夫虚劳梦泄者。由肾脏气虚。为邪气之所乘也。邪客于阴。则梦交接。肾脏主于精。令
肾虚
治虚劳梦中失精。心悸。小腹急。阴间寒。目眶疼痛。头发脱落。龙骨散方。
白龙骨（二两） 甘草（半两炙微赤锉） 续断（一两） 泽泻（一两） 牡蛎粉（三
分） 附子
（一
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
每
治虚劳梦中失精。虚乏少力。宜服薰草散方。
薰草〔三（二）两〕 人参（二两去芦头） 龙骨（一两） 赤石脂（一两） 熟干地
黄（二两）
白
心（一两半）
甘
上件药。捣粗罗为散。每服四钱。以水一中盏。入枣三枚。煎至六分。去滓。每于食前
温服
治虚劳梦泄。心多忪悸。宜服此方。
龙骨（二两） 牡蛎粉（一两） 桂心（一两） 车前子（一两） 泽泻（一两） 韭
子（一两细
炒）
上件药。捣筛为散。每服四钱。用水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
食前
治虚劳梦泄甚者。心下悸。腹里急。阴头寒。目眶痛。发落。宜服桂心散方。
桂心（一两） 白芍药（一两） 龙骨（一两半） 牡蛎粉（一两半） 甘草（半两炙
微赤锉）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
食
治虚劳梦泄。乏力。盗汗。牡蛎散方。
牡蛎粉（三两） 龙骨（三两） 桂心（一两） 棘刺（一两微炒） 白芍药（一两） 苍
术（二
两微
上件药。捣细罗为散。每于食前。以粥饮下二钱。
治虚劳羸瘦。肾虚。梦泄不知。韭子丸方。
韭子（三合微炒） 鹿茸（二两去毛涂酥炙微黄） 杜仲（二两去皴皮炙微赤锉） 干
姜（二
两炮
两酒浸
三日
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服。空心及晚食前。以温酒
下三
治虚劳肾气不足。数梦泄。宜服棘刺丸方。
棘刺（一两微炒） 干姜（三分炮裂锉） 乌头（半两炮裂去皮脐） 小草（半两） 菟
丝子
（二两
杞子
〔三（二
斛（一两
去根锉）
门冬（一
两半去心焙
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。食前。以温酒下三十丸。
治虚劳梦泄。立效鹿角胶散方。
鹿角胶（一两研碎炒令黄燥） 覆盆子（一两） 车前子（一两）
上件药。捣细罗为散。每于食前。以温酒调下二钱。
又方。
新韭子（三两十月霜后采者酒浸一宿曝干微炒） 地肤子（一两半） 柏子仁（二两） 枸
杞
子（
上件药。捣罗为末。以煮枣肉和捣百余杵。丸如梧桐子大。每服。空心及晚食前。以粥
饮下
又方。
韭子（二两微炒） 桑螵蛸（一两微炒）
上件药。捣细罗为散。每服。空心以温酒调下一钱。晚食前再服。
又方。
白龙骨（二两） 韭子（二两微炒）
上件药。捣罗为散。更研令细。每服。空心及晚食前。以温酒调下二钱。
治虚劳梦泄。镇精真珠丸方。
真珠（六两以牡蛎六两用水同煮一日去牡蛎只取真珠用）
上捣。细罗为末。却入水于乳钵内。研三五日后。宽着水。飞过。候干。用蒸饼和。丸
如梧
治虚劳肾损。梦中泄精。韭子散方。
韭子（二两微炒）
上件药。捣细罗为散。每于食前。以温酒调下二钱。
For deficiency consumption (Xu Lao) presenting with nocturnal emission during dreams, the etiology lies in the deficiency of Kidney Qi, which allows pathogenic factors to invade. When pathogens lodge in the Yin regions, it leads to dreams of sexual intercourse. The Kidneys govern essence; thus, when Kidney Qi is deficient, seminal emission occurs unconsciously during sleep.
To treat deficiency consumption with nocturnal emission accompanied by palpitations, urgency and pain in the lower abdomen, coldness in the genital region, pain in the eye orbits, and hair loss, the Longgu San (Dragon Bone Powder) formula is indicated.
Bai Long Gu (Fossilia Os Mastodi, 2 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and chopped) Xu Duan (Dipsaci Radix, 1 liang) Ze Xie (Alismatis Rhizoma, 1 liang) Mu Li Fen (Concha Ostreae, 3 fen) Fu Zi (Aconiti Lateralis Radix Praeparata, 1 piece, processed, skin and lateral roots removed).
The above herbs are coarsely ground into a powder. Each dose consists of 3 qian, decocted with one zhong zhan of water, plus 0.5 fen of Sheng Jiang (Zingiberis Rhizoma Recens), and three dates. Decoct until six parts remain, strain, and take warm before meals.
To treat deficiency consumption with nocturnal emission, accompanied by general weakness and lack of strength, the Xuncao San (Xuncao Powder) formula is indicated.
Xun Cao (Agastachis Herba, 2 liang) Ren Shen (Ginseng Radix, 2 liang, rhizome removed) Long Gu (Fossilia Ossis Mastodi, 1 liang) Chi Shi Zhi (Halloysit Rubra, 1 liang) Shu Di Huang (Rehmanniae Radix Praeparata, 2 liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1.5 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and chopped).
The above herbs are coarsely ground into a powder. Each dose consists of 4 qian, decocted with one zhong zhan of water and three dates. Decoct until six parts remain, strain, and take warm before meals.
To treat deficiency consumption with nocturnal emission and frequent palpitations/fright, this formula is indicated.
Long Gu (Fossilia Ossis Mastodi, 2 liang) Mu Li Fen (Concha Ostreae, 1 liang) Gui Xin (Cinnamomi Ramulus Cortex, 1 liang) Che Qian Zi (Plantaginis Semen, 1 liang) Ze Xie (Alismatis Rhizoma, 1 liang) Jiu Zi (Allii Tuberosi Semen, 1 liang, finely stir-fried).
The above herbs are ground and sifted into a powder. Each dose consists of 4 qian, decocted with one zhong zhan of water, plus 0.5 fen of Sheng Jiang (Zingiberis Rhizoma Recens), and three dates. Decoct until six parts remain, strain, and take before meals.
To treat severe deficiency consumption with nocturnal emission, accompanied by palpitations in the epigastrium, abdominal urgency, coldness at the glans penis, pain in the eye orbits, and hair loss, the Guixin San (Cinnamon Heart Powder) formula is indicated.
Gui Xin (Cinnamomi Ramulus Cortex, 1 liang) Bai Shao Yao (Paeoniae Radix Alba, 1 liang) Long Gu (Fossilia Ossis Mastodi, 1.5 liang) Mu Li Fen (Concha Ostreae, 1.5 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and chopped).
The above herbs are coarsely ground into a powder. Each dose consists of 3 qian, decocted with one zhong zhan of water, plus 0.5 fen of Sheng Jiang (Zingiberis Rhizoma Recens), and three dates. Decoct until six parts remain, strain, and take before meals.
To treat deficiency consumption with nocturnal emission, fatigue, and night sweats, the Muli San (Oyster Shell Powder) formula is indicated.
Mu Li Fen (Concha Ostreae, 3 liang) Long Gu (Fossilia Ossis Mastodi, 3 liang) Gui Xin (Cinnamomi Ramulus Cortex, 1 liang) Ji Ci (Gleditsiae Spina, 1 liang, slightly stir-fried) Bai Shao Yao (Paeoniae Radix Alba, 1 liang) Cang Zhu (Atractylodis Rhizoma, 2 liang, slightly stir-fried).
The above herbs are finely ground and sifted into a powder. Each dose consists of 2 qian, taken before meals with congee water.
To treat deficiency consumption with emaciation, Kidney deficiency, and unconscious nocturnal emission, the Jiu Zi Wan (Chinese Chive Seed Pill) formula is indicated.
Jiu Zi (Allii Tuberosi Semen, 3 he, slightly stir-fried) Lu Rong (Cornus Cervi Pantotrichum, 2 liang, hair removed, coated with butter and fried until slightly yellow) Du Zhong (Eucommiae Cortex, 2 liang, rough bark removed, honey-fried until slightly red and chopped) Gan Jiang (Zingiberis Rhizoma, 2 liang, processed) Tu Si Zi (Cuscutae Semen, 2 liang, soaked in wine for three days).
The above herbs are ground into powder, mixed with refined honey, and pounded 300-500 times. Form pills the size of paulownia seeds. Take 30 pills on an empty stomach and before evening meal with warm wine.
To treat deficiency consumption due to insufficient Kidney Qi, characterized by frequent nocturnal emissions, the Ji Ci Wan (Gleditsia Spine Pill) formula is indicated.
Ji Ci (Gleditsiae Spina, 1 liang, slightly stir-fried) Gan Jiang (Zingiberis Rhizoma, 3 fen, processed and chopped) Wu Tou (Aconiti Radix, 0.5 liang, processed, skin and lateral roots removed) Xiao Cao (Radix Glehniae, 0.5 liang) Tu Si Zi (Cuscutae Semen, 2 liang, soaked in wine) Gou Qi Zi (Lycii Fructus, 2 liang) Shi Hu (Dendrobii Caulis, 1 liang, roots removed and chopped) Mai Dong (Ophiopogonis Radix, 1.5 liang, heart removed and dried).
The above herbs are ground into powder, mixed with refined honey, and pounded 300-500 times. Form pills the size of paulownia seeds. Take 30 pills before meals with warm wine.
To treat deficiency consumption with nocturnal emission, the Lugujiao San (Deer Antler Glue Powder) formula provides immediate effect.
Lu Jiao Jiao (Cornus Cervi Colla, 1 liang, crushed and fried until yellow and dry) Fu Pen Zi (Rubigen Fructus, 1 liang) Che Qian Zi (Plantaginis Semen, 1 liang).
The above herbs are finely ground and sifted into a powder. Each dose consists of 2 qian, taken before meals with warm wine.
Another prescription.
Xin Jiu Zi (Fresh Allii Tuberosi Semen, 3 liang, harvested after frost in October, soaked in wine overnight, sun-dried, and slightly stir-fried) Di Fu Zi (Kochiae Fructus, 1.5 liang) Bai Zi Ren (Biota Semen, 2 liang) Gou Qi Zi (Lycii Fructus, 2 liang).
The above herbs are ground into powder, mixed with paste from boiled dates, and pounded over 100 times. Form pills the size of paulownia seeds. Take on an empty stomach and before evening meal with congee water.
Another prescription.
Jiu Zi (Allii Tuberosi Semen, 2 liang, slightly stir-fried) Sang Piao Xiao (Ovi Mantidis, 1 liang, slightly stir-fried).
The above herbs are finely ground and sifted into a powder. Each dose consists of 1 qian, taken on an empty stomach with warm wine, and repeated before the evening meal.
Another prescription.
Bai Long Gu (Fossilia Os Mastodi, 2 liang) Jiu Zi (Allii Tuberosi Semen, 2 liang, slightly stir-fried).
The above herbs are ground into a powder and further milled to fine consistency. Each dose consists of 2 qian, taken on an empty stomach and before evening meal with warm wine.
To treat deficiency consumption with nocturnal emission, the Zhenjing Zhenzhu Wan (Essence-Stabilizing Pearl Pill) formula is indicated.
Zhen Zhu (Margarita, 6 liang, boiled with 6 liang of Mu Li (Concha Ostreae) in water for one day; discard the oyster shells and use only the pearls).
Crush the pearls, sieve finely. Place in a mortar with water, grind for 3-5 days. Add water to dilute, filter through silk (fei guo), and dry. Mix with steamed dough to form pills the size of paulownia seeds.
To treat deficiency consumption with Kidney damage and seminal emission during dreams, the Jiu Zi San (Chinese Chive Seed Powder) formula is indicated.
Jiu Zi (Allii Tuberosi Semen, 2 liang, slightly stir-fried).
The above herb is finely ground and sifted into a powder. Each dose consists of 2 qian, taken before meals with warm wine.