论
《内经》曰∶诸转反戾，水液混浊，皆属于热。夫便浊之证，因脾胃之湿热下流，渗入膀胱，故使便溲或白或赤而
混浊不清也。《原病式》曰∶如夏月天气热甚，则水液混浊、林木流津是也。血虚而热甚者，则为赤浊，此心与小肠主
病属火故也。气虚而热微者，则为白浊，肺与大肠主病属金故也。丹溪曰∶大率多是湿痰流注，宜燥中宫之湿。又曰∶
治宜燥湿降火，兼升举之法。此皆至要之语也。外有遗精滑泄之候，与浊相类，不可一例而推。夫遗精者，多梦与
鬼交而泄，名曰梦遗。或随溲溺而出，谓之精滑。亦有思想无穷、所愿不遂而得之者，治宜安心神以降火。又有因好色
太过、房劳致虚而得之者，治法宜滋水脏以复真阴。是皆千古不易之定论也，学人详之。
脉法
两尺脉洪数，必便浊失精。女人尺脉涩而弱者，或洪数而促者，皆为便浊白带。心脉短小，因心虚所致，必遗精便
浊。
方法
丹溪曰∶便浊属温热，有痰有虚。赤属血，由小肠属火故也。白属气，由大肠属金故也。大率皆是湿痰流注，宜燥
中宫之湿。赤者，乃是湿伤血。胃中浊气下流，渗入膀胱。
肥白人多痰，治宜燥湿降火，兼升提之。大法，二陈汤加二术、升、柴，赤者加白芍药，煎服。
一人便浊，尝有半年，或时梦遗，形瘦，作心虚主治，以珍珠粉丸和定志丸服效。（方见怔忡门。）
梦遗主热，精滑主湿热，热则流通故也。
内伤，气血虚，不能固守，当补，以八物汤加减吞樗木根丸。
大法用青黛、海石、黄柏。
精滑用知母、黄柏降火，牡蛎、蛤粉燥湿，白浊同法治。
一方 用良姜三钱，芍药、黄柏（炒焦）各二钱，樗根白皮一两五钱，为末糊丸，每服三十丸。
思想而得病在心，治当安心神以带补。一法用温胆汤去竹茹，加人参、远志、莲肉、酸枣仁、茯神煎服。
一方 治便浊丸药。
樗白皮 黄柏（炒） 青黛 干姜（炒） 滑石 蛤粉（炒，各等分）
神曲糊为丸服之。
戴氏曰∶黄柏治温热，青黛解热，蛤粉咸寒入肾，滑石利窍，炒干姜味苦，敛肺气下降，使阴血生，且能监制。
二陈汤治浊，加升提之药，使大便润而小便长。
珍珠粉丸 治精滑白浊等证。
黄柏 真蛤粉（各一斤） 珍珠（三两，一方无此味，而有青黛）
上为末，水和丸如梧桐子大，每服一百丸，空心温酒下，或加樗根白皮、滑石、青黛等药。
半苓丸 治白浊。
神曲 半夏（燥湿） 猪苓（分水，等分）
曲糊丸服。
虚劳者，用补阴药。胃弱者，兼用人参，及升麻、柴胡升胃中之清气。
张子元气血两虚，有痰便浊，阴火痛风。
人参（一两） 白术（五钱） 熟地黄 黄柏（炒黑色，各二两） 山药 海石 琐阳（各五钱） 干姜（五钱，
烧灰存性） 南星（一两，煨裂） 龟板（酥炙，二两）
上为细末，酒面糊为丸，如梧桐子大，每服一百丸，姜盐汤下。
燥湿痰、治白浊方，如肝脉弦者，须以青黛泻肝，大概不可纯用凉药。（卢氏曰∶病因湿热，药的矣，然亦不可专用
寒凉药，故用炒柏之类，又以干姜之温而佐之也。）
（以上丹溪方法凡十六条）
妙香散（局方） 治心虚遗精白浊。
麝香（一钱，另研） 人参（五分） 木香（二钱五分，煨） 茯苓 茯神 黄 远志（去心炒，各一两） 桔
梗甘草（各五钱） 辰砂（二钱，另研） 山药（二两，姜汁炙）
上为细末每服二钱，温酒调服，不拘时。
秘真丸（河间） 治思想无穷，所愿不遂，意淫于外，入房太甚，宗筋弛纵，发为筋痿，及为白淫，及白物随
溲而下，或梦与阴人通泄耳。
白龙骨（一两，另研） 诃子皮（大者五枚） 缩砂仁（五钱，去壳） 朱砂（一两，另研，以一分为衣）
上为细末，面糊为丸，如绿豆大，每服一丸，空心温酒下，冷水亦可。不可多服，太秘。或用葱白茶汤下。
萆 厘清饮（杨氏家传） 治真元不足，下焦虚寒，小便白浊，频数无度，漩面如油，光彩不定，漩脚澄下，
凝结如膏糊之状。
石菖蒲 乌药 益智仁 川萆 白茯苓（各一钱） 甘草梢（五分）
上细切，作一服，水一盏半，入盐一钱，煎至一盏，空心服。
治浊固本丸（东垣）
莲花须 黄连（炒，各二两） 白茯苓 砂仁 益智 半夏（汤泡七次，去皮脐） 黄柏（炒，各一两） 甘草（炙，
三两） 猪苓（二两五钱）
为末，蒸饼为丸，空心温酒下五十丸。
九龙丹（丹溪） 治精滑。
枸杞子 金樱子 山果子（又名山楂） 莲肉 佛座须（连花心也） 熟地黄 芡实 白茯苓 川归（各等分）
上为末，酒面糊为丸，如梧桐子大，每服五十丸，或酒或盐汤送下。如精滑便浊者，服二、三日，溺清如水，饮食
倍常，行步轻健。妇人厌产者，二、三服便住孕。如仍欲产，服通利之药。
水陆二仙丹（录验） 治遗精、白浊、梦泄、脱精等证。
金樱子（一斗） 芡实（二斤）
上以芡实去壳，杵为细末，取金樱子黄熟者，用篮盛于水中杵去刺，又于石臼中杵碎，去核净再杵细，绞取自然汁，
煎熬成饴糖，和芡实末为丸，如梧桐子大，每服五、七十丸，空心姜盐汤送下。
定志珍珠粉丸（丹溪） 治心虚梦泄。
人参 白茯苓（各三两） 远志（去心） 石菖蒲（各二两） 海蛤粉 黄柏（炒焦色，各三两） 樗根皮（二两）
青黛（二两）
上为细末，面糊为丸，青黛为衣，如梧桐子大，每服五十丸，空心姜盐汤下。
（丹溪活套）云∶赤白浊，乃胃中痰积下流，渗入膀胱，宜用二陈汤加升麻、柴胡、防风之类以提之。肥白人属湿
热，加苍术、白术、炒黄柏、黄荆子之类。或有挟寒者，本方加炒干姜、肉桂，甚者加附子。有心虚不能固守，及平素
虚寒之人，本方加萆 、石菖蒲、益智、炒干姜、牡蛎、龙骨之类。气虚者，本方加黄 、白术、人参，或加附子之类。
赤者，多有血虚瘦弱之人得之，宜四物汤加酒知母、酒炒黄柏，煎汤送下珍珠粉丸。赤白浊小腹疼痛不可忍者，宜作寒
治，东垣酒煮当归丸最妙。（方见妇人门。）
（祖传方）
秘真丹 治好色肾虚，遗精梦泄，白淫白浊等证。
菟丝子（酒浸炒） 韭子（炒） 柏子仁（各一两） 龙骨（ ） 牡蛎（ ，醋淬） 山茱萸（去复选肉） 赤
石脂（各五钱， ） 补骨脂（一两，炒） 远志（去心） 巴戟（去心） 覆盆子 枸杞子 黄柏（盐酒炒黑色） 山
药（各七钱五分） 芡实（去壳） 杜仲（姜汁炒丝断，各一两） 金樱子（半青黄者去刺复选肉，焙干，二两） 干
姜（炒黑色一两） 鹿角胶（一两五钱，炒成珠）
上为细末，炼蜜为丸，如梧桐子大，每服一百丸，空心姜盐汤下。
（医案）
莲塘朱显重，病遗精潮热，不起床三月矣，召予治。脉之，左右寸关皆浮虚无力，两尺洪大而软，与补中益气汤加
熟地黄、知母、黄柏、地骨皮煎，吞下珍珠粉丸。外做小篦笼一个，以笼阴茎，勿使搭肉。服药三十余帖，一月平安。
论
《黄帝内经》说：各种筋脉拘挛、翻转、扭曲，以及小便浑浊，都属于热证。便浊这一病证，是由于脾胃的湿热下注，渗入膀胱，导致小便或白或赤且浑浊不清。《原病式》说：就像夏天天气炎热时，水流浑浊、树木渗出汁液一样。血虚而热邪严重的，就会变成赤浊，这是因为心与小肠主病，属性为火。气虚而热邪轻微的，就会变成白浊，这是因为肺与大肠主病，属性为金。朱丹溪说：大体上多是湿痰流注所致，应当燥化中焦脾胃的湿气。他又说：治疗宜燥湿降火，兼用升举的方法。这些都是至关重要的言论。此外还有遗精滑泄的症状，与浊证相似，不能一概而论地推断。所谓遗精，多伴有梦境或与鬼神交合而泄精，称为梦遗。或者随小便排出，称为精滑。也有因思虑无穷、愿望未能实现而得病的，治疗宜安心神以降心火。又有因好色过度、房劳导致肾虚而得病的，治法宜滋补肾水以恢复真阴。这些都是千古不变的定论，学习者应详细研究。
脉法
两尺脉洪大数急，必定出现便浊失精。女性尺脉涩而弱，或者洪大而急促的，都是便浊白带。心脉短小，是因为心虚所致，必然出现遗精便浊。
方法
朱丹溪说：便浊属于温热，有痰湿和虚损两种情况。赤浊属血，由小肠属火引起。白浊属气，由大肠属金引起。大体上都是湿痰流注，宜燥化中焦脾胃的湿气。赤浊，是湿邪伤及血液，胃中浊气下流，渗入膀胱。
形体肥胖面白的人多痰，治疗宜燥湿降火，兼用升提之法。基本大法，用二陈汤加苍术、白术、升麻、柴胡，赤浊者加白芍药，煎服。
有一人患便浊，已有半年，有时梦遗，身体消瘦，按心虚主治，服用珍珠粉丸配合定志丸，见效。（方剂见怔忡门。）
内伤病，气血虚弱，不能固守，应当补益，用八物汤加减吞服樗木根丸。
一方：用良姜三钱，芍药、黄柏（炒焦）各二钱，樗根白皮一两五钱，研为末，糊丸，每次服三十丸。
因思虑致病者病位在心，治疗当安心神并兼补益。一法用温胆汤去掉竹茹，加人参、远志、莲肉、酸枣仁、茯神煎服。
一方：治疗便浊的丸药。
樗白皮 黄柏（炒） 青黛 干姜（炒） 滑石 蛤粉（炒，各等分）
用神曲糊制成丸服用。
戴氏说：黄柏治疗温热，青黛清热，蛤粉咸寒入肾，滑石利窍，炒干姜味苦，收敛肺气下降，使阴血生成，且能起到监制作用。
珍珠粉丸：治疗精滑、白浊等证。
黄柏 真蛤粉（各一斤） 珍珠（三两，另一方无此味，而有青黛）
以上研为细末，用水和丸如梧桐子大，每次服一百丸，空腹温酒送下，也可加樗根白皮、滑石、青黛等药。
半苓丸：治疗白浊。
神曲 半夏（燥湿） 猪苓（分水，等分）
用曲糊制成丸服用。
虚劳患者，用补阴药。胃弱者，兼用人参，以及升麻、柴胡升提胃中的清气。
张子元气血两虚，有痰便浊，阴火痛风。
人参（一两） 白术（五钱） 熟地黄 黄柏（炒黑色，各二两） 山药 海浮石 琐阳（各五钱） 干姜（五钱，烧灰存性） 南星（一两，煨裂） 龟板（酥炙，二两）
以上研为细末，用酒面糊制成丸，如梧桐子大，每次服一百丸，姜盐汤送下。
燥湿痰、治疗白浊的方子，如果肝脉弦，须用青黛泻肝，大概不可纯用凉药。（卢氏说：病因是湿热，药物是对的，但也不可专用寒凉药，所以用炒黄柏之类，又以干姜之温来佐助它。）
（以上丹溪的方法共十六条）
妙香散（出自《局方》）：治疗心虚遗精白浊。
麝香（一钱，另研） 人参（五分） 木香（二钱五分，煨） 茯苓 茯神 黄芪 远志（去心炒，各一两） 桔梗 甘草（各五钱） 辰砂（二钱，另研） 山药（二两，姜汁炙）
以上研为细末，每次服二钱，温酒调服，不拘时间。
秘真丸（出自刘河间）：治疗思虑无穷，愿望不遂，意淫于外，入房太甚，宗筋弛纵，发为筋痿，以及白淫，以及白色物质随小便而下，或者梦中与女子交合泄精。
白龙骨（一两，另研） 诃子皮（大者五枚） 缩砂仁（五钱，去壳） 朱砂（一两，另研，以一分为衣）
以上研为细末，面糊制成丸，如绿豆大，每次服一丸，空腹温酒送下，冷水也可以。不可多服，以免过于秘结。或用葱白茶汤送下。
萆薢分清饮（杨氏家传）：治疗真元不足，下焦虚寒，小便白浊，频数无度，尿液表面如油，光彩不定，尿底沉淀凝结如膏糊状。
石菖蒲 乌药 益智仁 川萆薢 白茯苓（各一钱） 甘草梢（五分）
以上细切，作一服，加水一盏半，放入盐一钱，煎至一盏，空腹服用。
治浊固本丸（李东垣）
莲花须 黄连（炒，各二两） 白茯苓 砂仁 益智 半夏（汤泡七次，去皮脐） 黄柏（炒，各一两） 甘草（炙，三两） 猪苓（二两五钱）
研为末，蒸饼制成丸，空腹温酒送下五十丸。
九龙丹（朱丹溪）：治疗精滑。
枸杞子 金樱子 山果子（又名山楂） 莲肉 佛座须（连花心也） 熟地黄 芡实 白茯苓 川当归（各等分）
以上研为末，酒面糊制成丸，如梧桐子大，每次服五十丸，或用酒或盐汤送下。如果是精滑便浊者，服用两三天后，尿液清如水，饮食倍增，行走轻健。妇人难产者，服两三次即可止孕。如果仍想生育，服用通利之药。
水陆二仙丹（收录验方）：治疗遗精、白浊、梦泄、脱精等证。
金樱子（一斗） 芡实（二斤）
以上将芡实去壳，捣为细末，取金黄成熟的金樱子，用篮子盛于水中捣去刺，又在石臼中捣碎，去核净后再捣细，绞取自然汁，煎熬成饴糖，和芡实末制成丸，如梧桐子大，每次服五、七十丸，空腹姜盐汤送下。
定志珍珠粉丸（朱丹溪）：治疗心虚梦泄。
人参 白茯苓（各三两） 远志（去心） 石菖蒲（各二两） 海蛤粉 黄柏（炒焦色，各三两） 樗根皮（二两） 青黛（二两）
以上研为细末，面糊制成丸，青黛为衣，如梧桐子大，每次服五十丸，空腹姜盐汤送下。
（丹溪活套）说：赤白浊，乃是胃中痰积下流，渗入膀胱，宜用二陈汤加升麻、柴胡、防风之类以提之。肥白人属湿热，加苍术、白术、炒黄柏、黄荆子之类。或有挟寒者，本方加炒干姜、肉桂，甚者加附子。有心虚不能固守，及平素虚寒之人，本方加萆薢、石菖蒲、益智、炒干姜、牡蛎、龙骨之类。气虚者，本方加黄芪、白术、人参，或加附子之类。赤浊者，多有血虚瘦弱之人得之，宜四物汤加酒知母、酒炒黄柏，煎汤送下珍珠粉丸。赤白浊小腹疼痛不可忍者，宜作寒治，李东垣的酒煮当归丸最妙。（方剂见妇人门。）
（祖传方）
秘真丹：治好色肾虚，遗精梦泄，白淫白浊等证。
菟丝子（酒浸炒） 韭子（炒） 柏子仁（各一两） 龙骨（ ） 牡蛎（ ，醋淬） 山茱萸（去复选肉） 赤石脂（各五钱， ） 补骨脂（一两，炒） 远志（去心） 巴戟天（去心） 覆盆子 枸杞子 黄柏（盐酒炒黑色） 山药（各七钱五分） 芡实（去壳） 杜仲（姜汁炒丝断，各一两） 金樱子（半青黄者去刺复选肉，焙干，二两） 干姜（炒黑色一两） 鹿角胶（一两五钱，炒成珠）
以上研为细末，炼蜜制成丸，如梧桐子大，每次服一百丸，空腹姜盐汤送下。
（医案）
莲塘朱显重，患遗精潮热，卧床不起三个月了，召我去诊治。诊脉，左右寸关皆浮虚无力，两尺洪大而软，给予补中益气汤加熟地黄、知母、黄柏、地骨皮煎服，同时吞服珍珠粉丸。外用一个小篦笼，罩住阴茎，勿使其接触皮肤。服药三十余帖，一个月平安无事。
Treatise
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "All cases of twisting, convulsions, and turbidity of body fluids belong to Heat." The syndrome of turbid urine arises from damp-heat in the Spleen and Stomach flowing downward and infiltrating the Bladder, causing urination to be either white or red and turbid. The *Yuanbing Shi* (Book on the Original Causes of Diseases) states: "Just as in summer when the weather is very hot, water becomes turbid and trees exude sap." When Blood deficiency is accompanied by severe Heat, it results in red turbidity; this is because the Heart and Small Intestine govern diseases related to Fire. When Qi deficiency is accompanied by mild Heat, it results in white turbidity; this is because the Lung and Large Intestine govern diseases related to Metal. Zhu Danxi stated: "Generally, it is mostly due to the flow and accumulation of Damp-Phlegm, so one should dry the Dampness in the Middle Jiao (Spleen/Stomach)." He further stated: "Treatment should focus on drying Dampness and descending Fire, combined with lifting methods." These are all crucial statements. Additionally, there are symptoms of seminal emission and sliding discharge that resemble turbidity but cannot be treated uniformly. Seminal emission often occurs with dreams or hallucinations of sexual intercourse, termed "Nocturnal Emission" (Meng Yi). Or it may occur during urination, termed "Sliding Essence" (Jing Hua). Some contract this disease due to endless thoughts and unfulfilled desires; treatment should calm the Spirit and descend Heart Fire. Others contract it due to excessive lust and sexual fatigue leading to Kidney deficiency; treatment should nourish Kidney Water to restore True Yin. These are immutable principles for all time; students should study them carefully.
Pulse Diagnosis
If both Chi pulses are surging and rapid, there will definitely be turbid urine and loss of essence. If a woman's Chi pulses are choppy and weak, or surging and rapid with interruptions, these indicate turbid urine and leukorrhea. If the Heart pulse is short and small, caused by Heart deficiency, there will inevitably be nocturnal emission and turbid urine.
Methods
Zhu Danxi said: Turbid urine belongs to Warmth-Heat, involving Phlegm and Deficiency. Red turbidity relates to Blood, caused by the Small Intestine's association with Fire. White turbidity relates to Qi, caused by the Large Intestine's association with Metal. Generally, it is all due to the flow and accumulation of Damp-Phlegm, suitable for drying the Dampness of the Middle Jiao. Red turbidity is Dampness injuring Blood, where turbid Qi in the Stomach flows downward and infiltrates the Bladder.
Obese individuals with pale complexion tend to have Phlegm; treatment should dry Dampness and descend Fire, combined with lifting methods. The general principle is to use Er Chen Tang (Two-Cured Decoction) added with Cang Zhu (Atractylodis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Sheng Ma (Cimicifugae Rhizoma), and Chai Hu (Bupleuri Radix). For red turbidity, add Bai Shao Yao (Paeoniae Radix Alba), decoct and take.
One patient suffered from turbid urine for half a year, occasionally experiencing nocturnal emission, with emaciation. Treated as Heart deficiency, taking Zhenzhu Fen Wan (Pearl Powder Pill) combined with Dingzhi Wan (Stabilize Spirit Pill) was effective. (Formula see under Palpitations section.)
Nocturnal emission primarily involves Heat; sliding essence primarily involves Damp-Heat, because Heat causes circulation.
Injury from internal causes, with Qi and Blood deficiency failing to secure and hold, requires tonification. Use Ba Wu Tang (Eight Substance Decoction) modified, taken with Chu Mu Gen Wan (Toona Root Pill).
General principles use Qing Dai (Indigo Naturalis), Hai Shi (Lapillus), and Huang Bo (Phellodendri Cortex).
For sliding essence, use Zhi Mu (Anemarrhenae Rhizoma) and Huang Bo to descend Fire; Mu Li (Ostreae Concha) and Ge Fen (Concha Meretricis et Cyclinae) to dry Dampness. White turbidity is treated similarly.
Prescription 1: Use Liang Jiang (Alpiniae Officinarum Rhizoma) 3 qian, Shao Yao (Paeoniae Radix) and Huang Bo (Phellodendri Cortex, scorched) each 2 qian, Chu Gen Bai Pi (Toonae Cortex) 1 liang 5 qian. Grind into powder, make pills with paste, take 30 pills per dose.
Disease caused by excessive thinking originates in the Heart; treatment should calm the Spirit and supplement. One method uses Wendan Tang (Warm Gallbladder Decoction) removing Zhu Ru (Bambusae Caulis in Taenia), adding Ren Shen (Ginseng Radix et Rhizoma), Yuan Zhi (Polygalae Radix), Lian Rou (Nelumbinis Semen), Suan Zao Ren (Ziziphi Spinosae Semen), and Fu Shen (Poria cum Risus) to decoct and take.
Prescription 2: Pills for treating turbid urine.
Chu Bai Pi (Toonae Cortex), Huang Bo (Phellodendri Cortex, fried), Qing Dai (Indigo Naturalis), Gan Jiang (Zingiberis Rhizoma, fried), Hua Shi (Talcum), Ge Fen (Concha Meretricis et Cyclinae, fried, equal parts).
Make pills with Shen Qu (Massa Medicata Fermentata) paste and take.
Dai Shi said: Huang Bo treats Warmth-Heat; Qing Dai clears Heat; Ge Fen is salty and cold, entering the Kidney; Hua Shi opens orifices; fried Gan Jiang is bitter, astringes Lung Qi and causes it to descend, generating Yin Blood, and acts as a controller.
Er Chen Tang treats turbidity; adding lifting drugs makes stool moist and urine long.
Zhenzhu Fen Wan: Treats sliding essence and white turbidity.
Huang Bo (Phellodendri Cortex), Zhen Ge Fen (Concha Meretricis et Cyclinae, each 1 jin), Zhen Zhu (Margarita, 3 liang; another version has no Pearl but adds Qing Dai).
Grind into fine powder, mix with water to make pills the size of Sophora seeds. Take 100 pills per dose, down with warm wine on an empty stomach. Can also add Chu Gen Bai Pi, Hua Shi, Qing Dai, etc.
Ban Ling Wan: Treats white turbidity.
Shen Qu (Massa Medicata Fermentata), Ban Xia (Pinelliae Rhizoma, dries dampness), Zhu Ling (Polyporus, separates fluids, equal parts).
Make pills with Qu paste and take.
For Xu Lao (Consumptive Disease), use Yin-tonifying medicines. For weak Stomach, add Ren Shen, along with Sheng Ma and Chai Hu to lift clear Qi from the Stomach.
Zhang Ziyuan had dual deficiency of Qi and Blood, Phlegm, turbid urine, and Wind-Pain from Yin Fire.
Ren Shen (Ginseng Radix et Rhizoma, 1 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 5 qian), Shu Di Huang (Rehmanniae Radix Preparata), Huang Bo (Phellodendri Cortex, scorched black, each 2 liang), Shan Yao (Dioscoreae Rhizoma), Hai Shi (Lapillus), Suo Yang (Cynomorii Herba, each 5 qian), Gan Jiang (Zingiberis Rhizoma, 5 qian, burnt to ash retaining nature), Nan Xing (Arisaematis Rhizoma, 1 liang, roasted until cracked), Gui Ban (Carapax et Plastrum Testudinis, prepared with butter, 2 liang).
Grind into fine powder, make pills with wine and wheat paste, size of Sophora seeds. Take 100 pills per dose, down with Ginger-Salt Soup.
For drying Damp-Phlegm and treating white turbidity, if the Liver pulse is wiry, must use Qing Dai to drain Liver. Generally, do not use purely cooling medicines. (Lu Shi said: The cause is Damp-Heat, so the medicine is correct, but one must not exclusively use cold-cooling medicines. Thus, fried Huang Bo is used, assisted by the warmth of Gan Jiang.)
(Above are sixteen methods from Danxi.)
Miao Xiang San (from Ju Fang): Treats Heart deficiency causing nocturnal emission and white turbidity.
She Xiang (Moschus, 1 qian, separately ground), Ren Shen (Ginseng Radix et Rhizoma, 5 fen), Mu Xiang (Aucklandiae Radix, 2 qian 5 fen, roasted), Fu Ling (Poria), Fu Shen (Poria with Hostwood), Huang Qi (Astragali Radix), Yuan Zhi (Polygalae Radix, heart removed and fried, each 1 liang), Jie Geng (Platycodonis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, each 5 qian), Chen Sha (Cinnabaris, 2 qian, separately ground), Shan Yao (Dioscoreae Rhizoma, 2 liang, fried with Ginger Juice).
Grind into fine powder. Take 2 qian per dose, mixed with warm wine, at any time.
Mi Zhen Wan (from He Jian): Treats endless thoughts, unfulfilled desires, external lust, excessive coitus leading to flaccidity of the sinews (Jin Wei), Bai Yin (white discharge), white substances discharging with urine, or dreaming of sexual intercourse with women.
Bai Long Gu (Fossilia Ossis Mastodi, 1 liang, separately ground), He Zi Pi (Terminalia Chebulae Pericarpium, 5 large fruits), Suo Sha Ren (Amomi Fructus, 5 qian, shell removed), Zhu Sha (Cinnabaris, 1 liang, separately ground, coat 1 fen with it).
Grind into fine powder, make pills with wheat paste, size of mung beans. Take 1 pill per dose, down with warm wine on an empty stomach; cold water is also acceptable. Do not take too much to avoid constipation. Alternatively, take down with Scallion-White Tea Soup.
Bi Xie Fen Qing Yin (Yang Family Heritage): Treats insufficiency of True Yuan, Cold-Dampness in Lower Jiao, white turbid urine, frequent and unlimited urination, urine surface like oil, unstable luster, sediment at bottom condensing like paste.
Shi Chang Pu (Acori Tatarinowii Rhizoma), Wu Yao (Linderae Radix), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Chuan Bi Xie (Dioscoreae Hypoglaucae Rhizoma), Bai Fu Ling (Poria, each 1 qian), Gan Cao Shao (Glycyrrhizae Radix et Rhizoma, 5 fen).
Cut finely, make one dose. Add 1.5 cups of water and 1 qian of salt. Decoct to 1 cup. Take on an empty stomach.
Zhi Zhuo Gu Ben Wan (Li Dongyuan)
Lian Hua Xu (Nelumbinis Plumula), Huang Lian (Coptidis Rhizoma, fried, each 2 liang), Bai Fu Ling (Poria), Sha Ren (Amomi Fructus), Yi Zhi (Alpiniae Oxyphyllae Fructus), Ban Xia (Pinelliae Rhizoma, soaked in boiling water seven times, skin and navel removed), Huang Bo (Phellodendri Cortex, fried, each 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 3 liang), Zhu Ling (Polyporus, 2 liang 5 qian).
Grind into powder, make pills with steamed bread dough. Take 50 pills on an empty stomach down with warm wine.
Jiu Long Dan (Danxi): Treats sliding essence.
Gou Qi Zi (Lycii Fructus), Jin Ying Zi (Chrysanthemi Fructus), Shan Guo Zi (Crataegi Fructus, also known as Shan Zha), Lian Rou (Nelumbinis Semen), Fo Zuo Xu (Lotus receptacle including plumula), Shu Di Huang (Rehmanniae Radix Preparata), Qian Shi (Euryales Semen), Bai Fu Ling (Poria), Chuan Gui Dang (Angelicae Sinensis Radix, equal parts).
Grind into powder, make pills with wine and wheat paste, size of Sophora seeds. Take 50 pills per dose, down with wine or Salt Soup. For sliding essence and turbid urine, after 2-3 doses, urine becomes clear as water, appetite doubles, and walking becomes light and vigorous. For women with difficult labor, 2-3 doses stop pregnancy. If childbirth is still desired, take promoting and purgative medicines.
Shui Lu Er Xian Dan (Recorded Verified Prescription): Treats nocturnal emission, white turbidity, dream emission, essence depletion.
Jin Ying Zi (Chrysanthemi Fructus, 1 dou), Qian Shi (Euryales Semen, 2 jin).
Remove shells from Qian Shi, pound into fine powder. Take ripe yellow Jin Ying Zi, place in basket in water, pound to remove thorns, then pound in stone mortar until broken, remove pits, pound finely again. Squeeze out natural juice, boil into maltose syrup. Mix with Qian Shi powder to make pills, size of Sophora seeds. Take 50-70 pills per dose, down with Ginger-Salt Soup on an empty stomach.
Ding Zhi Zhen Zhu Fen Wan (Danxi): Treats Heart deficiency causing dream emission.
Ren Shen (Ginseng Radix et Rhizoma), Bai Fu Ling (Poria, each 3 liang), Yuan Zhi (Polygalae Radix, heart removed), Shi Chang Pu (Acori Tatarinowii Rhizoma, each 2 liang), Hai Ge Fen (Concha Meretricis et Cyclinae), Huang Bo (Phellodendri Cortex, scorched black, each 3 liang), Chu Gen Pi (Toonae Cortex, 2 liang), Qing Dai (Indigo Naturalis, 2 liang).
Grind into fine powder, make pills with wheat paste, coat with Qing Dai, size of Sophora seeds. Take 50 pills per dose, down with Ginger-Salt Soup on an empty stomach.
(Danxi Flexible Methods) says: Red and white turbidity is caused by Phlegm accumulation in the Stomach flowing downward and infiltrating the Bladder. Use Er Chen Tang added with Sheng Ma, Chai Hu, Fang Feng, etc., to lift. Obese pale people belong to Damp-Heat; add Cang Zhu, Bai Zhu, fried Huang Bo, Huang Jing Zi, etc. If accompanied by Cold, add fried Gan Jiang, Rou Gui to the base formula; severe cases add Fu Zi. For Heart deficiency unable to secure, or those with chronic Cold-Deficiency, add Bi Xie, Shi Chang Pu, Yi Zhi, fried Gan Jiang, Mu Li, Long Gu, etc. For Qi deficiency, add Huang Qi, Bai Zhu, Ren Shen to the base formula, or add Fu Zi. Red turbidity is mostly contracted by Blood-deficient and emaciated people; use Si Wu Tang added with Wine-Zhi Mu, Wine-fried Huang Bo, decoct to send down Zhenzhu Fen Wan. For unbearable lower abdominal pain from red/white turbidity, treat as Cold; Li Dongyuan's Jiu Zhu Dang Gui Wan is best. (Formula see Women's Section.)
(Ancestral Prescription)
Mi Zhen Dan: Treats Kidney deficiency from excessive lust, nocturnal emission, dream emission, Bai Yin, white turbidity.
Tu Si Zi (Cuscutae Semen, wine-soaked and fried), Jiu Zi (Allii Tuberosi Semen, fried), Bai Zi Ren (Platycladi Semen, each 1 liang), Long Gu (Fossilia Ossis Mastodi), Mu Li (Ostreae Concha, vinegar-quenched), Shan Zhu Yu (Corni Fructus, flesh selected), Chi Shi Zhi (Halloysit Rubrum, each 5 qian), Bu Gu Zhi (Psoraleae Fructus, 1 liang, fried), Yuan Zhi (Polygalae Radix, heart removed), Ba Ji Tian (Morindae Officinalis Radix, heart removed), Fu Pen Zi (Rubii Fructus), Gou Qi Zi (Lycii Fructus), Huang Bo (Phellodendri Cortex, salt-wine scorched black), Shan Yao (Dioscoreae Rhizoma, each 7 qian 5 fen), Qian Shi (Euryales Semen, shelled), Du Zhong (Eucommiae Cortex, ginger-juice fried until fibers break, each 1 liang), Jin Ying Zi (Chrysanthemi Fructus, half-green-yellow, thorns removed, flesh selected, dried, 2 liang), Gan Jiang (Zingiberis Rhizoma, scorched black, 1 liang), Lu Jiao Jiao (Corpus Cervi Cornu Colla, 1 liang 5 qian, fried into pearls).
Grind into fine powder, make pills with refined honey, size of Sophora seeds. Take 100 pills per dose, down with Ginger-Salt Soup on an empty stomach.
Medical Case
Zhu Xianzhong from Liantang suffered from nocturnal emission and tidal fever, unable to get out of bed for three months. I was summoned to treat him. Pulse diagnosis showed both left and right Cun and Guan pulses floating, deficient, and powerless; both Chi pulses were surging, large, and soft. Prescribed Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with Shu Di Huang, Zhi Mu, Huang Bo, and Di Gu Pi to decoct, taken with swallowed Zhenzhu Fen Wan. Externally made a small bamboo cage to cover the penis, preventing skin contact. After more than 30 doses, he was safe and sound for one month.