevigata Fruit (Jin Ying Zi), Eucommia Bark (Du Zhong), White Poria (Bai Fu Ling).
For the pill formula, remove Rosa Laevigata Fruit, add Codonopsis Root (Dang Shen), Dogwood Spine (Gou Ji), Fish Maw (Xian Yu Jiao), and Amomum Fruit (Sha Ren).
Jueyin Liver Qi stagnation causes chest and diaphragm distension and blurred vision. Minister Fire presses inward, causing Yin essence to leak. The pulse is not soft. The method of communicating Heart and Kidney with bitter purgation should be used (accompanied by excessive palpitations, viewed as Liver Fire, caused by excessive intake of tonifying medicines which proved ineffective).
Coptis Rhizome (Chuan Huang Lian), Gardenia Fruit (Hei Shan Zhi), Alisma Rhizome (Ze Xie), Lotus Stamen (Lian Xu), Biota Seed (Bai Zi Shuang), Processed Pinellia Tuber (Fa Ban Xia), Red Poria (Chi Ling), Curcuma Root (Yu Jin), Tangerine Leaf (Ju Ye).
Kan and Li (Heart and Kidney) do not communicate. There is fright and spontaneous sweating. Recently accompanied by seminal slipperiness. Essence, Qi, and Spirit are all deficient. The pulse is empty and powerless. Heavy doses administered frequently are required for tonification (flaccidity of feet making walking difficult).
Prepared Astragali Radix (Zhi Huang Qi, 3 qian), Schisandra Berry (Wu Wei Zi, 4 fen, prepared), Fuxen Sclerotium (Fu Shen, 2 qian), Oyster Shell (Mu Li, 5 qian), Phellodendri Cortex (Chuan Bai, 1 qian), Tribute Ginseng (Gong Gan, 1 liang), Prepared Rehmanniae Radix (Shu Di, 8 qian), Ophiopogon Tuber (Mai Dong, 3 qian), Ziziphus Seed (Zao Ren, 3 qian), Chinese Yam (Huai Shan Yao, 3 qian), Lotus Seeds (Xiang Lian, 7 grains).
Hemorrhage accompanied by seminal slipperiness indicates deficiency and damage to Liver and Kidney. Tendons are cramped, causing restlessness in sitting and lying down. The six pulses are fine, soft, and powerless. This belongs to lower deficiency where blood fails to nourish the Liver. Accompanied by diarrhea and spontaneous sweating, this is a severe deficiency syndrome requiring heavy-dose tonification.
Prepared Astragali Radix (Zhi Huang Qi, 2 qian), Schisandra Berry (Bei Wu Wei Zi, 4 fen), Fuxen Sclerotium (Fu Shen, 2 qian), Golden Dogwood Spine (Jin Gou Ji, 1.5 qian), Goji Berry (Gan Qi Zi, 2 qian), Prepared Rehmanniae Radix (Shu Di, 5 qian), Ophiopogon Tuber Flesh (Mai Dong Rou, 2 qian), Ziziphus Seed (Zao Ren, 3 qian), Dragon Teeth (Long Chi, 2 qian), Curcuma Root (Chuan Yu Jin, 1 qian).
Heart and Kidney do not communicate, leading to frequent dreams and seminal emission. There is a history of hematochezia. Black Guipi Decoction (Hei Guipi Tang) should be used for regulation.
Processed Atractylodes Macrocephala Rhizome (Zhi Yu Zhu), Fuxen Sclerotium (Fu Shen), Rosa Laevigata Fruit (Jin Ying Zi), Ophiopogon Tuber Flesh (Mai Dong Rou), Alisma Rhizome (Ze Xie), Fried Rehmanniae Radix (Chao Sheng Di), Ziziphus Seed (Zao Ren), Lotus Stamen (Lian Xu), Schisandra Berry (Bei Wu Wei).
Pill Formula:
Codonopsis Root (Xi Dang Shen), Prepared Rehmanniae Radix (Shu Di), Fuxen Sclerotium (Fu Shen), Rosa Laevigata Fruit (Jin Ying Zi), Ophiopogon Tuber (Mai Dong), Tortoise Plastron Heart (Gui Ban Xin), Processed Atractylodes Macrocephala Rhizome (Zhi Yu Zhu), Lotus Seeds (Xiang Lian), Ziziphus Seed (Zao Ren), Schisandra Flesh (Wu Wei Rou), Oyster Shell (Mu Li), Phellodendri Cortex (Chuan Bai), Honey pills.
Hemoptysis recurs, recently accompanied by seminal emission. Fortunately, the pulse is not rapid and there is no panting, suggesting that the Yin aspect is not severely depleted; rather, the Yin collaterals are damaged. First regulate and stop bleeding, then tonify.
Glehnia Root (Bei Sha Shen), Aged Donkey-hide Gelatin (Chen E Jiao), Salvia Root (Dan Shen), Lotus Stamen (Lian Xu), Trichosanthes Root (Hua Fen), Ophiopogon Tuber Flesh (Mai Dong Rou), Lilii Bulb (Chuan Bai He), Rubia Root (Qian Cao), Fuxen Sclerotium (Fu Shen).
Pill Formula:
Codonopsis Root (Xi Dang), Ophiopogon Tuber (Mai Dong), Fuxen Sclerotium (Fu Shen), White Fish Maw (Bai Xian Jiao), Tortoise Plastron (Gui Ban), Glehnia Root (Bei Sha Shen), Prepared Rehmanniae Radix (Shu Di), Schisandra Berry (Wu Wei), Ziziphus Seed (Zao Ren), Oyster Shell (Mu Li), Lotus Seeds (Xiang Lian), Moutan Cortex (Dan Pi), Pill coated with Lotus Root Juice (Ou Zhi Fan Wan).
Yin aspect is insufficient, accompanied by upward surging of Damp-Heat. There is a sensation of sinking at the vertex of the brain, seminal emission, and flaccidity pain in the Du Meridian. Treatment involves clearing the Upper Jiao and grasping the Lower Yuan.
Prepared Rehmanniae Radix (Shu Di), Tortoise Plastron (Gui Ban), Lotus Stamen (Lian Xu), Halituss Prunus (Shi Jue Ming), Polygonum Multiflorum Root (Shou Wu), Phellodendri Cortex (Chuan Bai), Poria (Fu Ling), Mulberry Leaf (Dong Sang Ye).