香附（三分） 白芍（一两） 荆芥（五分） 麦冬（三钱） 茯神（三钱） 白术（三钱） 生枣仁（三钱） 人
参
（五分） 神曲（三分） 甘草（一分） 柴胡（五分） 白芥子（五分）
水煎服。十剂肝气开，又十剂心气开，又十剂脾胃之气大开矣。
此方补多于散，贵在调和，不贵在争战也。倘作痨瘵治之，反无生机矣。
此症用郁莲散亦甚佳。
白芍（一两） 柴胡（八分） 香附（五分） 郁金（一钱） 生枣仁（一钱） 茯神（二钱） 巴戟（二钱） 莲
子
水煎服。
人有用心过度，心动不宁，以致梦遗者，其症口渴舌干，面红颧赤，眼闭即遗，一夜有
遗数次者，疲倦困顿，人以为肾虚之过也，谁知是心虚之故乎。夫心喜宁静，不喜过劳，过
劳则心动，心动则火起而上炎，火上炎则水火相隔，心之气不能下交于肾，肾之关门大开矣
。盖肾之气必得心气相通，而始能藏精而不泄。今心不能摄肾，则精焉得而不走乎。虽然心
未常不恶肾之不藏也，无如心欲摄肾，而力不能也。然则治法何必治肾，补心中之虚，而梦
遗自止矣。
方用静心汤∶
人参（三钱） 白术（五钱） 茯神（五钱） 炒枣仁 山药（各一两） 芡实（一两） 甘草（五分） 当归
（三钱） 北五味（十粒） 麦冬（五钱）
水煎服。二剂遗止，十剂永不再遗也。
此方大补心气之虚，全不去泻心之火。盖火之动，由于心之过劳，是火乃虚火，非心之
实火也。实火可泻，虚火宜补。世人以实火泻之，此梦遗之所以不能止也。
此症用断遗神丹亦效。
人参（一两） 山药（五钱） 芡实（五钱） 麦冬（五钱） 北五味（一钱）
水煎服。
人有朝朝纵欲，渔色不厌，遂至梦遗不能止。其症腰足痿弱，骨内酸疼，夜热自汗，终
宵不干，人以为肾火之作祟也，谁知是肾水涸竭乎。夫肾中水火两得其平，久战尚不肯泄，
梦中之遗，实水火之不得平耳。火衰而水旺者亦能遗，火盛而水衰者亦能遗也。二者相较，
火衰而遗者轻，火盛而遗者重。轻者略补火而即痊，重者非大补水而不能愈。盖火易接续，
而水难滋益也。治法不必泻火，补肾水以制火可耳。
方用旺水汤∶
熟地（一两） 沙参（五钱） 北五味（一钱） 山药（一两） 芡实（一两） 茯苓（五钱） 地骨皮（三钱）
水煎服。连服四剂不遗矣。
此方纯是补精，绝不入涩精之药，以梦遗愈涩而愈遗也。补其精则水足以制火之动，火
不动精能自止，何必涩之。今不特不涩，且用通利之药者，以梦遗之人精窍大开，由于尿窍
之闭也，火闭其尿窍，则水走其精窍矣，通其尿窍，正所以闭其精窍也。倘用涩药，精窍未
必闭，而尿窍反闭矣，何日是止精之时哉。
此症用熟地添精丹亦佳。
熟地（二两） 麦冬 山药 芡实（各一两） 北五味（一钱）
水煎服。
人有怒气伤肝，忽然梦遗，久而不止，凡增烦恼，泄精更多。其症两胁多闷，火易上升
于头目，饮食倦怠，发躁发胀，人以为肝气之动也，谁知是肝血之燥乎。夫肝中有火，得血
则藏，何无血则不能藏也。盖肝中之火，木中之火也，木缺水则木干，肝少血则肝燥，肝燥
之极，肝中之火不能自养，乃越出于外，往来心肾之间，游魂无定而作梦。其梦每多淫梦者
，因肝气之虚也。治法补肝血而少泻其火，则火不旺而魂自归，何梦而再至于遗也。
方用润木安魂汤∶
当归（一两） 白芍（一两） 甘菊花（三钱） 北五味（五分） 茯苓（五钱） 白术（五钱） 炒栀子（一钱）
金樱子（三钱） 甘草（五分）
水煎服。二剂肝火平，又二剂肝血旺，又二剂梦遗止矣。再用十剂，永不再发。
此方寓泻于补之中，寓止于通之内，反能归魂而入于肝，涩精而收于肾也。倘不知补而
徒泻之，不知通而单止之，则肝无血养，魂安能归哉，魂既不归，摇摇靡定，梦难断绝，遗
亦宁有止日耶。
此症用芍药润燥丹亦可。
白芍 山药（各一两） 炒栀子（三钱） 芡实（一两）
水煎服。
人有心气素虚，力难久战，然又思慕美色，心中怦怦，遂至梦遗。其症阳痿不振，易举
易泄，日日梦遗，后且不必梦亦遗，见美妇而心动，闻淫语而色移，听女音而神驰，往往走
失不止，面黄体瘦，自汗夜热，人以为心肾之两虚也，谁知是心包之火大动乎。夫心包为心
君之相臣，代君行令者也。心气旺则心包奉君令，而不敢上夺其权。心气衰则心包奉君令，
而反行其政矣。治法必须补心经之衰，泻心包之火，则梦遗可断，而自遗亦可止也。
方用强心汤∶
人参（一两） 茯神（五钱） 当归（五钱） 麦冬（三钱） 巴戟天（五钱） 山药（五钱） 芡实（五钱） 玄
参
（五钱） 北五味（五分） 莲子心（三分）
水煎服。连服四剂，梦遗少矣。再服四剂自遗少矣。再服一月，梦遗自遗均愈。服三月
不再发。
此方补心者居其七，泻心包者居其三。盖心包之旺，原因于心气之衰，补其心则心旺，
而心包自衰。故少加玄参、莲子以泻心包之火，而君相两得其平矣。但必须多服始能奏功，
积弱之势成非一日，其由来者久也，渐移默夺之功，乌可责旦夕哉。
此症用莲心清火汤亦效。
玄参 生地（各五钱） 丹参（三钱） 山药 芡实（各一两） 莲子心（二钱） 麦冬（一两） 北五味（五
分） 天冬（一钱） 水煎服。
人有素常纵欲，又加劳心思虑终宵，仍然交合，以致梦遗不止。其症口渴引水，多饮又
复不爽，卧不安枕，易惊易惧，舌上生疮，脚心冰冷，腰酸若空，脚颤难立，骨蒸潮热，神
昏魂越，人以为心肾之虚也，谁知是心肾二经之火一齐俱动乎。夫心中之火正火也，正火必
得肾水以相制。肾中之火虚火也，虚火必得心火以相伏。故心火宁静，而肾火不能动也。肾
火之动，由于心火之衰耳。心肾两动，则二火相合，岂能久存于中。火性炎上，自然上胜而
不肯止矣。一火动，水犹不升，两火齐动，安望水之下降乎。火升之极，即水降之极也。心
肾之气不开，则玉关大开，安得止之。然则何以救之耶，仍补其心肾，气足而关自闭也。
方用两益止遗汤∶
人参（一两） 熟地（二两） 山药（一两） 芡实（一两） 白术（一两） 生枣仁（一两） 黄连（五分） 肉
桂
（五分）
水煎服。二剂遗即止，服二月诸症全愈。
此方乃心肾交合之圣剂。心肾交则二火自平，正不必单止其遗也。况止遗必用涩药，内
火煽动，愈涩而火愈起矣。
此症亦可用两宁汤∶
熟地（二两） 麦冬（二两） 黄连（一钱） 肉桂（三分） 山药（一两） 芡实（一两）
水煎服。
人有专攻书史，诵读不辍，至四鼓不寝，遂成梦遗之症，久则玉茎着被，精随外泄，不
着则否，饮食减少，倦怠困顿，人以为心火之盛也，谁知是肾火随心火之奔越乎。夫心火易
动而难静，人一日之内，无刻不动心也。动心一日，全藉夜分之安寝，则心之血归于肝中，
而肾水来滋，虽肾水本来养肝，而不养心，然心气既归于肝中，肾即养肝，肝有不养心者乎
。自然以养肝者养心矣。心既得养，则心犹不动也，惟过劳其心则心血耗损，血不能归肝而
火炽，肾见心火之沸腾，肾不来交矣。况肾未必平日之积蓄，则水源有亏，水亏而火更旺，
火以引火，心火乘热而入肾，客于下焦，以鼓其精房，于是精不闭藏而外泄矣，此正气虚绝
欲脱之象也。
方用绝梦丹∶
人参（三钱） 麦冬（五钱） 茯神（三钱） 白术（三钱） 熟地（一两） 芡实（五钱） 山药（五钱） 北
五味
（一钱） 玄参（一两） 菟丝子（三钱） 丹参（三钱） 当归（三钱） 莲子心（三钱） 炒枣仁（三钱） 陈皮（三
分） 沙参（三钱）
水煎服。十剂轻，二十剂更轻，三十剂疾如失。
此方安心之圣方，即补肾之妙剂，盖合心肾而两救之也。人疑火盛之极，宜用止火之味
矣。不知火起劳心，火乃虚火，而非实火，虚火可补不可泻，故大补心肾虚火自安。倘执君
火为实火，妄用大寒过凉之药，则生机顿失矣。
此症用养儒汤亦妙。
熟地（一两） 金樱子 芡实 山药 玄参 麦冬（各五钱） 牡蛎末（三钱） 北五味（五分）
水煎服。
人有至夜脊心自觉如火之热，因而梦遗，人以为河车火烧也，谁知是肾水之涸乎。夫河
车之路，即脊骨之椎也。肾之路走夹脊者，乃肾水之路，亦肾火之路也。水火相济，而河车
之路安，水火相胜，而河车之路塞。路塞者，无水以灌注之也。无水相通，则火气上炎而成
热，脊心安得清凉哉。火炎于上，自然水流于下矣。治法救在上之火炎，必先沛在下之水涸
，水足火息，黄河始可逆流也。
方用挽流汤∶
熟地（二两） 山药（一两） 白术（一两） 泽泻（三钱） 玄参（一两） 北五味（二钱） 山茱萸（五钱）
水煎服。十剂热解，二十剂遗绝。
此方纯是补水之味。过于酸收者，取其收敛以止遗者。夫梦遗之症，愈涩愈遗，此何用
酸收而罔顾乎。不知河车之路，最喜酸涩，非酸涩则水不逆流。终日梦遗，水成顺流之势，
水顺流之至，则火逆冲之至矣。酸收之味，用之于优渥之中，则逆流而上，可以救中谷之焚
。火降而水更升，何至下遗之靡止乎，故脊热除而梦遗亦断也。
此方用充脊汤亦佳。
山茱萸 熟地 山药 芡实（各一两） 北五味（三钱） 金樱子 白术（各三钱）
水煎服。
Xiangfu (3 fen), Baishao (1 liang), Jingjie (5 fen), Maidong (3 qian), Fushen (3 qian), Baizhu (3 qian), Sheng Zaoren (3 qian), Renshen (5 fen), Shenqu (3 fen), Gancao (1 fen), Chaihu (5 fen), Baijiezi (5 fen).
Decoct with water and take orally. After ten doses, the Liver Qi opens; after another ten doses, the Heart Qi opens; after yet another ten doses, the Spleen and Stomach Qi are fully opened.
This formula emphasizes harmonization rather than aggressive dispersal, with tonification outweighing dispersion. If treated as a consumptive disease (Lao Zhai), it would lead to a loss of vitality.
Yu Lian San is also very effective for this condition.
Baishao (1 liang), Chaihu (8 fen), Xiangfu (5 fen), Yujin (1 qian), Sheng Zaoren (1 qian), Fushen (2 qian), Bajitian (2 qian), Lianzi.
Decoct with water and take orally.
Some individuals experience nocturnal emission due to excessive mental exertion causing Heart restlessness. Symptoms include thirst, dry tongue, redness of the malar region, emission upon closing the eyes, multiple emissions per night, fatigue, and lethargy. While commonly attributed to Kidney deficiency, this is actually caused by Heart deficiency. The Heart prefers tranquility and dislikes overexertion. Overexertion agitates the Heart, causing fire to flare upward. This upward-flaring fire separates Water and Fire, preventing Heart Qi from descending to communicate with the Kidney, thereby opening the "gate" of the Kidney. Kidney Qi requires communication with Heart Qi to store essence and prevent leakage. Since the Heart cannot control the Kidney, essence inevitably leaks. Although the Heart desires the Kidney to store essence, it lacks the strength to do so. Therefore, treatment should not focus on the Kidney but on tonifying Heart deficiency, which will naturally stop nocturnal emission.
Formula: Jing Xin Tang (Calm Heart Decoction)
Renshen (3 qian), Baizhu (5 qian), Fushen (5 qian), Chao Zaoren, Shanyao (each 1 liang), Qianshi (1 liang), Gancao (5 fen), Danggui (3 qian), Bei Wuweizi (10 grains), Maidong (5 qian).
Decoct with water and take orally. Emission stops after two doses; after ten doses, it ceases permanently.
This formula greatly tonifies Heart Qi deficiency without clearing Heart fire. The fire arises from Heart overexertion, making it deficient fire rather than excess fire. Excess fire can be purged, but deficient fire should be tonified. People mistakenly treat it as excess fire with purging methods, which is why nocturnal emission persists.
Duan Yi Shen Dan is also effective for this condition.
Renshen (1 liang), Shanyao (5 qian), Qianshi (5 qian), Maidong (5 qian), Bei Wuweizi (1 qian).
Decoct with water and take orally.
Some individuals indulge in sexual desire excessively, leading to uncontrollable nocturnal emission. Symptoms include weak waist and legs, deep bone soreness, night sweats with fever, and persistent dampness. While often attributed to Kidney fire, this is actually due to Kidney Yin depletion. When Kidney Water and Fire are balanced, prolonged intercourse does not result in emission. Nocturnal emission occurs due to imbalance between Water and Fire. Both deficiency of Fire with abundance of Water and excess of Fire with deficiency of Water can cause emission. The former is mild and responds slightly to warming Fire; the latter is severe and requires significant nourishment of Water. Fire is easier to replenish than Water. Treatment need not purge Fire but should tonify Kidney Water to restrain Fire.
Formula: Wang Shui Tang (Prosper Water Decoction)
Shu Dihuang (1 liang), Shashen (5 qian), Bei Wuweizi (1 qian), Shanyao (1 liang), Qianshi (1 liang), Fuling (5 qian), Digupi (3 qian).
Decoct with water and take orally. Four consecutive doses stop emission.
This formula purely tonifies essence without using astringents, as astringents worsen nocturnal emission. Tonifying essence allows Water to restrain Fire's movement; when Fire is still, essence remains contained. Astringents are unnecessary. Furthermore, diuretic herbs are used because in nocturnal emission, the essence orifice is open due to the closure of the urinary orifice. Fire blocks the urinary orifice, forcing fluid out through the essence orifice. Opening the urinary orifice closes the essence orifice. Using astringents might fail to close the essence orifice while blocking the urinary orifice, delaying cessation.
Shu Di Tian Jing Dan is also suitable.
Shu Dihuang (2 liang), Maidong, Shanyao, Qianshi (each 1 liang), Bei Wuweizi (1 qian).
Decoct with water and take orally.
Anger injuring the Liver can cause sudden nocturnal emission that persists and worsens with stress. Symptoms include hypochondriac fullness, rising fire to head and eyes, poor appetite, fatigue, irritability, and distension. While attributed to Liver Qi stagnation, this is actually Liver Blood dryness. Fire within the Liver is stored by Blood; without Blood, it cannot be contained. Liver fire is Wood fire; lack of Water dries Wood, and lack of Blood dries the Liver. Extreme dryness prevents Liver fire from self-nourishing, causing it to escape between Heart and Kidney, wandering soul creating dreams, often erotic dreams due to Liver Qi deficiency. Treatment tonifies Liver Blood and slightly clears Fire, calming the soul and stopping emission.
Formula: Run Mu An Hun Tang (Moisten Wood Calm Soul Decoction)
Danggui (1 liang), Baishao (1 liang), Gan Juhua (3 qian), Bei Wuweizi (5 fen), Fuling (5 qian), Baizhu (5 qian), Chao Zhizi (1 qian), Jinyingzi (3 qian), Gancao (5 fen).
Decoct with water and take orally. Liver fire calms in two doses, Liver Blood strengthens in two more, and emission stops in two further doses. Ten additional doses prevent recurrence.
This formula incorporates purging within tonification and stopping within unblocking, returning the soul to the Liver and securing essence in the Kidney. Blind purging or astringing without tonification leaves the Liver without Blood nourishment, preventing soul return and perpetuating dreams and emission.
Shao Yao Run Zao Dan is also applicable.
Baishao, Shanyao (each 1 liang), Chao Zhizi (3 qian), Qianshi (1 liang).
Decoct with water and take orally.
Individuals with inherent Heart Qi deficiency may struggle with endurance but crave beauty, causing palpitations and nocturnal emission. Symptoms include impotence, easy erection and ejaculation, daily nocturnal emission, spontaneous emission without dreams, emotional reactivity to visual or auditory stimuli, yellow complexion, emaciation, spontaneous sweating, and night fever. While attributed to dual Heart-Kidney deficiency, this is actually excessive agitation of Pericardium Fire. The Pericardium acts as an assistant to the Heart Monarch. Strong Heart Qi keeps Pericardium in check; weak Heart Qi allows Pericardium to overact. Treatment must tonify Heart Qi and clear Pericardium Fire to stop emission.
Formula: Qiang Xin Tang (Strengthen Heart Decoction)
Renshen (1 liang), Fushen (5 qian), Danggui (5 qian), Maidong (3 qian), Bajitian (5 qian), Shanyao (5 qian), Qianshi (5 qian), Xuanshen (5 qian), Bei Wuweizi (5 fen), Lianzixin (3 fen).
Decoct with water and take orally. Four doses reduce nocturnal emission; four more reduce spontaneous emission. One month of use cures both; three months prevent recurrence.
Seven parts tonify the Heart, three parts clear the Pericardium. Pericardium hyperactivity stems from Heart Qi weakness. Tonifying the Heart strengthens it, naturally subduing the Pericardium. Adding Xuanshen and Lianxin clears Pericardium fire, balancing Monarch and Minister. Long-term administration is necessary as chronic weakness accumulates over time; gradual improvement cannot be expected overnight.
Lian Xin Qing Huo Tang is also effective.
Xuanshen, Shengdi (each 5 qian), Danshen (3 qian), Shanyao, Qianshi (each 1 liang), Lianzixin (2 qian), Maidong (1 liang), Bei Wuweizi (5 fen), Tiandong (1 qian).
Decoct with water and take orally.
Excessive indulgence combined with mental labor and intercourse leads to persistent nocturnal emission. Symptoms include intense thirst with ineffective urination, insomnia, fearfulness, oral ulcers, cold soles, empty-feeling lower back, trembling legs, tidal fever, confusion, and spirit wandering. While attributed to Heart-Kidney deficiency, this is simultaneous activation of Fire in both meridians. Heart Fire is correct Fire, restrained by Kidney Water. Kidney Fire is deficient Fire, subdued by Heart Fire. Tranquil Heart Fire keeps Kidney Fire still. Kidney Fire moves due to Heart Fire weakness. Dual activation causes mutual reinforcement, unsustainable internally. Fire flares upward, winning and refusing to stop. One moving Fire hinders Water ascent; two moving Fires prevent Water descent. Maximum Fire ascent corresponds to minimum Water descent. Blocked Heart-Kidney Qi opens the Jade Gate uncontrollably. Rescue requires tonifying Heart and Kidney; sufficient Qi closes the gate.
Formula: Liang Yi Zhi Yi Tang (Dual Benefit Stop Emission Decoction)
Renshen (1 liang), Shu Dihuang (2 liang), Shanyao (1 liang), Qianshi (1 liang), Baizhu (1 liang), Sheng Zaoren (1 liang), Huanglian (5 fen), Rougui (5 fen).
Decoct with water and take orally. Emission stops in two doses; all symptoms resolve in two months.
This is a sacred formula for Heart-Kidney intersection. Intersection balances dual Fire, eliminating the need for specific astringents. Astringents with internal fire exacerbate heat.
Liang Ning Tang is also usable.
Shu Dihuang (2 liang), Maidong (2 liang), Huanglian (1 qian), Rougui (3 fen), Shanyao (1 liang), Qianshi (1 liang).
Decoct with water and take orally.
Intense scholarly study without sleep until midnight causes nocturnal emission. Later, contact with bedding triggers emission; otherwise, it does not. Symptoms include reduced appetite, fatigue, and lethargy. While attributed to excess Heart Fire, this is Kidney Fire following Heart Fire's rush. Heart Fire is easily agitated and hard to calm; humans rarely keep the mind still. Daily mental activity relies on nighttime sleep for Heart Blood to return to the Liver, allowing Kidney Water to nourish. Although Kidney Water primarily nourishes the Liver, when Heart Qi returns to the Liver, the Liver nourishes the Heart via Kidney support. Nourished Heart remains calm. Overexertion depletes Heart Blood; blood fails to return to Liver, causing fierce Fire. Seeing boiling Heart Fire, Kidney fails to interact. If Kidney reserves are depleted, Water source is deficient; deficiency increases Fire. Fire attracts Fire; Heart Fire enters Kidney via heat, residing in Lower Jiao, stirring the essence chamber, causing leakage. This indicates critical deficiency of righteous Qi.
Formula: Jue Meng Dan (Stop Dreams Pill)
Renshen (3 qian), Maidong (5 qian), Fushen (3 qian), Baizhu (3 qian), Shu Dihuang (1 liang), Qianshi (5 qian), Shanyao (5 qian), Bei Wuweizi (1 qian), Xuanshen (1 liang), Tusizi (3 qian), Danshen (3 qian), Danggui (3 qian), Lianzixin (3 qian), Chao Zaoren (3 qian), Chenpi (3 fen), Shashen (3 qian).
Decoct with water and take orally. Mild relief in ten doses; greater relief in twenty; cure in thirty.
This is a sacred formula for calming the Heart and a subtle formula for tonifying the Kidney, saving both simultaneously. Skeptics might expect cooling herbs for extreme fire, but fire arising from mental labor is deficient fire, not excess fire. Deficient fire is tonified, not purged. Greatly tonifying Heart and Kidney deficiency calms fire. Mistaking Monarch Fire for excess fire and using harsh cold herbs destroys vitality.
Yang Ru Tang is also excellent.
Shu Dihuang (1 liang), Jinyingzi, Qianshi, Shanyao, Xuanshen, Maidong (each 5 qian), Muli Mo (3 qian), Bei Wuweizi (5 fen).
Decoct with water and take orally.
Nighttime heat in the spine center causes nocturnal emission. While attributed to "He Che" (Placenta/Chong Mai) fire burning, this is actually Kidney Water depletion. The He Che path corresponds to the spinal vertebrae. The Kidney path running along the paravertebral muscles is both the path of Kidney Water and Kidney Fire. Mutual assistance ensures safety; mutual conflict causes blockage. Blockage results from lack of Water irrigation. Without Water connection, Fire flares upward causing heat, preventing spinal coolness. Fire flaring up necessitates Water flowing down. Treatment for upper Fire flare must first irrigate lower Water depletion. Sufficient Water extinguishes Fire, allowing Yellow River (Kidney Water) to flow upstream.
Formula: Wan Liu Tang (Turn Flow Decoction)
Shu Dihuang (2 liang), Shanyao (1 liang), Baizhu (1 liang), Zexie (3 qian), Xuanshen (1 liang), Bei Wuweizi (2 qian), Shanzhuyu (5 qian).
Decoct with water and take orally. Heat resolves in ten doses; emission ceases in twenty.
This formula consists purely of Water-tonifying herbs. Sour-astringent herbs are included for their ability to stop emission. Nocturnal emission worsens with simple astringents; why use sour-astringents? The He Che path favors sour-astringency; without it, Water does not flow upstream. Continuous emission creates downstream momentum; maximum downstream flow causes maximum upstream Fire counter-attack. Sour-astringents used amidst abundant fluids allow upstream flow, rescuing the central valley from burning. As Fire descends and Water rises, downward emission stops. Thus, spinal heat removal cuts off nocturnal emission.
Chong Ji Tang is also good.
Shanzhuyu, Shu Dihuang, Shanyao, Qianshi (each 1 liang), Bei Wuweizi (3 qian), Jinyingzi, Baizhu (each 3 qian).
Decoct with water and take orally.