脉∶遗精白浊,当验于尺,结芤动紧,二症之的。微涩精伤,洪数火逼,亦有心虚,左
寸短小。脉迟可生,急疾便夭。
邪客于阴,神不守舍,故心有所感,梦而后泄也。其后有三∶年少气盛、鳏旷矜持,强
制情欲,不自觉知,此泄如瓶之满溢者也。人或有之,是为无病,勿药可矣。心家气虚,不
能主宰,或心受热,阳气不收,此泄如瓶之侧而出者也。人多有之,其病尤轻,合用和平之
剂。脏腑积弱,真元久亏,心不摄念,肾不摄精,一泄如瓶之罅而漏者也。人少有之,其
病最重,须当大作补汤。或谓梦泄尤甚于房劳,此世俗习闻其说也。独不观候之有轻重乎?
外此又有一辈,神气消磨,怪异横生,风邪乘其虚,鬼气干其正,往往与鬼魅交通,是又厄
运之不可晓者也。法药相助,诚哉是言。
久无色欲而精神满者,不必虑也。心有所慕而梦遗者,君火动、相火随也。夜梦与人交
感而精泄者,谓之梦遗(俱用后方)。
清心汤
黄连 生地黄 当归 石莲肉 远志(甘草水泡,去心) 茯神(去皮木) 酸枣仁(炒)
人参(去芦,各等分) 甘草(减半)
上锉一剂。水煎服。
有不因梦而精自出者,此精道滑也。因心肾内虚,不能固守,皆相火动。
养心汤
辰砂(另研末,调入服) 远志(去心) 酸枣仁 石莲肉 芡实 莲蕊 天门冬 桔梗(
去芦) 车前子 龙骨(各等分) 甘草(减半) 麦门冬(去心)
上锉一剂。灯心二十寸,水煎服。
治阴虚火动而遗精者,宜滋阴降火也。
保精汤 治阴虚火动,夜梦遗精,或虚劳发热。
当归(酒洗) 川芎 白芍(酒炒) 生地黄(姜汁炒) 黄柏(酒炒) 知母(蜜炒) 黄连(
姜汁炒) 栀子(童便炒) 沙参 麦门冬(去心) 干姜(炒黑)减半 牡蛎(火 ) 山茱萸(酒
蒸,去核,各等分)
上锉一剂。水煎,空心温服。
有梦遗日久,气下陷者,宜升提肾气以归原也。
归元散
人参(去芦) 白术(去芦) 茯苓(去皮) 远志(去心) 酸枣仁(炒) 麦门冬(去心) 黄
柏(童便炒) 知母(童便炒) 芡实 莲花须 枸杞子 陈皮 川芎(各等分) 升麻(减半) 甘草
(减半)
上锉一剂。莲肉三个,枣子一枚,水煎,空心服。
固精丸
当归(酒洗) 熟地黄 山药(炒) 人参(去芦) 白术(去芦) 茯苓(去皮) 锁阳 牡蛎
蛤粉 黄柏(酒炒) 知母(酒炒) 杜仲(酒和,姜汁炒) 椿根皮 破故纸(酒炒,各一两)
上为细末,炼蜜为丸,辰砂为衣,如梧桐子大。每服五十丸,空心酒吞下。
有湿热而遗精者,宜健脾除湿热也。
猪肚丸 治遗精梦泄,不思饮食。健肢体及治肌瘦。气弱咳嗽,渐成劳嗽,并宜服之。
白术(去芦炒,五两) 苦参(去红皮,色白者,三两) 牡蛎(左顾者, ,另为末,四两)
上为末,用 猪肚一具洗净,砂罐内煮得极烂,石臼内捣半日,丸如小豆大。每服
四十丸,半汤送下,日进三次或四次。久服,自觉身强体健而梦遗立止。
虚弱人患梦遗精滑者,宜补心肾也。
辰砂既济丸 治元阳虚惫,精气不固,夜梦遗精,盗汗遗精者,服此药大补元气,涩精
固阳,神效。
黄 (盐水炒) 人参 当归(酒洗) 山药 枸杞子 锁阳 败龟板(酥炙) 牡蛎(酒浸
一宿, ,各二两) 熟地(酒洗,四两) 牛膝(去芦,酒洗) 知母(酒炒,各一两半) 破故纸(盐
水炒,一两二钱) 黄柏(酒炒,一两)
上为末,用白术八两,水八碗,煎至一半,取渣再易水煎,漉净,合煎至二碗成膏,和
丸如梧桐子大,辰砂为衣。空心盐汤下或酒下七十丸。用干物压之。
梦遗精滑,属肝肾虚热者,用四物汤加柴胡、山栀、山茱萸、山药(方见补益);脾胃气
虚者,用补中益气汤加山茱萸、山药;思虑伤脾者,兼用归脾汤加山茱萸、山药(方见补益)
;心肾不交者,用水火厘清饮(方见浊症);心气虚热者,用清心莲子饮(方见浊症);气血虚
损者,用十全大补汤加山茱、山药、五味、麦门(方见补益)。
补遗方
止遗精盗汗法 用短床或蒲罗,内侧身曲腿而卧,不许伸脚,病自安。
保生丹 治夜梦遗精,旬无虚夕,或经宿而再者。
嫩乌药 益智仁 朱砂(另研,水飞过,留一半为衣,以上各一两) 干山药(二两)
上各另为末,将山药打糊为丸。如不成,再加些酒,糊丸如梧桐子大。每服百丸,空心
淡盐汤送下。
倒阳法 夜半子时分,阳正兴时,仰卧瞑目闭口,舌顶上 ,将腰拱起,用左手中指顶
住尾闾穴,用右手大指顶住无名指根拳着;又将两腿俱伸,两脚十趾俱抠,提起一口气,心
中存想脊背脑后,上贯至顶门,慢慢直至丹田,方将腰腿手脚从容放下。如再行照前,而阳
衰矣。如阳未衰,再行两、三遍。如初行时,阳未兴,勉强兴之,方可行矣。夫人之所有虚
实者,因年少欲心大盛,房事过多,水火不能相济,以致此疾。若能行此法,不唯速去泄精
之病,久而肾水上升,心火下降,则水火既济永无疾病矣。
陈桂林秀才,患夜梦遗精,每月一、二次或三、五次。遗后神思昏沉、身体困倦。予诊
六脉微涩无力,此阴虚火动之症。以辰砂既济丸加紫河车、龙骨服之,数月奏效。奈其数患
于不能谨守,因口占俚语一章以戒之曰∶培养精元贵节房,更祛尘累最为良;食唯半饱宜清
淡,酒止三分勿过伤;药饵随时应勉进,功名有分不须忙;几行俚语君能味,便是长生不老
方。
朱工部,劳则遗精,齿牙即痛。用补中益气加半夏、茯苓、芍药,并六味地黄丸,渐愈
;更以十全大补加麦门、五味而痊(方见补益)。
一男子遗精白浊、口干作渴,大便闭涩,午后热甚。用补中益气加芍药、玄参,并加减
八味丸而愈(方见补益)。
脉诊:遗精和白浊,应当在尺部脉象上进行验证。如果脉象呈现结、芤、动、紧的特征,这是这两种病症的确切指征。脉象微涩表示精气受损,脉象洪数表示火热逼迫,也有可能是心气虚弱,表现为左寸脉短小。脉迟表明病情尚可救治,脉象急疾则预示生命垂危。
邪气侵犯阴分,心神不能守舍,因此心中有所感应,做梦后发生泄精。这种情况后来分为三种:年少时气血旺盛,或长期独身克制欲望,强行抑制情欲而不自知,这种泄精就像瓶子装满水后溢出一样。有些人会有这种情况,这属于无病状态,不需要服药治疗。如果是心气虚弱,不能主宰精神,或者心受热邪,阳气不能收敛,这种泄精就像瓶子侧倾流出一样。这种情况很多人都有,病情尤其轻微,适合使用平和的药剂。如果是脏腑积弱,真元久已亏损,心神不能摄持意念,肾气不能固摄精液,这种泄精就像瓶子上有裂缝漏水一样。这种人很少见,病情最重,必须大力进补汤药。有人说道梦遗比房劳过度更严重,这只是世俗人习惯听到的说法。难道没有观察到病情有轻重之分吗?除此之外还有一类人,神气被消磨,怪异现象横生,风邪乘其虚弱侵袭,鬼气干扰正气,往往与鬼魅交通,这又是厄运中难以理解的情况。药物疗法确实能辅助治疗,这话是真的。
长时间没有性生活且精神饱满的人,不必担忧。心中有所爱慕而导致梦遗的,是君火发动、相火跟随所致。夜里梦见与人交合而精液泄出的,称为梦遗(均使用后方)。
清心汤
黄连、生地黄、当归、石莲肉、远志(用甘草水泡,去心)、茯神(去皮木)、酸枣仁(炒制)、人参(去芦头,各等分)、甘草(减半)
以上药材锉碎为一剂。加水煎煮服用。
有不因做梦而精液自行流出的,这是精道滑利所致。因为心肾内部虚弱,不能固守,都是相火妄动引起。
养心汤
辰砂(另研成末,调服时加入)、远志(去心)、酸枣仁、石莲肉、芡实、莲蕊、天门冬、桔梗(去芦头)、车前子、龙骨(各等分)、甘草(减半)、麦门冬(去心)
以上药材锉碎为一剂。用灯心草二十寸,加水煎煮服用。
保精汤 治疗阴虚火旺,夜间做梦遗精,或虚劳发热。
当归(酒洗)、川芎、白芍(酒炒)、生地黄(姜汁炒)、黄柏(酒炒)、知母(蜜炒)、黄连(姜汁炒)、栀子(童便炒)、沙参、麦门冬(去心)、干姜(炒黑,减半)、牡蛎(煅烧)、山茱萸(酒蒸,去核,各等分)
以上药材锉碎为一剂。加水煎煮,空腹温服。
归元散
人参(去芦头)、白术(去芦头)、茯苓(去皮)、远志(去心)、酸枣仁(炒制)、麦门冬(去心)、黄柏(童便炒)、知母(童便炒)、芡实、莲花须、枸杞子、陈皮、川芎(各等分)、升麻(减半)、甘草(减半)
以上药材锉碎为一剂。用莲子肉三个,大枣一枚,加水煎煮,空腹服用。
固精丸
当归(酒洗)、熟地黄、山药(炒制)、人参(去芦头)、白术(去芦头)、茯苓(去皮)、锁阳、牡蛎(蛤粉拌炒)、黄柏(酒炒)、知母(酒炒)、杜仲(酒和,姜汁炒)、椿根皮、破故纸(酒炒,各一两)
以上药材研为细末,炼蜜制成丸药,辰砂为衣,大小如梧桐子。每次服用五十丸,空腹用酒送下。
猪肚丸 治疗遗精梦泄,不思饮食。强健肢体及治疗肌肉消瘦。气弱咳嗽,逐渐形成劳嗽,都适宜服用。
白术(去芦头炒制,五两)、苦参(去红皮,色白的,三两)、牡蛎(左顾者,煅烧,另研为末,四两)
以上药材研为末,用猪肚一个洗净,在砂罐内煮至极烂,在石臼内捣半天,制成如小豆大小的丸药。每次服用四十丸,半碗汤送下,每天进三次或四次。长期服用,自觉身体强壮健康,梦遗立即停止。
辰砂既济丸 治疗元阳虚惫,精气不固,夜间做梦遗精,盗汗遗精的,服用此药大补元气,涩精固阳,效果神奇。
黄芪(盐水炒)、人参、当归(酒洗)、山药、枸杞子、锁阳、败龟板(酥炙)、牡蛎(酒浸一夜,煅烧,各二两)、熟地黄(酒洗,四两)、牛膝(去芦头,酒洗)、知母(酒炒,各一两半)、破故纸(盐水炒,一两二钱)、黄柏(酒炒,一两)
以上药材研为末,用白术八两,水八碗,煎至一半,取药渣再换水煎,滤净,合并煎至二碗成膏,混合制成如梧桐子大小的丸药,辰砂为衣。空腹用盐汤或酒送下七十丸。用干食物压住药力。
梦遗精滑,属于肝肾虚热的,使用四物汤加柴胡、山栀、山茱萸、山药(方剂见补益篇);脾胃气虚的,使用补中益气汤加山茱萸、山药;思虑伤脾的,兼用归脾汤加山茱萸、山药(方剂见补益篇);心肾不交的,使用水火厘清饮(方剂见浊症篇);心气虚热的,使用清心莲子饮(方剂见浊症篇);气血虚损的,使用十全大补汤加山茱萸、山药、五味子、麦门冬(方剂见补益篇)。
补遗方
止遗精盗汗法 使用短床或蒲席,侧身屈腿而卧,不许伸脚,病自然痊愈。
保生丹 治疗夜间做梦遗精,十天没有一晚不发生的,或者隔宿再次发生的。
嫩乌药、益智仁、朱砂(另研,水飞,留一半做衣,以上各一两)、干山药(二两)
以上各研为末,将山药打糊制成丸药。如果不成形,再加些酒,糊丸如梧桐子大小。每次服用一百丸,空腹淡盐汤送下。
倒阳法 半夜子时分,阳气正兴起时,仰卧闭目闭口,舌顶上颚,将腰拱起,用左手中指顶住尾闾穴,用右手大拇指顶住无名指根部握拳;又将双腿伸直,双脚十趾用力抠地,提起一口气,心中存想脊背脑后,上贯至头顶,慢慢直至丹田,方才将腰腿手脚从容放下。如果再次进行照前面的方法,而阳气衰退了。如果阳气未衰,再进行两、三遍。如果初次进行时,阳气未兴起,勉强使其兴起,才可以进行。人的虚实状况,是因为年少时欲心大盛,房事过多,水火不能相济,以致产生此病。如果能练习此法,不仅迅速去除泄精之病,久而久之肾水上升,心火下降,则水火既济,永远没有疾病了。
陈桂林秀才,患夜间做梦遗精,每月一、二次或三、五次。遗精后神思昏沉、身体困倦。我诊察六脉微涩无力,这是阴虚火动的症状。用辰砂既济丸加紫河车、龙骨服用,几个月奏效。无奈他多次患病是因为不能谨守禁忌,因此随口作俚语一章以告诫他说:培养精元贵在节制房事,祛除尘世累赘最为良好;饮食只吃半饱宜清淡,饮酒只限三分不要过伤;药物随时应勉力进服,功名有分不必匆忙;这几句俚语你能品味,便是长生不老方。
朱工部,劳累则遗精,牙齿随即疼痛。使用补中益气汤加半夏、茯苓、芍药,并配合六味地黄丸,逐渐痊愈;再用十全大补汤加麦门冬、五味子而康复(方剂见补益篇)。
Pulse Diagnosis: For spermatorrhea (spermatorrhea) and leukorrhea (leukorrhea), verification should be sought in the Chi (Cun, Guan, Chi) pulse position. If the pulse presents as Jie (Knotted), Kou (Hollow), Dong (Surging), or Jin (Tight), these are definitive indicators of these two conditions. A Wei (Fine) and Se (Choppy) pulse indicates damage to essence; a Hong (Surging) and Shuo (Rapid) pulse indicates forcing by fire; there may also be Heart Qi deficiency, manifesting as a short and small pulse at the Left Cun position. A Chi (Slow) pulse suggests the condition is treatable, while a Ji (Urgent) and Xi (Rapid) pulse portends premature death.
Evil pathogens invade the Yin aspect, causing the Shen (Spirit) to fail to reside within its abode. Thus, when the mind is moved by external stimuli, emission occurs during dreams. This condition subsequently manifests in three ways: In youth, when Qi and blood are vigorous, or for widowers who restrain themselves, forcibly suppressing sexual desire without realizing it, this emission is like a bottle overflowing when full. Some people experience this; it is considered disease-free and requires no medication. If Heart Qi is deficient and unable to govern, or if Heat affects the Heart causing Yang Qi to fail to consolidate, this emission is like liquid pouring from a tilted bottle. Many people suffer from this; the pathology is particularly mild, and mild-acting formulas are appropriate. If Zang-Fu organs are chronically weak and True Yuan (Original Qi) has been depleted for a long time, with the Heart failing to control thoughts and the Kidney failing to secure essence, this emission is like water leaking from a cracked bottle. Few people suffer from this; the pathology is most severe, requiring strong tonic decoctions. Some claim that dream emission is worse than sexual exhaustion; this is merely a common secular belief. Have they not observed the differences in severity? Furthermore, there is another group whose Shen Qi (Spiritual Energy) is consumed, generating bizarre phenomena. Wind pathogens exploit their deficiency, and "ghost qi" interferes with righteous Qi, often leading to interactions with spirits. This represents an incomprehensible misfortune. Pharmacological therapy indeed assists in treatment; this statement is true.
Those who have abstained from sexual activity for a long time and possess abundant spirit need not worry. Dream emission caused by mental attachment results from the movement of Minister Fire following the Sovereign Fire. Nocturnal emission occurring after dreaming of sexual intercourse is termed Meng Yi (Dream Emission) (use the following formulas).
Qing Xin Tang (Clear the Heart Decoction)
Coptidis Rhizoma (Huanglian), Rehmanniae Radix Recens (Shengdihuang), Angelicae Sinensis Radix (Danggui), Nelumbinis Plumula (Shilianrou), Polygalae Radix (Yuanzhi) [soaked in Licorice water, remove heart], Sparganii Sclerotium (Fushen) [remove bark and wood], Ziziphi Spinosae Semen (Suanzaoren) [stir-fried], Ginseng Radix et Rhizoma (Renshen) [remove rhizome, equal parts each], Glycyrrhizae Radix et Rhizoma (Gancao) [halved].
Crush one dose. Decoct in water and take orally.
Emission occurring without dreams, where semen flows out spontaneously, is due to slippage of the seminal pathway. This arises from internal deficiency of the Heart and Kidney, failing to maintain consolidation, all driven by the movement of Minister Fire.
Yang Xin Tang (Nourish the Heart Decoction)
Cinnabaris (Chensha) [separately ground into powder, mix into dosage for administration], Polygalae Radix (Yuanzhi) [remove heart], Ziziphi Spinosae Semen (Suanzaoren), Nelumbinis Plumula (Shilianrou), Euryales Semen (Qianshi), Nelumbinis Stamen (Lianrui), Asparagi Radix (Tianmendong), Platycodonis Radix (Jiegeng) [remove rhizome], Plantaginis Semen (Cheqianzi), Ostreae Concha (Longgu) [equal parts each], Glycyrrhizae Radix et Rhizoma (Gancao) [halved], Ophiopogonis Radix (Maimendong) [remove heart].
Crush one dose. Decoct with twenty cun of Juncus effusus (Dengxincao) in water and take orally.
For treating spermatorrhea caused by Yin deficiency with hyperactive fire, nourishing Yin and descending fire is indicated.
Bao Jing Tang (Preserve Essence Decoction) Treats Yin deficiency with hyperactive fire, nocturnal dream emission, or deficiency-labor fever.
Angelicae Sinensis Radix (Danggui) [wine-washed], Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao) [wine-stir-fried], Rehmanniae Radix Recens (Shengdihuang) [fried with ginger juice], Phellodendri Cortex (Huangbai) [wine-stir-fried], Anemarrhenae Rhizoma (Zhimu) [honey-stir-fried], Coptidis Rhizoma (Huanglian) [fried with ginger juice], Gardeniae Fructus (Zhizi) [fried with child's urine], Glehniae Radix (Shashen), Ophiopogonis Radix (Maimendong) [remove heart], Zingiberis Rhizoma Ustus (Ganjiang) [charred, halved], Ostreae Concha (Muli) [calcined], Corni Fructus (Shanzhuyu) [wine-steamed, pitted, equal parts each].
Crush one dose. Decoct in water, take warm on an empty stomach.
For those with prolonged dream emission leading to sinking of Qi, lifting Kidney Qi to return it to its origin is indicated.
Gui Yuan San (Restore the Origin Powder)
Ginseng Radix et Rhizoma (Renshen) [remove rhizome], Atractylodis Macrocephalae Rhizoma (Baizhu) [remove rhizome], Poria (Fuling) [remove bark], Polygalae Radix (Yuanzhi) [remove heart], Ziziphi Spinosae Semen (Suanzaoren) [stir-fried], Ophiopogonis Radix (Maimendong) [remove heart], Phellodendri Cortex (Huangbai) [fried with child's urine], Anemarrhenae Rhizoma (Zhimu) [fried with child's urine], Euryales Semen (Qianshi), Nelumbinis Stamen (Lianhua Xu), Lycii Fructus (Gouqizi), Citri Reticulatae Pericarpium (Chenpi), Chuanxiong Rhizoma (Chuanxiong) [equal parts each], Cimicifugae Rhizoma (Shengma) [halved], Glycyrrhizae Radix et Rhizoma (Gancao) [halved].
Crush one dose. Decoct with three Lotus Seeds (Lianrou) and one Jujube (Zao) in water, take on an empty stomach.
Gu Jing Wan (Secure Essence Pill)
Angelicae Sinensis Radix (Danggui) [wine-washed], Rehmanniae Radix Praeparata (Shudihuang), Dioscoreae Rhizoma (Shanyao) [stir-fried], Ginseng Radix et Rhizoma (Renshen) [remove rhizome], Atractylodis Macrocephalae Rhizoma (Baizhu) [remove rhizome], Poria (Fuling) [remove bark], Cynomorii Herba (Suoyang), Ostreae Concha (Muli) [coated with clam powder], Phellodendri Cortex (Huangbai) [wine-stir-fried], Anemarrhenae Rhizoma (Zhimu) [wine-stir-fried], Eucommiae Cortex (Duzhong) [mixed with wine, stir-fried with ginger juice], Toosendan Cortex (Chungenpi), Cistanches Herba (Po Gu Zhi) [wine-stir-fried, one tael each].
Grind into fine powder, form pills with refined honey, coat with Cinnabaris (Chensha), size of Sophora japonica seeds. Take fifty pills per dose, swallow with wine on an empty stomach.
For spermatorrhea caused by Damp-Heat, strengthening the Spleen and eliminating Damp-Heat is indicated.
Zhu Du Wan (Pig Stomach Pill) Treats spermatorrhea and dream emission, loss of appetite. Strengthens limbs and treats emaciation. Suitable for weak Qi cough progressing to consumption cough.
Atractylodis Macrocephalae Rhizoma (Baizhu) [remove rhizome, stir-fried, five taels], Sophorae Flavescentis Cortex (Kushen) [remove red skin, white ones selected, three taels], Ostreae Concha (Muli) [left-facing ones, calcined, separately ground into powder, four taels].
Grind into powder. Wash one pig stomach, boil until extremely tender in a clay pot, pound for half a day in a stone mortar. Form pills the size of small beans. Take forty pills per dose, send down with half a bowl of soup. Take three or four times daily. Long-term use will result in feeling strong and healthy, and dream emission will stop immediately.
For weak individuals suffering from dream emission and seminal slipperiness, tonifying the Heart and Kidney is indicated.
Chensha Jiji Wan (Cinnabar Equilibrium Pill) Treats depletion of Primordial Yang, insecurity of essence and Qi, nocturnal dream emission, night sweats, and seminal leakage. Taking this medicine greatly tonifies Primordial Qi, secures essence and consolidates Yang, with miraculous effects.
Astragali Membranacei Radix (Huangqi) [salt-water stir-fried], Ginseng Radix et Rhizoma (Renshen), Angelicae Sinensis Radix (Danggui) [wine-washed], Dioscoreae Rhizoma (Shanyao), Lycii Fructus (Gouqizi), Cynomorii Herba (Suoyang), Testudinis Carapax et Plastrum (Baiguiban) [roasted with butter], Ostreae Concha (Muli) [soaked in wine overnight, calcined, two taels each], Rehmanniae Radix Praeparata (Shudihuang) [wine-washed, four taels], Achyranthis Bidentatae Radix (Niuxi) [remove rhizome, wine-washed], Anemarrhenae Rhizoma (Zhimu) [wine-stir-fried, one tael and a half each], Cistanches Herba (Po Gu Zhi) [salt-water stir-fried, one tael and two qian], Phellodendri Cortex (Huangbai) [wine-stir-fried, one tael].
Grind into powder. Use eight taels of Atractylodis Macrocephalae Rhizoma (Baizhu) and eight bowls of water, decoct until half remains. Take the dregs, change water, decoct again, filter cleanly, combine and decoct until two bowls remain to form a paste. Mix to form pills the size of Sophora japonica seeds, coat with Cinnabaris (Chensha). Take seventy pills on an empty stomach with salt water or wine. Press with dry food.
For dream emission and seminal slipperiness belonging to Liver-Kidney deficiency heat, use Si Wu Tang (Four Substances Decoction) plus Bupleuri Radix (Chaihu), Gardeniae Fructus (Shanzhi), Corni Fructus (Shanzhuyu), and Dioscoreae Rhizoma (Shanyao) (see Tonification section); for Spleen-Stomach Qi deficiency, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Corni Fructus (Shanzhuyu) and Dioscoreae Rhizoma (Shanyao); for Spleen injury due to overthinking, additionally use Gui Pi Tang (Restore the Spleen Decoction) plus Corni Fructus (Shanzhuyu) and Dioscoreae Rhizoma (Shanyao) (see Tonification section); for Heart-Kidney non-interaction, use Shui Huo Li Qing Yin (Water and Fire Clarifying Decoction) (see Turbid Symptoms section); for Heart Qi deficiency with heat, use Qing Xin Lian Zi Yin (Clear the Heart and Lotus Seed Decoction) (see Turbid Symptoms section); for Qi and Blood deficiency, use Shi Quan Da Bu Tang (Ten Complete Great Tonifying Decoction) plus Corni Fructus (Shanzhuyu), Dioscoreae Rhizoma (Shanyao), Schisandrae Fructus (Wuweizi), and Ophiopogonis Radix (Maimendong) (see Tonification section).
Supplementary Prescriptions
Method to Stop Spermatorrhea and Night Sweats: Use a short bed or rush mat, sleep on your side with legs curled, do not extend your feet; the illness will heal naturally.
Bao Sheng Dan (Protect Life Pill) Treats nocturnal dream emission occurring every night for ten days, or recurring after a night's rest.
Young Linderae Radix (Nen Wuyao), Alpiniae Oxyphyllae Fructus (Yizhiren), Cinnabaris (Zhusha) [separately ground, water-flavored, reserve half for coating, one tael each above], Dry Dioscoreae Rhizoma (Gan Shanyao) [two taels].
Grind each into powder separately. Make a paste from the Shanyao to form pills. If not cohesive, add some wine. Form pills the size of Sophora japonica seeds. Take one hundred pills per dose, send down with light salt water on an empty stomach.
Dao Yang Method (Reverse Yang Method): At midnight (Zi hour), when Yang Qi is rising, lie supine with eyes closed and mouth shut, tongue pressing against the palate, arch the waist. Use the middle finger of the left hand to press the Weilu acupoint. Use the thumb of the right hand to press the root of the ring finger while making a fist. Extend both legs, curl both feet' ten toes inward. Draw up one breath, visualize the spine and back of the head, ascending to the top of the head, slowly reaching the Dantian. Only then calmly lower the waist, legs, hands, and feet. Repeat as before if Yang declines. If Yang has not declined, repeat two or three times. If Yang does not rise initially, force it to rise to proceed. The deficiency or excess in humans arises from excessive sexual desire in youth and excessive coitus, causing Water and Fire to fail to interact, leading to this disease. Practicing this method not only quickly cures seminal emission but, over time, raises Kidney Water and lowers Heart Fire, achieving equilibrium of Water and Fire, ensuring permanent health.
Scholar Chen Guilin suffered from nocturnal dream emission, occurring one to two or three to five times monthly. After emission, he experienced mental confusion and physical fatigue. I diagnosed his six pulses as Fine, Choppy, and powerless, indicating Yin deficiency with hyperactive fire. I administered Chen Sha Ji Ji Wan (Cinnabar Equilibrium Pill) added with Placenta Hominis (Ziheche) and Ostreae Concha (Longgu). It took effect after several months. Unfortunately, he relapsed frequently due to failure to observe precautions. Therefore, I composed a colloquial verse to warn him: "Nurturing Essence and Yuan requires regulating intercourse; dispelling worldly burdens is best. Eat only half-full, prefer bland diet; limit alcohol to three tenths, avoid harm. Medicines should be taken diligently as needed; fame and fortune have their share, do not rush. If you savor these few lines, it is the prescription for immortality."
Director Zhu suffered from emission upon exertion, followed immediately by toothache. Using Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with Pinelliae Rhizoma (Banxia), Poria (Fuling), and Paeoniae Radix Alba (Shaoyao), along with Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia), he gradually recovered; further treated with Shi Quan Da Bu Tang (Ten Complete Great Tonifying Decoction) added with Ophiopogonis Radix (Maimendong) and Schisandrae Fructus (Wuweizi) until cured (see Tonification section).
A man suffered from spermatorrhea and leukorrhea, dry mouth with thirst, constipation, and severe afternoon fever. Treated with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with Paeoniae Radix Alba (Shaoyao) and Scrophulariae Radix (Xuanshen), along with Jian Ba Wei Wan (Modified Eight-Ingredient Pill), he recovered (see Tonification section).