一治遗精白浊。
木贼小川芎。（各五分） 粉葛（一两） 居其中。蛇蜕一寸半。（头向上者）挂壁显神通。
上用酒炒。空心服。
一治赤白浊。陈云岳传。
木通（去节七钱） 滑石（三钱） 粉草（四钱） 黄荆子（一勺）
上锉。水煎。空心服。立已。
遗精白浊。当验于尺。结芤动紧。二症之的。
梦泄者其候有三。年少壮盛。鳏旷超时。强制情欲。不自知觉。此泄如瓶之满而溢也。
是以
无病。不药可也。或心气虚。不能主事。此泄如瓶之侧而出也。人多有之。其疾犹轻。则以
和平之剂治之。真元久虚。心不摄念。肾不摄精。此泄如虚瓶而漏者也。其重病可决也。须
作大补汤丸治之。不可少缓。
一论心所慕而作梦遗。此君火既动。而相火随之。治在心。
黄连清心汤
黄连（六分） 生地（三钱） 当归（三钱） 人参（二钱） 远志（一钱） 白茯苓（三钱去皮
木） 酸枣仁（炒一钱五分） 石莲肉（一钱） 甘草（八分）
上锉。水煎。加麦门冬去心。尤妙。
鲁藩泰兴王验方 治遗精。
人参（二钱） 石莲肉（一钱） 莲须（二钱） 芡实（三钱） 麦冬（二钱） 白茯苓（三钱）
远志（一钱） 甘草（八分）
上锉。水煎。温服。一方。加酸枣一钱。柏子仁二钱。石菖蒲一钱。黄柏酒炒二钱。
一论心神宁静则精固。君相火息则溺清。是症者。始因挠乎心。摇乎精而然也。龙雷火
动。其水浊而不清。尾闾不禁。即精关弛而不固。治宜补心宁神。滋阴固本。
益智固真汤
黄 （蜜炒一钱五分） 人参（三钱） 白术（酒炒去芦一钱） 白芍（酒炒一钱） 白茯神（
去皮
木一钱） 五味子（十二粒夏用十六粒） 当归身（酒炒一钱） 麦冬（去心一钱） 巴戟肉（
三钱
）益智仁（去壳一钱） 酸枣仁（炒一钱） 山药（一钱） 泽泻（一钱） 升麻（五分）
黄连（酒
炒一钱五分） 黄芩（一钱） 黄柏（酒炒七分） 知母（一钱） 莲花蕊（一钱） 生甘草梢（
一钱五分）
上锉。分二剂。水煎。空心服。
一论心神不安。肾虚。每自泄精等症。
宁神固精丸
黄柏（酒炒） 知母（酒炒各一两） 牡蛎（ ） 龙骨（ ） 芡实 莲蕊 白茯苓（去皮）
远志（去心） 山茱萸肉（各三两）
上为细末。煮山药糊为丸。如梧子大。朱砂为衣。每服五十丸。米汤送下。
一论夜梦遗精。或滑精。虚损之极。久不能止者。
滋补丸
人参 白术（炒） 白茯苓（去皮） 当归（酒洗） 川芎 白芍（酒炒） 熟地黄（酒蒸）
甘枸杞
子杜仲（酒炒） 牛膝（去芦酒洗） 天门冬（去心） 破故纸（酒洗） 远志（甘草水浸去
心） 牡蛎（ ） 龙骨（ ） 金樱子（去毛） 莲蕊 甘草（炙各等分）
上为细末。山药打糊为丸。如梧桐子大。每服百丸。空心。酒下。
一论男子发热遗精。或小便不禁。俱属脾肾亏损。补中益气汤（方见内伤） 合六味丸。
（方见补益）二方合作汤剂。水煎服。
一论嗜欲无度。梦遗精滑。日夜长流。百方罔效。病将垂危者。
玉堂丸 扶沟何晴岳传。
莲须（色黄者佳一斤） 石莲肉（净肉一斤） 芡实（净肉十二两） 麦冬（去心四两）
用公猪肚一个。加入莲肉带心皮一斤。入砂锅内。水煮烂。去肚。将莲肉晒干。同前药
为细末。炼蜜为丸。如梧桐子大。每服百丸。空心。莲须煎汤送下。神效。
一男子水脏虚惫。遗精盗汗。往往梦交。用猪腰子一枚。以刀开去筋膜。入大附子末一
钱。以湿纸包煨熟。空心服之。便饮酒一二钟。多亦甚妙。三五服效。
一论养元气。生心血。健脾胃。滋肾水。止盗汗。除遗精。降相火。壮元阳。
养心滋肾丸 临川徐昭志传。
人参（一两） 芡实（去壳一两） 酸枣仁（炒二两） 天冬（去心二两） 远志（甘草水泡去
心一
两） 当归（酒洗一两） 莲蕊（一两） 柏子仁（去油炒一两） 石菖蒲（去毛六钱） 熟地黄（酒
蒸二两） 五味子（一两） 麦冬（去心二两） 知母（去毛酒炒二两） 白芍（盐酒炒一两五钱）
白茯神（去皮木一两） 莲肉（去心皮一两） 牡蛎（火 一两） 怀山药（炒三两） 生地黄（
酒洗二两） 黄柏（去皮盐水炒二两）
上为细末。炼蜜为丸。如梧子大。每服七十丸。空心。盐汤下。
一论神者。精气之室也。神以御气。气以摄精。故人寤则神栖于心。寐则神栖于肾。心
肾。
神之舍也。昼之所为。夜之所梦。男子梦交而精泄。女子梦交而精出。是皆不知清心寡欲之
道也。斯人也。神不守舍。从欲而动。昼有所感。夜梦随之。心不摄念。肾不摄精。久而不
已。遂成虚损。或有神气委靡。念虑猖狂。风邪乘其虚。厉气干其正。而梦与人交者。
是又难状之疾也。以
镇神锁精丹
人参 白茯苓 远志（甘草水煮去心） 柏子仁 酸枣仁（炒各一两） 石菖蒲（去毛一
两） 白龙骨（ ） 牡蛎（ 各两半） 辰砂（水飞五钱留一钱为衣）
上共为末。炼蜜为丸。如弹子大。每服一丸。枣汤下。
一论精滑久不愈。牡蛎砂锅内 。醋淬七次。为末。醋糊为丸。如梧桐子大。每服五十
丸。空心。盐汤下。
一治心虚梦泄。以白茯苓去皮。一味为末。空心。米饮调下。
一治遗精虚漏。小便余滴。及夜多小便者。用益智仁十四个。水煎。入盐少许同服。
一梦泄不止。脉弦而大。
石莲肉（六两） 甘草（二两）
上为细末。每服二钱。食前。灯心汤下。
一人劳则遗精。齿牙即痛。以补中益气加半夏、茯苓、芍药。并六味地黄丸渐愈。更以
十全大补加麦门冬、五味而痊。
一人白浊梦遗。口干作渴。大便闭涩。午后热甚。用补中益气加芍药、元参。并加减八
味丸而愈。
一人茎中痛。出白津。小便闭。时作痒。用小柴胡加山栀、泽泻、炒莲、木通、龙胆草
、茯苓。二剂顿愈。又兼六味地黄丸而痊。
一人便血精滑发热。一男子尿血发热。一男子发热遗精。或小便不禁。俱属肾经亏损。
用地黄丸。益气汤以滋化源。并皆得愈。
一人午后有热。遇劳遗精。其齿即痛。此脾肾虚热。先用益气汤并六味丸。更以十全大
补汤而愈。
一人梦遗精滑。气血虚损。用十全大补汤加山茱萸、山药、五味、麦冬。
补中益气汤（方见内伤） 六味丸 八味丸 十全大补汤（俱见补益）
Treatment for spermatorrhea and white turbidity.
Mu Zei (Equiseti Herba), Xiao Chuan Xiong (Ligusticum Chuanxiong Hort.) [each 5 fen]. Fen Ge (Puerariae Radix) [1 liang] resides in the middle. She Tui (Bombyx Batryticatus) [1.5 cun, with head facing upward] is hung on the wall to manifest its efficacy.
The above herbs are stir-fried with wine. Take on an empty stomach.
Treatment for red and white turbidity. Passed down by Chen Yunyue.
Mu Tong (Akebiae Caulis, remove nodes) [7 qian], Hua Shi (Talcum) [3 qian], Fen Cao (Glycyrrhizae Radix et Rhizoma Preparata) [4 qian], Huang Jing Zi (Viticis Fructus) [1 spoon].
The above herbs are chopped. Decoct in water. Take on an empty stomach; symptoms will resolve immediately.
Spermatorrhea and white turbidity should be verified at the Chi pulse position. The pulse characteristics of Kou (Hollow), Dong (Fluttering), and Jin (Tight) are definitive indicators of these two conditions.
There are three manifestations of nocturnal emission: In young men who are vigorous but have been celibate for a long time, forcibly suppressing sexual desire without realizing it. This type of emission is like a bottle overflowing when full.
Therefore,
If there is no disease, medication is not necessary. Or if Heart Qi is deficient and cannot govern the mind, this emission is like liquid flowing out from a tilted bottle. Many people have this condition, which is relatively mild; treat it with harmonizing formulas. If True Yuan (Original Qi) has been deficient for a long time, the Heart cannot control thoughts, and the Kidney cannot secure essence. This emission is like a leaking empty bottle. This indicates a severe illness that can be determined. It must be treated with major tonifying decoctions or pills; do not delay even slightly.
Discussion on nocturnal emission caused by mental longing. This occurs because the Ministerial Fire (Xiang Huo) follows after the Sovereign Fire (Jun Huo) is activated. Treatment focuses on the Heart.
Huanglian Qingxin Tang (Coptis Decoction to Clear the Heart)
Huang Lian (Coptidis Rhizoma) [6 fen], Sheng Di Huang (Rehmanniae Radix) [3 qian], Dang Gui (Angelicae Sinensis Radix) [3 qian], Ren Shen (Ginseng Radix) [2 qian], Yuan Zhi (Polygalae Radix) [1 qian], Bai Fu Ling (Poria) [3 qian, remove peel and wood], Suan Zao Ren (Ziziphi Spinosae Semen) [stir-fried, 1.5 qian], Shi Lian Rou (Nelumbinis Plumula) [1 qian], Gan Cao (Glycyrrhizae Radix et Rhizoma) [8 fen].
The above herbs are chopped. Decoct in water. Add Mai Men Dong (Ophiopogonis Radix, remove heart) for better effect.
Empirical formula of Prince Tai Xing of Lu Fan for treating spermatorrhea.
Ren Shen (Ginseng Radix) [2 qian], Shi Lian Rou (Nelumbinis Plumula) [1 qian], Lian Xu (Nelumbinis Stamen) [2 qian], Qian Shi (Euryales Semen) [3 qian], Mai Dong (Ophiopogonis Radix) [2 qian], Bai Fu Ling (Poria) [3 qian].
Yuan Zhi (Polygalae Radix) [1 qian], Gan Cao (Glycyrrhizae Radix et Rhizoma) [8 fen].
The above herbs are chopped. Decoct in water. Take warm. Another prescription adds Suan Zao (Ziziphus Jujuba Mill. var. Spinosa Seed) [1 qian], Bai Zi Ren (Platycladi Semen) [2 qian], Shi Chang Pu (Acori Tatarinowii Rhizoma) [1 qian], Huang Bo (Phellodendri Cortex) [stir-fried with wine, 2 qian].
Discussion: When the mind is tranquil, essence is secured; when Sovereign and Ministerial fires subside, urine becomes clear. This condition initially arises because the mind is disturbed, causing essence to be shaken. Long Lei Fire (Dragon Thunder Fire) moves chaotically, making the water turbid and unclear. The Wei Lu Guan (Tailgate Gate) fails to restrain, meaning the Jing Guan (Essence Gate) is loose and insecure. Treatment should tonify the Heart, calm the Spirit, nourish Yin, and consolidate the root.
Yizhi Guzhen Tang (Wisdom Consolidating True Essence Decoction)
Huang Qi (Astragali Radix) [honey-fried, 1.5 qian], Ren Shen (Ginseng Radix) [3 qian], Bai Zhu (Atractylodis Macrocephalae Rhizoma) [wine-fried, remove rhizome, 1 qian], Bai Shao (Paeoniae Radix Alba) [wine-fried, 1 qian], Bai Fu Shen (Poria with Hostwood) [remove peel and wood, 1 qian], Wu Wei Zi (Schisandrae Chinensis Fructus) [12 grains, 16 in summer], Dang Gui Shen (Angelicae Sinensis Radix Body) [wine-fried, 1 qian], Mai Dong (Ophiopogonis Radix, remove heart) [1 qian], Ba Ji Tian (Morindae Officinalis Radix) [3 qian], Yi Zhi Ren (Alpiniae Oxyphyllae Fructus) [shelled, 1 qian], Suan Zao Ren (Ziziphi Spinosae Semen) [stir-fried, 1 qian], Shan Yao (Dioscoreae Rhizoma) [1 qian], Ze Xie (Alismatis Rhizoma) [1 qian], Sheng Ma (Cimicifugae Rhizoma) [5 fen], Huang Lian (Coptidis Rhizoma) [wine-fried, 1.5 qian], Huang Qin (Scutellariae Radix) [1 qian], Huang Bo (Phellodendri Cortex) [wine-fried, 7 fen], Zhi Mu (Anemarrhenae Rhizoma) [1 qian], Lian Hua Rui (Nelumbinis Stamen) [1 qian], Sheng Gan Cao Gao (Glycyrrhizae Radix et Rhizoma Tip) [1.5 qian].
The above herbs are chopped, divided into two doses. Decoct in water. Take on an empty stomach.
Discussion on symptoms such as restless mind, Kidney deficiency, and frequent spontaneous emission of essence.
Ningshen Gujing Wan (Spirit-Calming Essence-Consolidating Pill)
Huang Bo (Phellodendri Cortex) [wine-fried], Zhi Mu (Anemarrhenae Rhizoma) [wine-fried, each 1 liang], Mu Li (Ostreae Concha) [calcined], Long Gu (Fossilia Ossis Mastodi) [calcined], Qian Shi (Euryales Semen), Lian Rui (Nelumbinis Stamen), Bai Fu Ling (Poria) [peel removed], Yuan Zhi (Polygalae Radix) [heart removed], Shan Zhu Yu (Corni Fructus) [each 3 liang].
Grind into fine powder. Make pills using cooked Shan Yao paste, size of Sophora japonica seeds. Coat with Cinnabar. Take 50 pills per dose, washed down with rice soup.
Discussion on nocturnal emission or slippery emission due to extreme deficiency, which persists for a long time.
Zibu Wan (Nourishing and Tonifying Pill)
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma) [fried], Bai Fu Ling (Poria) [peel removed], Dang Gui (Angelicae Sinensis Radix) [wine-rinsed], Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba) [wine-fried], Shu Di Huang (Rehmanniae Radix Preparata) [wine-steamed], Gou Qi Zi (Lycii Fructus), Du Zhong (Eucommiae Cortex) [wine-fried], Niu Xi (Achyranthis Bidentatae Radix) [remove rhizome, wine-rinsed], Tian Men Dong (Asparagi Radix), Po Gu Zhi (Cibotii Rhizoma) [wine-rinsed], Yuan Zhi (Polygalae Radix) [soaked in Licorice water, heart removed], Mu Li (Ostreae Concha) [calcined], Long Gu (Fossilia Ossis Mastodi) [calcined], Jin Ying Zi (Chrysanthemi Indici Fructus) [remove hairs], Lian Rui (Nelumbinis Stamen), Gan Cao (Glycyrrhizae Radix et Rhizoma) [roasted, equal parts].
Grind into fine powder. Make pills using Shan Yao paste, size of Sophora japonica seeds. Take 100 pills per dose on an empty stomach, washed down with wine.
Discussion on male fever with spermatorrhea or urinary incontinence, all belonging to Spleen and Kidney deficiency. Combine Buzhong Yiqi Tang (Decoction to Boost the Middle and Augment the Qi) [see Internal Injury chapter] with Liuwei Wan (Six-Ingredient Pill) [see Tonification Chapter]. Prepare both together as a decoction, decoct in water, and take orally.
Discussion on excessive lust, nocturnal emission and slippery semen, continuous flow day and night, unresponsive to hundreds of methods, with the patient near death.
Yutang Wan (Jade Hall Pill). Passed down by He Qingyue of Fugou.
Lian Xu (Nelumbinis Stamen) [yellow color is best, 1 jin], Shi Lian Rou (Nelumbinis Plumula) [clean flesh, 1 jin], Qian Shi (Euryales Semen) [clean flesh, 12 liang], Mai Dong (Ophiopogonis Radix, remove heart) [4 liang].
Take one male pig stomach. Add 1 jin of Lotus seed with heart and skin. Place in a clay pot. Boil in water until soft. Remove the stomach. Dry the lotus seeds. Grind together with the previous herbs into fine powder. Make pills with refined honey, size of Sophora japonica seeds. Take 100 pills per dose on an empty stomach, washed down with Lian Xu decoction. Miraculous effect.
A man with Kidney organ deficiency and exhaustion, suffering from spermatorrhea and night sweats, often experiencing dream intercourse. Use one pig kidney. Cut open with a knife, remove fascia. Insert 1 qian of powdered Da Fu Zi (Aconiti Lateralis Radix Preparata). Wrap in wet paper and roast until cooked. Take on an empty stomach, followed by drinking one or two cups of wine. More is also very good. Effective after 3-5 doses.
Discussion on nurturing Original Qi, generating Heart Blood, strengthening Spleen and Stomach, nourishing Kidney Water, stopping night sweats, eliminating spermatorrhea, descending Ministerial Fire, and strengthening Yuan Yang.
Yangxin Zishen Wan (Nourishing Heart and Kidney Pill). Passed down by Xu Zhaozhi of Linchuan.
Ren Shen (Ginseng Radix) [1 liang], Qian Shi (Euryales Semen) [shelled, 1 liang], Suan Zao Ren (Ziziphi Spinosae Semen) [stir-fried, 2 liang], Tian Dong (Asparagi Radix) [remove heart, 2 liang], Yuan Zhi (Polygalae Radix) [soaked in Licorice water, remove heart, 1 liang], Dang Gui (Angelicae Sinensis Radix) [wine-rinsed, 1 liang], Lian Rui (Nelumbinis Stamen) [1 liang], Bai Zi Ren (Platycladi Semen) [remove oil, stir-fried, 1 liang], Shi Chang Pu (Acori Tatarinowii Rhizoma) [remove hairs, 6 qian], Shu Di Huang (Rehmanniae Radix Preparata) [wine-steamed, 2 liang], Wu Wei Zi (Schisandrae Chinensis Fructus) [1 liang], Mai Dong (Ophiopogonis Radix, remove heart) [2 liang], Zhi Mu (Anemarrhenae Rhizoma) [remove hairs, wine-fried, 2 liang], Bai Shao (Paeoniae Radix Alba) [salt-wine fried, 1.5 liang], Bai Fu Shen (Poria with Hostwood) [remove peel and wood, 1 liang], Lian Rou (Nelumbinis Semen) [remove heart and skin, 1 liang], Mu Li (Ostreae Concha) [calcined, 1 liang], Huai Shan Yao (Dioscoreae Rhizoma) [fried, 3 liang], Sheng Di Huang (Rehmanniae Radix) [wine-rinsed, 2 liang], Huang Bo (Phellodendri Cortex) [remove bark, salt-water fried, 2 liang].
Grind into fine powder. Make pills with refined honey, size of Sophora japonica seeds. Take 70 pills per dose on an empty stomach, washed down with salt water.
Discussion: The Spirit (Shen) is the chamber of Essence and Qi. The Spirit commands Qi, and Qi secures Essence. Thus, when awake, the Spirit resides in the Heart; when sleeping, the Spirit resides in the Kidney. The Heart and Kidney are the dwellings of the Spirit. Actions during the day correspond to dreams at night. Men emit essence during dream intercourse; women release essence during dream intercourse. All these result from ignorance of the way of clearing the mind and reducing desires. Such people have Spirits that do not guard their dwelling, moving according to desires. Sensations during the day lead to corresponding dreams at night. The Heart cannot control thoughts, and the Kidney cannot secure essence. Over time without cessation, this leads to deficiency damage. There may be listless Spirit and Qi, wild thoughts and worries. Wind pathogens take advantage of the deficiency, and malignant Qi interferes with righteous Qi, leading to dreams of intercourse with others. This is another difficult-to-describe illness. Use Zhenshen Suojing Dan (Spirit-Calming Essence-Locking Elixir).
Ren Shen (Ginseng Radix), Bai Fu Ling (Poria), Yuan Zhi (Polygalae Radix) [boiled in Licorice water, remove heart], Bai Zi Ren (Platycladi Semen), Suan Zao Ren (Ziziphi Spinosae Semen) [stir-fried, each 1 liang], Shi Chang Pu (Acori Tatarinowii Rhizoma) [remove hairs, 1 liang], Bai Long Gu (Fossilia Ossis Mastodi) [calcined], Mu Li (Ostreae Concha) [calcined, each 1.5 liang], Chen Sha (Cinnabaris) [water-ground, 5 qian, reserve 1 qian for coating].
Grind all together into powder. Make pills with refined honey, size of a bullet. Take one pill per dose, washed down with Jujube soup.
Discussion on chronic slippery emission unresponsive to treatment. Calcine Mu Li (Ostreae Concha) in a clay pot, quench in vinegar seven times. Grind into powder. Make pills with vinegar paste, size of Sophora japonica seeds. Take 50 pills per dose on an empty stomach, washed down with salt water.
Treatment for Heart deficiency causing dream emission. Use only Bai Fu Ling (Poria) [peel removed], grind into powder. Take on an empty stomach, mixed with rice drink.
Treatment for spermatorrhea due to deficiency leakage, residual urine drops, and frequent urination at night. Use 14 Yi Zhi Ren (Alpiniae Oxyphyllae Fructus). Decoct in water. Take with a little salt.
Nocturnal emission continues, pulse is string-like and large.
Shi Lian Rou (Nelumbinis Plumula) [6 liang], Gan Cao (Glycyrrhizae Radix et Rhizoma) [2 liang].
Grind into powder. Take 2 qian per dose before meals, washed down with Centella asiatica soup.
One person emits essence upon exertion, and teeth hurt immediately. Use Buzhong Yiqi Tang added with Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria), and Shao Yao (Paeoniae Radix), combined with Liuwei Dihuang Wan. Gradually recovered. Further cured with Shiquan Dabu Tang added with Mai Men Dong (Ophiopogonis Radix) and Wu Wei Zi (Schisandrae Chinensis Fructus).
One person had white turbidity and dream emission, dry mouth with thirst, constipation, and severe afternoon fever. Use Buzhong Yiqi Tang added with Shao Yao (Paeoniae Radix) and Xuan Shen (Scrophulariae Radix), combined with Jiawei Bawei Wan. Recovered.
One person had pain in the urethra, discharge of white fluid, urinary obstruction, and occasional itching. Use Xiaochaihu Tang added with Shan Zhi Zi (Gardeniae Fructus), Ze Xie (Alismatis Rhizoma), Chao Lian Zi (Nelumbinis Semen stir-fried), Mu Tong (Akebiae Caulis), Long Dan Cao (Gentianae Radix), and Fu Ling (Poria). Two doses led to immediate recovery. Further cured with Liuwei Dihuang Wan.
One person had blood in stool, slippery emission, and fever. One man had hematuria and fever. One man had fever with spermatorrhea or urinary incontinence. All belong to Kidney Meridian deficiency. Use Dihuang Wan and Yiqi Tang to nourish the source of transformation. All recovered.
One person had afternoon fever, emitted essence upon exertion, and teeth hurt immediately. This is Spleen and Kidney deficiency heat. First use Yiqi Tang and Liuwei Wan. Further cured with Shiquan Dabu Tang.
One person had dream emission and slippery semen due to Qi and Blood deficiency. Use Shiquan Dabu Tang added with Shan Zhu Yu (Corni Fructus), Shan Yao (Dioscoreae Rhizoma), Wu Wei Zi (Schisandrae Chinensis Fructus), and Mai Dong (Ophiopogonis Radix).
Buzhong Yiqi Tang [see Internal Injury chapter], Liuwei Wan, Bawei Wan, Shiquan Dabu Tang [all see Tonification chapter].