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Zhuo disease (Turbid discharge) refers to the symptom of urine or semen being turbid and unclear. Medical texts often attribute this disease to the Kidney, but I exclusively seek its origin in the Spleen. This is because the Spleen governs Earth; if the Earth element is diseased causing Damp-Heat to flow downward, it results in Zhuo disease. When Dampness exceeds Heat, it manifests as Bai Zhuo (White Turbidity); when Heat exceeds Dampness, it manifests as Chi Zhuo (Red Turbidity). The method of treatment involves guiding out and clearing the Damp-Heat; once the Damp-Heat is removed, the turbidity naturally clears. The primary formula is Cangbai Erchen Tang (Atractylodes and Pinellia Decoction) added with Huangbai (Phellodendron Bark), Shichangpu (Acorus Rhizome), and Bibi (Dioscorea Hypoglauca Rhizome). If the condition persists for a long time without healing, one should seek treatment from the Kidney. Use Ermiao Dihuang Wan (Two Marvels Rehmannia Pill) and Bibi Fenqing Yin (Dioscorea Hypoglauca Clearing Decoction) taken alternately. Furthermore, the *Neijing* states: "Deficiency of Middle Qi causes changes in urination," suitable for treatment with Sizjunzi Tang (Four Gentlemen Decoction) and Buzhong Yiqi Tang (Center-Boosting Qi-Supplementing Decoction) with modifications. There is also the case of Mingmen Fire Decline (Declining Fire of the Gate of Vitality), where Qi fails to secure essence, leading to degenerated essence becoming turbid; suitable to warm the Mingmen Fire with Bawei Wan (Eight Flavor Pill), adding Tusizi (Cuscuta Seed) and Cheqianzi (Plantago Seed) to guide out the degenerated essence. In summary, Zhuo comes out from the Jing Qiao (Essence Orifice), which is different from Lin syndrome (Stranguria) coming out from the Niao Qiao (Urinary Orifice). For conditions that have persisted for some time, it is appropriate to consolidate the Kidney rather than promote diuresis; this is the key principle. (Futu Wan and Shuilu Erxian Dan are both types of Kidney-consolidating medicines.)

Cangbai Erchen Tang (Atractylodes and Pinellia Decoction)
Cangzhu (Salt-fried Atractylodis Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria) Banxia (Pinelliae Rhizoma) (each 2 qian) Chenpi (Citri Reticulatae Pericarpium) Gancao (Glycyrrhizae Radix et Rhizoma) Huangbai (Phellodendri Cortex) (each 1 qian) Bibi (Dioscoreae Hypoglaucae Rhizoma) (3 qian) Shichangpu (Acori Tatarinowii Rhizoma) (0.8 fen)
Decoct in water, take on an empty stomach. If Chi Zhuo (Red Turbidity), add Lianqiao (Forsythiae Fructus) 1.5 qian, Danshen (Salviae Miltiorrhizae Radix et Rhizoma) 2 qian, Lianzixin (Nelumbinis Plumula) 0.5 fen; if the pulse is Wiry (Xian) with hypochondriac pain, indicating Liver Fire, add Longdancao (Gentianae Radix) and Zhizi (Gardeniae Fructus) each 1 qian; if there is thirst, asthma, and a Choppy (Se) pulse, indicating Lung Fire, add Maidong (Ophiopogonis Radix) 3 qian, Sangbaipi (Mori Cortex) and Ziwan (Asternis Radix) each 2.5 qian; if there is sore throat and a Deep (Chen) pulse, indicating Kidney Fire, add Xuanshen (Scrophulariae Radix) 3 qian.

Note by Second Son Yuanxi: The subtlety of this formula lies in Banxia (Pinelliae Rhizoma), which raises the clear and descends the turbid; those who have thoroughly studied the *Shennong Bencao Jing* will know this.

Ermiao Dihuang Wan (Two Marvels Rehmannia Pill) (from *Fengshi Jinnang*)
Shudi (Prepared Rehmanniae Radix) Shanzhuyu (Corni Fructus) Cangzhu (Salt-fried Atractylodis Rhizoma) Shanyao (Dioscoreae Rhizoma) (each 4 liang) Fuling (Poria) Danpi (Moutan Cortex) Zexie (Alismatis Rhizoma) Huangbai (Phellodendri Cortex) (soaked in Qiushi water, fried, each 1.5 liang)
Make pills with honey, size of Sophora seeds. Take 3-5 qian per dose. Twice daily, taken with salt water. Alternatively, add Muli (Concha Ostreae) 2 liang, Yizhiren (Alpiniae Oxyphyllae Fructus) 1 liang, Tusizi (Cuscutae Semen) 1 liang, Cheqianzi (Plantaginis Semen) 0.7 qian.

Bibi Fenqing Yin (Dioscorea Hypoglauca Clearing Decoction) (Formula seen in *Shifang*) Treats insecurity of True Yuan (Original Essence), Chi Zhuo (Red Turbidity) and Bai Zhuo (White Turbidity).

Jiangjun Dan Formula (General Egg Recipe)
Treats Bai Zhuo (White Turbidity), also treats nocturnal emission.
Sheng Dahuang (Raw Rheum Palmatum Radix et Rhizoma) (3 fen, ground into powder) Sheng Jizi (Raw Chicken Egg) (one)
Crack a small hole at the pointed end of the egg, put the Dahuang powder inside, seal with paper and steam until cooked. Eat on an empty stomach; it will heal in four or five days.

Longmu Tutian Wan (Dragon Bone and Oyster Shell Cuscuta Leek Pill)
Treats excessive sexual desire, Chi Zhuo (Red Turbidity) and Bai Zhuo (White Turbidity), frequent urination without pain, and also treats women's deficiency-cold, stranguria, leukorrhea, and metrorrhagia.
Sheng Longgu (Raw Os Draconis) (water-flown) Muli (Concha Ostreae) (water-flown) Sheng Tusifen (Raw Cuscutae Semen Powder) Sheng Jiuzifen (Raw Allii Tuberosi Semen Powder)
The above four ingredients, equal parts, not processed by fire, ground into fine powder. Mix with dry flour and cold water to make paste pills. Take 1 qian per dose, up to 3 qian. Send down with aged wine at night; morning administration is also acceptable.

Can Sha Huangbai Tang (Mulberry Sand and Phellodendron Decoction)
Treats nocturnal emission and Bai Zhuo (White Turbidity) due to Damp-Heat.
Sheng Can Sha (Raw Bombyx Batryticatus) (1 liang) Sheng Huangbai (Raw Phellodendri Cortex) (1 qian)
Grind the two ingredients together into powder. Take 3 qian with boiled water on an empty stomach; it will heal after six or seven doses.

Baiguo Dan Formula (Ginkgo Egg Recipe)
Treats Bai Zhuo (White Turbidity).
Use one first-laid chicken egg, make a small hole, put two raw Baiguo (Ginkgo Seeds) inside, steam on rice. Eat one daily, continue for four or five times, then it will heal.

Longgu Jiuzi Tang (Dragon Bone and Leek Seed Decoction)
Treats nocturnal emission and seminal emission.
Bai Longgu (White Os Draconis) (1 liang, ground into powder) Jiuzi (Allii Tuberosi Semen) (fried, 1 he)
Grind into powder. Take 3 qian mixed with aged wine on an empty stomach.

Xiao Tusishi Shilian Wan (Small Cuscuta Stone Lotus Pill)
Treats Nu Lao Dan (Female Labor Jaundice) as well as nocturnal emission, Bai Zhuo (White Turbidity), metrorrhagia, and leukorrhea.
Tusizi (Cuscutae Semen) (5 liang, soaked in wine, ground) Shilian Rou (Stone Lotus Flesh) (2 liang) Bai Fuling (White Poria) (1 liang, steamed)
Grind into fine powder. Make pills using Shan Yao paste, size of Sophora seeds. Take 50 pills per dose, increase to 100 pills. Send down with wine or salt water on an empty stomach. If legs are weak, send down with Mugua Tang (Chaenomelis Fructus Decoction). Take again before evening meal.

Longlian Qianshi Wan (Dragon Bone, Lotus Stamen, and Euryale Seed Pill) (Each seen in *Zhongfutang*)
Treats deficiency of Essence and Qi, uncontrollable seminal emission and enuresis.
Longgu (Os Draconis) Lianxu (Lotus Stamen) Qianshi (Euryales Semen) Wumei Rou (Mume Fructus Flesh)
Grind the above into powder. Make pills using Shan Yao, size of adzuki beans. Take 30 pills per dose, send down with rice drink on an empty stomach.