素问云。夫肾精者。身之本也。盖五脏六腑皆有精。肾为都会。关司之所。听命于心。
人能法道清净。精气内持。火来坎户。水到离宫。阴平阳秘。精元密固矣。若夫思虑不节。
嗜欲过度。使水火不交。精元失守。由是为赤浊白浊之患焉。赤浊者。是心虚有热也。常因
思虑而得之。白浊者。肾虚有寒也。过于嗜欲而得之。其状凝而如油。光彩不定。小便溺浊。
稠如膏糊。皆嗜欲思虑之所致耳。各分受病之由。旋以治法。坎离既济。阴阳协和。然后火
不上炎而神自清。水不下渗而精自固。安有赤浊白浊之患哉。虽然。思虑过度。不特伤心。
亦能病脾。脾土虚而肾不足。故土邪克水。亦令人便下混浊。史载之云。夏则土燥而水浊。
冬则土坚而水清。医常峻补。则疾愈甚。若以中和之药疗之。水火既济土自坚。其精固矣。
遗精白浊二证。脉息多涩。医经曰。男子二八。肾气盛。天癸至。天癸者。精之本也。肾脏
不足。皆由不善卫生。喜怒多劳。忧愁思虑。嗜欲过度。起居不常。遂致心火炎上而不熄。
肾水散浸而无归。上下不得交养。心肾受病。令人遗精白浊。肾受病者。亦令人遗精白浊。
皆心肾不交。关键不密之故耳。肾病者当禁固之。心病者当安宁之。更有少壮之人。情动于
中。所愿不得。意淫于外。一门内有是证者。大要于治之法。不宜秘固。秘固则愈甚。惟当
以后方猪苓丸主之。盖半夏有利猪苓导气使通之也。但虚损精滑之人。却不宜服。无因而出
者曰尿。因闻见而出者曰精。心不足而肾热者曰赤浊。心不足而肾冷者。为白浊。阴不升。
阳不降。是以有情浊不分。又有脾精不禁。小便漏浊淋沥不止。手足腰背酸痛。用苍术等剂。
使脾精生于阴也。邪客于阴。神不守舍。故心有所感梦而后泄也。其候有少年气盛。鳏旷多
时。强制情欲。不自觉知。此泄如瓶之满而溢者也。人或有之。是为无病。勿药可矣。心家
气虚。不能主宰。或心受热。阳气不收。此泄如瓶之侧而出者也。人多有之。其病犹轻。令
和平之剂补之。脏腑精弱。其元久亏。心不摄念。肾不摄精。此泄如瓶之破而漏者也。人或
有之。其病最重。须当大补阳。或谓梦泄尤甚于房劳。此世习闻其说者也。又有神气消磨。
异性横生。风邪乘虚。致干其正。往往与妖魅交媾。是尤甚也。宜用法药互取之。
方
韭子丸(出千金方)治房室过度。精泄自出不禁。腰背不得屈伸。食不生
肌。两脚苦弱。
韭子(一升) 甘草(一两) 桂心(半两) 紫石英(半两) 当归(二两) 禹余
粮(一两)
远志(一两) 山茱萸(一两) 天雄(一两) 紫菀(半两) 薯蓣(半两) 细辛(一
两) 茯苓
(一两) 僵蚕(半两) 菖蒲(半两) 人参(一两) 杜仲(一两) 白术(二两) 干
姜(二两)
芎(二两) 附子 石斛(各一两) 大枣(五十个) 牛膝(一两) 干漆(半两) 天
门冬(一
两半) 茯苓(一两) 黄 (一两) 菟丝子(一两) 干地黄(二两) 蛇床子(半两)
上为细
末。入牛髓令白蜜枣膏合捣三五千杵。丸如梧桐子大。空心服。每服十五丸。日再服。可加
至二十丸。
玉锁九真丹(出危氏方)治元气不足。思虑太过。肾经虚损。真阳不固。旋有
遗泄。小便经岁白浊。或淡赤。或如膏。或梦寐精泄。甚则身体拘倦。骨节酸疼。饮食
不进。面色黧黑。
白龙骨(半斤) 磁石(醋淬七次) 朱砂(各一两) 牡蛎( 一两) 紫稍花(一
两半) 家
韭子 菟丝子(各二两) 鹿茸(酒浸炙) 白茯苓(一两) 川巴戟(一两) 官桂(一
两) 肉苁
蓉(酒浸) 桑螵蛸(酒浸) 当归(各二两) 木香(不见火) 远志(甘草水煮取肉) 苍
术(各
一两) 茴香(炒) 吴茱萸(炒) 川楝子(炒) 桑寄生(各半两) 沉香(半两) 绵
黄(一
两) 附子(炮去皮脐一两) 上为末。炼蜜和丸如梧桐子大。每服五十丸。温酒盐汤下。
棘刺丸 治虚劳诸气不足。梦泄失精。(方见小便淋秘门小便利多类)
(案原方∶棘刺。石龙芮。巴戟天各二两。浓朴。麦门冬去心。菟丝子。萆 一方作草
虽。葳蕤。柏子仁。干地黄。小草。细心。杜仲。牛膝。苁蓉。石斛。桂心。防葵各一两。
乌头半两。上为末。蜜和。更捣五六千杵。丸如梧桐子大。饮下十丸。日二。加至三十丸。
以知
入药虞砂丸(出危氏方)治诸虚百损。白浊。耳鸣。
当归(酒浸) 鹿茸(去毛盐水酒炙) 黄 (各一两) 沉香(一两) 北五味(半
两) 远志
(一
地(各二两)
人参(二两) 龙骨( ) 附子 巴戟(各一两) 虞砂(一两) 上为末。酒糊丸。每
服五十丸
至七十丸。温服盐汤下。
龙齿补心汤(出直指方)治诸虚不足潮热。心内惊惕。睡卧不宁。小便油浊。
龙齿( ) 人参 当归(酒浸) 熟地(各一两) 桔梗(焙) 酸枣仁(半两) 麦
门冬(去
心) 半夏曲(各一两) 白术(炒) 甘草(各半两炙) 枳壳(麸炒) 白茯苓(去木)
远志(一
两) 肉桂(二钱半) 黄 (七钱半炙) 上为末。每服三钱。水盏半。姜五片。粳米一
撮。
同煎。不拘时服。
鹿茸益精丸(出直指方)治心虚肾冷。漏精白浊。
鹿茸(去毛酥炙) 桑螵蛸(瓦上焙) 肉苁蓉 当归 巴戟天(去心) 菟丝子(酒
浸) 杜
仲(盐水炒断丝) 益智仁 川楝子(去皮取肉) 赤石脂 韭子(炒) 禹余粮( 用醋
淬碎为
度各三钱) 破故纸 山茱萸 龙骨(二两) 滴乳香(一分) 上为末。酒糊丸如梧桐子
大。
每服七
茸菟丸(出经验方)治心肾不交。小便滑数。精神耗散。腰脚无力。
鹿茸 肉苁蓉 干地黄 萆 杜仲 五味子 白茯苓(各二两) 木瓜(一两) 巴
戟
枸杞子 川牛膝 补骨脂 青盐(各二两) 菟丝子 金铃子(各五两) 莲肉(八两) 上
根据法
炮制
暖肾丸(出直指方)治肾虚多溺。或小便不禁而浊。
葫芦巴(炒一两) 破故纸(炒半两) 川楝子(炒研一两) 益智仁(二两) 熟地
黄(三两)
鹿茸(酥炙) 赤石脂(各一两) 山茱萸(一两) 代赭石(醋 ) 龙骨(各半两) 海
螵蛸(一
两) 艾(醋煮) 丁香 沉香 乳香(各二钱) 禹余粮(醋 碎三钱) 上为末。糊丸
如桐子
大。
子午丸(出危氏方)治心肾俱虚。梦寐惊悸。常自烦闷。短气不乐。消渴停
饮。下赤白浊。
榧子(去壳二两) 莲肉(去心) 枸杞子 白龙骨 川巴戟(去心) 破故纸(炒) 真
琥珀
(各
蛤(半两)
莲花(半两) 牡蛎( 一两) 上为末。酒蒸肉苁蓉一斤。烂研为丸。如梧桐子大。朱砂
为衣
。煎萆 汤空心吞下。忌劳力房事。
十四友丸 补诸虚不足。益血。收敛心气。治怔忡不宁。精神昏倦不安。赤白浊
甚。
心肾丸 治水火不济。心下怔忡。夜多盗汗。便赤梦遗。(方见诸虚门补虚固精
类)
(案原方∶菟丝子淘酒蒸二两。麦门冬去心二两。上为细末。炼蜜为丸如桐子大。每服
七十
鹿茸散 治脏腑久虚梦泄。
鹿角屑(一两) 鹿茸(酥炙一两) 白茯苓(三钱) 人参(一两) 桑螵蛸(细研
一两) 芎
(一两) 当归(一两) 破故纸(炒) 龙骨(各半两) 柏子仁(去壳) 甘草(炙
各一两) 榧
子(
家韭子(出直指方)治肾气不足精遗。(方见小便淋秘门小便遗失类)
(案原方∶家韭子六两。鹿茸四两。苁蓉酒浸。牛膝酒浸。熟地黄。当归各二两。巴戟
去心。菟丝子酒浸各一两半。杜仲去皮。金石斛去苗。桂心。干姜炮各一两。上为末。酒和
丸如梧桐子大。每服五十丸。加至百丸。空心食前盐汤酒下。小儿遗尿。多因服寒。亦禀受
阳气
远志丸(出直指方)治肾不足遗精白浊。惊悸健忘。梦寐不安。足胫酸疼。
远志(去心取肉) 地黄(洗) 天门冬(去心) 龙齿(各一两研) 麦门冬(去心)
五味子
(一两) 车前子(半两) 白茯苓(去木) 地骨皮(各一两三钱) 桂(六钱) 山药
(炒) 熟地
(一
芡实丸(出危氏方)治思虑伤心。房劳伤肾。心肾不交。精元不固。面少颜
色。惊悸健忘。梦泄。小便赤涩。遗精白浊。足胫酸疼。耳聋目昏。(方见诸虚门补
虚固精类)
(案原方∶芡实蒸去壳。莲花须各二两。茯神去木。山茱萸取肉。龙骨生用。五味子。
枸杞子。熟地黄酒蒸焙。韭子炒。苁蓉酒浸。川牛膝去芦酒浸焙。紫石英 七次各一两。上
为细末。酒煮山药糊为丸如桐子大。每服七十丸。空心盐汤任下)
瑞莲丸(出济生方)治思虑伤心。便下赤浊。
白茯苓(去木) 石莲肉(炒去心) 龙骨(生用) 天门冬(去心) 麦门冬(去心)
远志
(去心甘草煮) 柏子仁(炒研) 当归(酒浸) 紫石英(醋 七次) 酸枣仁(炒去壳)
龙齿
(以上各一两) 乳香(半两各研) 上为末。炼蜜为丸如梧桐子大。朱砂为衣。每服七十
丸。
空心温
降心丹(出直指方)治心肾不交。盗汗遗精。及热药过多。上盛下虚。小便赤
白。常服镇心
(案原方∶熟干地黄净洗酒洒蒸焙干。天门冬去心。麦门冬去心各三两。茯苓去皮。人
参。远志甘草煮去芦。茯神。山药各二两。肉桂去粗皮不见火。朱砂研飞各半两。当归去芦
焙
清心莲子饮(一名加味清心饮)治心中客热烦躁。赤浊肥脂。
石莲肉 白茯苓(各一两) 益智仁(水浸出肉姜汁炒) 远志(水浸取肉) 麦门冬
(去心)
人参(各半两) 石菖蒲 车前子 白术(一两) 泽泻 甘草(炙各二钱) 上锉散。每
服三
钱。添灯心一握。煎热加薄荷少许。
韭子丸(出千金方)治小便失精及梦泄精。(方见诸虚门补虚固精类)
(案原方∶韭子微炒令香。鹿茸去毛涂酥炙令黄色。楮实淘去浮皮干微炒。泽泻。肉苁
蓉酒浸一宿去粗皮炙干。附子炮裂去皮脐各一两。石斛。远志去心。柏子仁。桂心去皮。牛
膝去苗。巴戟。川椒去目及闭口者微炒去汗。白术。薯蓣。覆盆子各三分。杜仲去粗皮炙微
黄色。黄 锉。狗脊去毛。枳壳去瓤麸炒。蛇床子。芎 。五味子。干姜锉制各半两。上为
末
妙应丸(出直指方)治赤白浊通用。
真龙骨 辰砂 浓朴(以腐草鞋重包插定火 并研细) 石菖蒲(各二钱半) 川楝子
(煎
去皮取肉半两) 白茯苓(二两) 益智仁(三两) 石莲肉(一两) 砂仁(三两) 桑
螵硝(瓦上
焙) 菟丝子(酒浸一宿各半两) 上以药碎研为末。糊丸如梧桐子大。每服五十丸。煎人
参
酸枣
韭子丸 治虚劳梦泄。(方见诸虚门补虚固精类)
(案原方∶用韭子七升净拣以醋汤煮千百沸。取出焙干。旋炒令作油麻香。捣罗为末。
炼蜜
固精丸(出济生方)治嗜欲过度。劳伤肾经。精元不固。梦遗白浊。
肉苁蓉(酒浸薄切焙) 阳起石( 研) 鹿茸(燎去毛酥炙) 韭子(炒) 龙骨(生
用) 赤
石脂( 七次) 川巴戟(去心) 白茯苓(去皮) 鹿角霜 附子(炮去皮脐各等分) 上
为细
末。
十补丸 治真气虚损。下焦耗竭。脐腹强急。腰腿疼痛。亡血盗汗。遗泄白浊。大
便自利。小便滑数。或三消渴疾。饮食倍常。肌肉消瘦。阳事不举。颜色枯槁。久服补
五脏。行荣卫
(案原方∶附子炮去皮脐。干姜炮。桂去心。菟丝子酒浸焙研。巴戟去心。浓朴去皮炒
姜制。远志去心姜汁浸炒。破故纸炒。赤石脂。川椒炒出汗去子者二两用。上为末。酒糊丸
如桐子
薰草汤 治梦失精。
薰草(一两) 人参(一两) 干地黄(三两) 白术 芍药(各二两) 茯神(一两)
桂心
甘草(炙各二两) 大枣(十二枚) 上切。以水八升。煮取三升。分为二服。每服如人行
四里。
一
石斛散 治男子梦泄精。
石斛(七分) 桑螵蛸 紫菀(各二分) 干漆(煮) 五味子 干地黄 钟乳粉(研)
远志
皮附子(炮去皮脐各二分) 上捣和为末。以酒服方寸匕。渐增至二匕。日三服。忌猪、
冷水、芜荑。
莲子清心饮(一名清心莲子饮)治心中蓄热。时常烦躁。因思虑劳力忧愁抑
郁。致小便白浊。或有沙粒。夜梦遗失遗淋沥。便赤如血。或因酒色过度。上盛下虚。
心火炎上。肺金受克。口舌干燥。渐成消渴。睡卧不安。四肢倦怠。男子五淋。妇人常
下赤白带。病后气不收敛
(案原方∶黄芩。麦门冬去心。车前子。甘草炙各半两。石莲肉去心。白茯苓。黄 蜜
《素问》说:肾精,是身体的根本。大概五脏六腑都有精,而肾是汇聚之所,也是关隘所在,听从心的指挥。
人若能效法道的清净,使精气在体内固守,心火下降至坎位(肾),肾水上升至离位(心),阴气平和,阳气秘固,精元就能严密地守护住。如果思虑没有节制,嗜好欲望过度,导致水火不能相交,精元失去坚守,于是便产生赤浊和白浊的病患。赤浊,是心虚有热所致,常因思虑过度而得病;白浊,是肾虚有寒所致,因嗜欲过度而得病。其症状表现为浑浊如油脂,光彩不定,小便浑浊,稠厚像膏糊一样,这都是嗜欲和思虑过度所导致的。各自分析受病的缘由,随即采用相应的治法。若能使坎离既济,阴阳协和,然后火不上炎而神志自然清明,水不下渗而精液自然固摄,哪里还会有赤浊白浊的病患呢?虽然如此,思虑过度,不仅伤心,也能伤脾。脾土虚弱而肾气不足,所以土邪克制水,也会让人大便混浊。史载之说:夏天土燥则水浊,冬天土坚则水清。医生如果一味峻补,疾病反而会加重。如果用中和的药物来治疗,水火既济,土自然坚固,精液也就固摄了。
遗精和白浊两种证候,脉象多涩。医经说:男子十六岁,肾气旺盛,天癸到来。天癸,是精的根本。肾脏不足,都是由于不善于养生,喜怒过多劳累,忧愁思虑,嗜欲过度,起居无常,导致心火炎上而不熄灭,肾水散漫而无归依,上下不能互相滋养,心和肾都生病,让人出现遗精和白浊。肾生病,也让人出现遗精和白浊,这都是心肾不交,关键不紧密的缘故。肾病的人应当禁固精气,心病的人应当安宁心神。更有年轻力壮之人,情动于中,心愿不得满足,意念淫乱于外,这一类人有这种证候,大要在治疗方法上,不宜使用秘固之法,秘固则病情更重,只应当用后方的猪苓丸来主治。因为半夏有利尿通导猪苓之气的作用。但是身体虚弱、精液滑泄的人,却不适宜服用。没有诱因而流出的叫“尿”,因见闻刺激而流出的叫“精”。心不足而肾热的叫赤浊,心不足而肾冷的叫白浊。阴气不升,阳气不降,所以有情浊不分。又有脾精不禁,小便漏浊淋沥不止,手足腰背酸痛,用苍术等药剂,使脾精生于阴分。邪气客居阴分,神不守舍,所以心中有所感触做梦而后泄精。其症状有少年气盛,单身旷久,强制情欲,不知不觉,这种泄精就像瓶子满了而溢出一样。人中有这种情况的,这是无病,不用吃药就可以了。心家气虚,不能主宰,或者心受热,阳气不收,这种泄精就像瓶子侧放而流出一样。人多有这种情况,病情还较轻,令用和平的药剂来补益。脏腑精弱,元气久已亏损,心不能摄念,肾不能摄精,这种泄精就像瓶子破了而渗漏一样。人中有这种情况的,病情最重,必须大补阳气。有人说梦遗比房劳更严重,这是世间习闻的说法。又有神气消磨,异性横生,风邪乘虚而入,干扰正气,往往与妖魅交媾,这尤其严重。宜用法药互取的方法治疗。
方剂:
韭子丸(出自《千金方》)治疗房事过度,精液自出不禁,腰背不能屈伸,饮食不生肌肉,两脚苦于软弱。
韭子(一升) 甘草(一两) 桂心(半两) 紫石英(半两) 当归(二两) 禹余粮(一两)
远志(一两) 山茱萸(一两) 天雄(一两) 紫菀(半两) 薯蓣(半两) 细辛(一两) 茯苓(一两) 僵蚕(半两) 菖蒲(半两) 人参(一两) 杜仲(一两) 白术(二两) 干姜(二两) 芎藭(二两) 附子 石斛(各一两) 大枣(五十个) 牛膝(一两) 干漆(半两) 天门冬(一两半) 茯苓(一两) 黄芪(一两) 菟丝子(一两) 干地黄(二两) 蛇床子(半两)。
以上研为细末,加入牛髓,令白蜜枣膏合捣三五千杵,制成梧桐子大小的丸药。空腹服用,每次十五丸,每日两次,可加至二十丸。
玉锁九真丹(出自《危氏方》)治疗元气不足,思虑太过,肾经虚损,真阳不固,随即有遗泄,小便经年白浊,或淡赤,或如膏状,或睡梦中精泄,甚至身体拘急疲倦,骨节酸疼,饮食不进,面色黧黑。
白龙骨(半斤) 磁石(醋淬七次) 朱砂(各一两) 牡蛎(一两) 紫稍花(一两半) 家韭子 菟丝子(各二两) 鹿茸(酒浸炙) 白茯苓(一两) 川巴戟(一两) 官桂(一两) 肉苁蓉(酒浸) 桑螵蛸(酒浸) 当归(各二两) 木香(不见火) 远志(甘草水煮取肉) 苍术(各一两) 茴香(炒) 吴茱萸(炒) 川楝子(炒) 桑寄生(各半两) 沉香(半两) 绵黄芪(一两) 附子(炮去皮脐一两)。
以上研为末,炼蜜和丸如梧桐子大小。每次服用五十丸,温酒盐汤送下。
棘刺丸 治疗虚劳诸气不足,梦泄失精。(方见小便淋秘门小便利多类)
(案原方:棘刺、石龙芮、巴戟天各二两,浓朴、麦门冬去心、菟丝子、萆薢(一方作草薢)、葳蕤、柏子仁、干地黄、小草、细心、杜仲、牛膝、苁蓉、石斛、桂心、防葵各一两,乌头半两。以上研为末,蜜和,再捣五六千杵,丸如梧桐子大小。饮服十丸,每日二次,加至三十丸,以见效为准。)
入药虞砂丸(出自《危氏方》)治疗诸虚百损,白浊,耳鸣。
当归(酒浸) 鹿茸(去毛盐水酒炙) 黄芪(各一两) 沉香(一两) 北五味子(半两) 远志(一两) 熟地黄(二两) 人参(二两) 龙骨(一两) 附子 巴戟天(各一两) 虞砂(一两)。
以上研为末,酒糊丸。每次服用五十丸至七十丸,温服盐汤送下。
龙齿补心汤(出自《直指方》)治疗诸虚不足潮热,心内惊惕,睡卧不宁,小便油浊。
龙齿(一两) 人参 当归(酒浸) 熟地黄(各一两) 桔梗(焙) 酸枣仁(半两) 麦门冬(去心) 半夏曲(各一两) 白术(炒) 甘草(各半两炙) 枳壳(麸炒) 白茯苓(去木) 远志(一两) 肉桂(二钱半) 黄芪(七钱半炙)。
以上研为末,每次服用三钱,用水一盏半,生姜五片,粳米一撮,同煎,不拘时候服用。
鹿茸益精丸(出自《直指方》)治疗心虚肾冷,漏精白浊。
鹿茸(去毛酥炙) 桑螵蛸(瓦上焙) 肉苁蓉 当归 巴戟天(去心) 菟丝子(酒浸) 杜仲(盐水炒断丝) 益智仁 川楝子(去皮取肉) 赤石脂 韭子(炒) 禹余粮(醋淬碎为度,各三钱) 破故纸 山茱萸 龙骨(二两) 滴乳香(一分)。
以上研为末,酒糊丸如梧桐子大小。每次服用七丸……(原文此处似有缺漏,接下文)
鹿茸菟丝丸(出自《经验方》)治疗心肾不交,小便滑数,精神耗散,腰脚无力。
鹿茸 肉苁蓉 干地黄 萆薢 杜仲 五味子 白茯苓(各二两) 木瓜(一两) 巴戟天 枸杞子 川牛膝 补骨脂 青盐(各二两) 菟丝子 金铃子(各五两) 莲肉(八两)。
以上根据法定炮制方法处理……
暖肾丸(出自《直指方》)治疗肾虚多溺,或小便不禁而浊。
葫芦巴(炒一两) 破故纸(炒半两) 川楝子(炒研一两) 益智仁(二两) 熟地黄(三两) 鹿茸(酥炙) 赤石脂(各一两) 山茱萸(一两) 代赭石(醋淬) 龙骨(各半两) 海螵蛸(一两) 艾叶(醋煮) 丁香 沉香 乳香(各二钱) 禹余粮(醋淬碎三钱)。
以上研为末,糊丸如桐子大小。
子午丸(出自《危氏方》)治疗心肾俱虚,梦寐惊悸,常自烦闷,短气不乐,消渴停饮,下赤白浊。
榧子(去壳二两) 莲肉(去心) 枸杞子 白龙骨 川巴戟(去心) 破故纸(炒) 真琥珀(各一两) 蛤蚧(半两) 莲花(半两) 牡蛎(一两)。
以上研为末,酒蒸肉苁蓉一斤,烂研为丸,如梧桐子大小,朱砂为衣。煎萆薢汤空腹吞下,忌劳力房事。
十四友丸 补诸虚不足,益血,收敛心气,治疗怔忡不宁,精神昏倦不安,赤白浊甚。
心肾丸 治疗水火不济,心下怔忡,夜多盗汗,便赤梦遗。(方见诸虚门补虚固精类)
(案原方:菟丝子淘酒蒸二两,麦门冬去心二两。以上为细末,炼蜜为丸如桐子大小。每次服用七十丸……)
鹿茸散 治疗脏腑久虚梦泄。
鹿角屑(一两) 鹿茸(酥炙一两) 白茯苓(三钱) 人参(一两) 桑螵蛸(细研一两) 芎藭(一两) 当归(一两) 破故纸(炒) 龙骨(各半两) 柏子仁(去壳) 甘草(炙各一两) 榧子(一两) 家韭子(出自《直指方》治疗肾气不足精遗。(方见小便淋秘门小便遗失类)
(案原方:家韭子六两,鹿茸四两,苁蓉酒浸,牛膝酒浸,熟地黄,当归各二两,巴戟去心,菟丝子酒浸各一两半,杜仲去皮,金石斛去苗,桂心,干姜炮各一两。以上为末,酒和丸如梧桐子大小。每次服用五十丸,加至百丸,空心食前盐汤酒下。小儿遗尿,多因服寒药,亦禀受阳气不足……)
远志丸(出自《直指方》)治疗肾不足遗精白浊,惊悸健忘,梦寐不安,足胫酸疼。
远志(去心取肉) 地黄(洗) 天门冬(去心) 龙齿(各一两研) 麦门冬(去心) 五味子(一两) 车前子(半两) 白茯苓(去木) 地骨皮(各一两三钱) 桂(六钱) 山药(炒) 熟地黄(一两)……
芡实丸(出自《危氏方》)治疗思虑伤心,房劳伤肾,心肾不交,精元不固,面少颜色,惊悸健忘,梦泄,小便赤涩,遗精白浊,足胫酸疼,耳聋目昏。(方见诸虚门补虚固精类)
(案原方:芡实蒸去壳,莲花须各二两,茯神去木,山茱萸取肉,龙骨生用,五味子,枸杞子,熟地黄酒蒸焙,韭子炒,苁蓉酒浸,川牛膝去芦酒浸焙,紫石英醋淬七次各一两。以上为细末,酒煮山药糊为丸如桐子大小。每次服用七十丸,空心盐汤任下。)
瑞莲丸(出自《济生方》)治疗思虑伤心,便下赤浊。
白茯苓(去木) 石莲肉(炒去心) 龙骨(生用) 天门冬(去心) 麦门冬(去心) 远志(去心甘草煮) 柏子仁(炒研) 当归(酒浸) 紫石英(醋淬七次) 酸枣仁(炒去壳) 龙齿(以上各一两) 乳香(半两各研)。
以上研为末,炼蜜为丸如梧桐子大小,朱砂为衣。每次服用七十丸,空心温……
降心丹(出自《直指方》)治疗心肾不交,盗汗遗精,及热药过多,上盛下虚,小便赤白,常服镇心。
(案原方:熟干地黄净洗酒洒蒸焙干,天门冬去心,麦门冬去心各三两,茯苓去皮,人参,远志甘草煮去芦,茯神,山药各二两,肉桂去粗皮不见火,朱砂研飞各半两,当归去芦焙……)
清心莲子饮(一名加味清心饮)治疗心中客热烦躁,赤浊肥脂。
石莲肉 白茯苓(各一两) 益智仁(水浸出肉姜汁炒) 远志(水浸取肉) 麦门冬(去心) 人参(各半两) 石菖蒲 车前子 白术(一两) 泽泻 甘草(炙各二钱)。
以上锉散,每次服用三钱,添灯心一握,煎热加薄荷少许。
韭子丸(出自《千金方》)治疗小便失精及梦泄精。(方见诸虚门补虚固精类)
(案原方:韭子微炒令香,鹿茸去毛涂酥炙令黄色,楮实淘去浮皮干微炒,泽泻,肉苁蓉酒浸一宿去粗皮炙干,附子炮裂去皮脐各一两,石斛,远志去心,柏子仁,桂心去皮,牛膝去苗,巴戟,川椒去目及闭口者微炒去汗,白术,薯蓣,覆盆子各三分,杜仲去粗皮炙微黄色,黄芪锉,狗脊去毛,枳壳去瓤麸炒,蛇床子,芎藭,五味子,干姜锉制各半两。以上为末……)
妙应丸(出自《直指方》)治疗赤白浊通用。
真龙骨 辰砂 浓朴(以腐草鞋重包插定火煅并研细) 石菖蒲(各二钱半) 川楝子(煎去皮取肉半两) 白茯苓(二两) 益智仁(三两) 石莲肉(一两) 砂仁(三两) 桑螵蛸(瓦上焙) 菟丝子(酒浸一宿各半两)。
以上以药碎研为末,糊丸如梧桐子大小。每次服用五十丸,煎人参酸枣……
韭子丸 治疗虚劳梦泄。(方见诸虚门补虚固精类)
(案原方:用韭子七升净拣以醋汤煮千百沸,取出焙干,旋炒令作油麻香,捣罗为末,炼蜜……)
固精丸(出自《济生方》)治疗嗜欲过度,劳伤肾经,精元不固,梦遗白浊。
肉苁蓉(酒浸薄切焙) 阳起石(煅研) 鹿茸(燎去毛酥炙) 韭子(炒) 龙骨(生用) 赤石脂(醋淬七次) 川巴戟(去心) 白茯苓(去皮) 鹿角霜 附子(炮去皮脐各等分)。
以上为细末……
十补丸 治疗真气虚损,下焦耗竭,脐腹强急,腰腿疼痛,亡血盗汗,遗泄白浊,大便自利,小便滑数,或三消渴疾,饮食倍常,肌肉消瘦,阳事不举,颜色枯槁,久服补五脏,行荣卫。
(案原方:附子炮去皮脐,干姜炮,桂去心,菟丝子酒浸焙研,巴戟去心,浓朴去皮炒姜制,远志去心姜汁浸炒,破故纸炒,赤石脂,川椒炒出汗去子者二两用。以上为末,酒糊丸如桐子……)
薰草汤 治疗梦失精。
薰草(一两) 人参(一两) 干地黄(三两) 白术 芍药(各二两) 茯神(一两) 桂心 甘草(炙各二两) 大枣(十二枚)。
以上切碎,以水八升,煮取三升,分为二服。每服如人行四里……
石斛散 治疗男子梦泄精。
石斛(七分) 桑螵蛸 紫菀(各二分) 干漆(煮) 五味子 干地黄 钟乳粉(研) 远志 附子皮附子(炮去皮脐各二分)。
以上捣和为末,以酒服方寸匕,渐增至二匕,日三服,忌猪、冷水、芜荑。
莲子清心饮(一名清心莲子饮)治疗心中蓄热,时常烦躁,因思虑劳力忧愁抑郁,致小便白浊,或有沙粒,夜梦遗失遗淋沥,便赤如血,或因酒色过度,上盛下虚,心火炎上,肺金受克,口舌干燥,渐成消渴,睡卧不安,四肢倦怠,男子五淋,妇人常下赤白带,病后气不收敛。
(案原方:黄芩,麦门冬去心,车前子,甘草炙各半两,石莲肉去心,白茯苓,黄芪蜜……)
The *Suwen* (Basic Questions) states: Kidney essence is the root of the body. Generally, the five zang organs and six fu organs all possess essence, but the Kidney is the gathering place, the pass and pivot, obeying the command of the Heart.
If a person can emulate the purity and stillness of the Dao, holding essence and qi internally, with Heart Fire descending to the Kan position (Kidney) and Kidney Water ascending to the Li position (Heart), Yin will be peaceful and Yang will be secure, thus the primordial essence will be tightly consolidated. If thoughts are unregulated and desires are excessive, causing Water and Fire to fail to interact, the primordial essence will be lost, leading to the affliction of red turbidity and white turbidity. Red turbidity is caused by Heart deficiency with heat, often resulting from excessive thinking. White turbidity is caused by Kidney deficiency with cold, resulting from excessive desires. The symptoms present as urine coagulating like oil, with uncertain luster, turbid urination, thick like paste or gruel; all these are caused by excessive desire and thinking. Analyzing the causes of each disease separately, one should immediately apply corresponding treatments. Once Kan and Li interact and Yin and Yang harmonize, Fire will not flare upward and the spirit will naturally be clear; Water will not seep downward and essence will naturally be secured. How could there then be afflictions of red and white turbidity? Although so, excessive thinking not only harms the Heart but also damages the Spleen. When Spleen Earth is weak and Kidney water is insufficient, Earth evil overcomes Water, causing turbid stool. Shi Zai-zhi said: In summer, when Earth is dry, water becomes turbid; in winter, when Earth is firm, water is clear. If physicians use harsh tonification, the disease will worsen. If treated with neutralizing medicines, Water and Fire will interact, Earth will naturally become firm, and essence will be secured.
For the two syndromes of spermatorrhea and white turbidity, the pulse is often choppy. The medical classics state: At age sixteen, a man's Kidney Qi is vigorous, and Tian Gui arrives. Tian Gui is the root of essence. Kidney insufficiency arises from failing to maintain health properly, frequent anger and joy, overwork, worry and thinking, excessive desires, and irregular daily routines. This leads to Heart Fire flaring upward without extinguishing, and Kidney Water scattering without returning, preventing mutual nourishment between upper and lower. Heart and Kidney diseases cause spermatorrhea and white turbidity. Kidney disease also causes spermatorrhea and white turbidity. All are due to the non-interaction of Heart and Kidney and the lack of tightness in the key mechanisms. For Kidney disease, one should consolidate and restrict; for Heart disease, one should calm and soothe. Furthermore, young and strong individuals whose emotions stir internally, whose wishes are unfulfilled, and whose minds indulge externally, suffer from this syndrome. The general principle of treatment is not to use restrictive methods, as restriction will worsen the condition. Instead, one should primarily use the Zhu Ling Pill (Zhu Ling Wan). This is because Ban Xia has the effect of promoting diuresis and guiding Qi to ensure patency. However, those with deficiency damage and seminal emission should not take it. Emission without cause is called "urine"; emission triggered by sights and sounds is called "essence". Heart deficiency with Kidney heat is called "red turbidity"; Heart deficiency with Kidney cold is called "white turbidity". When Yin does not ascend and Yang does not descend, emotional turbidity is indistinguishable. There is also Spleen essence failing to be controlled, with continuous leakage and dribbling of turbid urine, and soreness and pain in the limbs, waist, and back; treat with Cang Zhu and other agents to generate Spleen essence within Yin. When pathogenic factors lodge in Yin, the Spirit does not reside in its house, so upon mental stimulation and dreaming, emission occurs. Symptoms include vigorous Qi in youth, prolonged celibacy, forced suppression of desires, and unconscious emission, similar to a bottle overflowing when full. This is considered disease-free and requires no medication. Heart Qi deficiency failing to govern, or Heat in the Heart causing Yang Qi to fail to gather, results in emission like liquid pouring from a tilted bottle. This is common and relatively mild; treat with gentle tonifying agents. Weakness of organ essence and long-standing depletion of Yuan Qi, where the Heart fails to control thoughts and the Kidney fails to control essence, result in emission like a leaking broken bottle. This is the most severe condition; major Yang tonification is required. Some say nocturnal emission is worse than sexual fatigue; this is a common worldly belief. Others experience consumption of Shen Qi, sudden lustful thoughts, and Wind pathogens taking advantage of deficiency to interfere with Zheng Qi, often engaging in intercourse with demons/spirits, which is even more severe. Treat using a combination of ritual methods and medicine.
Formulas:
Jiu Zi Wan (Leek Seed Pill) [from *Qianjin Fang*]: Treats excessive sexual activity, uncontrollable spontaneous seminal emission, inability to bend or extend the waist and back, food failing to nourish muscles, and weakness in both legs.
Ingredients: Jiu Zi (1 sheng), Gan Cao (1 liang), Gui Xin (0.5 liang), Zi Shi Ying (0.5 liang), Dang Gui (2 liang), Yu Yu Liang (1 liang), Yuan Zhi (1 liang), Shan Zhu Yu (1 liang), Tian Xiong (1 liang), Zi Wan (0.5 liang), Shu Yu (0.5 liang), Xi Xin (1 liang), Fu Ling (1 liang), Jiang Can (0.5 liang), Chang Pu (0.5 liang), Ren Shen (1 liang), Du Zhong (1 liang), Bai Zhu (2 liang), Gan Jiang (2 liang), Xiong (2 liang), Fu Zi, Shi Hu (each 1 liang), Da Zao (50 pieces), Niu Xi (1 liang), Gan Qi (0.5 liang), Tian Men Dong (1.5 liang), Fu Ling (1 liang), Huang Qi (1 liang), Tu Si Zi (1 liang), Gan Di Huang (2 liang), She Chuang Zi (0.5 liang).
Preparation: Grind into fine powder, add beef marrow, mix with white honey and jujube paste, pound 3,000–5,000 times. Form pills the size of paulownia seeds. Take on an empty stomach, 15 pills per dose, twice daily, increasing to 20 pills if necessary.
Yu Suo Jiu Zhen Dan (Jade Lock Nine True Elixir) [from *Wei Shi Fang*]: Treats insufficiency of Yuan Qi, excessive thinking, deficiency damage of the Kidney channel, insecurity of True Yang, subsequent seminal emission, year-round white turbidity in urine (or pale red, or paste-like), nocturnal emission, stiffness and fatigue of the body, soreness of bone joints, loss of appetite, and dark complexion.
Ingredients: Bai Long Gu (0.5 jin), Ci Shi (quenched in vinegar 7 times), Zhu Sha (each 1 liang), Mu Li (1 liang), Zi Shao Hua (1.5 liang), Jia Jiu Zi, Tu Si Zi (each 2 liang), Lu Rong (soaked in wine and roasted), Bai Fu Ling (1 liang), Chuan Ba Ji (1 liang), Guan Gui (1 liang), Rou Cong Rong (soaked in wine), Sang Piao Xiao (soaked in wine), Dang Gui (each 2 liang), Mu Xiang (not exposed to fire), Yuan Zhi (boiled in Gan Cao water, flesh taken), Cang Zhu (each 1 liang), Hui Xiang (stir-fried), Wu Zhu Yu (stir-fried), Chuan Lian Zi (stir-fried), Sang Ji Sheng (each 0.5 liang), Chen Xiang (0.5 liang), Mian Huang Qi (1 liang), Fu Zi (roasted, skin and umbilicus removed, 1 liang).
Preparation: Grind into powder, mix with refined honey to form pills the size of paulownia seeds. Take 50 pills per dose, washed down with warm wine and salt water.
Ji Ci Wan (Thorn Pill): Treats deficiency labor and insufficiency of various Qi, nocturnal emission and loss of essence. (Formula see section on Urinary Difficulty and Secretion, Category of Frequent Clear Urination).
(Original Formula Note: Ji Ci, Shi Long Rui, Ba Ji Tian each 2 liang; Hou Po, Mai Men Dong (heart removed), Tu Si Zi, Bi Xie (alternative formula uses Cao Bi Xie), Wei Rui, Bai Zi Ren, Gan Di Huang, Xiao Cao, Xi Xin, Du Zhong, Niu Xi, Cong Rong, Shi Hu, Gui Xin, Fang Kui each 1 liang; Wu Tou 0.5 liang. Grind into powder, mix with honey, pound 5,000–6,000 times. Form pills the size of paulownia seeds. Take 10 pills with water, twice daily, increasing to 30 pills until effective.)
Ru Yao Yu Sha Wan (Medicine-Containing Cinnabar Pill) [from *Wei Shi Fang*]: Treats various deficiencies and hundred damages, white turbidity, and tinnitus.
Ingredients: Dang Gui (soaked in wine), Lu Rong (de-haired, roasted in salt water and wine), Huang Qi (each 1 liang), Chen Xiang (1 liang), Bei Wu Wei Zi (0.5 liang), Yuan Zhi (1 liang), Shu Di (each 2 liang), Ren Shen (2 liang), Long Gu (1 liang), Fu Zi, Ba Ji (each 1 liang), Yu Sha (1 liang).
Preparation: Grind into powder, mix with wine paste to form pills. Take 50–70 pills per dose, warm with salt water.
Long Chi Bu Xin Tang (Dragon Tooth Tonifying Heart Decoction) [from *Zhi Zhi Fang*]: Treats deficiency labor with tidal fever, palpitations and fright inside the Heart, restless sleep, and oily turbid urine.
Ingredients: Long Chi (1 liang), Ren Shen, Dang Gui (soaked in wine), Shu Di (each 1 liang), Jie Geng (roasted), Suan Zao Ren (0.5 liang), Mai Men Dong (heart removed), Ban Xia Qu (each 1 liang), Bai Zhu (stir-fried), Gan Cao (each 0.5 liang, roasted), Zhi Ke (bran-roasted), Bai Fu Ling (wood removed), Yuan Zhi (1 liang), Rou Gui (2.5 qian), Huang Qi (7.5 qian, roasted).
Preparation: Grind into powder. Take 3 qian per dose, with 1.5 cups of water, 5 slices of ginger, and a pinch of Jing Mi. Decoct together, take at any time.
Lu Rong Yi Jing Wan (Deer Horn Essence-Benefiting Pill): Treats Heart deficiency and Kidney cold, seminal leakage and white turbidity.
Ingredients: Lu Rong (de-haired, roasted in butter), Sang Piao Xiao (roasted on tile), Rou Cong Rong, Dang Gui, Ba Ji Tian (heart removed), Tu Si Zi (soaked in wine), Du Zhong (stir-fried in salt water until fibers break), Yi Zhi Ren, Chuan Lian Zi (skin removed, flesh taken), Chi Shi Zhi, Jiu Zi (stir-fried), Yu Yu Liang (crushed after quenching in vinegar, each 3 qian), Po Gu Zhi, Shan Zhu Yu, Long Gu (2 liang), Di Ru Xiang (1 fen).
Preparation: Grind into powder, mix with wine paste to form pills the size of paulownia seeds. Take 7 pills per dose... (Text cuts off here).
Lu Rong Tu Si Wan (Deer Horn and Dodder Pill) [from *Jing Yan Fang*]: Treats non-interaction of Heart and Kidney, slippery and frequent urination, dissipation of spirit, and weakness of waist and legs.
Ingredients: Lu Rong, Rou Cong Rong, Gan Di Huang, Bi Xie, Du Zhong, Wu Wei Zi, Bai Fu Ling (each 2 liang); Mu Gua (1 liang); Ba Ji Tian, Gou Qi Zi, Chuan Niu Xi, Bu Gu Zhi, Qing Yan (each 2 liang); Tu Si Zi, Jin Ling Zi (each 5 liang); Lian Rou (8 liang).
Process according to method...
Nuan Shen Wan (Warming Kidney Pill) [from *Zhi Zhi Fang*]: Treats Kidney deficiency with polyuria, or uncontrollable turbid urination.
Ingredients: Hu Lu Ba (stir-fried 1 liang), Po Gu Zhi (stir-fried 0.5 liang), Chuan Lian Zi (stir-fried and ground 1 liang), Yi Zhi Ren (2 liang), Shu Di Huang (3 liang), Lu Rong (roasted in butter), Chi Shi Zhi (each 1 liang), Shan Zhu Yu (1 liang), Dai Zhe Shi (quenched in vinegar), Long Gu (each 0.5 liang), Hai Piao Xiao (1 liang), Ai Ye (boiled in vinegar), Ding Xiang, Chen Xiang, Ru Xiang (each 2 qian), Yu Yu Liang (crushed after quenching in vinegar, 3 qian).
Preparation: Grind into powder, mix with paste to form pills the size of sesame seeds.
Zi Wu Wan (Midnight-Noon Pill) [from *Wei Shi Fang*]: Treats dual deficiency of Heart and Kidney, nocturnal fright and palpitations, constant vexation, shortness of breath and unhappiness, thirst with fluid retention, and lower red/white turbidity.
Ingredients: Fei Zi (shelled 2 liang), Lian Rou (heart removed), Gou Qi Zi, Bai Long Gu, Chuan Ba Ji (heart removed), Po Gu Zhi (stir-fried), Zhen Hu Po (each ...), Ge Jie (0.5 liang), Lian Hua (0.5 liang), Mu Li (1 liang).
Preparation: Grind into powder. Steam 1 jin of Rou Cong Rong in wine, mash finely, and form pills the size of paulownia seeds. Coat with Zhu Sha. Swallow on an empty stomach with decoction of Bi Xie. Avoid labor and sexual activity.
Shi Si You Wan (Fourteen Friends Pill): Tonifies various deficiencies, benefits blood, consolidates Heart Qi, treats palpitations and restlessness, mental fatigue and unease, and severe red/white turbidity.
Xin Shen Wan (Heart-Kidney Pill): Treats non-interaction of Water and Fire, palpitations below the Heart, night sweats, red urine, and nocturnal emission. (Formula see section on Various Deficiencies, Category of Tonifying Deficiency and Consolidating Essence).
(Original Formula Note: Tu Si Zi steamed in wine 2 liang, Mai Men Dong (heart removed) 2 liang. Grind into fine powder, mix with refined honey to form pills the size of sesame seeds. Take 70 pills...)
Lu Rong San (Deer Horn Powder): Treats long-term deficiency of Zang-Fu organs with nocturnal emission.
Ingredients: Lu Jiao Xie (1 liang), Lu Rong (roasted in butter 1 liang), Bai Fu Ling (3 qian), Ren Shen (1 liang), Sang Piao Xiao (finely ground 1 liang), Xiong (1 liang), Dang Gui (1 liang), Po Gu Zhi (stir-fried), Long Gu (each 0.5 liang), Bai Zi Ren (shelled), Gan Cao (roasted, each 1 liang), Fei Zi... Jia Jiu Zi [from *Zhi Zhi Fang*] treats Kidney Qi insufficiency with seminal emission. (Formula see section on Urinary Difficulty and Secretion, Category of Urinary Incontinence).
(Original Formula Note: Jia Jiu Zi 6 liang, Lu Rong 4 liang, Cong Rong soaked in wine, Niu Xi soaked in wine, Shu Di Huang, Dang Gui each 2 liang, Ba Ji (heart removed), Tu Si Zi soaked in wine each 1.5 liang, Du Zhong peeled, Jin Shi Hu de-rooted, Gui Xin, Gan Jiang roasted each 1 liang. Grind into powder, mix with wine to form pills the size of paulownia seeds. Take 50 pills, increasing to 100, on an empty stomach before meals with salt water and wine. Pediatric enuresis is often due to consuming cold medicines or inheriting Yang Qi...)
Yuan Zhi Wan (Polygala Pill) [from *Zhi Zhi Fang*]: Treats Kidney insufficiency with spermatorrhea and white turbidity, palpitations and forgetfulness, restless dreams, and soreness/pain in calves.
Ingredients: Yuan Zhi (heart removed, flesh taken), Di Huang (washed), Tian Men Dong (heart removed), Long Chi (each 1 liang, ground), Mai Men Dong (heart removed), Wu Wei Zi (1 liang), Che Qian Zi (0.5 liang), Bai Fu Ling (wood removed), Di Gu Pi (each 1.3 liang), Gui (6 qian), Shan Yao (stir-fried), Shu Di...
Qian Shi Wan (Euryale Seed Pill) [from *Wei Shi Fang*]: Treats Heart damage from thinking, Kidney damage from sexual fatigue, non-interaction of Heart and Kidney, insecurity of primordial essence, sallow complexion, palpitations and forgetfulness, nocturnal emission, painful/scanty red urine, spermatorrhea and white turbidity, soreness/pain in calves, deafness, and blurred vision. (Formula see section on Various Deficiencies, Category of Tonifying Deficiency and Consolidating Essence).
(Original Formula Note: Qian Shi steamed and shelled, Lian Hua Xu each 2 liang; Fu Shen (wood removed), Shan Zhu Yu (flesh taken), Long Gu raw, Wu Wei Zi, Gou Qi Zi, Shu Di Huang steamed in wine and baked, Jiu Zi stir-fried, Cong Rong soaked in wine, Chuan Niu Xi de-rhizome and soaked in wine and baked, Zi Shi Ying quenched in vinegar 7 times each 1 liang. Grind into fine powder, make pill paste with wine-boiled Shan Yao. Form pills the size of sesame seeds. Take 70 pills on an empty stomach with salt water.)
Rui Lian Wan (Auspicious Lotus Pill) [from *Ji Sheng Fang*]: Treats Heart damage from thinking and passage of red turbid urine.
Ingredients: Bai Fu Ling (wood removed), Shi Lian Rou (stir-fried, heart removed), Long Gu (raw), Tian Men Dong (heart removed), Mai Men Dong (heart removed), Yuan Zhi (heart removed, boiled in Gan Cao), Bai Zi Ren (stir-fried and ground), Dang Gui (soaked in wine), Zi Shi Ying (quenched in vinegar 7 times), Suan Zao Ren (stir-fried, shelled), Long Chi (each 1 liang above), Ru Xiang (0.5 liang, each ground).
Preparation: Grind into powder, mix with refined honey to form pills the size of paulownia seeds. Coat with Zhu Sha. Take 70 pills on an empty stomach, warm...
Jiang Xin Dan (Descending Heart Pill) [from *Zhi Zhi Fang*]: Treats non-interaction of Heart and Kidney, night sweats and spermatorrhea, and excessive intake of hot medicines causing upper excess and lower deficiency, red/white urine. Regular use calms the Heart.
(Original Formula Note: Shu Gan Di Huang washed and steamed in wine, Tian Men Dong (heart removed), Mai Men Dong (heart removed) each 3 liang; Fu Ling peeled, Ren Shen, Yuan Zhi (boiled in Gan Cao, de-rhizome), Fu Shen, Shan Yao each 2 liang; Rou Gui (bark removed, not exposed to fire), Zhu Sha (ground and floated) each 0.5 liang; Dang Gui de-rhizome and baked...)
Qing Xin Lian Zi Yin (Clear Heart Lotus Seed Drink) (aka Modified Clear Heart Drink): Treats guest heat and irritability in the Heart, red turbidity and fatty deposits.
Ingredients: Shi Lian Rou, Bai Fu Ling (each 1 liang), Yi Zhi Ren (soaked in water, flesh extracted, stir-fried in ginger juice), Yuan Zhi (soaked in water, flesh extracted), Mai Men Dong (heart removed), Ren Shen (each 0.5 liang), Shi Chang Pu, Che Qian Zi, Bai Zhu (1 liang), Ze Xie, Gan Cao (roasted, each 2 qian).
Preparation: Cut into pieces. Take 3 qian per dose, add a handful of Deng Xin Cao, decoct hot, add a little Bo He.
Jiu Zi Wan (Leek Seed Pill) [from *Qianjin Fang*]: Treats seminal loss in urine and nocturnal emission. (Formula see section on Various Deficiencies, Category of Tonifying Deficiency and Consolidating Essence).
(Original Formula Note: Jiu Zi lightly stir-fried until fragrant, Lu Rong de-haired, coated with butter and roasted yellow, Chu Shi washed to remove floating skin and lightly stir-fried dried, Ze Xie, Rou Cong Rong soaked in wine overnight, bark removed, roasted dry, Fu Zi cracked by roasting, skin and umbilicus removed each 1 liang, Shi Hu, Yuan Zhi (heart removed), Bai Zi Ren, Gui Xin (bark removed), Niu Xi de-tips, Ba Ji, Chuan Jiao (eyes and closed-mouth ones removed, lightly stir-fried to remove sweat), Bai Zhu, Shu Yu, Fu Pen Zi each 3 fen, Du Zhuo (bark removed, roasted light yellow), Huang Qi cut, Gou Ji de-hair, Zhi Ke (pulp removed, bran-roasted), She Chuang Zi, Xiong, Wu Wei Zi, Gan Jiang cut and processed each 0.5 liang. Grind into powder...)
Miao Ying Wan (Miraculous Response Pill) [from *Zhi Zhi Fang*]: General treatment for red and white turbidity.
Ingredients: Zhen Long Gu, Chen Sha, Hou Po (wrapped heavily in rotten grass shoes, fixed, roasted and ground fine), Shi Chang Pu (each 2.5 qian), Chuan Lian Zi (boiled, skin removed, flesh 0.5 liang), Bai Fu Ling (2 liang), Yi Zhi Ren (3 liang), Shi Lian Rou (1 liang), Sha Ren (3 liang), Sang Piao Xiao (roasted on tile), Tu Si Zi (soaked in wine overnight, each 0.5 liang).
Preparation: Crush and grind medicines into powder, mix with paste to form pills the size of paulownia seeds. Take 50 pills per dose, decoct Ren Shen and Suan Zao...
Jiu Zi Wan: Treats deficiency labor and nocturnal emission. (Formula see section on Various Deficiencies, Category of Tonifying Deficiency and Consolidating Essence).
(Original Formula Note: Use 7 sheng clean Jiu Zi, boil in vinegar water for thousands of boils, take out and bake dry, stir-fry until smelling like sesame oil, grind into powder, mix with refined honey...)
Gu Jing Wan (Consolidate Essence Pill) [from *Ji Sheng Fang*]: Treats excessive desires, Kidney channel damage from overwork, insecurity of primordial essence, nocturnal emission and white turbidity.
Ingredients: Rou Cong Rong (thinly sliced, soaked in wine, baked), Yang Qi Shi (quench and grind), Lu Rong (burn hair off, roast in butter), Jiu Zi (stir-fried), Long Gu (raw), Chi Shi Zhi (quench in vinegar 7 times), Chuan Ba Ji (heart removed), Bai Fu Ling (peeled), Lu Jiao Shuang, Fu Zi (roasted, skin and umbilicus removed, equal parts).
Grind into fine powder...
Shi Bu Wan (Ten Tonics Pill): Treats deficiency of True Qi, exhaustion of Lower Jiao, rigidity of navel and abdomen, pain in waist and legs, blood loss and night sweats, seminal emission and white turbidity, spontaneous loose stools, slippery and frequent urination, or three consumptions/thirst diseases, double normal food intake, muscle emaciation, impotence, withered complexion. Long-term use tonifies the Five Zang and promotes Ying and Wei.
(Original Formula Note: Fu Zi roasted, skin and umbilicus removed; Gan Jiang roasted; Gui de-heart; Tu Si Zi soaked in wine, baked and ground; Ba Ji de-heart; Hou Po peeled, stir-fried with ginger processing; Yuan Zhi de-heart, soaked in ginger juice and stir-fried; Po Gu Zhi stir-fried; Chi Shi Zhi; Chuan Jiao stir-fried to release sweat, remove seeds, use 2 liang. Grind into powder, mix with wine paste to form pills the size of sesame seeds...)
Xun Cao Tang (Herb Decoction): Treats nocturnal seminal loss.
Ingredients: Xun Cao (1 liang), Ren Shen (1 liang), Gan Di Huang (3 liang), Bai Zhu, Shao Yao (each 2 liang), Fu Shen (1 liang), Gui Xin, Gan Cao (roasted, each 2 liang), Da Zao (12 pieces).
Cut into pieces. Add 8 sheng of water, decoct to obtain 3 sheng. Divide into two doses. Each dose taken while walking four li...
Shi Hu San (Dendrobium Powder): Treats male nocturnal seminal emission.
Ingredients: Shi Hu (7 fen), Sang Piao Xiao, Zi Wan (each 2 fen), Gan Qi (boiled), Wu Wei Zi, Gan Di Huang, Zhong Ru Fen (ground), Yuan Zhi, Pi Fu Zi (roasted, skin and umbilicus removed, each 2 fen).
Pound and mix into powder. Take with wine, 1 cun bi initially, gradually increase to 2 cun bi, three times daily. Avoid pork, cold water, and Yuan Yi.
Lian Zi Qing Xin Yin (Lotus Seed Clear Heart Drink) (aka Clear Heart Lotus Seed Drink): Treats accumulated heat in the Heart, frequent irritability, caused by thinking, labor, worry, and depression, leading to white turbid urine, possibly with sand particles, nocturnal emission and dribbling, red urine like blood, or excessive alcohol/sex causing upper excess and lower deficiency, Heart Fire flaring upward, Lung Metal being overcome, dry mouth and tongue, gradual development of consumptions/thirst, restless sleep, limb fatigue, five types of stranguria in men, chronic red/white leukorrhea in women, and failure of Qi to consolidate after illness.
(Original Formula Note: Huang Qin, Mai Men Dong (heart removed), Che Qian Zi, Gan Cao (roasted) each 0.5 liang; Shi Lian Rou (heart removed), Bai Fu Ling, Huang Qi (honey...)