论曰，内经曰，思想无穷，所愿不得，意淫于外，入房太甚，宗筋弛纵，发为筋痿，及
为白淫，夫肾藏天一，以怪为事，志意内治，则精全而啬出，思想外淫，房室太甚，则固者
摇矣，故淫 不守，随溲而下也，然本于筋痿者，以宗筋弛纵故也。
治劳伤思虑，阴阳气虚，益精止白淫，内补鹿茸丸方
鹿茸（燎去毛酥炙二两） 菟丝子（净淘酒浸一宿别捣） 白茯苓（去黑皮） 肉苁蓉
（酒浸
（研） 蒺藜子
上一十二味，捣研为末，炼蜜和丸，如梧桐子大，每服三十丸，空心温酒下。
治下元虚，小便白淫，夜梦遗泄，金 丸方
原蚕蛾（炒） 补骨脂（炒） 韭子（炒各二两） 牛膝（酒浸切焙） 肉苁蓉（酒浸
切焙） 龙
上九味，捣研为末，炼蜜和丸，如梧桐子大，每服二十丸，空心温酒或盐汤下，加至三
十丸。
治小便白淫，补真益气，壮腰膝，进饮食，七珍丸方
肉苁蓉（半斤细切酒煮烂研成膏） 补骨脂（炒） 巴戟天（去心） 附子（炮裂去皮
脐各
（研各一两
上七味，将后六味捣研为末，与苁蓉膏同研匀，更入炼蜜，捣三五百杵，丸如弹丸大，
每服一丸，热酒化下，日三。
治下元虚冷，小便白淫，莲实丸方
莲实（去皮） 附子（炮裂去皮脐） 巴戟天（去心） 补骨脂（炒各二两） 山茱萸 覆
盆子
上七味，捣研为末，煮米糊和丸，如梧桐子大，每服二十丸，至三十丸，空心盐汤下。
治心肾气不足，思想无穷，小便白淫，黄连丸方
黄连（去须） 白茯苓（去黑皮等分）
上二味，捣罗为末，酒面糊和丸，如梧桐子大，每服三十丸，煎补骨脂汤下，日三，不
拘时候。
治下元虚惫，耳焦面黑，遗泄白淫，手足冷肌瘦，阳起石丸方
阳起石（ 研一两） 白芷（末） 黄蜡（各半两） 生砒（研一分）
上四味，将三味同研匀，以黄蜡为丸，如梧桐子大，每服三丸，空心冷盐汤，或冷酒下，
微温亦可，服药后，忌热食少时。
治精气不固，小便白淫，及有余沥，或梦寐遗泄，妇人血海久冷，白滞白漏，日久无子，
威喜丸方
白茯苓（去黑皮四两锉作大块与猪苓一分瓷器内同煮三二十沸取茯苓再细锉猪苓不用）
黄蜡（四两）
上二味，先捣茯苓为末，炼黄蜡于火上，众手速丸，如小弹丸大，每服一丸，细嚼干
咽下，小便清为度。
治小便白淫不止，秘真丸方
龙骨（研一两） 诃黎勒（炮去皮五枚） 缩砂仁（去皮半两） 丹砂（研一两留一分
为衣）
上四味，捣研为末，煮糯米粥为丸，如绿豆大，以丹砂为衣，每日空心，热酒下一丸，
夜卧冷水下三丸，不可多服，或大秘欲通，用葱汤点茶服之，即通。
治白淫过甚，矾附丸方
附子（炮裂去皮脐重七钱者一枚） 矾石（熬令汁枯半两）
上二味，捣罗为末，水煮面糊和丸，如梧桐子大，每服十丸，至二十丸，空心夜卧茶清
下。
治小便白淫，梦寐遗泄，菟丝子散方
菟丝子（酒浸两宿别捣） 桂（去粗皮各二两） 附子（炮裂去皮脐一两半） 车前子
（炒）
上八味，捣研为散，每服二钱匕，温酒调下，食前日三，如欲作丸，炼蜜丸如梧桐子大，
每服十丸，温酒下。
治小便白淫，白石英散方
白石英（研） 肉苁蓉（酒浸切焙） 泽泻 韭子（炒各一两） 白粳米（淘五合）
上五味，捣研为散，每服二钱匕，米饮调下，食前日三。
治肾脏虚冷，小便白淫，天雄散方
天雄（炮裂去皮脐二两） 桂（去粗皮六两） 白术（锉八两）
上三味，捣罗为散，每服一钱匕，温酒调下，空心食前、日三。
治小便白淫，及遗泄无故自出，龙骨汤方
龙骨（研五两） 人参 白茯苓（去黑皮） 甘草（炙） 牡蛎（ ） 桂（去粗皮） 熟
干地黄
上七味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓空心食前服。
治阳气虚惫，小便白淫，石槲散方
石槲（去根三两） 巴戟天（去心） 菟丝子（酒浸两宿别捣各二两） 杜仲（去粗皮
炙锉）
上五味，捣罗为散，每服二钱匕，空心温酒调下，至晚再服。
论述说，《黄帝内经》指出：思虑无穷，愿望不能实现，意念外驰淫乱，房事过度，导致宗筋（指男性生殖器及周围筋膜）松弛纵缓，从而引发筋痿（以筋脉弛缓、肢体无力为主要表现的病证），以及白淫（指小便浑浊如米泔或精液随尿而出的病证）。肾藏先天之精，主司封藏。若志意内守，则精气充盈而适度排出；若思想外淫，房室不节，则原本坚固的封藏功能动摇，因此精液不能固守，随小便一同排出。这根本原因在于筋痿，是由于宗筋松弛纵缓所致。
治疗因劳损和思虑过度导致的阴阳气虚，具有益精止白淫功效的内补鹿茸丸方：
鹿茸（燎去毛，用酥油炙烤，二两） 菟丝子（净淘洗，酒浸一夜后另捣碎） 白茯苓（去掉黑皮） 肉苁蓉（酒浸后研碎） 蒺藜子（炒） 山药 五味子 杜仲（去粗皮，炙） 续断 牛膝（酒浸切焙） 巴戟天（去心） 山茱萸
以上十二味药，捣碎研成细末，用炼蜜调和制成丸剂，大小如梧桐子。每次服用三十丸，空腹时用温酒送服。
治疗下元虚损，小便白淫，夜间梦遗滑泄的金蚕蛾丸方：
原蚕蛾（炒） 补骨脂（炒） 韭菜子（炒，各二两） 牛膝（酒浸切焙） 肉苁蓉（酒浸切焙） 龙骨（煅）
以上九味药，捣碎研成细末，用炼蜜调和制成丸剂，大小如梧桐子。每次服用二十丸，空腹时用温酒或盐汤送服，可加量至三十丸。
治疗小便白淫，具有补真益气、强壮腰膝、增进饮食功效的七珍丸方：
肉苁蓉（半斤，细切后用酒煮烂研成膏状） 补骨脂（炒） 巴戟天（去心） 附子（炮裂，去皮脐） 天雄（炮裂，去皮脐） 肉苁蓉（已制） 菟丝子（酒浸）
以上七味药，将后六味药捣碎研成细末，与肉苁蓉膏一起研磨均匀，再加入炼蜜，捣击三五百下，制成如弹丸大小的丸剂。每次服用一丸，用热酒化开送服，每日三次。
治疗下元虚冷，小便白淫的莲实丸方：
莲子（去皮） 附子（炮裂，去皮脐） 巴戟天（去心） 补骨脂（炒，各二两） 山茱萸 覆盆子 韭子（炒）
以上七味药，捣碎研成细末，用米糊调和制成丸剂，大小如梧桐子。每次服用二十丸至三十丸，空腹时用盐汤送服。
治疗心肾气不足，思虑无穷，小便白淫的黄连丸方：
黄连（去须） 白茯苓（去黑皮，等分）
以上两味药，捣碎过筛成细末，用酒和面糊调和制成丸剂，大小如梧桐子。每次服用三十丸，煎补骨脂汤送服，每日三次，不限时候。
治疗下元虚惫，耳焦面黑，遗泄白淫，手足冰冷肌肉消瘦的阳起石丸方：
阳起石（研细，一两） 白芷（研末） 黄蜡（各半两） 生砒（研细，一分）
以上四味药，将前三味药同研均匀，用黄蜡作为粘合剂制成丸剂，大小如梧桐子。每次服用三丸，空腹时用冷盐汤或冷酒送服，微温也可以。服药后，短时间内忌食热食。
治疗精气不固，小便白淫，以及有余沥不尽，或梦中遗泄，妇人血海久冷，白带滞涩白漏，日久不孕的威喜丸方：
白茯苓（去黑皮四两，锉成大块，与猪苓一分在瓷器内同煮三二十沸，取出茯苓，再细锉，猪苓不用） 黄蜡（四两）
以上两味药，先将茯苓捣成细末，在火上熔化黄蜡，众人迅速搓丸，大小如小弹丸。每次服用一丸，细细咀嚼干咽下去，直到小便清澈为止。
治疗小便白淫不止的秘真丸方：
龙骨（研细，一两） 诃黎勒（炮制，去皮，五枚） 缩砂仁（去皮，半两） 丹砂（研细，一两，留一分作为包衣）
以上四味药，捣碎研成细末，用糯米粥做成丸剂，大小如绿豆大，以丹砂为衣。每天空腹时，用热酒送服一丸，睡前用冷水送服三丸，不可多服。如果大便过于秘结想要通畅时，可用葱汤调茶服用，即可通便。
治疗白淫过甚的矾附丸方：
附子（炮裂，去皮脐，重七钱的一枚） 矾石（熬至汁液枯干，半两）
以上两味药，捣碎过筛成细末，用水煮面糊调和制成丸剂，大小如梧桐子。每次服用十丸至二十丸，空腹和睡前用茶清送服。
治疗小便白淫，梦中遗泄的菟丝子散方：
菟丝子（酒浸两夜后另捣碎） 桂枝（去粗皮，各二两） 附子（炮裂，去皮脐，一两半） 车前子（炒） 牡蛎（煅） 泽泻 白术 甘草（炙）
以上八味药，捣碎研成散剂。每次服用二钱匕，用温酒调下，饭前服用，每日三次。如果想做成丸剂，用炼蜜制成如梧桐子大的丸剂，每次服用十丸，温酒送服。
治疗小便白淫的白石英散方：
白石英（研细） 肉苁蓉（酒浸切焙） 泽泻 韭菜子（炒，各一两） 白粳米（淘洗五合）
以上五味药，捣碎研成散剂。每次服用二钱匕，用米饮调下，饭前服用，每日三次。
治疗肾脏虚冷，小便白淫的天雄散方：
天雄（炮裂，去皮脐，二两） 桂枝（去粗皮，六两） 白术（锉碎，八两）
以上三味药，捣碎过筛成散剂。每次服用一钱匕，用温酒调下，空腹饭前服用，每日三次。
治疗小便白淫，以及无故自出遗泄的龙骨汤方：
龙骨（研细，五两） 人参 白茯苓（去黑皮） 甘草（炙） 牡蛎（煅） 桂枝（去粗皮） 熟地黄
以上七味药，粗捣过筛。每次服用五钱匕，加水一盏半，煎至八分，去渣滓，空腹饭前服用。
治疗阳气虚惫，小便白淫的石槲散方：
石槲（去根，三两） 巴戟天（去心） 菟丝子（酒浸两夜后另捣碎，各二两） 杜仲（去粗皮，炙锉） 牛膝（酒浸切焙）
以上五味药，捣碎过筛成散剂。每次服用二钱匕，空腹用温酒调下，晚上再服一次。
It is stated in the discussion that the *Neijing* (Yellow Emperor's Inner Canon) says: "Endless thoughts, unfulfilled desires, mental wandering into licentiousness, and excessive sexual intercourse lead to flaccidity of the Zongjin (tendons/genitals), resulting in Jinwei (sinew atrophy/impotence) and Baiyin (white turbid discharge)." The Kidney stores Tianyi (primordial essence) and governs conservation. If will and intention are kept inwardly regulated, essence remains full and emission is restrained; if thoughts wander outward into licentiousness and sexual activity is excessive, the firm conservation becomes unstable. Therefore, essence cannot be retained and flows down with urine. This originates from Jinwei, due to the flaccidity of the Zongjin.
**Neibu Lurong Wan (Internal Supplementing Deer Antler Pill)**
For treating Yin-Yang Qi deficiency caused by labor injury and overthinking, benefiting essence and stopping Baiyin.
Deer Antler without Bone (Lurong) [Cornu Cervi Pantotrichum] (scorched to remove hair, fried with suet, 2 liang)
Cuscuta Seed (Tusizi) [Semen Cuscutae] (cleaned, soaked in wine overnight, separately pounded)
White Poria (Baifuling) [Poria] (black skin removed)
Cistanche Stem (Roucongrong) [Herba Cistanches] (soaked in wine, ground)
Tribulus Fruit (Jilizi) [Fructus Tribuli] (stir-fried)
Dioscorea Rhizome (Shanyao) [Rhizoma Dioscoreae Oppositae]
Schisandra Fruit (Wuweizi) [Fructus Schisandrae Chinensis]
Eucommia Bark (Duzhong) [Cortex Eucommiae] (bark removed, stir-fried)
Drynaria Rhizome (Xuduan) [Rhizoma Drynariae]
Achyranthes Root (Niuxi) [Radix Achyranthis Bidentatae] (soaked in wine, sliced, dried)
Morinda Root (Bajitian) [Radix Morindae Officinalis] (heart removed)
Cornus Fruit (Shanzhuyu) [Fructus Corni]
Twelve ingredients above. Pound and grind into powder. Mix with refined honey to make pills the size of Sophora seeds. Take 30 pills per dose, with warm wine on an empty stomach.
**Jincan E Wan (Golden Silkworm Moth Pill)**
For treating lower yuan deficiency, Baiyin in urination, nocturnal emission with dreams.
Original Silkworm Moth (Yuancangne) [Imago Bombyx Mori] (stir-fried)
Psoralea Fruit (Buguzhi) [Fructus Psoraleae] (stir-fried)
Leek Seed (Jiu Zi) [Semen Allii Tuberosi] (stir-fried, 2 liang each)
Achyranthes Root (Niuxi) [Radix Achyranthis Bidentatae] (soaked in wine, sliced, dried)
Cistanche Stem (Roucongrong) [Herba Cistanches] (soaked in wine, sliced, dried)
Dragon Bone (Longgu) [Os Mastodi seu Ossis Femoris] (calcined)
Nine ingredients above. Pound and grind into powder. Mix with refined honey to make pills the size of Sophora seeds. Take 20 pills per dose, with warm wine or salt water on an empty stomach. Dosage may increase to 30 pills.
**Qizhen Wan (Seven Treasures Pill)**
For treating Baiyin in urination, supplementing true Qi, strengthening waist and knees, promoting appetite.
Cistanche Stem (Roucongrong) [Herba Cistanches] (half jin, finely sliced, boiled in wine until soft, ground into paste)
Psoralea Fruit (Buguzhi) [Fructus Psoraleae] (stir-fried)
Morinda Root (Bajitian) [Radix Morindae Officinalis] (heart removed)
Prepared Aconite Root (Fuzi) [Radix Aconiti Lateralis Preparata] (cracked by frying, skin and umbilicus removed)
Heavenly Male Aconite (Tianxiong) [Radix Aconiti Kusnezoffii] (cracked by frying, skin and umbilicus removed)
Cistanche Stem (Roucongrong) [Herba Cistanches] (prepared)
Cuscuta Seed (Tusizi) [Semen Cuscutae] (soaked in wine)
Seven ingredients above. Pound and grind the latter six ingredients into powder. Mix evenly with the Cistanche paste. Add refined honey. Pound 300-500 times. Make pills the size of bullet shots. Take one pill per dose, dissolved in hot wine. Three times daily.
**Lianshi Wan (Lotus Seed Pill)**
For treating cold deficiency of lower yuan, Baiyin in urination.
Lotus Seed (Lianshi) [Semen Nelumbinis] (skin removed)
Prepared Aconite Root (Fuzi) [Radix Aconiti Lateralis Preparata] (cracked by frying, skin and umbilicus removed)
Morinda Root (Bajitian) [Radix Morindae Officinalis] (heart removed)
Psoralea Fruit (Buguzhi) [Fructus Psoraleae] (stir-fried, 2 liang each)
Cornus Fruit (Shanzhuyu) [Fructus Corni]
Rubus Fruit (Fupenzi) [Fructus Rubi]
Leek Seed (Jiu Zi) [Semen Allii Tuberosi] (stir-fried)
Seven ingredients above. Pound and grind into powder. Mix with rice paste to make pills the size of Sophora seeds. Take 20-30 pills per dose, with salt water on an empty stomach.
**Huanglian Wan (Coptis Pill)**
For treating insufficiency of Heart and Kidney Qi, endless thoughts, Baiyin in urination.
Coptis Rhizome (Huanglian) [Rhizoma Coptidis] (mustaches removed)
White Poria (Baifuling) [Poria] (black skin removed, equal parts)
Two ingredients above. Pound and sieve into powder. Mix with wine and flour paste to make pills the size of Sophora seeds. Take 30 pills per dose, with decoction of Psoralea seed. Three times daily, at any time.
**Yangqishi Wan (Yangqi Stone Pill)**
For treating exhaustion of lower yuan, scorched ears and dark face, emission and Baiyin, cold hands and feet, emaciation.
Yangqi Stone (Yangqishi) [Mineralum Actinolitum] (ground, 1 liang)
Angelica Dahurica Root (Baizhi) [Radix Angelicae Dahuricae] (powdered)
Yellow Beeswax (Huangla) [Cera Flava] (half liang each)
Raw Arsenic Trioxide (Shengpi) [Arsenici Trioxidum] (ground, 1 fen)
Four ingredients above. Grind the first three evenly. Use yellow beeswax as binder to make pills the size of Sophora seeds. Take 3 pills per dose, with cold salt water or cold wine on an empty stomach. Slightly warm is also acceptable. After taking medicine, avoid hot food for a short time.
**Weixi Wan (Wei Xi Pill)**
For treating insecurity of essence and Qi, Baiyin in urination, residual dribbling, nocturnal emission with dreams, chronic cold in Blood Sea in women, white leukorrhea, infertility after long duration.
White Poria (Baifuling) [Poria] (4 liang, black skin removed, cut into large pieces, boiled together with 1 part Polyporus with 30-20 boils in porcelain vessel. Take out Poria, finely cut again. Discard Polyporus.)
Yellow Beeswax (Huangla) [Cera Flava] (4 liang)
Two ingredients above. First pound Poria into powder. Melt yellow beeswax on fire. Quickly form pills by hand, size of small bullet shots. Take one pill per dose, chew finely and swallow dry. Continue until urine becomes clear.
**Mizhen Wan (Secretifying True Pill)**
For treating incessant Baiyin in urination.
Dragon Bone (Longgu) [Os Mastodi seu Ossis Femoris] (ground, 1 liang)
Chebulic Myrobalan (Helile) [Fructus Terminaliae Chebulae] (fried, skin removed, 5 fruits)
Amomum Fruit (Suosharen) [Fructus Amomi Rotundus] (skin removed, half liang)
Cinnabar (Dansha) [Realgar et Cinabrium] (ground, 1 liang, reserve 1 fen for coating)
Four ingredients above. Pound and grind into powder. Make pills using glutinous rice porridge, size of mung beans. Coat with Cinnabar. On an empty stomach daily, take one pill with hot wine. At bedtime, take three pills with cold water. Do not overdose. If constipation occurs and needs relief, use green onion soup mixed with tea to induce bowel movement.
**Fanfu Wan (Alum and Aconite Pill)**
For treating severe Baiyin.
Prepared Aconite Root (Fuzi) [Radix Aconiti Lateralis Preparata] (cracked by frying, skin and umbilicus removed, weighing 7 qian, 1 piece)
Alum (Fanshi) [Alumen] (boiled until juice is dry, half liang)
Two ingredients above. Pound and sieve into powder. Mix with water-boiled flour paste to make pills the size of Sophora seeds. Take 10-20 pills per dose, with tea liquor on an empty stomach and before sleep.
**Tusizi San (Cuscuta Powder)**
For treating Baiyin in urination, nocturnal emission with dreams.
Cuscuta Seed (Tusizi) [Semen Cuscutae] (soaked in wine for two nights, separately pounded)
Cinnamon Twig (Gui) [Ramulus Cinnamomi] (bark removed, 2 liang each)
Prepared Aconite Root (Fuzi) [Radix Aconiti Lateralis Preparata] (cracked by frying, skin and umbilicus removed, 1.5 liang)
Plantago Seed (Cheqianzi) [Semen Plantaginis] (stir-fried)
Oyster Shell (Muli) [Concha Ostreae] (calcined)
Alisma Rhizome (Zexie) [Rhizoma Alismatis Orientalis]
Atractylodes Rhizome (Baizhu) [Rhizoma Atractylodis Macrocephalae]
Prepared Licorice Root (Gancao) [Radix Glycyrrhizae Preparata] (stir-fried with honey)
Eight ingredients above. Pound and grind into powder. Take 2 qian bi per dose, mixed with warm wine. Before meals, three times daily. If making pills, mix with refined honey to make pills size of Sophora seeds. Take 10 pills per dose, with warm wine.
**Baishiyin San (White Quartz Powder)**
For treating Baiyin in urination.
White Quartz (Baishiyin) [Quartzum Album] (ground)
Cistanche Stem (Roucongrong) [Herba Cistanches] (soaked in wine, sliced, dried)
Alisma Rhizome (Zexie) [Rhizoma Alismatis Orientalis]
Leek Seed (Jiu Zi) [Semen Allii Tuberosi] (stir-fried, 1 liang each)
White Japonica Rice (Baijingmi) [Oriza Sativa Indica Var. Glutinosa] (washed, 5 he)
Five ingredients above. Pound and grind into powder. Take 2 qian bi per dose, mixed with rice drink. Before meals, three times daily.
**Tianxiong San (Tianxiong Powder)**
For treating Kidney cold deficiency, Baiyin in urination.
Heavenly Male Aconite (Tianxiong) [Radix Aconiti Kusnezoffii] (cracked by frying, skin and umbilicus removed, 2 liang)
Cinnamon Twig (Gui) [Ramulus Cinnamomi] (bark removed, 6 liang)
Atractylodes Rhizome (Baizhu) [Rhizoma Atractylodis Macrocephalae] (cut, 8 liang)
Three ingredients above. Pound and sieve into powder. Take 1 qian bi per dose, mixed with warm wine. On an empty stomach before meals, three times daily.
**Longgu Tang (Dragon Bone Decoction)**
For treating Baiyin in urination, spontaneous emission without cause.
Dragon Bone (Longgu) [Os Mastodi seu Ossis Femoris] (ground, 5 liang)
Ginseng Root (Renshen) [Radix Ginseng]
White Poria (Baifuling) [Poria] (black skin removed)
Prepared Licorice Root (Gancao) [Radix Glycyrrhizae Preparata] (stir-fried)
Oyster Shell (Muli) [Concha Ostreae] (calcined)
Cinnamon Twig (Gui) [Ramulus Cinnamomi] (bark removed)
Prepared Rehmannia Root (Shudihuang) [Radix Rehmanniae Preparata]
Seven ingredients above. Coarsely crush and sieve. Take 5 qian bi per dose. Add 1.5 cups of water. Decoct to 0.8 cup. Remove dregs. Take on an empty stomach before meals.
**Shihu San (Shihu Powder)**
For treating exhaustion of Yang Qi, Baiyin in urination.
Shihu (Shihu) [Herba Dendrobii Nobiles] (roots removed, 3 liang)
Morinda Root (Bajitian) [Radix Morindae Officinalis] (heart removed)
Cuscuta Seed (Tusizi) [Semen Cuscutae] (soaked in wine for two nights, separately pounded, 2 liang each)
Eucommia Bark (Duzhong) [Cortex Eucommiae] (bark removed, stir-fried, cut)
Achyranthes Root (Niuxi) [Radix Achyranthis Bidentatae] (soaked in wine, sliced, dried)
Five ingredients above. Pound and sieve into powder. Take 2 qian bi per dose, mixed with warm wine on an empty stomach. Take again late at night.