自下久而不愈，保元汤加白术、茯苓、松花煎服，或加附子。凡泻皆宜四君子汤。伤食
暴泻胃苓汤；夏月湿热泻，小便不利，五苓散；泻青水，里急后重，香连丸；久泻四君子加白芷
、黄 ，吐加炮姜，去白芷；久泻满闷，补中益气汤去归身，加附子；身热加羌活、防风，
风能胜湿也。每日清晨泻，四神丸；肾泄，五味二两，吴萸五钱，为末，陈米汤下，兼灸气
久泻自汗，潮热畏寒，建中汤加人参、茯苓。潮热非补不愈也。清晨久泻自汗，潮热梦
遗，
汤；其余泄泻五苓散。兼腹胀痛，盐汤调服探吐之；身热自汗，热汤下；利热水，冷水下；
口渴，人参汤下。泄泻发热困倦，宜气分中补血，保元汤、四君加白芍、松花。久泻伤肾，
大人小儿，不拘吐泻，皆宜补脾，虽有杂证，不必治之，后用参苓白术散加木香、砂仁
、豆蔻调理。久泻恐有郁火，加黄连少许，小儿有积加四君子，无过于此。
凡泻宜四君子汤。热加松花，寒加炮姜，渴加葛根、五味，表热表虚加白芷、黄 。泻
有白泡，且作声响，湿热在小肠也，平胃散加炮姜。平常溏泄，用红米、黑豆二味，炒熟煎服效
凡吐泻水食不下，米谷不化，俱属寒证，宜理中汤。烦躁作渴，出黄如糜，酸恶臭气，
皆属热证，宜烧针丸。无气不足，脏寒泄泻，肉果四两，木香一两，茯苓四两，炮姜一两，附子
一两，共末，姜汗丸，莲心汤下五、六十丸。脾泄，五更起泄是也；若寅卯泄作响，名肝泄
；半夜子时泻，名肾泄，肾司二便也。用杜仲一两，生姜一两，同炒干，五味、肉果各一两
，补骨脂一两，吴萸二钱，共末。生姜煮枣肉丸。肾虚作泻，熟地、生姜各一两，同煮捣饼
焙干，山药、茯苓各一两，共丸。脾泻，白术一斤切片，大枣八两，白术一层，枣一层，入
罐内，水煮烂，捣成饼，晒干，再架松花四两，炒黄，米糊丸服。
验案
一人夜间去后方觉腹宽，不去作胀。心部脉洪，肝部浮，肾脉紧。此心不主令，相火代
之，肾水被肝木吊动，其泄在肾。补肾不若补脾，脾温肾亦坚也。用芡实、山药、茯苓各一钱，
人参五分，熟地四分，益智仁三分，煎服。丸用五味二两，吴萸四钱，枣肉丸，白汤下三十
一人善饮，酒醉，清晨作泻，腹腿痛，骨节痛，湿热在内也。用白术、茯苓、猪苓、羌
活、北味、泽泻、秦艽。一帖即止，随发随服即愈。
一人春日患泄泻霍乱三年，每发服理中汤病愈。药止后，胸中痛若刀割，略吃一味，不
谨即
下一点疼痛三四日，泄泻如红曲肉汤，用养血药，半年后腹痛六日，用四君子加附子、炮姜
、白芍，兼灸气海穴而愈。
一人六脉沉阴，重按又无力不清，肾虚也。胃脘痛即泻，痛一阵，泻一阵，肾之脾胃虚
火浮于上也。补脾则肾水亏，滋阴则水来侮土，治法惟温肾即可温脾。三十年来未生子，肾寒可
知。肾主骨，骨胫痛，肾虚之验也。用地黄汤、补中益气汤加减；丸方用山药、茯苓各二两
，补骨脂、小茴香、熟地、杜仲、北五味各一两，人参七钱，陈火肉骨灰一两，吴萸五分，
一人久患脾泄，热在肾故也。用白术八两，茯苓五两，元米五合，同入猪肚内，煮熟捣
成饼，晒干为末，米糊丸，沉香三钱为衣服。
一人泄泻，心脉微洪，肝肾脉俱虚，单治泄泻，恐土来克水。用白芷三钱，升动胃气；
五味
止泄而平水土，米糊丸，午前清米汤下五十丸。
小儿泻不止，四君子加减不效，乃湿热内郁，宜理脾凉肾。白术一钱，松花五分，二味
末，白糖调服；或用水煮白术一两，炒红曲一两，陈火肉骨灰一两，共细末，白糖调服。
一人当脐痛，痛则大便泄，此是脾虚，肾水犯上，寒在肾也。宜温肾则水安，升胃气则
土旺，而痛不作，泻从何来？用白芷七钱，北五味、鹿茸、人参、炮姜各一两，元米糊丸，白汤
一小儿作泻，服利药太过，致浑身发热，喜卧冷地。盖因肾虚泄泻而肝火起，胃中亦燥
也。
一妇命门脉弱，责其无火，鸡鸣将作泄，腹响饱闷，此肾虚不纳气也。用补骨脂四两补
命门
枣肉丸以益气浓肠。
一妇泄泻，两尺无神，此肾燥不合也。一医用茯苓、益智即发晕，因用肉苁蓉三钱以润
之，北五味八分以固之，人参一钱以益气，归身八分以养其血，白芍、甘草以和其中，炮姜二分
以安其肾。二帖效，十帖愈。丸即前方加倍蜜丸。（张东扶曰∶肾燥不合。四字妙极。凡物
润则坚密无缝，燥则破绽有痕。肾开窍于二阴，肾耗而燥，其窍开而不合，真至理也。）
张东扶曰∶余因慎斋“肾燥不合”之语，因思滑精一证，理亦同情。盖肾属水，水亏则
燥，水燥则无以滋养肝，木无水养，则燥而生火，肾既失其封蛰之职，不合而开，肝遂恣其疏泄
之性，因开而泄，愈泄则愈燥，愈燥则愈开。然则遗泄一证，当极甚及久之后，徒清火无益
也，徒兜涩无益也，必也用润药以润其肾，则燥而不合者可以复合，而且肝得所养，火亦不
炽，何致疏泄之性一往一返哉！立方之法，润肾为主，而兼用清肝补肝之药，尤当有效，愿
又遗精一证，其初起时有所思想而致。当以清心为主，清肝火为辅，补肾水为佐，涩药
可无用也。既久之后，肾水必亏必燥，盒饭以补肾补肝为主，清肝火次之，清心火又次之，而兼
用涩药，仍不必以涩药为君也。若大泄不禁，玉门不闭，或当暂以涩药为君，而兼用重补肝
肾之味，稍佐清火之品，亦理之所宜然，又必兼用升提之药，庶乎周到而可奏功于俄顷也。
此所论遗证，盖指多欲及肾虚一流说，其有因湿热痰等因致此者，则又不得概以肾燥施
长期腹泻久治不愈，用保元汤加入白术、茯苓、松花煎服，或者加入附子。凡是腹泻都适宜使用四君子汤（补气基础方）。因伤食引起的急性腹泻用胃苓汤；夏季湿热导致的腹泻，小便不通畅，用五苓散（利水渗湿剂）；泻下青色稀水，伴有里急后重感，用香连丸；长期腹泻用四君子汤加白芷、黄芩，若伴有呕吐则加入炮姜，去掉白芷；长期腹泻伴有腹部胀闷，用补中益气汤去掉当归身，加入附子；若身体发热则加入羌活、防风，因为风能胜湿。每天清晨腹泻，用四神丸；肾泄（肾虚引起的五更泻），用五味子二两、吴茱萸五钱，研成粉末，用陈米汤送服，同时艾灸气海穴。长期腹泻伴有自汗、潮热、畏寒，用建中汤加入人参、茯苓。潮热非补益不能痊愈。清晨长期腹泻、自汗、潮热、梦遗，用……（原文此处似有脱漏或指代前文方剂，结合语境通常指补肾固涩类，但依原文仅保留“汤”字前的逻辑，此处原文为“清晨久泻自汗，潮热梦 遗， 汤”，推测缺方名，按原文直译）其余泄泻用五苓散。兼有腹胀痛，用盐汤调服并探吐；身体发热自汗，用热汤送服；利下热水，用冷水送服；口渴，用人参汤送服。泄泻伴有发热困倦，适宜在气分中补血，用保元汤、四君子汤加白芍、松花。长期腹泻损伤肾脏，大人小孩，不论吐泻，都适宜补脾，虽然有其他杂证，不必治疗，之后用参苓白术散加木香、砂仁、豆蔻调理。长期腹泻恐怕有郁火，加入少许黄连，小儿有积滞加四君子汤，没有比这更好的了。
凡是腹泻适宜用四君子汤。热象加松花，寒象加炮姜，口渴加葛根、五味子，表热表虚加白芷、黄芪。泻下有白色泡沫，且发出声响，是湿热在小肠，用平胃散加炮姜。平常溏泄，用红米、黑豆两味药，炒熟煎服有效。
凡是吐泻严重到水食不下，米谷不消化，都属于寒证，适宜用理中汤。烦躁作渴，排出黄色如粥状的粪便，气味酸臭恶浊，都属于热证，适宜用烧针丸。若无气不足，脏寒泄泻，用肉豆蔻四两、木香一两、茯苓四两、炮姜一两、附子一两，共研为末，用姜汁泛丸，莲心汤送服五六十丸。脾泄，是指五更起床时腹泻；若在寅卯时（凌晨3-7点）腹泻作响，名叫肝泄；半夜子时（23-1点）腹泻，名叫肾泄，因为肾主管二便。用杜仲一两、生姜一两，同炒至干，五味子、肉豆蔻各一两，补骨脂一两、吴茱萸二钱，共研为末。用生姜煮枣肉做丸。肾虚作泻，用熟地黄、生姜各一两，同煮捣成饼焙干，山药、茯苓各一两，共制为丸。脾泻，用白术一斤切片，大枣八两，一层白术一层大枣，放入罐内，水煮烂，捣成饼，晒干，再拌入松花四两，炒黄，用米糊做丸服用。
验案
有一人夜间不去大便就觉得腹部宽松，去了反而觉得胀满。心部脉象洪大，肝部脉象浮，肾脉象紧。这是心不主令，相火代之，肾水被肝木吊动，其泄泻在肾。补肾不如补脾，脾温则肾亦坚固。用芡实、山药、茯苓各一钱，人参五分，熟地黄四分，益智仁三分，煎服。丸药用五味子二两、吴茱萸四钱，枣肉做丸，白开水送服三十丸。
一人善于饮酒，酒醉后清晨腹泻，腹部和腿部疼痛，骨节疼痛，这是湿热在内。用白术、茯苓、猪苓、羌活、北五味子、泽泻、秦艽。一帖即止，随发随服即愈。
一人春日患泄泻霍乱三年，每次发作服用理中汤病愈。停药后，胸中痛如刀割，稍微吃一点东西，如果不谨慎就会下一点疼痛三四日，泄泻如红曲肉汤样，用养血药，半年后腹痛六日，用四君子汤加附子、炮姜、白芍，兼灸气海穴而愈。
一人六脉沉阴，重按又无力不清，是肾虚。胃脘痛即泻，痛一阵，泻一阵，是肾之脾胃虚火浮于上。补脾则肾水亏，滋阴则水来侮土，治法只有温肾即可温脾。三十年来未生子，可知肾寒。肾主骨，骨胫痛，是肾虚的验证。用地黄汤、补中益气汤加减；丸方用山药、茯苓各二两，补骨脂、小茴香、熟地黄、杜仲、北五味子各一两，人参七钱，陈火肉骨灰一两，吴茱萸五分。
一人久患脾泄，是因为热在肾。用白术八两，茯苓五两，元米五合，同入猪肚内，煮熟捣成饼，晒干为末，米糊做丸，沉香三钱为衣。
一人泄泻，心脉微洪，肝肾脉俱虚，单治泄泻，恐怕土来克水。用白芷三钱，升动胃气；五味子止泄而平水土，米糊做丸，午前清米汤送服五十丸。
小儿腹泻不止，四君子汤加减无效，乃是湿热内郁，适宜理脾凉肾。白术一钱，松花五分，两味药研末，白糖调服；或者用水煮白术一两，炒红曲一两，陈火肉骨灰一两，共研细末，白糖调服。
一人当脐疼痛，痛则大便泄，这是脾虚，肾水犯上，寒在肾。适宜温肾则水安，升胃气则土旺，而痛不作，泻从何来？用白芷七钱，北五味子、鹿茸、人参、炮姜各一两，元米糊做丸，白开水送服。
一小儿作泻，服用利药太过，致浑身发热，喜欢卧冷地。这是因为肾虚泄泻而肝火起，胃中亦燥。
一妇人命门脉弱，责其无火，鸡鸣时将作泄，腹响饱闷，这是肾虚不纳气。用补骨脂四两补命门，枣肉做丸以益气浓肠。
一妇人泄泻，两尺脉无神，这是肾燥不合。一医用茯苓、益智仁即发晕，因用肉苁蓉三钱以润之，北五味子八分以固之，人参一钱以益气，当归身八分以养其血，白芍、甘草以和其中，炮姜二分以安其肾。两帖见效，十帖痊愈。丸药即前方加倍蜜丸。（张东扶说：肾燥不合。这四个字妙极。凡物润则坚密无缝，燥则破绽有痕。肾开窍于二阴，肾耗而燥，其窍开而不合，真是至理也。）
张东扶说：我因为慎斋“肾燥不合”的话，因而想到滑精一证，道理也是相同的。盖肾属水，水亏则燥，水燥则无以滋养肝，木无水养，则燥而生火，肾既失其封蛰之职，不合而开，肝遂恣其疏泄之性，因开而泄，愈泄则愈燥，愈燥则愈开。然而遗泄一证，应当极甚及久之后，徒清火无益，徒兜涩无益，必须用润药以润其肾，则燥而不合者可以复合，而且肝得所养，火亦不炽，何致疏泄之性一往一返哉！立方之法，润肾为主，而兼用清肝补肝之药，尤当有效，愿……（原文此处似有脱漏）又遗精一证，其初起时有所思想而致。当以清心为主，清肝火为辅，补肾水为佐，涩药可无用也。既久之后，肾水必亏必燥，盒饭（应为“合办”或“合宜”，原文误植，意为应当）以补肾补肝为主，清肝火次之，清心火又次之，而兼用涩药，仍不必以涩药为君也。若大泄不禁，玉门不闭，或当暂以涩药为君，而兼用重补肝肾之味，稍佐清火之品，亦理之所宜然，又必兼用升提之药，庶乎周到而可奏功于俄顷也。此所论遗证，盖指多欲及肾虚一流说，其有因湿热痰等因致此者，则又不得概以肾燥施……（原文未完）
Long-standing diarrhea that fails to heal can be treated with Baoyuan Tang (Preserve the Origin Decoction) added with Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), and Pine Flower Pollen (Songhua) decocted for administration, or added with Aconiti Lateralis Radix Praeparata (Fuzi). For all types of diarrhea, Sijunzi Tang (Four Gentlemen Decoction) is suitable. Acute diarrhea due to food stagnation is treated with Weiling Tang (Gastrointestinal Regulation Decoction); summer diarrhea caused by damp-heat with difficulty in urination is treated with Wuling San (Five-Ingredient Powder with Poria); diarrhea of green watery stool with tenesmus is treated with Xianglian Wan (Coptis and Aucklandia Pill); chronic diarrhea is treated with Sijunzi Tang added with Angelicae Dahuricae Radix (Baizhi) and Scutellariae Radix (Huangqin); if vomiting occurs, add Zingiberis Rhizoma Praeparatum (Paojiang) and remove Baizhi; chronic diarrhea with abdominal fullness and oppression is treated with Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) with Dangguishen (Radix Angelicae Sinensis Stem) removed and Fuzi added; if there is body heat, add Notopterygii Rhizoma et Radix (Qianghuo) and Saposhnikoviae Radix (Fangfeng), as wind can overcome dampness. Diarrhea occurring every morning is treated with Shenshen Wan (Four Miracles Pill); Kidney-type diarrhea (Wu Geng Xie) is treated with Schisandrae Fructus (Wuweizi) two liang and Evodiae Fructus (Wuyu) five qian, ground into powder and taken with aged rice water, combined with moxibustion on Qihai (CV6). Chronic diarrhea with spontaneous sweating, tidal fever, and aversion to cold is treated with Jianzhong Tang (Decoction to Establish the Middle) added with Ginseng Radix et Rhizoma (Renshen) and Fuling. Tidal fever cannot be cured without tonification. Morning chronic diarrhea with spontaneous sweating, tidal fever, and nocturnal emission... [text gap] ... other diarrheas are treated with Wuling San. If accompanied by abdominal distension and pain, administer salt water to induce vomiting; if accompanied by body heat and spontaneous sweating, take with hot water; if passing hot water, take with cold water; if thirsty, take with Ginseng decoction. Diarrhea accompanied by fever and fatigue should be treated by nourishing blood within the Qi level, using Baoyuan Tang or Sijunzi Tang added with Paeoniae Radix Alba (Baishao) and Songhua. Chronic diarrhea damages the Kidney; for adults and children alike, regardless of vomiting or diarrhea, tonifying the Spleen is appropriate. Even if there are other miscellaneous syndromes, they need not be treated initially; afterwards, Shenling Baizhu San (Poria, Atractylodes Macrocephala and Licorice Powder) added with Aucklandiae Radix (Muxiang), Amomi Fructus Rotundus (Sharen), and Cardamomi Fructus (Doukou) is used for regulation. Chronic diarrhea may involve constrained fire; add a small amount of Coptidis Rhizoma (Huanglian). For children with accumulation, Sijunzi Tang is added; nothing surpasses this method.
For all diarrheas, Sijunzi Tang is suitable. Add Songhua for heat, Paojiang for cold, Ge Gen (Kudzu Root) and Wuweizi for thirst, Baizhi and Huangqi (Astragalus Root) for exterior heat and exterior deficiency. Diarrhea with white bubbles and audible sounds indicates damp-heat in the Small Intestine, treated with Pingwei San (Regulate the Stomach Powder) added with Paojiang. Ordinary loose stools are effectively treated by decocting Hongmi (Red Rice) and Heidou (Black Soybean) after frying.
For severe vomiting and diarrhea where food and water cannot be retained, and grains are undigested, these belong to Cold syndromes, treated with Lizhong Tang (Decocton to Regulate the Middle). Restlessness, thirst, yellow stool like porridge, and sour foul odor belong to Heat syndromes, treated with Shaozhen Wan (Burned Needle Pill). In cases of no Qi deficiency but Cold in the Zang organs causing diarrhea, use Rou Dou Kou (Nutmeg) four liang, Muxiang one liang, Fuling four liang, Paojiang one liang, and Fuzi one liang, ground into powder and made into pills with ginger juice, taken with Nelumbinis Plumula (Lianxin) decoction, 50-60 pills at a time. Spleen-type diarrhea refers to morning diarrhea; if diarrhea occurs with sound during Yin-Mao hours (3-7 AM), it is called Liver-type diarrhea; if diarrhea occurs at midnight (Zi hour, 11 PM-1 AM), it is called Kidney-type diarrhea, as the Kidney governs the two orifices. Use Eucommiae Cortex (Duzhong) one liang and Shengjiang (Fresh Ginger) one liang, stir-fried together until dry, plus Wuweizi and Rou Dou Kou one liang each, Psoraleae Fructus (Buguzhi) one liang, and Wuyu two qian, ground into powder. Make pills with dates boiled in ginger water. For Kidney deficiency causing diarrhea, use Shudi (Prepared Rehmannia Root) and Shengjiang one liang each, boiled together, pounded into cakes, dried, then mixed with Dioscoreae Rhizoma (Shanyao) and Fuling one liang each, made into pills. For Spleen diarrhea, use Baizhu one jin sliced, and Dazao (Jujube) eight liang, layering Baizhu and Dazao in a jar, boiling until soft, pounding into cakes, drying, then mixing with Songhua four liang, stir-fried until yellow, and made into pills with rice paste.
Case Records
One patient felt abdominal relief when defecating at night, but bloating occurred if he did not. The Heart pulse was surging, the Liver pulse floating, and the Kidney pulse tight. This indicates the Heart is not governing properly, and Ministerial Fire acts on its behalf; Kidney Water is stirred by Liver Wood, so the diarrhea originates in the Kidney. Tonifying the Kidney is inferior to tonifying the Spleen; warming the Spleen also solidifies the Kidney. Use Euryales Semen (Qianshi), Shanyao, and Fuling each one qian, Renshen five fen, Shudi four fen, and Yizhiren (Alpinia Oxyphylla Fruit) three fen, decocted for administration. For pills, use Wuweizi two liang and Wuyu four qian, made into pills with date flesh, taken with warm water, 30 pills per dose.
One person, fond of drinking, suffered from morning diarrhea after alcohol intoxication, with abdominal and leg pain, and joint pain, indicating internal damp-heat. Use Baizhu, Fuling, Polyporus (Zhuling), Qianghuo, Bei Wuweizi, Ze Xie, and Qin Jiao. One prescription stops it immediately; taking it upon recurrence cures it.
One person suffered from diarrhea and cholera-like symptoms for three years since spring. Each episode resolved with Lizhong Tang. After stopping medication, chest pain felt like knife-cutting; slight dietary indiscretion led to pain for three to four days and diarrhea resembling red yeast rice meat soup. Blood-nourishing medicines were used. Half a year later, abdominal pain lasted six days; Sijunzi Tang added with Fuzi, Paojiang, and Baishao was used, combined with moxibustion on Qihai (CV6), leading to recovery.
One person had six pulses that were deep and Yin, weak and unclear upon heavy pressure, indicating Kidney deficiency. Epigastric pain followed by diarrhea, with pain episodes triggering diarrhea episodes, indicates deficient fire floating upward from the Kidney-Spleen. Tonifying the Spleen depletes Kidney Water; nourishing Yin causes Water to insult Earth. The treatment method is to warm the Kidney, which thereby warms the Spleen. Having not conceived a child for thirty years, Kidney Cold is evident. The Kidney governs bones; shin pain is a sign of Kidney deficiency. Use Dihuang Tang (Rehmannia Decoction) and Buzhong Yiqi Tang with modifications. For pills: Shanyao and Fuling two liang each, Buguzhi, Huixiang (Fennel), Shudi, Duzhong, and Bei Wuweizi one liang each, Renshen seven qian, Chen Huo Rou Gu Hui (Ash of Charred Meat Bone) one liang, and Wuyu five fen.
One person suffered from chronic Spleen diarrhea due to Heat in the Kidney. Use Baizhu eight liang, Fuling five liang, and Yuan Mi (Regular Rice) five he, placed inside a pig stomach, cooked until soft, pounded into cakes, dried, ground into powder, and made into pills with rice paste, coated with Chenxiang (Agarwood) three qian.
One person with diarrhea had a slightly surging Heart pulse and deficient Liver-Kidney pulses. Treating only diarrhea risks Earth insulting Water. Use Baizhi three qian to raise Stomach Qi; Wuweizi stops diarrhea and harmonizes Earth and Water. Made into pills with rice paste, taken with clear rice water before noon, 50 pills.
Pediatric diarrhea unceasing, unresponsive to Sijunzi Tang modifications, indicates internal constrained damp-heat. Treat by regulating the Spleen and cooling the Kidney. Baizhu one qian, Songhua five fen, ground into powder and taken with white sugar. Alternatively, boil Baizhu one liang, stir-fry Hongqu (Red Yeast Rice) one liang, mix with Chen Huo Rou Gu Hui one liang, grind to fine powder, and take with white sugar.
One person had pain around the navel, triggering diarrhea upon pain, indicating Spleen deficiency with Kidney Water invading upward and Cold in the Kidney. Warming the Kidney calms the Water; raising Stomach Qi strengthens Earth, stopping pain and thus stopping diarrhea. Use Baizhi seven qian, Bei Wuweizi, Lurong (Deer Antler), Renshen, and Paojiang one liang each, made into pills with Yuan Mi paste, taken with warm water.
A child suffered diarrhea, over-treated with purgatives, resulting in whole-body heat and preference for lying on cold ground. This is due to Kidney deficiency causing diarrhea, leading to Liver Fire rising and Dryness in the Stomach.
A woman had a weak Mingmen pulse, attributed to lack of Fire. Diarrhea imminent at cockcrow, with abdominal rumbling and fullness, indicates Kidney deficiency failing to grasp Qi. Use Buguzhi four liang to tonify Mingmen, made into pills with date flesh to benefit Qi and thicken the intestines.
A woman with diarrhea had spiritless Chi pulses on both sides, indicating Kidney Dryness and failure to close. A doctor used Fuling and Yizhiren, causing dizziness. Instead, use Congrong (Cistanche) three qian to moisten, Bei Wuweizi eight fen to secure, Renshen one qian to benefit Qi, Dangguishen eight fen to nourish Blood, Baishao and Gancao (Licorice) to harmonize the Middle, and Paojiang two fen to calm the Kidney. Two prescriptions showed effect; ten prescriptions cured it. Pills use the same formula doubled, made with honey. (Zhang Dongfu said: "Kidney Dryness and failure to close" is an excellent phrase. All things, when moist, are firm and seamless; when dry, they crack and show flaws. The Kidney opens into the two lower orifices; when the Kidney is depleted and dry, the orifices open and fail to close. This is truly profound truth.)
Zhang Dongfu said: Due to Shenzhai's words on "Kidney Dryness and failure to close," I reflected that Seminal Wetness (Huajing) shares similar principles. The Kidney belongs to Water; Water deficiency leads to Dryness. Dry Water cannot nourish the Liver. Without Water nourishment, Wood becomes dry and generates Fire. Having lost its function of sealing and storing, the Kidney opens instead of closing; the Liver then indulges its dispersing nature, leading to leakage. The more leakage, the drier it becomes; the drier it becomes, the more it opens. Thus, for seminal emission/leakage, after extreme severity or long duration, merely clearing Fire is useless, and merely astringing is useless. One must use Moistening herbs to moisten the Kidney, so that Dryness and failure to close can reunite. Moreover, the Liver gets nourished, and Fire does not blaze, preventing erratic dispersal. The prescription principle should focus on moistening the Kidney, while simultaneously using herbs to clear and tonify the Liver, which would be especially effective... [text gap]. Regarding Seminal Wetness, in its early stages caused by thoughts/desires, the primary treatment should be clearing the Heart, assisting with clearing Liver Fire, and supporting with tonifying Kidney Water; astringent herbs are unnecessary. After long duration, Kidney Water must be deficient and dry; the main treatment should be tonifying Kidney and Liver, secondary clearing Liver Fire, tertiary clearing Heart Fire, with astringents used adjunctively, but not as the sovereign herb. If severe uncontrollable leakage occurs, and the "Jade Gate" does not close, temporarily using astringents as sovereign herbs, combined with heavily tonifying Kidney and Liver, slightly assisted by Fire-clearing agents, is logically appropriate. Furthermore, lifting herbs must be added to ensure thoroughness and rapid efficacy. These discussions on emission syndromes refer mainly to excessive desire and Kidney deficiency types. Cases caused by damp-heat, phlegm, etc., cannot generally be treated solely based on Kidney Dryness... [text incomplete]