三焦包罗脏腑。主气而即主水。（水由气化也。） 故曰决渎之官。水道出焉。上焦如雾。
气中有水也。下焦如渎。水中有气也。中焦如沤。气水相函于其中也。凡水道不通。溢于外
而为肿。积于中而为胀。凌于肺为咳呕。流于肠为泄泻。宜专责之三焦。与他脏无涉。时医
治他脏而幸效。不可援以为例。
梦而遗者。相火之炽也。宜封髓丹。无梦而遗者。心肾之虚也。宜金锁固精丸。然肝主
疏泄。肝火大盛。宜暂用龙胆泻肝汤。肝魂不守。宜多服二加龙骨汤。肝热胆寒。宜温胆汤。
加人参茯神枣仁莲肉。精之蓄泄。无非听命于心。威喜丸。平淡而神奇。四君子汤加远志。
亦补养得法。徒用补肾及固涩之药。无益也。然此症。必须清心寡欲。静养年余方效。药石
原不足赖。
时贤沈录芊云。心藏神。肝藏魂。肾藏精。梦中所主之心。即心之神也。梦中所见之形。
即肝之魂也。梦中所泄之精。即肾之精也。要之心为君。肝肾为相。未有君火动而相火不随
之者。当先治其心。而后及其余。宜黄连清心饮。万用黄连生地甘草当归人参茯神枣仁远志
莲子。按录芊着有沈氏尊生一书。大抵皆见病治病。不脱江苏气习。此一条。用药虽庸。而
立论颇超。故节录之。
诀云遗精白浊。当验于尺。结芤动紧。二症之的。
正传云。两尺洪数必便浊遗精。
三焦包罗脏腑，主持气机运行同时也主管水液代谢。（因为水液的运行依赖于气的推动。）所以称它为“决渎之官”，水道由此而出。上焦的功能像雾露一样弥漫，（说明）气中包含着水；下焦的功能像沟渠一样流通，（说明）水中蕴含着气；中焦的功能像沤渍一样腐熟，（说明）气与水在其中相互包容。凡是水道不通畅，溢出于体表就会形成水肿，积聚于体内就会造成胀满，上逆凌犯肺脏就会导致咳嗽呕吐，流注于肠道就会导致泄泻。治疗应当专门责之于三焦，与其他脏腑没有直接关系。当时的医生治疗其他脏腑疾病而侥幸见效，不能引用作为例子。
有梦而遗精的，是相火炽盛所致，适宜用封髓丹；无梦而遗精的，是心肾两虚所致，适宜用金锁固精丸。然而肝主疏泄，如果肝火大盛，适宜暂时使用龙胆泻肝汤；如果肝魂不守，适宜多服用二加龙骨汤；如果肝热胆寒，适宜用温胆汤，并加入人参、茯神、枣仁、莲肉。精液的蓄积与排泄，无不听命于心。威喜丸药性平淡却效果神奇。四君子汤加入远志，也是补养得法。如果单纯使用补肾及固涩的药物，是没有益处的。然而此症，必须清心寡欲，静养一年多才能见效。药物原本就不值得过分依赖。
当代贤者沈录芊说：心藏神，肝藏魂，肾藏精。梦中主宰的是心，即心的神志；梦中见到的形体，即肝的魂；梦中泄出的是精，即肾的精。关键在于心为君主，肝肾为宰相，没有君火发动而相火不跟随的情况。应当先治疗心，然后再顾及其余脏腑。适宜用黄连清心饮，组成包括万用黄连、生地、甘草、当归、人参、茯神、枣仁、远志、莲子。据记载沈录芊著有《沈氏尊生》一书，大体上都是见病治病，没有脱离江苏地区的习气。这一条论述，用药虽然平庸，但立论颇为高超，所以节录下来。
The Sanjiao (Triple Burner) encompasses the Zang-Fu organs. It governs Qi and thereby also governs Water. (Since water movement depends on Qi transformation.) Therefore, it is called the "Official of Ditches," through which the water passages emerge. The Upper Jiao is like mist; (indicating that) there is water within Qi. The Lower Jiao is like a ditch; (indicating that) there is Qi within Water. The Middle Jiao is like fermentation; (indicating that) Qi and Water envelop each other within it. Whenever the water passages are obstructed, overflowing outward leads to edema, accumulating inward leads to distension, surging upward to oppress the Lung leads to cough and vomiting, and flowing into the Intestines leads to diarrhea. Treatment should focus exclusively on the Sanjiao, having no involvement with other Zang-Fu organs. When contemporary physicians treat other Zang-Fu organs and happen to achieve success, this cannot be cited as an example.
Nocturnal emission accompanied by dreams indicates blazing of Ministerial Fire (Xiang Huo). Fengsui Dan (Seal the Marrow Pill) is appropriate. Nocturnal emission without dreams indicates deficiency of the Heart and Kidney. Jin suo Gu Jing Wan (Golden Lock Essence-Securing Pill) is appropriate. However, the Liver governs free flow and drainage. If Liver Fire is excessively abundant, Longdan Xiegan Tang (Gentian Decoction to Drain the Liver) should be used temporarily. If the Liver Soul (Hun) fails to remain in residence, Erjia Longgu Tang (Double-Added Dragon Bone Decoction) should be taken frequently. If there is Liver Heat and Gallbladder Cold, Wendan Tang (Warm the Gallbladder Decoction) is appropriate, added with Renshen (Ginseng Radix), Fushen (Poria with Hostwood), Zaoren (Ziziphus Seed), and Lianrou (Lotus Seed Flesh). The storage and discharge of essence are entirely subject to the command of the Heart. Weixi Wan (Weiyi Pill) is mild yet miraculous. Sijunzi Tang (Four Gentlemen Decoction) added with Yuanzhi (Polygala Root) is also a methodical nourishing approach. Merely using Kidney-tonifying and astringent drugs is of no benefit. However, for this condition, one must clear the mind and reduce desires, resting quietly for over a year before efficacy appears. Medicinal herbs are originally not something to rely upon heavily.
Contemporary scholar Shen Lukian stated: The Heart stores the Spirit (Shen), the Liver stores the Soul (Hun), and the Kidney stores Essence (Jing). The Heart governing the dream is the Spirit of the Heart; the form seen in the dream is the Soul of the Liver; the essence discharged in the dream is the Essence of the Kidney. Fundamentally, the Heart is the Sovereign, and the Liver and Kidney are the Ministers. There is no case where the Sovereign Fire moves without the Ministerial Fire following. One should first treat the Heart, and then attend to the rest. Huanglian Qingxin Yin (Coptis Decoction to Clear the Heart) is appropriate, composed of Wanyong Huanglian (Coptis Rhizoma), Shengdi (Rehmanniae Radix), Gancao (Licorice Radix), Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix), Fushen (Poria with Hostwood), Zaoren (Ziziphus Seed), Yuanzhi (Polygala Root), and Lianzi (Nelumbinis Semen). According to records, Shen Lukian authored *Shen Shi Zunsheng* (*Shen's Reverence for Life*). Generally, his works involve treating diseases as they appear, not escaping the local customs of Jiangsu. This particular section, while the medication is mediocre, has a remarkably superior theoretical stance, so it is excerpted here.
The rhyme states: For nocturnal emission and white turbidity, verification should be sought at the Chi pulse position. The appearance of Kou (Floating and Hollow), Dong (Pulsating), or Jin (Tight) pulses are definitive indicators of these two conditions.
*Zhengzhuan* states: If both Chi pulses are洪数 (Surging and Rapid), it inevitably leads to turbid urination and nocturnal emission.