附精滑
专主乎热，带下与脱精同治法，青黛、海石、黄柏。内伤，气血虚不能固守，常服
八物汤加减，吞樗树根丸。
思想成病，其病在心，安神丸带补药。热则流通，知母、黄柏、蛤粉、青黛为丸。精滑
，专主湿热，黄柏、知母降火，牡蛎粉、蛤粉燥湿。
戴云∶因梦交而出精者，谓之梦遗；不因梦而自泄精者，谓之精滑。皆相火所动，久则
有虚而无寒也。
入方
良姜（三钱） 黄柏（二钱） 芍药（二钱，并烧灰存性） 樗根白皮（一两半）
上为末，糊丸。每服三十丸。
〔附录〕遗精得之有四，有用心过度，心不摄肾，以致失精者；有因思色欲不遂，精乃失
位，输精而出者；有欲太过，滑泄不禁者；有年高气盛，久无色欲，精气满泄者。然其状
一，或小便后出多不可禁者，或不小便而自出，或茎中出而痒痛，常如欲小便者。并宜先服
辰砂妙香散，或感喜丸，或厘清饮，别以绵裹龙骨同煎。又或厘清饮半帖，加五倍子、牡蛎
粉、白茯苓、五味子各半钱，煎服。
梦遗，俗谓之夜梦鬼交，宜温胆汤去竹茹，加人参、远志、莲肉、酸枣仁、炒茯神各半
附方
妙香散 见溺血类。
感喜丸
黄蜡（四两） 白茯苓（去皮，四两，作块用猪苓一分同于瓷器内煮二十沸，取出。日干不
上以茯苓为末，溶蜡，搜丸如弹子大。每服一丸，空心细嚼，津液咽下，小便清为度。
八物汤 见补损。
厘清饮 见浊类。
樗树根丸 即固肠丸，见妇人。
安神丸 见痫。
温胆汤
半夏 枳壳（各一两） 甘草（四钱） 茯苓（三分） 陈皮（一两半）
上 咀。每服四钱，水盏半，姜七片，枣一枚，竹茹
一块，煎七分，去渣，食前热服。
【附方】精滑
治疗主要侧重于清热。带下病与脱精（精气外泄）采用相同的治疗方法，使用青黛、海浮石、黄柏。若是内伤导致的气血虚弱，不能固摄守藏，可常服用八物汤并随证加减，同时吞服樗树根丸。
因思虑过度而致病，病位在心，使用安神丸配合补益药物。热邪则使气机流通，用知母、黄柏、蛤粉、青黛制成丸剂。对于精滑，主要侧重于湿热，用黄柏、知母以降火，牡蛎粉、蛤粉以燥湿。
戴元礼说：因梦中性交而出精的，称为梦遗；不因做梦而自行泄精的，称为精滑。这都是由相火妄动引起，日久则表现为虚证，而没有寒证。
【入方】
良姜（三钱） 黄柏（二钱） 芍药（二钱，需烧成炭存性） 樗根白皮（一两半）
以上药材研为细末，用米糊作为粘合剂制成丸剂。每次服用三十丸。
〔附录〕遗精的病因有四种：一是用心过度，心气不能统摄肾气，导致失精；二是因思念色欲而不能遂愿，致使精液失去正常位置，从尿道排出；三是房事太过，导致滑泄无法控制；四是年老体壮之人，长期没有性生活，精气满溢而自泄。然而其症状表现相似，有的在小便后流出且不可控制，有的在不小便时自行流出，有的从阴茎中流出且伴有瘙痒疼痛，常常感觉像要小便一样。都应当先服用辰砂妙香散，或感喜丸，或厘清饮，另外用棉布包裹龙骨一同煎煮。或者取厘清饮的一半剂量，加入五倍子、牡蛎粉、白茯苓、五味子各半钱，煎服。
梦遗，俗称夜梦鬼交，适宜使用温胆汤去掉竹茹，加入人参、远志、莲肉、酸枣仁、炒茯神各半钱。
【附方】
妙香散 见溺血类。
感喜丸
黄蜡（四两） 白茯苓（去皮，四两，切成块，用猪苓一分同放在瓷器内煮二十沸，取出。晒干后）将茯苓研为细末，熔化黄蜡，混合搓成如弹子大小的丸剂。每次服用一丸，空腹细细咀嚼，用津液咽下，直到小便清澈为止。
八物汤 见补损类。
厘清饮 见浊类。
樗树根丸 即固肠丸，见妇人科。
安神丸 见痫病类。
温胆汤
半夏 枳壳（各一两） 甘草（四钱） 茯苓（三分） 陈皮（一两半）
以上药材切碎。每次服用四钱，用水一盏半，生姜七片，大枣一枚，竹茹一块，煎至七分，去渣，饭前热服。
[Attached Formula] Spermatorrhea (Jing Hua)
Treatment primarily focuses on clearing heat. Leukorrhea and spermatorrhea are treated with the same method, using Qingdai (Indigo Naturalis), Haishi (Aragonite), and Huangbai (Phellodendri Cortex). In cases of internal injury where Qi and Blood are deficient and unable to consolidate and retain, one may frequently take Bawu Tang (Eight-Ingredient Decoction) with modifications, while swallowing Chushugen Wan (Tree Root Pill).
Disease arising from excessive thinking originates in the Heart; use Anshen Wan (Calming the Spirit Pill) combined with tonifying herbs. Heat causes free flow; make pills with Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Ge Fen (Concha Meretricis et Cyclinae Pulvis), and Qingdai (Indigo Naturalis). For spermatorrhea, the focus is primarily on damp-heat; use Huangbai (Phellodendri Cortex) and Zhimu (Anemarrhenae Rhizoma) to descend fire, and Muli Fen (Ostreae Concha Pulvis) and Ge Fen (Concha Meretricis et Cyclinae Pulvis) to dry dampness.
Dai Yuanli stated: Emission of semen occurring during sexual dreams is called nocturnal emission (Meng Yi); spontaneous leakage of semen without dreaming is called spermatorrhea (Jing Hua). Both are caused by the stirring of Ministerial Fire (Xiang Huo); over time, this results in deficiency without cold.
[Prescription]
Liangjiang (Galangal Rhizome, 3 qian)
Huangbai (Phellodendri Cortex, 2 qian)
Shaoyao (Paeoniae Radix, 2 qian, charred to preserve its nature)
Chugen Baipi (Catechu Bark, 1.5 liang)
Grind the above into powder, bind with rice paste to form pills. Take 30 pills per dose.
[Appendix] There are four causes of seminal emission:
1. Excessive mental exertion, where the Heart fails to control the Kidney, leading to loss of essence.
2. Unfulfilled desire for sexual intercourse, causing essence to lose its proper position and discharge through the urethra.
3. Excessive sexual activity, leading to uncontrollable slipping and leakage.
4. Advanced age with robust constitution but long abstinence from sex, causing fullness of essence and spontaneous discharge.
However, the symptoms are similar: some discharge profusely after urination and cannot be controlled; some discharge spontaneously without urinating; some discharge from the penis accompanied by itching and pain, often feeling like the urge to urinate. All should first take Chen Sha Miao Xiang San (Cinnabar Wonderful Fragrance Powder), or Ganxi Wan (Joy Pill), or Liqing Yin (Clearing Turbidity Decoction), additionally decocting together with Longgu (Fossilized Bones) wrapped in cotton. Alternatively, take half a dose of Liqing Yin (Decoction for Clearing Turbidity), add Wubeizi (Galla Chinensis), Muli Fen (Ostreae Concha Pulvis), Baifuling (Poria Cocos with Hostwood removed), and Wuweizi (Schisandrae Fructus), each half a qian, and decoct for administration.
Nocturnal emission, commonly known as "nighttime dream intercourse with ghosts," is suitable for treating with Wendan Tang (Warm Gallbladder Decoction) removing Zhuru (Bambusae Folium), adding Renshen (Ginseng Radix et Rhizoma), Yuanzhi (Polygalae Radix), Lianrou (Nelumbinis Semen), Suanzaoren (Ziziphi Spinosae Semen), and Chao Fushen (Poria Cocos with Hostwood removed, fried), each half a qian.
[Attached Formulas]
Miaoxiang San (Wonderful Fragrance Powder) - See Hematuria category.
Ganxi Wan (Joy Pill)
Huangla (Beeswax, 4 liang)
Baifuling (Poria Cocos with Hostwood removed, 4 liang, cut into blocks, boiled with Zhuling (Polyporus) 1 fen in a porcelain vessel for twenty boils, then taken out. Dried in the sun.) Grind the Poria into powder, melt the beeswax, mix and roll into pills the size of bullet seeds. Take one pill per dose, chew thoroughly on an empty stomach, swallow with saliva, until urine becomes clear.
Bawu Tang (Eight-Ingredient Decoction) - See Tonifying Deficiency category.
Liqing Yin (Decoction for Clearing Turbidity) - See Turbid Urine category.
Chushugen Wan (Tree Root Pill) - Also known as Guchang Wan (Intestine-Stabilizing Pill), see Women's Diseases category.
Anshen Wan (Calming the Spirit Pill) - See Epilepsy category.
Wendan Tang (Warm Gallbladder Decoction)
Banxia (Pinelliae Rhizoma)
Zhike (Aurantii Fructus Immaturus) (each 1 liang)
Gancao (Glycyrrhizae Radix et Rhizoma) (4 qian)
Fuling (Poria Cocos) (3 fen)
Chenpi (Citri Reticulatae Pericarpium) (1.5 liang)
Cut the above ingredients. Take 4 qian per dose, with 1.5 cups of water, 7 slices of Shengjiang (Zingiberis Rhizoma Recens), 1 Jujubae Fructus, and a piece of Zhuru (Bambusae Folium). Decoct to 0.7 parts, remove dregs, and take hot before meals.