[总诀]梦中所见乃肝魂，魂不清兮梦不宁。若是阴精无梦泄，失于锁钥贵司门。
遗精有梦，或兼心烦善怒者，心肝之火邪也。宜龙胆清肝汤。
柴胡（一钱） 木通（一钱） 车前子（二钱） 炒栀（二钱） 当归（二钱） 牡蛎（二钱） 远志（
一钱） 黄芩（二钱） 泽泻（二钱） 生地（二钱） 胆草（二钱） 丹皮（一钱） 甘草（一钱） 灯
心（一团）
歌曰∶遗精有梦火为邪，前泽通柴栀地加。
芩胆蛎丹归志草，灯心加入效堪夸。
遗精无梦，或兼阴头寒冷者，肾元之阳虚也。宜加味天雄散。
天雄（三钱） 桂尖（二钱） 牡蛎（四钱） 龙骨（三钱） 白术（四钱） 甘草（二钱）
歌曰∶遗精无梦肾元亏，龙蛎天雄桂术随。
甘草调和同补益，精神收敛病堪医。
（伯未按∶或就药店购金樱子膏，合金匮肾气丸服之亦效。）
[总诀]言属心声出肺关，心经痰火语言愆。若还肺窍嘶兼塞，升散开提病自安。
声音闭塞，鼻窒而喉中紧者，会厌被寒侵也。宜麻黄杏仁汤。
麻黄（二钱） 杏仁（五钱） 甘草（二钱）
歌曰∶寒闭声音窒不通，只因会厌客邪攻。
须知解表无他法，惟有麻黄杏草雄。
言语不利，喉痹而咽生疮者，肺经有痰火也。宜尖贝平肺散。
尖贝（二钱） 天冬（一钱） 麦冬（三钱） 百合（二钱） 儿茶（一钱） 牛黄（二厘） 薄荷（
五分） 知母（一钱） 石膏（研，二钱） 杏仁（三钱） 冰糖（二钱） 甘草（五分）
歌曰∶语言不利是喉痹，百合儿茶糖煮宜。
杏贝牛黄甘草共，二冬加石薄荷知。
声音嘶小，喉干而舌不润者，肺金不清利也。宜麦冬旋复汤。
麦冬（三钱） 杏仁（三钱） 桔梗（二钱） 花粉（二钱） 旋复（三钱） 知母（三钱） 生地（三钱）
桑叶（二钱） 甘草（一钱）
歌曰∶咽喉不润又声嘶，旋复蒌根杏桔齐。
知母寸冬生地草，再加桑叶进刀圭。
语言謇滞，唇缓而流涎沫者，脾经中风证也。宜资寿解语汤。
附子（二钱） 安桂（一钱） 防风（二钱） 羌活（一钱） 天麻（三钱） 枣仁（三钱） 甘
草（二钱） 羚羊（一钱） 姜汁（一钱） 竹汁（一钱）
歌曰∶语言謇滞口流涎，风中脾经姜竹煎。
桂附羌防同枣草，天麻羚角效如仙。
昏冒不语，遗溺直视足废者，心肾经中风也。宜地黄饮子汤。
安桂（一钱） 苁蓉（二钱） 熟地（三钱） 远志（二钱） 五味（五分） 巴戟（二钱） 薄荷（
五分） 附子（二钱） 云苓（三钱） 麦冬（三钱） 菖蒲（七分） 山萸（二钱） 石斛（二钱）
枸杞（二钱）
歌曰∶不语昏迷卒倒逢，溺遗直视用苁蓉。
地苓桂附菖萸志， 味斛冬荷枸戟从。
狂言见鬼，舌黑而手足热者，胃中有实热也。宜三一承气汤。
大黄（三钱） 芒硝（三钱） 枳壳（二钱） 甘草（一钱 ） 浓朴（二钱）
歌曰∶胃中实热喜狂言，色黑都缘火气燔。
见鬼休疑邪祟惑，硝黄枳朴草宜吞。
出言漫骂，或兼弃衣登高者，痰火迷心神也。宜礞石滚痰丸。
大黄（三钱） 黄芩（三钱） 沉香（末，一钱） 礞石（火硝炒，一钱）
歌曰∶出言漫骂喜登高，礞石除痰力最豪。
芩佐大黄能降热，沉香理气未同熬。
出言颠倒，其人痴不识人者，痰入心而癫也。宜朱砂丹矾丸。
黄丹（炒，三钱） 白矾（ ，三钱） 茶叶（二钱） 朱砂（三钱） 猪心血（五钱）
歌曰∶出言颠倒系痴呆，矾研朱砂心窍开。
茶叶黄丹猪血裹，心包痰入此方推。
（伯未按∶先将石菖蒲捣汁与饮。）
卒倒不言，牙关紧闭不开者，外邪之骤中也。宜吹鼻通关散。
细辛（三钱） 牙皂（三钱）
歌曰∶卒倒牙关封闭严，语言难出效三缄。
急须牙皂同辛研，吹鼻通关效不凡。
卒倒作声，有如羊犬等状者，风痰发痫证也。宜加味二陈汤。
硼砂（一钱） 陈皮（一钱） 半夏（一钱） 云苓（二钱） 甘草（一钱） 防风（二钱） 麝香（一
厘） 竹茹（一钱） 白矾（七分） 枳壳（一钱） 生姜（一钱） 前胡（一钱） 枯芩（一钱） 郁金（
一钱） 当归（一钱） 牛黄（三厘）
歌曰∶卒倒声如犬共羊，方宜陈夏草苓防。
硼矾芩枳姜前竹，归郁牛黄与麝香。
[General Principle] The phenomena seen in dreams originate from the Liver Soul (Hun); if the Hun is not tranquil, dreams will be restless. If seminal emission occurs without dreams, it is due to a loss of locking and key function, meaning the gatekeeper fails to secure the door.
Seminal emission with dreams, or accompanied by irritability and anger, is caused by pathogenic fire of the Heart and Liver. Longdan Qinggan Tang (Gentian Liver-Clearing Decoction) is appropriate.
Chai Hu (Bupleuri Radix, 1 qian), Mu Tong (Akebiae Caulis, 1 qian), Che Qian Zi (Plantaginis Semen, 2 qian), Chao Zhi (Stir-fried Gardenia Fruit, 2 qian), Dang Gui (Angelicae Sinensis Radix, 2 qian), Mu Li (Ostreae Concha, 2 qian), Yuan Zhi (Polygalae Radix, 1 qian), Huang Qin (Scutellariae Radix, 2 qian), Ze Xie (Alismatis Rhizoma, 2 qian), Sheng Di (Rehmanniae Radix, 2 qian), Dan Cao (Gentianae Radix et Rhizoma, 2 qian), Dan Pi (Moutan Cortex, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Deng Xin Cao (Junci Medulla, one cluster).
The song states: Seminal emission with dreams indicates fire as the pathogen; add Plantago seed, Alisma rhizome, Akebia stem, Bupleurum root, Gardenia fruit, and Rehmannia root.
Add Scutellaria root, Gentian root, Oyster shell, Moutan bark, Angelica root, Polygala root, and Licorice root; adding Juncus medulla yields praiseworthy efficacy.
Seminal emission without dreams, or accompanied by coldness at the glans penis, is due to deficiency of Kidney Yuan Yang. Jiawei Tianxiong San (Modified Tianxiong Powder) is appropriate.
Tian Xiong (Aconiti Lateralis Radix Praeparata, specifically Tianxiong type, 3 qian), Gui Jian (Cinnamomi Ramulus tip, 2 qian), Mu Li (Ostreae Concha, 4 qian), Long Gu (Fossilia Ossis Mastodi, 3 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 4 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 qian).
The song states: Seminal emission without dreams indicates Kidney Yuan deficiency; follow with Fossilized bone, Oyster shell, Tianxiong, Cinnamon twig, and Atractylodes macrocephala.
Licorice harmonizes and jointly tonifies; spirit is converged, and the disease can be cured.
(Commentary by Bo'an: Alternatively, purchase Jin Ying Zi Gao (Cherokee Rose Fruit Paste) from the pharmacy and take it together with Shenqi Wan [Kidney-Qi Pill]; this is also effective.)
[General Principle] Speech emanates from the heart's voice and relates to the Lung orifice. Phlegm-fire in the Heart Meridian causes speech defects. If the Lung orifice presents with hoarseness and nasal congestion, ascending and dispersing methods will bring peace to the disease.
Hoarseness with obstruction, nasal blockage, and tightness in the throat indicate that the epiglottis has been invaded by cold. Mahuang Xingren Tang (Ephedra and Apricot Kernel Decoction) is appropriate.
Mahuang (Ephedrae Herba, 2 qian), Xingren (Armeniacae Semen Amarum, 5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 qian).
The song states: Cold closure causes sound obstruction and lack of flow, solely because the epiglottis is attacked by external pathogens.
Know that there is no other method for releasing the exterior than using Ephedra, Apricot kernel, Licorice, and Xiong (Realgar/Asbestos? Note: Text says "Xiong", likely referring to a specific ingredient or typo in original context, translated literally as Xiong).
Speech impediment, throat bi (obstruction), and sores in the throat indicate phlegm-fire in the Lung Meridian. Jianbei Pingfei San (Sharp Shell Pear Powder for Calming the Lung) is appropriate.
Jian Bei (Fritillariae Thunbergii Bulbus, 2 qian), Tian Dong (Asparagi Radix, 1 qian), Mai Dong (Ophiopogonis Radix, 3 qian), Bai He (Lilii Bulbus, 2 qian), Er Cha (Child's Tea/Catechu, 1 qian), Niu Huang (Bovis Calculus, 2 li), Bo He (Menthae Haplocalycis Herba, 5 fen), Zhi Mu (Anemarrhenae Rhizoma, 1 qian), Shi Gao (Gypsum Fibrosum, ground, 2 qian), Xingren (Armeniacae Semen Amarum, 3 qian), Bing Tang (Rock Sugar, 2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen).
The song states: Speech impediment is due to throat bi; Lily bulb, Child's tea, and sugar boiled are suitable.
Apricot kernel, Sharp-shell pear, Bovis calculus, and Licorice combined; add Asparagus root, Ophiopogon root, Gypsum, Mentha, and Anemarrhena rhizome.
Hoarse and faint voice, dry throat, and unmoistened tongue indicate that Lung Metal is not clear and smooth. Maidong Xuanfu Tang (Ophiopogon and Inula Decoction) is appropriate.
Mai Dong (Ophiopogonis Radix, 3 qian), Xingren (Armeniacae Semen Amarum, 3 qian), Jie Geng (Platycodonis Radix, 2 qian), Hua Fen (Trichosanthis Radix, 2 qian), Xuan Fu (Inulae Flos, 3 qian), Zhi Mu (Anemarrhenae Rhizoma, 3 qian), Sheng Di (Rehmanniae Radix, 3 qian), Sang Ye (Mori Folium, 2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian).
The song states: Unmoistened throat and hoarse voice require Inula flower, Trichosanthes root, Apricot kernel, and Platycodon root together.
Anemarrhena rhizome, Ophiopogon root, Rehmannia root, and Licorice, plus Mulberry leaf advanced in dosage.
Slurred speech, flaccid lips, and drooling indicate Wind-stroke syndrome of the Spleen Meridian. Zishou Jieyu Tang (Zishou Decoction for Resolving Speech) is appropriate.
Fu Zi (Aconiti Lateralis Radix Praeparata, 2 qian), An Gui (Cinnamomi Ramulus, 1 qian), Fang Feng (Saposhnikoviae Radix, 2 qian), Qiang Huo (Notopterygii Rhizoma et Radix, 1 qian), Tian Ma (Gastrodiae Rhizoma, 3 qian), Zao Ren (Ziziphi Spinosae Semen, 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 qian), Ling Yang (Saiga Tataricae Cornu, 1 qian), Jiang Zhi (Zingiberis Juice, 1 qian), Zhu Zhi (Bambusae Sap, 1 qian).
The song states: Slurred speech and drooling indicate wind invading the Spleen meridian, decocted with Ginger juice and Bamboo sap.
Cinnamon twig, Aconite, Notopterygium, Saposhnikovia combined with Jujube seed and Licorice; Gastrodia and Saiga horn yield miraculous effects.
Coma with muteness, enuresis, fixed gaze, and paralysis of the feet indicate Wind-stroke of the Heart and Kidney meridians. Dihuang Yinzi Tang (Rehmannia Drink Decoction) is appropriate.
An Gui (Cinnamomi Ramulus, 1 qian), Cong Rong (Cynomorii Herba, 2 qian), Shu Di (Rehmanniae Radix Preparata, 3 qian), Yuan Zhi (Polygalae Radix, 2 qian), Wu Wei (Schisandrae Fructus, 5 fen), Ba Ji (Morindae Officinalis Radix, 2 qian), Bo He (Menthae Haplocalycis Herba, 5 fen), Fu Zi (Aconiti Lateralis Radix Praeparata, 2 qian), Yun Ling (Poria, 3 qian), Mai Dong (Ophiopogonis Radix, 3 qian), Chang Pu (Acori Tatarinowii Rhizoma, 7 fen), Shan Yu (Corni Fructus, 2 qian), Shi Hu (Dendrobii Caulis, 2 qian), Gou Qi (Lycii Fructus, 2 qian).
The song states: Muteness and coma occurring suddenly; enuresis and fixed gaze call for Cynomorium.
Rehmannia, Poria, Cinnamon, Aconite, Acorus, Cornus, Polygala; Schisandra, Dendrobium, Ophiopogon, Lotus leaf?, Lycium, Morinda follow.
Manic speech and seeing ghosts, with black tongue and hot hands and feet, indicate excess heat in the Stomach. Sanyi Chengqi Tang (Three-One Descending Qi Decoction) is appropriate.
Da Huang (Rhei Radix et Rhizoma, 3 qian), Mang Xiao (Natrii Sulfas, 3 qian), Zhi Ke (Aurantii Fructus, 2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Nong Po (Magnoliae Officinalis Cortex, 2 qian).
The song states: Excess heat in the stomach delights in manic speech; black color stems from blazing fire.
Do not doubt seeing ghosts is due to evil spirits; Sodium sulfate, Rhubarb, Aurantium peel, Magnolia bark, and Licorice are suitable to swallow.
Verbal abuse or accompanied by discarding clothes and climbing high indicates phlegm-fire confusing the Heart Spirit. Mengshi Gun Tan Wan (Qing Stone Rolling Phlegm Pill) is appropriate.
Da Huang (Rhei Radix et Rhizoma, 3 qian), Huang Qin (Scutellariae Radix, 3 qian), Chen Xiang (Aquilariae Lignum Resinatum, powder, 1 qian), Meng Shi (Calamina Pyrite, fried with saltpeter, 1 qian).
The song states: Verbal abuse and preference for climbing high; Qing stone removes phlegm with greatest power.
Scutellaria assists Rhubarb to descend heat; Aquilaria wood regulates qi, not boiled together (note: implies separate processing or addition).
Disordered speech and dementia where the person does not recognize others indicate phlegm entering the Heart causing epilepsy. Zhusha Dan Fan Wan (Cinnabar Yellow Lead Alum Pill) is appropriate.
Huang Dan (Minium, stir-fried, 3 qian), Bai Fan (Alumen, calcined, 3 qian), Cha Ye (Camelliae Sinensis Leaf, 2 qian), Zhusha (Cinnabaris, 3 qian), Zhu Xin Xue (Porcis Cor Sanguis, 5 qian).
The song states: Disordered speech is related to dementia; Alum ground and Cinnabar open the heart orifices.
Tea leaves, Minium, and Porcine heart blood wrap it; this formula is recommended for phlegm entering the Pericardium.
(Commentary by Bo'an: First, crush Acorus rhizome to extract juice and give it to drink.)
Sudden collapse with muteness and tightly closed jaw indicate sudden invasion by external pathogens. Chubi Tongguan San (Blowing Nose Opening Pass Powder) is appropriate.
Xi Xin (Asari Radix et Rhizoma, 3 qian), Ya Zao (Gleditsiae Spina, 3 qian).
The song states: Sudden collapse with tightly sealed jaw makes speech difficult like silence.
Urgently grind Gleditsia spine and Asari root together; blowing into the nose opens the pass with extraordinary effect.
Sudden collapse with sounds resembling sheep or dogs indicates epilepsy caused by wind-phlegm. Jiawei Erchen Tang (Modified Erchen Decoction) is appropriate.
Peng Sha (Borax, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 1 qian), Ban Xia (Pinelliae Rhizoma, 1 qian), Yun Ling (Poria, 2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Fang Feng (Saposhnikoviae Radix, 2 qian), She Xiang (Moschus, 1 li), Zhu Ru (Bambusae Caulis in Taedia, 1 qian), Bai Fan (Alumen, 7 fen), Zhi Ke (Aurantii Fructus, 1 qian), Sheng Jiang (Zingiberis Rhizoma Recens, 1 qian), Qian Hu (Peucedani Radix, 1 qian), Ku Qin (Scutellariae Radix, dried, 1 qian), Yu Jin (Curcumae Radix, 1 qian), Dang Gui (Angelicae Sinensis Radix, 1 qian), Niu Huang (Bovis Calculus, 3 li).
The song states: Sudden collapse with sounds like dogs and sheep; the formula suits Citrus peel, Pinellia, Licorice, Poria, and Saposhnikovia.
Borax, Alum, Scutellaria, Aurantium peel, Ginger, Peucedanum, Bamboo shavings; Angelica, Curcuma, Bovis calculus, and Moschus.