陈（左） 败精失道，精浊久而不止。兹则旧咳复发，每至寅卯，气辄上升，不能着卧，痰色有时灰黑，脉形
濡细。肾水不足于下，痰热凭凌于上。尚可抵御，难望霍全。
玉竹（三钱） 阿胶（二钱） 川贝母（二钱） 云茯苓（三钱） 菟丝子（盐水炒三钱） 潼沙苑（三钱）
海蛤粉（三钱） 白果（三枚打） 都气丸（三钱开水送下）
二诊 每至寅卯，气辄上升，不能着卧。脉象细弦。肾虚冲阳挟痰上逆，并有精浊。法宜兼顾。
细生地（四钱） 女贞子（盐水炒三钱） 炒萸肉（三钱） 青蛤散（三钱包） 川贝母（二钱） 潼沙苑（盐水
炒三钱） 浓杜仲（三钱） 白芍（一钱五分） 白果（三枚打） 都气丸（三钱先服）
三诊 咳嗽气逆，寅卯为甚，痰多盈盂，精浊绵下。肾虚不能固摄。前法进一步治。
大生地（四钱） 玉竹（三钱） 菟丝子（盐水炒三钱） 萸肉（二钱） 补骨脂（三钱） 奎党参（三钱）
川贝（二钱） 潼沙苑（盐水炒三钱） 山药（三钱） 浓杜仲（三钱）
四诊 精浊稍减，咳嗽稍松。的属肾虚不能收摄。效方扩充。
大生地（四钱） 炒山药（三钱） 菟丝子（盐水炒三钱） 潼沙苑（盐水炒三钱） 炒萸肉（三钱） 巴戟
肉（三钱） 补骨脂（盐水炒三钱） 浓杜仲（三钱） 胡桃（一枚蜜炙打烂入煎）
周（左） 无梦泄精，腰府作酸。脉象虚濡。精道滑而不固。宜固精益肾。
熟地炭（三钱） 补骨脂（盐水炒三钱） 牡蛎（五钱） 潼沙苑（盐水炒三钱） 淮山药（三钱） 菟丝子
（盐水炒三钱） 龙骨（三钱） 浓杜仲（三钱） 淡苁蓉（二钱） 新莲须（一钱）
陈（左） 肾气不能收摄，临圊辄带精浊。宜补气固肾。
党参（三钱） 杞子（三钱） 潼沙苑（盐水炒三钱） 淮山药（三钱） 茯神（三钱） 杜仲（三钱）
菟丝子（盐水炒三钱） 制首乌（四钱） 建莲（三钱） 金樱子（三钱）
二诊 神情稍振，每至临圊，辄有精浊带出。肾气虚而不振也。
党参（二钱） 云茯苓（三钱） 淮山药（三钱） 金樱子（二钱） 建莲（三钱） 于术（二钱）
潼沙苑（三钱） 牡蛎（四钱） 菟丝子（三钱）
三诊 固肾气而益脾胃，脉证相安。前法扩充之。
炙上 （三钱） 制首乌（三钱） 西潞党（三钱） 土炒于术（三钱） 炙黑草（三分） 浓杜仲（三钱）
炒山药（三钱） 潼沙苑（三钱） 金樱子（三钱） 肥玉竹（三钱）
膏方 每至小便，辄有精浊遗出。此精病，非浊也。肾虚不摄可知。脾胃多湿，气虚不运可知。拟补气以
健脾胃，益肾以摄阴精。
炙绵 （四两） 山药（三两炒） 制首乌（六两） 炙黑草（五钱） 浓杜仲（三两） 奎党参（六两）
扁豆子（三两） 于术（二两炒） 剪芡实（三两） 肥玉竹（三两） 白茯苓（三两） 炒萸肉（二两）
大生地（姜汁炒八两） 潼沙苑（盐水炒四两） 甘杞子（三两） 巴戟肉（二两） 大熟地（砂仁炙六两） 补骨脂
（盐水炒三两） 干苁蓉（三两） 西洋参（二两） 白归身（酒炒二两） 杭白芍（酒炒二两） 金樱子（去核四
两） 菟丝子（盐水炒三两） 天麦冬（各二两） 清阿胶（三两） 龟板胶（三两） 鹿角胶（二两） 线鱼胶
（二两以上四味酒化收膏）
王（幼） 先后不充，肾气失固，精浊时渗，形体渐瘦。正在童年起发之时，何堪经此漏泄。急宜固肾。
炒于术（二钱） 补骨脂（盐水炒三钱） 菟丝子（盐水炒三钱） 生山药（三钱） 潼沙苑（盐水炒三钱） 杞
子（三钱） 剪芡实（三钱） 牡蛎（四钱） 莲子（三钱）
柴（幼） 童年而精关不固。暂用固精而分利水湿。
萆 广皮 制半夏 龙骨 潼沙苑（盐水炒） 泽泻 山药 赤白苓 牡蛎 剪芡实
陈（左） 精滑一感即泄，心肾并虚，遗泄不寐。前药再为扩充。
党参 茯神 炙草 杭白芍 炒枣仁 远志
于术 菟丝子（盐水炒） 潼沙苑（盐水炒） 补骨脂（盐水炒） 莲子（十二粒）
左 遗精头昏，痰黑不寐。此水亏也。
龙骨 炙龟板 炒枳实 珍珠母 竹茹 牡蛎 潼沙苑 孔圣枕中丹
王（左） 肾为阴主藏精，肝为阳主疏泄，肾之阴虚则精不藏，肝之阳强则气不固。久病气阴皆虚，精不
能藏，不时滑泄。少阴为开阁之枢，枢病则开阁失度，往来寒热。肾主骨，骨髓空虚，腰酸足软。大便艰难，
以脏阴愈亏，则腑阳愈燥也。脉虚形虚，虚损之证，何易言治。且先固摄其下，以节其流。
炒熟地（三钱） 牡蛎（四钱） 菟丝子（盐水炒三钱） 潼沙苑（三钱） 浓杜仲（三钱） 龙骨（三钱
）补骨脂（盐水炒三钱） 生山药（三钱） 奎党参（三钱） 剪芡实（三钱） 甘杞子（三钱） 莲子肉（三钱）
二诊 摄肾固精，精气稍固，饮食略为馨旺。但精髓空虚，开阁失度，脏阴不足以济燥金，倏寒倏热，大
便旬日不行，阳升筋掣。脉形虚大。前法参滋润养脏。
生地（姜汁炒三钱） 杞子（三钱） 炙熟地（二钱） 龙骨（五钱 ） 补骨脂（三钱） 鲜苁蓉（八钱）
潼沙苑（盐水炒三钱） 天麦冬（各一钱五分） 金樱子（去核三钱） 萸肉（三钱） 火麻仁（三钱） 莲须（一钱）
三诊 滋肾固精养脏，大便颇通，滑泄之期稍远，胃纳略觉馨旺。脉神较振。药既应手，无用更章。
生熟地（各二钱） 龙骨（三钱 ） 萸肉（二钱） 牡蛎（五钱 ） 归身（一钱五分） 台参须（另煎冲一钱）
苁蓉（二钱） 杜仲（三钱） 杞子（三钱） 山药（四钱） 潼沙苑（盐水炒三钱） 莲须（一钱）
四诊 遗泄渐疏，大便艰难较润，往来寒热亦定。从效方再展一筹。
大熟地（五钱） 人参须（另煎冲一钱） 酒炒归身（二钱） 干苁蓉（三钱） 生于术（二钱） 沙苑子（盐水
炒
三钱） 炒枣仁（二钱打） 朱茯神（三钱） 甘杞子（三钱） 山萸肉（二钱） 龙骨（三钱） 牡蛎（五钱）
五诊 脉虽细弱，渐觉有神，形色亦渐华泽。然遗泄有时仍作。还是肾气不固。再为固补。
大兼条参（另煎冲一钱） 茯神（三钱） 潼沙苑（盐水炒三钱） 大熟地（五钱） 生于术（一钱）
干苁蓉（三钱） 补骨脂（三钱） 牡蛎（五钱） 龙骨（三钱） 菟丝子（盐水炒三钱） 湘莲肉（三钱）
淮山药（三钱）
六诊 饭食坚硬，损伤脾土，食入时觉胀满。虚损之证，全凭上药温养，脾土不运，安能峻补。从此宜慎食物。
于术（土炒二钱） 真建曲（二钱） 奎党参（二钱） 砂仁（四分后入） 陈皮（一钱） 连皮苓（三钱）
南楂炭（三钱） 焦枳实（四分） 焦麦芽（二钱）
七诊 胀满已舒，舒则嗳噫。阳明既虚，客气上逆也。
奎党参（三钱） 旋复花（包一钱五分） 橘皮（一钱） 茯苓（三钱） 姜渣（六分） 代赭石（三钱）
制半夏（一钱五分） 炒竹茹（一钱） 黑大枣（二枚）
八诊 脾胃气弱，旬日之后，健运不复。拟六君出入。
小兼条参（另煎冲一钱） 半夏曲（炒一钱五分） 茯苓（三钱） 砂仁壳（五分） 土炒于术（一钱）
广陈皮（一钱） 广木香（二分） 生熟甘草（各二分） 生熟谷芽（各一钱五分）
九诊 脾胃稍得健运。脾土以阳为用，前法再参温补下焦。
奎党参（二钱） 白茯苓（三钱） 菟丝子（三钱） 炒山药（三钱） 甘杞子（三钱） 生于术（一钱五分）
补骨脂（三钱） 砂仁末（四分后入） 生熟谷芽（各一钱）
十诊 中焦受气，受谷气也。少火生气，以蒸变于下，气生于上也。中州运化呆钝。良由蒸变无力，谷难
化气。再益阴中之阳，以助少火之蒸化。
台参须（另煎冲一钱） 生于术（二钱） 破故纸（盐水炒三钱） 甘杞子（三钱） 菟丝子（盐水炒三钱）
煨益智（八分） 潼沙苑（盐水炒三钱） 湘莲肉（三钱） 茯神（三钱）
陈（左） 咯血以来，不时遗泄，腰府作酸。心肾俱病也。
茯神（三钱） 潼沙苑（三钱） 炒山药（三钱） 龙骨（三钱） 牡蛎（五钱） 炒枣仁（三钱）
浓杜仲（三钱） 菟丝子（盐水炒三钱） 金色莲须（八分）
严 摄纳肾阴，脉证相安。然无梦泄精，亦属肾阴不固。前法参以固摄。
生熟地 淮山药 海蛤壳 牡蛎 白芍 炒萸肉 潼沙苑 茯神 五味子（四分先服）
华（左） 梦遗而苔白腻，此湿热混淆也。
焦白术（一钱五分） 神曲（一钱五分） 川萆 （二钱） 川朴（一钱） 生薏仁（四钱） 白茯苓（三钱）
泽泻（一钱五分） 木猪苓（二钱） 广皮（一钱） 滑石块（三钱）
左 溲痛降序，溲黄赤较退。然屡次遗泄，还是湿热扰攘也。
细生地（四钱） 车前子 甘草梢 淡芩 知母 赤白苓 龙胆草（五分） 川萆 泽泻
左 遗泄频来，溲热而赤，湿热盛极可知。
广皮 泽泻 制半夏 川黄柏（盐水炒） 淡芩 萆 猪苓 生薏仁 猪肚丸
左 肾藏精而主纳，膀胱藏水而主出。肾虚湿热内扰，湿不得泄，精不得藏。欲固其肾藏之精，当祛其
膀胱之湿。
生于术 川萆 牡蛎 猪苓 泽泻 生米仁 川黄柏 茯苓神 大淡菜
左 不时遗泄，眩晕耳鸣腹痛。肾虚则木旺，木旺则气滞，气滞则风生。其病虽殊其源则一。
制香附 新会皮 牡蛎 砂仁末 金色莲须 白蒺藜
龙骨 炒山药 豆衣 大淡菜
左 遗浊相兼。昨投分利湿邪，脉仍濡滑。若水湿不克厘清，其精窍何从扃固。但湿为粘腻之邪，非一
蹴所能几耳。拟汤丸并进，上下分治。
制半夏（三钱） 广皮（一钱） 生米仁（四钱） 猪苓（二钱） 茯苓（三钱） 泽泻（一钱五分）
川萆 （二钱） 野于术（一钱五分） 制香附（一钱五分） 威喜丸（二钱药前先服） 五日后服猪苓丸
（二钱方见医通）
郁（左） 梦遗频来。脉象濡细，左尺涩弱，左寸浮大。心肾两亏，水火不能相济。从心肾主治。
朱茯神（三钱） 潼沙苑（盐水炒三钱） 生山药（三钱） 杭白芍（酒炒一钱五分） 炒枣仁（二钱）
菟丝子（盐水炒三钱） 奎党参（三钱） 柏子仁（去油三钱） 远志肉（五分） 湘莲肉（三钱）
俞（左） 有梦而遗，渐至咳嗽，往来寒热，汗出方解。脉细数少力。此由气血并亏，阴阳不护，恐损而不复。
用仲圣二加桂枝龙牡汤，以觇动静如何。
桂枝 牡蛎（盐水 ） 炒地骨皮 白芍 白薇 龙骨 远志 茯神 淮小麦 南枣
Chen (Left) Semen stagnates in the seminal duct, and turbid semen symptoms persist without cessation. At this time, the old cough recurs; every time from Yin to Mao hours (3:00 AM to 7:00 AM), Qi rebels upward, making it impossible to lie flat and sleep. The sputum color is sometimes grayish-black, and the pulse is soft and fine. This indicates Kidney Water deficiency in the lower Jiao, with Phlegm-Heat pathogen invading the upper Jiao. The condition can be barely resisted, but a complete recovery is difficult to expect.
Polygonati Odorati Rhizoma (San Qian)
Donkey-hide Gelatin (Er Qian)
Fritillariae Thunbergii Bulbus (Er Qian)
Poria (San Qian)
Cuscutae Semen (Stir-fried with salt water, San Qian)
Astragali Complanati Semen (San Qian)
Arcae Shell Powder (San Qian)
Ginkgo Seed (Three pieces, crushed)
Duyu Wan (San Qian, taken with boiled water)
Second Visit: Every time from Yin to Mao hours, Qi still rebels upward, making it impossible to lie flat and sleep. The pulse is fine and wiry. This is due to Kidney deficiency causing Chong Mai Yang Qi to carry Phlegm-Turbidity upward, accompanied by turbid semen. The treatment principle should address multiple aspects simultaneously.
Rehmanniae Radix Preparata (Si Qian)
Ligustri Lucidi Fructus (Stir-fried with salt water, San Qian)
Corni Officinalis Fructus (Stir-fried, San Qian)
Cyperi Pteridis Pulvis (San Qian, wrapped for decoction)
Fritillariae Thunbergii Bulbus (Er Qian)
Astragali Complanati Semen (Stir-fried with salt water, San Qian)
Eucommiae Cortex (San Qian)
Paeoniae Radix Alba (Yi Qian Wu Fen)
Ginkgo Seed (Three pieces, crushed)
Duyu Wan (San Qian, taken first)
Third Visit: Cough and Qi rebellion are most severe during Yin-Mao hours, with excessive sputum filling a basin, and continuous leakage of turbid semen. This is caused by Kidney deficiency failing to secure and hold. Treatment proceeds further based on the previous method.
Rehmanniae Radix Recens (Si Qian)
Polygonati Odorati Rhizoma (San Qian)
Cuscutae Semen (Stir-fried with salt water, San Qian)
Corni Officinalis Fructus (Er Qian)
Psoraleae Fructus (San Qian)
Codonopsis Radix (San Qian)
Fritillariae Thunbergii Bulbus (Er Qian)
Astragali Complanati Semen (Stir-fried with salt water, San Qian)
Dioscoreae Rhizoma (San Qian)
Eucommiae Cortex (San Qian)
Fourth Visit: Turbid semen symptoms have slightly decreased, and the cough has eased. It indeed belongs to Kidney deficiency failing to receive and hold. Expand the effective prescription.
Rehmanniae Radix Recens (Si Qian)
Dioscoreae Rhizoma (Stir-fried, San Qian)
Cuscutae Semen (Stir-fried with salt water, San Qian)
Astragali Complanati Semen (Stir-fried with salt water, San Qian)
Corni Officinalis Fructus (Stir-fried, San Qian)
Morinda Officinalis Radix (San Qian)
Psoraleae Fructus (Stir-fried with salt water, San Qian)
Eucommiae Cortex (San Qian)
Juglans Semen (One piece, honey-roasted and crushed, added to decoction)
Zhou (Left): Involuntary emission without dreams, soreness in the waist region. The pulse is deficient and soft. The seminal duct is slippery and not firm. The method should be to consolidate essence and tonify the Kidney.
Rehmanniae Radix Preparata Carbonized (San Qian)
Psoraleae Fructus (Stir-fried with salt water, San Qian)
Ostreae Concha (Wu Qian)
Astragali Complanati Semen (Stir-fried with salt water, San Qian)
Dioscoreae Hypoglauca Rhizoma (San Qian)
Cuscutae Semen (Stir-fried with salt water, San Qian)
Longgu (San Qian)
Eucommiae Cortex (San Qian)
Cibotii Rhizoma (Er Qian)
Nelumbinis Plumula (Yi Qian)
Chen (Left): Kidney Qi fails to receive and hold; whenever defecating, turbid semen accompanies urine. The method should be to tonify Qi and consolidate the Kidney.
Codonopsis Radix (San Qian)
Lycii Fructus (San Qian)
Astragali Complanati Semen (Stir-fried with salt water, San Qian)
Dioscoreae Hypoglauca Rhizoma (San Qian)
Poria Cum Pinodia (San Qian)
Eucommiae Cortex (San Qian)
Cuscutae Semen (Stir-fried with salt water, San Qian)
Polygoni Multiflori Radix Praeparata (Si Qian)
Nelumbinis Semen (San Qian)
Rosa Laevigata Fructus (San Qian)
Second Visit: Mental spirit slightly revitalized, but whenever defecating, turbid semen still leaks out. This is Kidney Qi deficiency failing to振奋 (invigorate).
Codonopsis Radix (Er Qian)
Poria (San Qian)
Dioscoreae Hypoglauca Rhizoma (San Qian)
Rosa Laevigata Fructus (Er Qian)
Nelumbinis Semen (San Qian)
Atractylodis Macrocephalae Rhizoma (Er Qian)
Astragali Complanati Semen (San Qian)
Ostreae Concha (Wu Qian)
Cuscutae Semen (San Qian)
Third Visit: Consolidating Kidney Qi and benefiting Spleen-Stomach, the pulse and symptoms are peaceful. Expand the previous method.
Astragali Radix (San Qian)
Polygoni Multiflori Radix Praeparata (San Qian)
Codonopsis Radix (San Qian)
Atractylodis Macrocephalae Rhizoma Stir-fried with Soil (San Qian)
Glycyrrhizae Radix et Rhizoma Roasted (San Fen)
Eucommiae Cortex (San Qian)
Dioscoreae Rhizoma Stir-fried (San Qian)
Astragali Complanati Semen (San Qian)
Rosa Laevigata Fructus (San Qian)
Polygonati Odorati Rhizoma (San Qian)
Paste Prescription: Whenever urinating, turbid semen always leaks out. This is an Essence disease, not merely Turbidity. It is known that Kidney deficiency fails to receive. Spleen-Stomach has much Dampness, and Qi deficiency fails to transport, which is also known. The plan is to tonify Qi to strengthen Spleen-Stomach and benefit Kidney to receive Yin Essence.
Astragali Radix Roasted (Four Liang)
Dioscoreae Rhizoma (Three Liang, stir-fried)
Polygoni Multiflori Radix Praeparata (Six Liang)
Glycyrrhizae Radix et Rhizoma Roasted (Wu Qian)
Eucommiae Cortex (Three Liang)
Codonopsis Radix (Six Liang)
Lablab Semen Album (Three Liang)
Atractylodis Macrocephalae Rhizoma (Two Liang, stir-fried)
Euryales Semen (Three Liang)
Polygonati Odorati Rhizoma (Three Liang)
Poria (Three Liang)
Corni Officinalis Fructus Stir-fried (Two Liang)
Rehmanniae Radix Recens (Eight Liang, stir-fried with Ginger Juice)
Astragali Complanati Semen (Four Liang, stir-fried with Salt Water)
Lycii Fructus (Three Liang)
Morinda Officinalis Radix (Two Liang)
Rehmanniae Radix Preparata (Six Liang, roasted with Amomi Fructus)
Psoraleae Fructus (Three Liang, stir-fried with Salt Water)
Cibotii Rhizoma Dry (Three Liang)
Panax Quinquefolium Radix (Two Liang)
Angelicae Sinensis Radix (Two Liang, stir-fried with Wine)
Paeoniae Radix Alba Hangbai (Two Liang, stir-fried with Wine)
Rosa Laevigata Fructus (Four Liang, pitted)
Cuscutae Semen (Three Liang, stir-fried with Salt Water)
Asparagi Radix et Ophiopogonis Radix (Each Two Liang)
Asini Corii Colla (Three Liang)
Testudinis Carapax et Plastrum Colla (Three Liang)
Cervi Cornu Colla (Two Liang)
Hymenochaete Cordata Colla (Two Liang; the above four collas are melted in wine to make paste)
Wang (Child): Growth and development are insufficient, Kidney Qi fails to secure, turbid semen occasionally渗 (seeps), and the body gradually becomes thin.正处于童年起发之时 (At the age of childhood development), how can one endure such leakage. Urgently need to consolidate the Kidney.
Atractylodis Macrocephalae Rhizoma Stir-fried (Er Qian)
Psoraleae Fructus (Stir-fried with salt water, San Qian)
Cuscutae Semen (Stir-fried with salt water, San Qian)
Dioscoreae Rhizoma Recens (San Qian)
Astragali Complanati Semen (Stir-fried with salt water, San Qian)
Lycii Fructus (San Qian)
Euryales Semen (San Qian)
Ostreae Concha (Si Qian)
Nelumbinis Semen (San Qian)
Chai (Child): In childhood, the Jing Guan (Essence Gate) is not firm. Temporarily use methods to consolidate essence and separate/drain Damp-Water.
Biani Rhizoma (Bi Xie)
Citri Reticulatae Pericarpium
Pinelliae Rhizoma Praeparatum
Longgu
Astragali Complanati Semen (Salt-water fried)
Alismatis Rhizoma
Dioscoreae Rhizoma
Polyporus and Poria
Ostreae Concha
Euryales Semen
Chen (Left): Essence slips and emits immediately upon sensation; Heart and Kidney are both deficient, with involuntary emission and insomnia. Expand the previous medicine.
Codonopsis Radix
Poria Cum Pinodia
Glycyrrhizae Radix et Rhizoma Roasted
Paeoniae Radix Alba
Ziziphi Spinosae Semen Stir-fried
Polygalae Radix
Atractylodis Macrocephalae Rhizoma
Cuscutae Semen (Salt-water fried)
Astragali Complanati Semen (Salt-water fried)
Psoraleae Fructus (Salt-water fried)
Nelumbinis Semen (Twelve grains)
Left: Involuntary emission with dizziness, black phlegm, and insomnia. This is Water deficiency.
Longgu
Testudinis Carapax et Plastrum Roasted
Zizyphi Fructus Stir-fried
Margarita
Bambusae Caulis in Taenia
Ostreae Concha
Astragali Complanati Semen
Kongsheng Zhenzhong Dan
Wang (Left): The Kidney is the master of Yin and stores Essence; the Liver is the master of Yang and governs dispersion. If Kidney Yin is deficient, Essence cannot be stored; if Liver Yang is strong, Qi cannot be secured. Long-term illness leads to Qi and Yin deficiency, Essence cannot be stored, and sliding emission occurs frequently. Shaoyin is the pivot of opening and closing; when the pivot is diseased, opening and closing lose regulation, leading to alternating chills and fever. The Kidney governs bones; empty marrow causes sore waist and weak feet. Difficulty in defecation occurs because as Zang Yin decreases, Fu Yang becomes dry. The pulse is deficient, the form is deficient; this is a Xu Sun (Deficiency Damage) syndrome, how can it be easily treated? First, consolidate and receive the lower part to stop the flow.
Rehmanniae Radix Preparata Stir-fried (San Qian)
Ostreae Concha (Wu Qian)
Cuscutae Semen (Stir-fried with salt water, San Qian)
Astragali Complanati Semen (San Qian)
Eucommiae Cortex (San Qian)
Longgu (San Qian)
Psoraleae Fructus (Stir-fried with salt water, San Qian)
Dioscoreae Rhizoma Recens (San Qian)
Codonopsis Radix (San Qian)
Euryales Semen (San Qian)
Lycii Fructus (San Qian)
Nelumbinis Semen (San Qian)
Second Visit: After receiving Kidney and consolidating Essence, Essence and Qi are slightly secured, and appetite is slightly better. However, Essence and Marrow are empty, opening and closing are disordered, Zang Yin is insufficient to moisten Dry Metal (Lung), leading to sudden chills and fever, ten days without defecation, rising Yang causing muscle spasms. The pulse is large and deficient. Modify the previous method to include moistening and nourishing Zang organs.
Rehmanniae Radix Recens (Stir-fried with ginger juice, San Qian)
Lycii Fructus (San Qian)
Rehmanniae Radix Preparata Roasted (Er Qian)
Longgu (Wu Qian)
Psoraleae Fructus (San Qian)
Cibotii Rhizoma Recens (Ba Qian)
Astragali Complanati Semen (Stir-fried with salt water, San Qian)
Asparagi Radix and Ophiopogonis Radix (Each Yi Qian Wu Fen)
Rosa Laevigata Fructus (Qu San Qian)
Corni Officinalis Fructus (San Qian)
Cannabis Fructus (San Qian)
Nelumbinis Plumula (Yi Qian)
Third Visit: Nourishing Kidney, consolidating Essence, and nourishing Zang organs, bowel movements are quite smooth, the interval for sliding emission is slightly longer, and stomach appetite is slightly better. Pulse spirit is more vigorous. Since the medicine works, there is no need to change the chapter.
Rehmanniae Radix Recens and Preparata (Each Er Qian)
Longgu (San Qian)
Corni Officinalis Fructus (Er Qian)
Ostreae Concha (Wu Qian)
Angelicae Sinensis Radix (Yi Qian Wu Fen)
Ginseng Radix Ramulus (Separately decocted and poured in, Yi Qian)
Cibotii Rhizoma (Er Qian)
Eucommiae Cortex (San Qian)
Lycii Fructus (San Qian)
Dioscoreae Rhizoma (Si Qian)
Astragali Complanati Semen (Stir-fried with salt water, San Qian)
Nelumbinis Plumula (Yi Qian)
Fourth Visit: Emission is gradually less frequent, bowel difficulty is moister, and alternating chills and fever have settled. Further develop from the effective formula.
Rehmanniae Radix Preparata (Wu Qian)
Ginseng Radix Ramulus (Separately decocted and poured in, Yi Qian)
Angelicae Sinensis Radix Stir-fried with Wine (Er Qian)
Cibotii Rhizoma Dry (San Qian)
Atractylodis Macrocephalae Rhizoma Raw (Er Qian)
Astragali Complanati Semen (Stir-fried with salt water, San Qian)
Ziziphi Spinosae Semen Stir-fried (Er Qian, crushed)
Poria Cum Pinodia Cinnabarine (San Qian)
Lycii Fructus (San Qian)
Corni Officinalis Fructus (Er Qian)
Longgu (San Qian)
Ostreae Concha (Wu Qian)
Fifth Visit: Although the pulse is fine and weak, it gradually shows spirit, and the complexion is becoming lustrous. However, emission still occurs occasionally. It is still Kidney Qi insecurity. Continue to consolidate and tonify.
Codonopsis Radix Strip (Separately decocted and poured in, Yi Qian)
Poria Cum Pinodia (San Qian)
Astragali Complanati Semen (Stir-fried with salt water, San Qian)
Rehmanniae Radix Preparata (Wu Qian)
Atractylodis Macrocephalae Rhizoma Raw (Yi Qian)
Cibotii Rhizoma Dry (San Qian)
Psoraleae Fructus (San Qian)
Ostreae Concha (Wu Qian)
Longgu (San Qian)
Cuscutae Semen (Stir-fried with salt water, San Qian)
Nelumbinis Semen (San Qian)
Dioscoreae Hypoglauca Rhizoma (San Qian)
Sixth Visit: Eating hard food damages Spleen Earth; feeling full after eating. For deficiency damage conditions, relying entirely on the above medicines for warm nourishment, if Spleen Earth does not transport, how can heavy tonification work? From now on, be careful with food.
Atractylodis Macrocephalae Rhizoma Stir-fried with Soil (Er Qian)
Zhujian Qu (Er Qian)
Codonopsis Radix (Er Qian)
Amomi Fructus (Si Fen, added later)
Citri Reticulatae Pericarpium (Yi Qian)
Poria with Peel (San Qian)
Crataegi Fructus Carbonized (San Qian)
Zizyphi Fructus Charred (Si Fen)
Hordei Fructus Germinatus Charred (Er Qian)
Seventh Visit: Fullness has relieved, relief leads to belching. Yangming is deficient, and hostile Qi rebels upward.
Codonopsis Radix (San Qian)
Inulae Flos (Wrapped, Yi Qian Wu Fen)
Citri Reticulatae Pericarpium (Yi Qian)
Poria (San Qian)
Ginger Residue (Liu Fen)
Haematitum (San Qian)
Pinelliae Rhizoma Praeparatum (Yi Qian Wu Fen)
Bambusae Caulis in Taenia Stir-fried (Yi Qian)
Black Jujube (Two pieces)
Eighth Visit: Spleen and Stomach Qi is weak; after ten days, transportation function does not recover. Plan to modify Liu Jun Zi Tang.
Codonopsis Radix Strip Small (Separately decocted and poured in, Yi Qian)
Pinelliae Fermented Mass Stir-fried (Yi Qian Wu Fen)
Poria (San Qian)
Amomi Fructus Shell (Wu Fen)
Atractylodis Macrocephalae Rhizoma Stir-fried with Soil (Yi Qian)
Citri Reticulatae Pericarpium (Yi Qian)
Aquilariae Lignum Resinatum (Er Fen)
Glycyrrhizae Radix et Rhizoma Raw and Prepared (Each Er Fen)
Hordei Fructus Germinatus Raw and Prepared (Each Yi Qian Wu Fen)
Ninth Visit: Spleen and Stomach slightly gain transportation function. Spleen Earth uses Yang as its function; modify the previous method to include warming and tonifying the Lower Jiao.
Codonopsis Radix (Er Qian)
Poria (San Qian)
Cuscutae Semen (San Qian)
Dioscoreae Rhizoma Stir-fried (San Qian)
Lycii Fructus (San Qian)
Atractylodis Macrocephalae Rhizoma Raw (Yi Qian Wu Fen)
Psoraleae Fructus (San Qian)
Amomi Fructus Powder (Si Fen, added later)
Hordei Fructus Germinatus Raw and Prepared (Each Yi Qian)
Tenth Visit: The Middle Jiao receives Qi, receiving Grain Qi. Shao Huo generates Qi, steaming and transforming in the lower, Qi is generated in the upper. Middle Zhou transportation is dull. This is due to weak steaming and transformation, making it difficult for grain to transform into Qi. Further benefit Yang within Yin to assist the steaming and transformation of Shao Huo.
Ginseng Radix Ramulus (Separately decocted and poured in, Yi Qian)
Atractylodis Macrocephalae Rhizoma Raw (Er Qian)
Psoraleae Fructus (Stir-fried with salt water, San Qian)
Lycii Fructus (San Qian)
Cuscutae Semen (Stir-fried with salt water, San Qian)
Alpiniae Katsumadai Fructus Roasted (Ba Fen)
Astragali Complanati Semen (Stir-fried with salt water, San Qian)
Nelumbinis Semen (San Qian)
Poria Cum Pinodia (San Qian)
Chen (Left): Since hemoptysis, occasional emission, and soreness in the waist region. Both Heart and Kidney are diseased.
Poria Cum Pinodia (San Qian)
Astragali Complanati Semen (San Qian)
Dioscoreae Rhizoma Stir-fried (San Qian)
Longgu (San Qian)
Ostreae Concha (Wu Qian)
Ziziphi Spinosae Semen Stir-fried (San Qian)
Eucommiae Cortex (San Qian)
Cuscutae Semen (Stir-fried with salt water, San Qian)
Golden Nelumbinis Plumula (Ba Fen)
Yan: Receiving Kidney Yin, pulse and symptoms are peaceful. However, emission without dreams also belongs to Kidney Yin insecurity. Modify the previous method to include consolidation.
Rehmanniae Radix Recens and Preparata
Dioscoreae Hypoglauca Rhizoma
Arcae Shell
Ostreae Concha
Paeoniae Radix Alba
Corni Officinalis Fructus Stir-fried
Astragali Complanati Semen
Poria Cum Pinodia
Schisandrae Fructus (Si Fen, taken first)
Hua (Left): Dream emission with white greasy tongue coating, this is Damp-Heat confusion.
Atractylodis Macrocephalae Rhizoma Charred (Yi Qian Wu Fen)
Medicated Leaven (Yi Qian Wu Fen)
Dioscoreae Hypoglaucae Rhizoma (Er Qian)
Magnoliae Officinalis Cortex (Yi Qian)
Coicis Semen Raw (Si Qian)
Poria (San Qian)
Alismatis Rhizoma (Yi Qian Wu Fen)
Polyporus Woody (Er Qian)
Citri Reticulatae Pericarpium (Yi Qian)
Talcum (San Qian)
Left: Painful urination has decreased, yellow-red urine has retreated. However, repeated emissions are still due to Damp-Heat disturbance.
Rehmanniae Radix Recens Fine (Si Qian)
Plantaginis Semen
Glycyrrhizae Radix et Rhizoma Tip
Scutellariae Radix Light
Anemarrhenae Rhizoma
Polyporus Red and White
Gentianae Radix (Wu Fen)
Dioscoreae Hypoglaucae Rhizoma
Alismatis Rhizoma
Left: Frequent emission, hot and red urine, indicating extreme Damp-Heat.
Citri Reticulatae Pericarpium
Alismatis Rhizoma
Pinelliae Rhizoma Praeparatum
Phellodendri Cortex (Stir-fried with salt water)
Scutellariae Radix Light
Dioscoreae Hypoglaucae Rhizoma
Polyporus
Coicis Semen Raw
Zhuzhu Wan
Left: The Kidney stores Essence and governs reception; the Bladder stores Water and governs excretion. Kidney deficiency with internal disturbance of Damp-Heat, Dampness cannot be discharged, Essence cannot be stored. To consolidate the Essence stored in the Kidney, one must dispel the Dampness in the Bladder.
Atractylodis Macrocephalae Rhizoma Raw
Dioscoreae Hypoglaucae Rhizoma
Ostreae Concha
Polyporus
Alismatis Rhizoma
Coicis Semen Raw
Phellodendri Cortex
Poria Cum Pinodia
Mytilus Edulis
Left: Occasional emission, dizziness, tinnitus, and abdominal pain. Kidney deficiency leads to Wood hyperactivity; Wood hyperactivity leads to Qi stagnation; Qi stagnation generates Wind. Although the diseases differ, their source is one.
Cyperi Rhizoma Praeparatum
Xinhui Citri Reticulatae Pericarpium
Ostreae Concha
Amomi Fructus Powder
Golden Nelumbinis Plumula
Tribuli Fructus
Longgu
Dioscoreae Rhizoma Stir-fried
Sojae Semen Album Integrum Coat
Mytilus Edulis
Left: Emission and turbidity combined. Yesterday, dispersing and draining Dampness pathogens were administered, but the pulse remains soft and slippery. If Water-Dampness is not clarified, how can the Essence Orifice be secured? But Dampness is a sticky and greasy pathogen, not achievable in one kick. Plan to administer Decoction and Pill together, treating upper and lower separately.
Pinelliae Rhizoma Praeparatum (San Qian)
Citri Reticulatae Pericarpium (Yi Qian)
Coicis Semen Raw (Si Qian)
Polyporus (Er Qian)
Poria (San Qian)
Alismatis Rhizoma (Yi Qian Wu Fen)
Dioscoreae Hypoglaucae Rhizoma (Er Qian)
Wild Atractylodis Macrocephalae Rhizoma (Yi Qian Wu Fen)
Cyperi Rhizoma Praeparatum (Yi Qian Wu Fen)
Weixi Wan (Er Qian, taken before medicine)
Zhu Ling Wan (Er Qian, taken after five days; formula seen in Yi Tong)
Yu (Left): Frequent dream emission. Pulse is soft and fine, Left Chi is choppy and weak, Left Cun is floating and large. Heart and Kidney are both deficient, Water and Fire cannot mutually assist. Treat from Heart and Kidney.
Poria Cum Pinodia Cinnabarine (San Qian)
Astragali Complanati Semen (Stir-fried with salt water, San Qian)
Dioscoreae Rhizoma Recens (San Qian)
Paeoniae Radix Alba Hangbai (Stir-fried with wine, Yi Qian Wu Fen)
Ziziphi Spinosae Semen Stir-fried (Er Qian)
Cuscutae Semen (Stir-fried with salt water, San Qian)
Codonopsis Radix (San Qian)
Platycladi Semen (De-oiled, San Qian)
Polygalae Radix Flesh (Wu Fen)
Nelumbinis Semen (San Qian)
Yu (Left): Emission with dreams, gradually developing cough, alternating chills and fever, resolving only with sweating. Pulse is fine, rapid, and lacking strength. This is due to simultaneous deficiency of Qi and Blood, failure of Yin and Yang to protect each other, fearing damage that will not recover. Use Zhongjing's Er Jia Gui Zhi Long Mu Tang to observe dynamics.
Cinnamomi Ramulus
Ostreae Concha (Salt-water fried)
Bark of Groundsel Root Stir-fried
Paeoniae Radix Alba
Bupleuri Radix? (Note: Bai Wei is Cynanchi Atrati Radix) -> Cynanchi Atrati Radix
Longgu
Polygalae Radix
Poria Cum Pinodia
Triticum Semen (Huai Xiao Mai)
Zizyphi Fructus (Nan Zao)