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Heart deficiency with spirit interaction, lower yuan (lower jiao/origin) deficiency and exhaustion, abundant qi and overflowing essence, external attraction stirring emotions.

The disease of spermatorrhea (involuntary ejaculation) has various causes: there are cases caused by heart deficiency and spirit interaction, those caused by lower yuan deficiency and exhaustion, those where abundant qi and full essence lead to natural overflow, and those triggered by external attractions stirring emotional desire. If one dreams of sexual intercourse at night and ejaculates, this is due to heart deficiency and spirit interaction. If ejaculation occurs spontaneously without intercourse, characterized by slippery leakage that cannot be controlled, this is because excessive sexual activity has damaged kidney qi, leading to lower yuan deficiency and exhaustion causing spermatorrhea. In young individuals with vigorous qi and blood who have abstained from sexual activity for a long time, seminal emission occurs naturally due to fullness of essence. If one feels attracted to external objects and stirs up emotional desire within, this is also due to unfulfilled desires causing emission. For those who are young, vigorous, and emotionally aroused, simply relaxing the mind and satisfying their desires allows self-healing even without medication. However, in cases of nocturnal emissions involving dreams of demonic intercourse or uncontrollable seminal leakage, one must calm and descend heart fire and nourish kidney water, ensuring the harmonious interaction of water and fire and the connection between heart and kidney. By cultivating the root and consolidating the true essence, leakage can be prevented.

Treatment for endless rumination and unfulfilled wishes, leading to hyperactive ministerial fire (xiang huo) damaging the heart and kidney, resulting in nocturnal spermatorrhea and dribbling after urination.
Formula: Danggui (Radix Angelicae Sinensis, washed with wine), Shudihuang (Prepared Radix Rehmanniae, soaked in wine), Rongcunrong (Caulis Cistanches, soaked in wine), Gouqizi (Fructus Lycii), Baifuling (Poria, white), Zhimu (Rhizoma Anemarrhenae, stir-fried with salt), Shilianrou (Seed coat of Nelumbinis Semen), Tianmendong (Radix Asparagi, heart removed), Maimendong (Radix Ophiopogonis, heart removed, each 6 liang), Huangbai (Cortex Phellodendri, soaked in wine and stir-fried, 2 liang), Lianxu (Stamen Nelumbinis, 7 qian), Wuweizi (Fructus Schisandrae), Zexie (Rhizoma Alismatis), Muli (Concha Ostreae).
Preparation and Administration: Grind the above herbs into fine powder. Mix with refined honey to form pills the size of tung tree seeds. Take 70 pills per dose, on an empty stomach, delivered with boiling water seasoned with salt.

Treatment for excessive mental labor leading to non-interaction between heart and kidney and insecure essence origin, manifesting as restless sleep, spermatorrhea, leukorrhea (white turbid discharge), leg soreness, and weak spirit.
Formula: Qianshi (Semen Euryales), Lianxu (Stamen Nelumbinis), Fushen (Poria with hostwood), Shanzhuyu (Fructus Corni, pitted), Longgu (Os Draconis), Wuweizi (Fructus Schisandrae), Jiuizi (Semen Allii Tuberosi), Rongcunrong (Caulis Cistanches), Shudihuang (Prepared Radix Rehmanniae), Zhi shiyin (Lapis Fulguritis), Niuxi (Radix Achyranthis Bidentatae), Gouqizi (Fructus Lycii).
Preparation and Administration: Grind the above herbs into fine powder. Use wine-boiled Dioscorea rhizome paste to bind the powder into pills the size of tung tree seeds. Take 70 pills per dose, on an empty stomach, delivered with salted water.

Treatment for failure of water and fire to interact (heart-kidney non-interaction), manifesting as palpitations in the epigastrium, nocturnal spermatorrhea, night sweats, and reddish urine.
Formula: Niuxi (Radix Achyranthis Bidentatae), Shudihuang (Prepared Radix Rehmanniae), Rongcunrong (Caulis Cistanches), Tusizi (Semen Cuscutae), Lurong (Cornu Cervi Pantotrichum), Fuzi (Radix Aconiti Lateralis Preparata), Renshen (Radix Ginseng), Huangqi (Radix Astragali), Fushen (Poria with hostwood), Wuweizi (Fructus Schisandrae), Shanyao (Rhizoma Dioscoreae), Danggui (Radix Angelicae Sinensis), Longgu (Os Draconis), Yuanzhi (Radix Polygalae).
Preparation and Administration: Grind the above herbs into fine powder. Use wine paste to bind the powder into pills the size of tung tree seeds. Take 70 pills per dose, on an empty stomach, delivered with salted water.