遗溺肾元虚且寒，好将肉桂配鸡冠，补中益气（汤）上焦治，参附山萸自下安。
房痨伤寒，惟脉细欲绝，四肢厥冷、腹痛吐泻者为阴证，以通脉四逆汤治之。若非阴寒
证，误用立死。大抵此证属热者十有八九，孙真人用青竹皮一升，煮汤治之。若烦不得卧，
宜黄连鸡子黄汤救之。汪苓友云∶“肾主藏精，凡人入房过度，则精多所遗。所遗之精，皆
为水而属阴。况其作强之时，心火先炽，火炽则水流，水愈流则火愈炽。五内焦热，外复感
冒而病邪热，两热相夹，肾水必枯。其人发烦躁而舌黑芒生，则就死矣。”喻嘉言《寓意草
》，徐灵胎《医论》俱同。此证因肾虚而得，故列虚证。
房痨鼓荡泄阴精，精泄阴虚火证生，四逆（汤证）辛温当慎用，竹皮（汤）鸡子（黄连鸡子黄汤）古
前盟（《内经》云∶此先师歃血而盟之者，言禁方不传，一恐泄造化之机，一恐人轻其道。）
素禀之气，由于先天。其脉必长，其人喜劳而恶逸，喜凉而恶热。伤寒一及切杂病，汗
、吐、下可以尽量而施，所谓去疾莫如尽是也。间或补温，不过偶用而已。然素盛之人，外
邪难入，而亦难出，不可不知。防风通圣散表里俱病者宜之，即邪气初伤，未入于里，亦以
此方通其里，而表自解，绝无禁忌。可知素禀有余者别有治法也。大抵素禀之盛，从无所苦
，惟是湿痰颇多，以一味丸制苍术常服，即是却病延年之剂。又二陈汤加减最宜，火盛者，
吞乾坤得一丸。
遗尿是由于肾元虚损且伴有寒象，适宜将肉桂与鸡冠花配合使用；若属上焦病变，可用补中益气汤治疗；若属下焦问题，则用参附汤和山茱萸使下元自安。
房劳伤寒证，只有当脉象细微欲绝、四肢厥冷、腹痛并伴有吐泻时，才属于阴证，此时应用通脉四逆汤进行治疗。如果不是阴寒证，误用此方会导致立即死亡。大抵此类病症属于热证的占十之八九，孙思邈真人使用青竹皮一升，煮汤来治疗。如果出现心烦无法入睡的症状，适宜用黄连鸡子黄汤来救治。汪苓友说：“肾主藏精，凡人房事过度，就会导致精气多所遗泄。所遗泄的精气，都化为水而归属于阴。况且在作强（指房事）之时，心火先炽盛，火炽盛则水流，水愈流则火愈更炽。五脏内部焦热，外部又感受冒邪热，两热相夹，肾水必然枯竭。此人出现烦躁不安且舌黑生芒刺，就会走向死亡。”喻嘉言的《寓意草》、徐灵胎的《医论》观点也都相同。此证因肾虚而得病，所以列为虚证。
房劳鼓荡导致阴精泄漏，精泄则阴虚而生火证，四逆汤证的辛温药物应当谨慎使用，青竹皮汤和黄连鸡子黄汤是古前的盟约（《内经》云：这是先师歃血为盟的内容，意思是禁方不轻易传授，一是怕泄露造化的机密，二是怕人们轻视医道）。
素禀之气，源于先天。其脉象必定长，其人喜欢劳作而厌恶安逸，喜欢凉爽而厌恶炎热。一旦患伤寒或杂病，汗法、吐法、下法可以尽量施用，这就是所谓去除疾病莫过于彻底。偶尔使用补益温阳之法，不过是偶然使用而已。然而素体强壮之人，外邪难以侵入，但也难以排出，这一点不可不知。防风通圣散适用于表里俱病的患者，即使是邪气初伤，尚未入里，也用此方疏通里气，而表证自然解除，绝无禁忌。可知素禀有余者有别于常人的治法。大抵素禀旺盛的人，平时并无痛苦，只是湿痰较多，以一味丸制的苍术常服，就是祛病延年的药剂。另外二陈汤加减最为适宜，火盛者，吞服乾坤得一丸。
Enuresis is caused by deficiency and cold of the Kidney Yuan (Original Qi); it is appropriate to combine Rougui (Cinnamon Bark) with Jiguanhua (Cock Comb Flower). If the pathology is in the Upper Jiao, Buzhong Yiqi Tang (Decoction for Replenishing the Middle and Augmenting Qi) should be used; if it is in the Lower Jiao, Shenfu Tang (Ginseng and Aconite Decoction) combined with Shanyuzi (Cornus Fruit) will naturally stabilize the lower source.
Regarding "Fanglao Shanghan" (Cold Damage due to Sexual Exhaustion), only when the pulse is fine and nearly imperceptible, accompanied by cold extremities, abdominal pain, vomiting, and diarrhea, does it constitute a Yin Syndrome. In such cases, Tongmai Sini Tang (Pulse-Regulating Four-Reverse Decoction) should be used for treatment. If it is not a Yin-Cold syndrome, misusing this formula will lead to immediate death. Generally speaking, eight or nine out of ten cases of this syndrome belong to Heat Syndromes. Sun Simiao used one sheng of Qingzhupi (Green Bamboo Skin), decocted in water, to treat it. If the patient experiences restlessness and inability to sleep, Huanglian Jizihuang Tang (Coptis and Egg Yolk Decoction) is suitable for rescue. Wang Lingyou stated: "The Kidney stores Essence. Excessive sexual activity causes excessive loss of Essence. The lost essence transforms into water and belongs to Yin. Moreover, during sexual exertion, Heart Fire flares up first. When Fire is intense, Water flows; as Water flows more, Fire becomes more intense. The internal organs become scorched with heat, and externally, pathogenic heat is contracted. The two heats combine, causing Kidney Water to inevitably dry up. The person becomes irritable and restless, with a black tongue and prickles, leading to death." Yu Jiayan's *Yuyi Cao* and Xu Lingtai's *Yi Lun* share the same view. This syndrome arises from Kidney Deficiency, so it is classified under Deficiency Syndromes.
Sexual exhaustion leads to the leakage of Yin Essence; essence leakage causes Yin Deficiency and generates Fire Syndromes. Xin-Wen (Acrid-Warm) formulas like Sini Tang (Four-Reverse Decoction) must be used with caution. Qingzhu Pi Tang (Green Bamboo Skin Decoction) and Huanglian Jizihuang Tang represent ancient covenants (The *Neijing* states: These are forbidden formulas sworn by blood oath, meaning they are not transmitted freely, partly to prevent leaking the mechanisms of creation, and partly to prevent people from taking the Dao lightly).
Su Bing (Constitutional Qi) originates from congenital sources. The pulse must be long; the person prefers labor over leisure, coolness over heat. Once suffering from Cold Damage or miscellaneous diseases, sweating, emetic, and purgative methods can be applied extensively, as removing disease requires thoroughness. Occasional use of tonifying and warming methods is merely incidental. However, in individuals with robust constitutions, external pathogens find it difficult to enter but also difficult to exit; this must be understood. Fangfeng Tongsheng San (Saposhnikovia Powder to Unblock and Safeguard) is suitable for patients with both exterior and interior involvement. Even if pathogenic factors have just injured the body and not yet entered the interior, this formula can be used to unblock the interior, allowing the exterior to resolve spontaneously, with absolutely no contraindications. Thus, those with abundant constitutional endowment require distinct treatment methods. Generally, individuals with robust constitutions suffer no discomfort, except for having much damp-phlegm. Regularly taking Cangzhu (Atractylodis Rhizoma) prepared in pill form is an agent that expels disease and prolongs life. Additionally, Erchen Tang (Two-Aged Decoction) with modifications is most suitable; for those with excess fire, Qiankun De Yi Wan (Qiankun De Yi Pill) should be swallowed.