精滑与便浊不同。便浊是便溺混浊，即五淋之膏淋也，乃是胃中湿热渗入膀胱，与肾经
绝无
干涉。精滑则牵引粘腻，虽不便溺，亦时有之。此是，肾水不足，淫火易动，精离其位，故
令渐积而出耳。治之者，宜滋肾清心，健脾固脱，盖精浊虽肾之液，而所以精浊者，心为之
主也。夫君火一动，真精自失，能止其心，乃我身之大丹也。又考《千金方》，治精遗便浊
凡九方，而用韭子者居其半。夫韭子辛热，何思邈取之深也？盖用以治便浊者，取其辛热之
气，能燔土湿，使蒸热上行而不下，乃釜底加薪之法，益火之源以消阴翳也。用以治遗精者
，取其辛热之气以壮真阳，使之涵蓄阴精而不漏，乃益土防水之法，卫外而为固也。凡此不
传之秘，可与知者道耳。
遗精者，不交而自泄也；梦遗者，梦交而泄也，二者皆从精道而出。夫精虽藏于肾，而
实主
于心，虽有邪术所使，梦与人交，及娩人鬼胎夜感之甚，未必不由心肾两虚，邪乘虚入者。
何也？盖心之所藏者神，肾之所藏者精，心肾者，精神之根蒂也。凡男子思虑过度，则水火
不交；快情恣欲，则元精失守。所以心动者神驰，神驰者精散。因昼之所思，故夜有所梦。
今人多用龙骨、牡蛎等涩精之剂，随止随发，惟知固肾，不知治心。殊不知神不归舍，则无
精无主，安能自守哉？浊者从小便窍中而出，如油如膏，或有五色光彩，或赤或白，或澄根
混浊，或如精状，名曰白淫。虽与遗精所出各异，所感则一，亦心血亏少，相火内炽，中焦
湿热，淫气不清。譬如井中取水至清，烹之为白汤，澄之则有脚，岂非湿热混浊者乎？医者
但当分其虚实轻重，湿热多少而治。如有虚损诸证者，则从虚治。因于心者，养心以收神；
因于肾者，因肾以涩精；正虚者，主湿胜，宜温补心肾之剂；偏虚者，主热胜，宜清补心肾
之剂；湿热从丹溪治法；若患久者，宜升举之药。其外更有思欲不遂而精泄，有气盛久无色
欲，精漏遗泄者，非病也。
精滑与便浊是不同的病症。便浊是指小便混浊，也就是五淋中的膏淋，这是由于胃中的湿热渗入膀胱所致，与肾经完全没有关系。精滑则表现为精液牵引粘腻，即使没有排尿，也时常发生。这是因为肾水不足，相火容易妄动，导致精液离开其正常位置，从而逐渐积聚并流出。治疗时，应当滋补肾阴、清泻心火、健脾固脱。虽然精浊属于肾之液，但主宰精浊的是心。一旦君火（心火）妄动，真精就会流失，能够控制住心神，就是我身体里的大丹妙药了。又考证《千金方》，治疗遗精和便浊共有九个方剂，其中使用韭子的占了一半。韭子性味辛热，孙思邈为何如此重视它呢？大概是因为用它来治疗便浊，是取其辛热之气，能够焚烧脾土之湿，使蒸腾的热气上行而不向下流，这是“釜底加薪”的方法，即通过补益命门之火来消除阴寒之邪。用它来治疗遗精，是取其辛热之气以壮旺真阳，使阴精得以涵蓄而不外漏，这是培补脾土以防水液泛滥的方法，起到护卫体表而巩固精气的作用。这些不轻易传人的秘密，只能对懂的人说罢了。
所谓遗精，是不交合而自行泄精；梦遗，是在梦中性交而泄精，两者都是从精道排出的。虽然精液藏于肾中，但实际上由心所主宰。即使有邪术驱使，如梦中与人交合，或感应鬼胎等怪异现象，也未必不是由于心肾两虚，邪气乘虚而入造成的。为什么呢？因为心中所藏的是神，肾中所藏的是精，心和肾是精神和生命的根本。凡是男子思虑过度，就会导致水火不交；纵情恣欲，则会导致元精失守。所以心动则神驰，神驰则精散。因为白天所思所想，所以夜晚会有梦境。现在的人多用龙骨、牡蛎等涩精的药物，往往刚止住又复发，只知道固肾，却不知道治心。殊不知如果神不能回归本位，那么就没有主宰，怎么能自我保守呢？白浊是从尿道口排出，像油像膏，有的带有五色光彩，或红或白，有的沉淀后底部混浊，或者像精液的形状，名叫白淫。虽然与遗精排出的途径不同，但致病原因是一样的，也是由于心血亏少、相火内炽、中焦湿热、淫气不清所致。譬如从井中取上来的水非常清澈，煮开后变成白色的汤，静置沉淀后底部就有渣滓，这难道不是湿热混浊的表现吗？医生只应当分辨病证的虚实轻重以及湿热的多少来进行治疗。如果有虚损的各种症状，就从虚证论治。因于心引起的，就养心以收敛心神；因于肾引起的，就治肾以涩精；正气虚弱且湿气偏盛的，宜用温补心肾的方剂；偏于阴虚且热象明显的，宜用清补心肾的方剂；湿热证按照朱丹溪的治法处理；如果是患病日久者，宜用升举清阳的药物。此外还有因思欲不得满足而精泄，或者气血旺盛长期无性欲却精液漏泄遗出的，这些都不是病。
Jinghua (Spermatorrhea with slippery discharge) and Bianzhuo (Turbid Urine) are different conditions. Bianzhuo refers to turbid urine, which is the Gaolin (Gao-pulse/Chalky strangury) among the Five Stranguries. It is caused by damp-heat in the Stomach seeping into the Bladder and has absolutely no connection with the Kidney Meridian. Jinghua, on the other hand, presents with a sticky, viscous sensation of sperm leakage; even without urination, it occurs frequently. This is due to insufficient Kidney Water, allowing Ministerial Fire (Xianghuo) to move easily, causing the essence to leave its proper position and thus gradually accumulate and flow out. Treatment should focus on nourishing the Kidney Yin, clearing Heart Fire, strengthening the Spleen, and consolidating to prevent collapse. Although Jingzhuo belongs to the fluids of the Kidney, the Heart is the master of Jingzhuo. Once the Sovereign Fire (Junhuo, i.e., Heart Fire) moves recklessly, true essence is lost; being able to calm the Mind (Shen) is the great elixir of one's body. Furthermore, examining the *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold), there are nine formulas for treating spermatorrhea and turbid urine, half of which use Jiu Zi (Allii Tuberosi Semen). Jiu Zi is acrid and hot; why did Sun Simiao value it so deeply? It is likely that when used to treat Bianzhuo, its acrid-hot nature is utilized to burn away dampness in the Earth (Spleen), causing steaming heat to ascend rather than descend. This is the method of "adding fire to the bottom of the cauldron," namely benefiting the source of Fire to dissipate Yin shadows. When used to treat spermatorrhea, its acrid-hot nature is used to strengthen True Yang, enabling it to contain Yin Essence without leakage. This is the method of benefiting Earth to protect against water overflow, guarding the exterior and consolidating. These untransmitted secrets can only be discussed with those who understand.
Spermatorrhea (Yijing) refers to spontaneous emission without sexual intercourse; dream emission (Mengyi) refers to emission during sexual dreams. Both exit through the essence pathway. Although essence is stored in the Kidneys, it is actually governed by the Heart. Even if driven by evil arts, such as dreaming of intercourse with others, or sensing ghostly pregnancies at night, these may not necessarily be unrelated to deficiency of both Heart and Kidney, allowing evil pathogens to enter due to deficiency. Why? Because the Heart stores Shen (Spirit), and the Kidneys store Jing (Essence); the Heart and Kidneys are the roots of Spirit and Life. Whenever men overthink, Water and Fire fail to interact; indulging in lust causes Yuanjing (Primordial Essence) to lose its guard. Therefore, when the Heart moves, Shen wanders; when Shen wanders, Jing scatters. Because of daytime thoughts, nighttime dreams occur. Nowadays, people often use astringent agents like Long Gu (Fossilia Ossis Mastodi) and Mu Li (Concha Ostreae) to stop emission, but it stops temporarily and recurs. They only know how to consolidate the Kidney but do not know how to treat the Heart. Little do they realize that if Shen does not return to its residence, there is no master, and how can it guard itself? Baiyin (White Turbidity) exits from the urinary orifice, resembling oil or paste, sometimes with five-colored luster, red or white, or settling with turbid sediment at the bottom, or resembling semen. Although the discharge route differs from spermatorrhea, the pathogenesis is the same: it is also caused by deficient Heart Blood, blazing internal Ministerial Fire, damp-heat in the Middle Jiao, and unclear lascivious qi. For example, water drawn from a well is very clear, but when boiled, it becomes a white soup; after settling, sediment appears at the bottom. Is this not a manifestation of damp-heat turbidity? Physicians should only differentiate the deficiency/excess severity and the degree of damp-heat to treat accordingly. If there are various deficiency-wasting symptoms, treat based on deficiency. If caused by the Heart, nourish the Heart to gather Shen; if caused by the Kidney, treat the Kidney to astringe Jing; if Zhengqi (Upright Qi) is deficient and dampness prevails, use warming and tonifying formulas for Heart and Kidney; if yin deficiency with heat predominates, use cooling and tonifying formulas for Heart and Kidney; for damp-heat patterns, follow Zhu Danxi's treatment methods; for chronic cases, use herbs that raise and lift. Additionally, there are cases of sperm leakage due to unfulfilled desires, or sperm leakage due to abundant Qi and long-term absence of sexual desire; these are not diseases.