治精滑不禁。(精滑者,火炎上而水趋下,心肾不交也。)
沙苑蒺藜 芡实(蒸) 莲须(二两) 龙骨(酥炙) 牡蛎(盐水煮一日夜 粉一两)
莲肉粉为
蒺藜补肾益精,莲子交通心肾,牡蛎清热补水,芡实固肾补脾,合之莲须龙骨,皆涩精
秘气
心者
者,
事猪
炒微
使通
治脾肾虚损,不能收摄,以致梦遗精滑,困倦等证。
菟丝子(酒蒸或五六两或七八两) 莲肉(去心) 白术 茯苓(四两) 杜仲(酒炒
三两) 山药
桐子大,空心白滚
治胃中湿热,渗入膀胱,下浊不止。(淋病在溺窍,属肝胆部。浊病在精窍,
部。或由湿热,或由虚寒,大抵热者多而寒者少。赤属血,白属气。或由败精瘀血
道,痛涩异常。非是热淋,不宜用淋药治。)
甘草(炙三两) 猪苓 黄莲 莲须(二两) 黄柏 益智仁 砂仁 半夏(姜制) 茯
苓(一两)
精浊多由湿热与痰,黄莲泻心火,黄柏泻肾火,所以清热。二苓所以利湿,半夏所以除
痰,
之寒
治遗精,带浊等证,此方专主心脾。
金樱子(去核) 枣仁(炒研) 芡实(炒) 山药(炒二钱) 白术(炒) 茯神(钱
半) 人参(一
服。
此治久遗无火,不痛而滑者,可用之。如尚觉有火热者,加苦参一二钱。如气大虚者,
加黄
Treats seminal emission and spermatorrhea with involuntary loss. (Spermatorrhea refers to the condition where Heart Fire flares upward while Kidney Water sinks downward, resulting in a lack of communication between the Heart and the Kidneys.)
*Shayuan Jili* (Astragali Complanati Semen), *Qianshi* (Euryales Semen, steamed), *Lianxu* (Nelumbinis Stamen) [each 2 liang], *Longgu* (Fossilized Bones, processed with butter), *Muli* (Ostreae Concha, boiled in salt water for one day and night, then powdered) [1 liang].
Powder the *Lianrou* (Nelumbinis Plumula) and mix with the above herbs to form pills.
*Shayuan Jili* tonifies the Kidney and benefits essence; *Lianzi* facilitates communication between the Heart and the Kidneys; *Muli* clears heat and nourishes Yin/Water; *Qianshi* secures the Kidney and tonifies the Spleen. Combined with *Lianxu* and *Longgu*, all these herbs possess the property of astringing essence and consolidating Qi.
Treats deficiency and damage of the Spleen and Kidney, leading to an inability to consolidate and retain, resulting in symptoms such as nocturnal emission, spermatorrhea, and fatigue.
*Tusizi* (Cuscutae Semen, steamed in wine) [5-8 liang], *Lianrou* (Nelumbinis Plumula, heart removed), *Baizhu* (Atractylodis Macrocephalae Rhizoma), *Fuling* (Poria) [each 4 liang], *Duzhong* (Eucommiae Cortex, stir-fried in wine) [3 liang], *Shanyao* (Dioscoreae Rhizoma) [appropriate amount].
Form pills the size of paulownia seeds. Take orally on an empty stomach with plain warm water.
Treats damp-heat in the Stomach that seeps into the Bladder, causing continuous discharge of turbid fluids from the lower orifices. (Lin syndrome occurs in the urinary orifice and belongs to the Liver and Gallbladder sectors; Zhuo syndrome occurs in the seminal orifice and also belongs to the Liver and Gallbladder sectors. Etiology may be due to damp-heat or deficiency-cold, but generally heat patterns are more common than cold patterns. Red turbidity relates to Blood, white turbidity relates to Qi. It may sometimes be caused by stale semen or blood stasis obstructing the urethra, leading to abnormal pain and astringency. If it is not Heat-Lin, Lin-treating drugs should not be used.)
*Gancao* (Licorice Root, honey-fried) [3 liang], *Zhuling* (Polyporus), *Huanglian* (Coptidis Rhizoma), *Lianxu* (Nelumbinis Stamen) [each 2 liang], *Huangbai* (Phellodendri Cortex), *Yizhiren* (Alpiniae Oxyphyllae Fructus), *Sharen* (Amomi Fructus Rotundus), *Banxia* (Pinelliae Rhizoma, processed with ginger), *Fuling* (Poria) [1 liang].
Jingzhuo (seminal turbidity) is mostly caused by damp-heat and phlegm-dampness. *Huanglian* drains Heart Fire, and *Huangbai* drains Kidney Fire, thereby clearing heat; *Zhuling* and *Fuling* promote diuresis to remove dampness; *Banxia* resolves phlegm.
Treats seminal emission and leukorrhea with turbid discharge. This formula specifically targets the Heart and Spleen.
*Jinyingzi* (Rosae Laevigatae Fructus, pips removed), *Zaoren* (Ziziphi Spinosae Semen, stir-fried and crushed), *Qianshi* (Euryales Semen, stir-fried), *Shanyao* (Dioscoreae Rhizoma, stir-fried) [2 qian], *Baizhu* (Atractylodis Macrocephalae Rhizoma, stir-fried), *Fushen* (Poria with Hostwood) [1.5 qian], *Renshen* (Ginseng Radix et Rhizoma) [1 qian].
Decoct and take orally.
This formula is suitable for chronic seminal emission without fire signs, characterized by non-painful sliding/loss. If there is still a sensation of heat-fire, add *Kushen* (Sophorae Flavescentis Radix) [1-2 qian]. If Qi deficiency is severe, add *Huangqi* (Astragali Radix).