此证及消渴、赤白浊、小便多等，其治相近，其方宜互酌用。
脉候 遗精、白浊二证，脉息多涩，伤精脉也。（《济生》）
遗精白浊，当验于尺，结芤动紧，二证之的。（《崔氏脉诀》）
遗精白浊，微涩而弱，火盛阴虚，芤濡洪数。（《四言举要》）
病属心肾《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，以悭为事，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。（《圣济》）（按次注曰∶白淫谓白物淫衍，如精之状，男子因溲而
下，女子阴器中绵绵而下也。先教谕曰∶《本神篇》云∶精伤则骨酸痿厥，精时自下。《玉机真藏论》曰∶出白
名曰蛊。是其义也。然则白淫即尿精，《本事方》说，盖亦为然，仍举之首。）
医经曰∶男子二八，肾气盛，天癸至。天癸者精也，精者身之本也。肾藏精，藏精者不可伤。皆由不善
卫生，喜怒劳逸，忧愁思虑，嗜欲过度，起居不常，遂致心火炎上而不息，肾水散漫而无归，上下不得交养。心
受病者，令人遗精白浊；肾受病者，亦令人遗精白浊。此皆心肾不交，关键不牢之所致也。肾病者当禁固之，
心病者当安宁之。（《济生》）
梦遗精滑，虽皆属火，而有心肾之异。动于心者，神摇于上则精遗于下也。不必治肾，但清其心而梦自已。
盖精之藏贮虽在肾，而精之主宰则在心。是以少年伶俐之人多有此病，而田野愚鲁之人无患此者，总由心之动静
而已。（《金匮翼》）
病由肾虚 虚劳尿精候，肾气衰弱故也。肾藏精，其气通于阴。劳伤肾虚，不能藏于精，故因小便而
精液出也。（《病源论》）
虚方溢精见闻精出候，肾气虚弱，故精溢也。见闻感触则
动肾气，肾藏精，今虚弱不能制于精，故因见闻而精溢出也。
虚劳失精候，肾气虚损，不能藏精，故精漏失。其病小腹弦急，阴头寒，目眶痛，发落，诊其脉数而散者，
失精脉也。
虚劳梦泄精候，肾虚为邪所乘，邪客于阴，则梦交接。肾藏精，今肾虚不能制精，因梦感动而泄也。
虚劳精血出候，此劳伤肾气故也，肾藏精，精者血之所成也。虚劳则生七伤六极，气血俱损，肾家偏虚，不
能藏精，故精血俱出也。（并同上）（按∶以上五条，其证虽异，其因则同，故骈列之。）
戴云∶因梦交而出精者，谓之梦遗。不因梦而自泄精者，谓之精滑。皆相火所动，久则有虚而无寒者也。
（《钩玄》）
病有数端 方书言梦泄，皆云肾虚，但补肾涩精，然亦未尝有验。予论之，此疾有三证∶一者至虚，肾
不能摄精，心不能摄念，或梦而泄，或不梦而泄，此候皆重，须大服补药，然人病此者甚少。其余皆只是心虚或
心热，因心有所感，故梦而泄，此候差轻，人之患者多是此候，但服茯苓散自瘥，予累以拯人，皆良验。又有少
年气盛，或鳏夫道人，强制情欲，因念而泄，此为无病。医及摄生家多言梦寐甚于房劳，此殆不然。予尝验之，
人病天行未复而犯房劳者多死，至于梦寐则未尝致困，此决然可知，但梦寐自有轻重耳。（《苏沈》）
梦遗有数种∶下元虚惫，精不禁者，宜服茴香丸。年壮气盛，久节淫欲，经络壅滞者，宜服清心丸。有情欲
动中，经所谓所愿不得，名曰白淫，宜良方茯苓散。正如瓶中煎汤，气盛盈溢者，如瓶中汤沸而溢；欲动心邪者，
如瓶之倾侧而
出；虚惫不禁者，如瓶中有罅而漏。不可一概用药也。又有一说，经曰∶肾气闭即精泄。《素问》云∶肾者作强
之官，伎巧出焉。又曰∶肾气藏精。盖肾能摄精气，以生育人伦者也，或敛或散，皆主于肾。今也肾气闭，则一
身之精气无所管摄，故妄行而出不时也。猪苓丸一方，正为此设。（《本事》）
遗精得之有四∶有用心过度，心不摄肾，以致失精者；有因思色欲不遂，致精失位，输泻而出者，有色欲太
过，滑泄不禁者；有年壮气盛，久无色欲，精气满泄者。然其状不一。（《要诀》）（按∶又有经络热证，见清
心丸下。又明人有更说数因者，稍涉冗杂，仍不繁引。）
梦遗属郁滞者居大半，庸医不知其郁，但用龙骨、牡蛎等涩剂固脱，殊不知愈涩愈郁，其病反甚。尝治一中
年男子梦遗，医或与涩药反甚，连遗数夜。愚先与神芎丸（用大黄、芩、连、牵、滑、薄、芎）大下之，却制猪
苓丸服之，得痊安，于此见梦遗属郁滞者多矣。（《纲目》）（节录）
证治诸说 遗精得之有四云云。然其状不一，或小便后出多不可禁者，或不小便而自出，或茎中出而痒
痛，常如欲小便者，并宜先用辰砂妙香散，吞玉华白丹（用白石脂、牡蛎、阳起石、钟乳），佐以威喜丸或厘清
饮，别以绵裹龙骨同煎。或厘清饮半帖，加五倍、牡蛎粉、白茯苓、五味子各半钱。若是用心过度得之，宜远志
丸（用二茯、参、龙齿、远、菖），用交感汤（当是交感丸为汤，用生地、当归、延胡、生姜、蒲黄、琥珀）加莲
肉、五味子吞下，仍佐以灵砂丹。若审是思色欲不遂得之，且以四七汤吞白丸子。甚者耳闻目见，其精即出，名
曰白淫，妙香散吞玉华白丹。若审是色欲过度，下元虚惫，泄滑无禁，宜正元饮（见《和剂》）加
牡蛎粉、肉苁蓉各半钱，吞养气丹（见《和剂》）或灵砂丹，仍佐以鹿茸丸（见《济生》）、山药丸、大菟丝
子丸、固阳丸（并见《和剂》）之类（按∶《准绳》曰∶按此项药太僭燥，若妄用过剂，则阴水耗竭，壮火独炎，
枯腊消肉，骨立筋痿，而成不救之疾矣，用者审之）。审是壮盛满溢者，《本事方》清心丸，仍服黄 六一汤
（附见《汗证》），便虽非对，缘精髓满溢，姑以白燥之。遗沥，比之遗精稍少，小便有数点稠粘，茎头微痛，
或小便已停，片时方有一二滴沾KT ，其病不出前所因，宜审用前药。梦遗，俗谓之夜梦鬼交，宜温胆汤去竹
茹，加人参、远志、莲肉、酸枣仁炒、茯神各半钱，吞玉华白丹、固阳丸。梦遗亦备前四证，宜审其所感，用前
药。（《要诀》）
梦遗为肝热胆寒，以肝热则火淫于外，魂不内守，故多淫梦失精。或时心悸，肥人多此，宜清肝，不必补
肾，温胆汤加人参、茯神、枣仁、莲肉。（《医通》）
张仲景治手足烦热，咽干口燥，或为悸衄，此阳上升而不降，阴独居上而为梦失，用小建中汤和之，此世
俗所昧也。（《沙篆》）（按∶此说本于《准绳》。）
如无梦遗精，肾关不固，精窍滑脱而成者，用桑螵蛸散（是《寇氏》方。见《小便多》），填精固摄，及滑
涩互施方法。如有梦而遗，烦劳过度，及脾胃受伤，心肾不交，上下交损而成者，用归脾汤、妙香散、参术膏、
补心丹等方，心脾肾兼治之法。如阴虚不摄，湿热下注而遗滑者，用黄柏、萆 、黄连、苓、泽等，苦泄厥阴
热，并通腑气为主。（《临证指南》邹滋九）
一人患伤寒之后，小便时常流精不止，众医治皆不效，亦不知为何证，予用小柴胡汤加知母、黄柏、牡蛎、青黛而
愈。盖初病时，少阳经遗热于肾，久则动肾火而精遗，外伤寒证虽愈，而此火未退故耳。（《星海》）
治去脑冷 有人梦遗精，初有所见，后来虽梦中无所见，日夜不拘，常常遗漏，作心气不足，服心气
药无验，作肾气虚，补肾药亦无验。医问患者觉脑冷否，应之曰∶只为脑冷。服驱寒散（方无考）遂安。盖脑
者诸阳之会，髓之海，脑冷则髓不固，是以遗漏也。有此疾者，先去脑中风冷，脑气冲和，兼服益心肾药，无
不愈者。（《医说》）
败精失道 脾肾俱虚，败精失道，精滑不固者，九龙丹（用枸杞、金樱、莲须、莲肉、芡实、山茱、归、
地、茯）去当归，加萆 、五味，然不若萃仙丸（用蒺藜、山茱、芡实、莲蕊、枸杞、菟丝、续断、复盆、金
樱）尤妙。所谓败精失道者，非败精不泄而有所蓄滞也，以精窍屡开，不能闭密，失其常度，而流溢不止，故宜
止涩之剂。（《医通》）
精塞水窍 精塞水窍不通，属房欲不竟，或思欲不遂，或惧泄忍精，或老人气不足以送精出窍。忌破
气、下、利小便、燥热。宜行败精。壮实人宜兼泄火。老人宜兼补气。（《本草经疏》）
精中红线 有火盛，精中多有红丝，令溺于桶，澄视之便见。宜补阴丸、肾气丸。（《入门》）
固肾诸方 《短剧方》韭子汤，治失精方。
韭子（一升） 龙骨（三两） 赤石脂（三两）
凡三物，以水七升，煮取二升半，分三服。（《医心》）
治虚劳尿精方。
韭子（二升） 稻米（三升）（按∶《外台》糯米一升。）
上二味，以水一斗七升，煮如粥，取汁六升，为三服。精溢同此。（《千金》）
治膀胱虚冷，小便滑数白浊，梦中失精，宜服肉苁蓉丸方。
肉苁蓉（二两，酒浸一宿，刮去皴皮，炙令干。） 鹿茸（二两去毛涂酥炙微黄） 白龙骨（二两烧过）
泽泻（一两） 附子（二两炮裂去皮脐） 补骨脂（二两微炒） 山茱萸（一两） 椒红（二两微炒） 菟丝子
（一两，酒浸三宿，曝干，别杵为末。）
上件药捣罗为末，炼蜜和捣三二百杵，丸如梧桐子大，每服食前以温酒下三十丸。（《圣惠》）又治小便
多或不禁，菟丝子散，于本方去鹿茸、龙骨、泽泻、补骨脂、山茱、椒红，加牡蛎、五味子、鸡 中黄皮，为
散。（《奇效》更加鹿茸，酒煮糊和丸，名菟丝子丸。）
治小便白淫不止，秘真丸方。
龙骨（研一两） 诃黎勒（炮取皮五枚） 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。或太秘欲通，用葱汤点茶服之即通。（《圣济》）《得效》秘元丹，治内虚里寒，自汗时出，小便不禁，
于本方去丹砂，丸梧子大，每服五十丸。
治遗精梦漏，关锁不固，金锁丹。（亦名茴香丸）
舶上茴香（炒） 胡芦巴 破故纸（炒香） 白龙骨（以上各一两） 木香（一两半） 胡桃（三七个研）
羊石子（三对破开盐半两擦炙熟研如泥）
上五味为末，下二味同研成膏，和酒浸蒸饼杵熟，丸如梧子大，每服三五十丸，空心温酒下。（《本事》）
莲肉散，治小便白浊、梦遗泄精等疾。
益智肉 石莲肉 五色龙骨
上等分为末，每服二钱，空心清米饮下。（《家宝》）
玄菟丹，常服禁遗精，止白浊。（《和剂》）（方见《消渴》中。）
三白丸，又名索丹，治小便遗精，白浊滑数，及盗汗。
龙骨（ 别研） 牡蛎（各一两） 鹿角霜（二两）
上为细末，滴水为丸，如梧桐子大，以滑石为衣，每服十丸，加至十五丸，盐汤吞下，空心服。（《魏
氏》）又金锁散，治遗精白浊，于本方加茯苓、益智、菟丝子、车前子，为末，每服三钱，用茴香炒赤，入酒
一盏，煎四五沸，放温调药服。
玉锁丹，治精气虚滑，或遗而泄，或梦而脱，不能得禁。
龙骨 莲花蕊 鸡头实 乌梅肉（以上各等分）
上为细末， 山药熟，去皮研如膏，和丸如小豆大，每日空心进二十丸，米饮汤下。（《御药》）
桑螵蛸丸，治下焦虚冷，精滑不固，遗沥不断。
附子（去皮尖） 五味子 龙骨（各半两） 桑螵蛸（七个切炒）
上为末，纯糯米糊丸，每服三十丸，空心盐汤吞下。（《得效》）
三仙丸，治梦泄。（同上）（即《济生》缩泉丸方，见《小便多》。）
导肾方 猪苓丸。
上用半夏一两，破如豆大，用木猪苓四两，先将一半炒半夏黄色不令焦，地上出火毒半日，取半夏为末，糊丸如梧
子大，候干，更用前猪苓末二两炒微裂，同用不泄沙饼养之，空心温酒盐汤下三四十丸。常服，于申酉间冷酒下。此药
治梦遗。（按∶此下说梦遗有数种，引在前。）此古方也，今盛行于时，而人多莫测其用药之意。盖半夏有利性，而猪芩
导水，盖导肾气使通之意也。予药囊中尝贮此药，缓急以与人，三五服皆随手而验，林监丞庇民亦数服而愈。（《本事》）
（按∶《鸡峰》名坚中丹，治室女白沃。）
宁心清神诸方 治梦中遗泄，茯苓散。
坚白茯苓为末，每服五钱，温水调下，空心食前临卧服，一日四五服。（《苏沈》）（宜参病有数端条）
治精气不固，小便白淫，及有余沥，或梦寐遗泄，妇人血海久冷，白带白漏，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。（《圣济》）
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，酒曲糊和丸，如梧桐子大，每服三十丸，煎补骨脂汤下，日三，不拘时候。（同上）
这一类病证与消渴、赤白浊、小便频多等病证，其治疗方法相近，方剂应当互相斟酌选用。
脉象候诊：遗精和白浊这两种病证，脉象多表现为涩脉，这是精气受损的脉象。（出自《济生方》）
遗精和白浊，应当在尺部脉象上验证，脉象呈现结、芤、动、紧的特征，是这两种病证的典型表现。（出自《崔氏脉诀》）
遗精和白浊，脉象微涩而弱，提示火盛阴虚；若见芤、濡、洪、数脉，也可见于此类病症。（出自《四言举要》）
病位属于心肾。《黄帝内经》说：“思虑无穷，愿望不得，意念淫乱于外，房事过度，导致宗筋弛缓纵弛，发为筋痿，以及出现白淫。”
肾脏藏先天之精（天一），以吝啬固守为职责。如果意志内守，则精气充盈而少泄；如果思想外驰淫乱，房事过度，那么原本坚固的精关就会动摇，因此精液不能固守，随着小便排出。然而，这根本原因在于筋痿，是因为宗筋弛缓的缘故。（出自《圣济总录》）（按语注释说：白淫是指白色分泌物泛滥，形状像精液，男子随小便排出，女子阴道中绵绵不断流出。先教谕说：《灵枢·本神篇》记载：“精伤则骨酸痿厥，精时自下。”《素问·玉机真脏论》说：“排出白色液体称为蛊。”就是这个意思。那么白淫就是尿精，《本事方》的说法，大概也是这样，所以在此列举为首。）
医经说：“男子十六岁，肾气旺盛，天癸至。天癸就是精，精是身体的根本。肾脏藏精，藏精的功能不可损伤。这都是因为不善于养生，喜怒无常，劳逸不当，忧愁思虑，嗜欲过度，起居没有规律，导致心火炎上而不熄灭，肾水散漫而无归宿，上下不能相互滋养。心脏受病，使人遗精白浊；肾脏受病，也使人遗精白浊。这都是心肾不交，关键不牢固所致。肾病应当禁固精气，心病应当安宁心神。”（出自《济生方》）
梦遗和精滑，虽然都归属于火证，但有心脏和肾脏的区别。心动于上的，神志摇动于上，则精液遗泄于下。不必治疗肾脏，只要清心安神，梦境自然停止。因为精液的贮藏虽然在肾，但精液的主宰却在心。所以少年聪明伶俐的人多有此病，而乡野愚钝的人没有这种病患，总归是由心的动静决定的。（出自《金匮翼》）
病因由肾虚引起。虚劳尿精候，是由于肾气衰弱。肾藏精，其气通于前阴。劳损伤及肾虚，不能固藏精气，所以随小便而精液流出。（出自《诸病源候论》）
虚方溢精见闻精出候，由于肾气虚弱，所以精液溢出。见到听到或感触事物就会扰动肾气，肾藏精，现在肾虚不能制约精液，所以因见闻触动而精液溢出。
虚劳失精候，肾气虚损，不能藏精，所以精液漏失。病症表现为小腹拘急弦紧，阴头寒冷，眼眶疼痛，头发脱落，诊察其脉象数而散乱的，是失精的脉象。
虚劳梦泄精候，肾虚被邪气乘袭，邪气客居阴部，则梦见性交。肾藏精，现在肾虚不能制约精液，因梦境感动而泄精。
虚劳精血出候，这是由于劳损伤了肾气。肾藏精，精是由血所化成的。虚劳会产生七伤六极，气血俱损，肾家偏虚，不能藏精，所以精血一起流出。（以上五条，症状虽异，病因相同，故并列列出。）（同上）
戴元礼说：因梦见性交而出精的，叫做梦遗。不因梦境而自行泄精的，叫做精滑。这都是相火所动，日久只有虚证而没有寒证。（出自《医学钩玄》）
病因有几种端绪。方书说梦遗，都说肾虚，只是补肾涩精，然而也未曾有过疗效。我论述它，此病有三种证型：一是极度虚弱，肾不能摄精，心不能摄念，或者做梦而泄，或者不做梦而泄，这些证候都很重，必须大剂量服用补药，但患此病的人很少。其余都只是心虚或心热，因心中有所感触，所以做梦而泄，这些证候较轻，患病的人多是这类，只需服用茯苓散即可痊愈，我屡次用它救人，都有很好的疗效。又有少年气盛，或者是寡妇道士，强行克制情欲，因念头而动而泄精，这属于无病。医生和养生家多说梦遗比房劳更严重，这大概不对。我曾验证过，人患外感热病未恢复而犯房劳的多会死亡，至于梦遗则未曾导致困顿，这完全可以知道，只是梦遗自有轻重罢了。（出自《苏沈良方》）
梦遗有好几种：下元虚惫，精关不禁的，适宜服用茴香丸。年壮气盛，长期节制淫欲，经络壅滞的，适宜服用清心丸。有情欲动于中，即经文所说的“所愿不得”，名为白淫，适宜用良方茯苓散。这就好比瓶中煮汤，气盛满溢的，如同瓶中汤沸腾而溢出；欲动心邪的，如同瓶子倾斜而流出；虚惫不禁的，如同瓶中有裂缝而渗漏。不可以一概用药。又有一种说法，经文说：“肾气闭则精泄。”《素问》说：“肾者作强之官，伎巧出焉。”又说：“肾气藏精。”大概肾能摄持精气，以生育人类，或收敛或发散，都由肾主宰。现在肾气闭塞，则一身精气无所管摄，所以妄行而出且不时发生。猪苓丸一方，正是为此而设。（出自《本事方》）
遗精的成因有四种：有用脑过度，心不能摄肾，以致失精的；有因思慕色欲而不能遂意，致使精失其位，输泻而出的；有色欲太过，滑泄不禁的；有年壮气盛，长期无色欲，精气满而外泄的。然而其症状各不相同。（出自《杂病源流犀烛·要诀》）（按语：又有经络热证，见清心丸条下。又有明代医家更多说几种原因，稍涉繁杂，不再繁引。）
梦遗属于郁滞的大约占一半，庸医不知道是郁滞，只用龙骨、牡蛎等涩剂固脱，殊不知越涩越郁，病情反而加重。曾治一个中年男子梦遗，医生给予涩药后反而加重，连续几夜遗精。我先用神芎丸（用大黄、黄芩、黄连、牵牛子、滑石、薄荷、川芎）大力攻下，然后制成猪苓丸服用，得以痊愈，从这里可以看出梦遗属郁滞的情况很多。（出自《本草纲目》）（节录）
关于证治的各种说法。遗精得之有四云云。然而其状不一，有的在小便后精液流出多且不可控制，有的不小便而自行流出，有的尿道口出精且痒痛，常像想小便一样，都宜先用辰砂妙香散，吞服玉华白丹（用白石脂、牡蛎、阳起石、钟乳石），佐以威喜丸或厘清饮，另外用绵包龙骨同煎。或者厘清饮半帖，加五倍子、牡蛎粉、白茯苓、五味子各半钱。如果是用心过度导致的，宜用远志丸（用二茯、人参、龙齿、远志、石菖蒲），用交感汤（应当是交感丸改为汤剂，用地黄、当归、延胡索、生姜、蒲黄、琥珀）加莲肉、五味子吞服，仍佐以灵砂丹。如果确是因思慕色欲不遂导致的，暂且用四七汤吞服白丸子。严重的，耳闻目见，精液即出，名为白淫，用妙香散吞服玉华白丹。如果确是色欲过度，下元虚惫，泄滑无禁，宜用正元饮（见《太平惠民和剂局方》）加牡蛎粉、肉苁蓉各半钱，吞服养气丹（见《和剂局方》）或灵砂丹，仍佐以鹿茸丸（见《济生方》）、山药丸、大菟丝子丸、固阳丸（均见《和剂局方》）之类（按语：《医学准绳六要》说：按此项药物太僭越燥烈，如果妄用过量，则阴水耗竭，壮火独炎，枯腊消肉，骨立筋痿，而成不治之疾，使用者务必审慎）。确是壮盛满溢者的，用《本事方》清心丸，仍服黄耆六一汤（附见于《汗证》），虽然方剂不对症，但因为精髓满溢，姑且用白术燥湿之法。遗沥，比遗精稍轻，小便有几滴稠粘，茎头微痛，或者小便已停，片刻才有一两滴沾湿裤裆，其病因不出前面所述，宜审慎使用前药。梦遗，俗谓之夜梦鬼交，宜用温胆汤去竹茹，加人参、远志、莲肉、炒酸枣仁、茯神各半钱，吞服玉华白丹、固阳丸。梦遗也具备前四种证型，宜审其所感，使用前药。（出自《杂病源流犀烛·要诀》）
梦遗属于肝热胆寒，因为肝热则火气淫溢于外，魂不内守，所以多淫梦失精。有时心悸，肥胖人多有此病，宜清肝，不必补肾，用温胆汤加人参、茯神、枣仁、莲肉。（出自《医学入门·医通》）
张仲景治疗手足烦热，咽干口燥，或为心悸鼻衄，这是阳气上升而不降，阴独居上而导致梦遗失精，用小建中汤调和，这是世俗所不明白的。（出自《沙篆》）（按语：此说本于《医学准绳六要》。）
如果没有梦境而遗精，肾关不固，精窍滑脱而成的，用桑螵蛸散（是寇宗奭方的变方。见《小便多》），填精固摄，以及滑涩互施的方法。如果有梦而遗，烦劳过度，以及脾胃受伤，心肾不交，上下交损而成的，用归脾汤、妙香散、参术膏、补心丹等方，这是心脾肾兼治的方法。如果是阴虚不摄，湿热下注而遗滑的，用黄柏、萆薢、黄连、茯苓、泽泻等，以苦泄厥阴热，并通腑气为主。（出自《临证指南医案》邹滋九）
一人患伤寒之后，小便时常流精不止，众医治疗皆无效，也不知是什么病证，我用小柴胡汤加知母、黄柏、牡蛎、青黛而治愈。大概初病时，少阳经遗留热邪于肾，日久则扰动肾火而精遗，外伤寒证虽然好了，但这股火未退的缘故。（出自《星海医案》）
治疗脑部寒冷。有人梦遗精，起初有所见，后来虽然梦中无所见，日夜不拘，常常遗漏，当作心气不足，服用心气药无验，当作肾气虚，服用补肾药也无验。医生问患者觉得脑冷吗，回答说：“只因为脑冷。”服用驱寒散（方剂无考）于是安愈。大概脑是诸阳之会，髓之海，脑冷则髓不固，所以遗漏。有此疾者，先去脑中风湿冷，脑气冲和，兼服益心肾药，无不痊愈的。（出自《医说》）
败精失道。脾肾俱虚，败精失道，精滑不固的，九龙丹（用枸杞、金樱子、莲须、莲肉、芡实、山茱萸、当归、地黄）去掉当归，加萆薢、五味子，然而不如萃仙丸（用蒺藜、山茱萸、芡实、莲蕊、枸杞、菟丝子、续断、覆盆子、金樱子）尤其好。所谓败精失道，不是败精不泄而有所蓄滞，而是精窍屡开，不能闭密，失去常态，而流溢不止，所以宜用止涩之剂。（出自《医学入门·医通》）
精塞水窍。精堵塞水窍不通，属于房事未尽兴，或思欲不遂，或恐惧泄精而忍精，或老人气不足以送精出窍。忌用破气、泻下、利小便、燥热的药物。宜行败精。壮实之人宜兼泄火。老人宜兼补气。（出自《本草经疏》）
精中红线。有火盛的，精液中多有红丝，让溺于桶中，澄清视之便见。宜用补阴丸、肾气丸。（出自《医学入门》）
固肾诸方。《短剧方》韭子汤，治疗失精方。
韭子（一升） 龙骨（三两） 赤石脂（三两）
凡三味药，用水七升，煮取二升半，分三次服用。（出自《医心方》）
治疗虚劳尿精方。
韭子（二升） 稻米（三升）（按语：《外台秘要》用糯米一升。）
以上两味药，用水一斗七升，煮如粥，取汁六升，分三次服用。精溢同样适用。（出自《千金方》）
治疗膀胱虚冷，小便滑数白浊，梦中失精，适宜服用肉苁蓉丸方。
肉苁蓉（二两，酒浸一夜，刮去皴皮，炙令干。） 鹿茸（二两去毛涂酥炙微黄） 白龙骨（二两烧过）
泽泻（一两） 附子（二两炮裂去皮脐） 补骨脂（二两微炒） 山茱萸（一两） 椒红（二两微炒） 菟丝子
（一两，酒浸三宿，曝干，别杵为末。）
以上药物捣罗为末，炼蜜和捣三二百杵，丸如梧桐子大，每次饭前用温酒送下三十丸。（出自《太平圣惠方》）又治小便多或不禁，菟丝子散，在本方中去掉鹿茸、龙骨、泽泻、补骨脂、山茱萸、椒红，加牡蛎、五味子、鸡肫中黄皮，为散。（《奇效良方》更加鹿茸，酒煮糊和丸，名菟丝子丸。）
治疗小便白淫不止，秘真丸方。
龙骨（研一两） 诃黎勒（炮取皮五枚） 缩砂仁（去皮半两） 丹砂（研一两留一分为衣）
以上四味药捣研为末，煮糯米粥为丸，如绿豆大，以丹砂为衣，每日空腹热酒下一丸，夜卧冷水下三丸，不可多服。如果太便秘欲通，用葱汤点茶服之即通。（出自《圣济总录》）《博济方》秘元丹，治疗内虚里寒，自汗时出，小便不禁，在本方中去掉丹砂，丸梧子大，每次服五十丸。
治疗遗精梦漏，关锁不固，金锁丹。（亦名茴香丸）
舶上茴香（炒） 胡芦巴 破故纸（炒香） 白龙骨（以上各一两） 木香（一两半） 胡桃（三七个研）
羊石子（三对破开盐半两擦炙熟研如泥）
以上五味为末，下二味同研成膏，和酒浸蒸饼杵熟，丸如梧子大，每次服三五十丸，空腹温酒下。（出自《本事方》）
莲肉散，治疗小便白浊、梦遗泄精等疾。
益智肉 石莲肉 五色龙骨
上等分为末，每次服二钱，空腹清米饮下。（出自《家宝方》）
玄菟丹，常服禁遗精，止白浊。（出自《和剂局方》）（方见《消渴》中。）
三白丸，又名索丹，治疗小便遗精，白浊滑数，及盗汗。
龙骨（别研） 牡蛎（各一两） 鹿角霜（二两）
以上为细末，滴水为丸，如梧桐子大，以滑石为衣，每次服十丸，加至十五丸，盐汤吞下，空腹服。（出自《魏氏家藏方》）又金锁散，治疗遗精白浊，在本方加茯苓、益智、菟丝子、车前子，为末，每次服三钱，用茴香炒赤，入酒一盏，煎四五沸，放温调药服。
玉锁丹，治疗精气虚滑，或遗而泄，或梦而脱，不能得禁。
龙骨 莲花蕊 鸡头实 乌梅肉（以上各等分）
以上为细末，山药煮熟，去皮研如膏，和丸如小豆大，每日空腹进二十丸，米饮汤下。（出自《御药院方》）
桑螵蛸丸，治疗下焦虚冷，精滑不固，遗沥不断。
附子（去皮尖） 五味子 龙骨（各半两） 桑螵蛸（七个切炒）
以上为末，纯糯米糊丸，每次服三十丸，空腹盐汤吞下。（出自《博济方》）
三仙丸，治疗梦泄。（同上）（即《济生方》缩泉丸方，见《小便多》。）
导肾方 猪苓丸。
上用半夏一两，破如豆大，用木猪苓四两，先将一半炒半夏黄色不令焦，地上出火毒半日，取半夏为末，糊丸如梧子大，候干，更用前猪苓末二两炒微裂，同用不泄沙饼养之，空腹温酒盐汤下三四十丸。常服，于申酉间冷酒下。此药治疗梦遗。（按语：此下说梦遗有数种，引在前。）此古方也，今盛行于时，而人多莫测其用药之意。盖半夏有利性，而猪苓导水，盖导肾气使通之意也。予药囊中尝贮此药，缓急以与人，三五服皆随手而验，林监丞庇民亦数服而愈。（出自《本事方》）（按语：《鸡峰普济方》名坚中丹，治疗室女白沃。）
宁心清神诸方。治疗梦中遗泄，茯苓散。
坚白茯苓为末，每次服五钱，温水调下，空腹食前临卧服，一日四五服。（出自《苏沈良方》）（宜参病有数端条）
治疗精气不固，小便白淫，及有余沥，或梦寐遗泄，妇人血海久冷，白带白漏，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）
以上两味药，先捣茯苓为末，炼黄蜡于火上，众手速丸，如小弹丸大，每次服一丸，细嚼干咽下，小便清为度。（出自《圣济总录》）
治疗心肾气不足，思想无穷，小便白淫，黄连丸方。
黄连（去须） 白茯苓（去黑皮等分）
以上两味药捣罗为末，酒曲糊和丸，如梧桐子大，每次服三十丸，煎补骨脂汤下，日三，不拘时候。（同上）
This syndrome and conditions such as Xiao Ke (Wasting and Thirsting Syndrome), Chi Bai Zhuo (Red and White Turbid Urine), and frequent urination have similar treatments, and their formulas should be used with mutual consideration.
Pulse Diagnosis: For Yi Jing (Spermatorrhea) and Bai Zhuo (White Turbid Urine), the pulse is often Se (Choppy), which indicates damage to Jing (Essence). (*Ji Sheng Fang*)
For Yi Jing (Spermatorrhea) and Bai Zhuo (White Turbid Urine), verification should be done at the Chi (Cun Guan Chi - distal position on both wrists) pulse. The presence of Jie (Knotted), Kou (Hollow), Dong (Fluttering), or Jin (Tight) pulses are definitive signs of these two conditions. (*Cui Shi Mai Jue*)
For Yi Jing (Spermatorrhea) and Bai Zhuo (White Turbid Urine), a Wei Se (Slight Choppy) and Ruo (Weak) pulse indicates Fire Excess and Yin Deficiency; Kou (Hollow), Ru (Floating and Soft), Hong (Surging), or Shu (Rapid) pulses may also be seen. (*Si Yan Ju Yao*)
The disease belongs to the Heart and Kidney. *Huang Di Nei Jing* states: "Endless thinking, unfulfilled desires, lustful thoughts directed outward, and excessive sexual intercourse lead to flaccidity and relaxation of the Zong Jin (Sinews), resulting in Jin Wei (Sinew Flaccidity) and Bai Yin (White Sperm/Loss)."
The Kidney stores Tian Yi (Primordial Essence) and acts with parsimony. When will and intention are regulated internally, Jing (Essence) remains complete and is retained sparingly. When thoughts wander externally into lust and sexual activity is excessive, what was firm becomes unstable. Thus, Jing cannot be guarded and flows down with urine. However, the root lies in Jin Wei (Sinew Flaccidity) due to the flaccidity and relaxation of the Zong Jin (Sinews). (*Sheng Ji Zong Lu*) [Note: Bai Yin refers to white discharge resembling semen, flowing out with urine in men, and continuously from the vagina in women. Xian Jiaoyu stated: *Ling Shu · Ben Shen Pian* says, "When Jing is damaged, bones ache, there is flaccidity and coldness in the limbs, and Jing leaks spontaneously." *Su Wen · Yu Ji Zhen Zang Lun* says, "Discharge of white fluid is called Gu." This is the meaning. Thus, Bai Yin is essentially sperm in urine. The explanation in *Ben Shi Fang* seems correct, so it is listed first.]
Medical classics state: "At age sixteen, a man's Kidney Qi flourishes, and Tian Gui arrives. Tian Gui is Jing (Essence); Jing is the foundation of the body. The Kidneys store Jing, and the function of storing Jing must not be injured. All this arises from improper health preservation: irregular emotions, inappropriate labor and rest, worry and overthinking, excessive desires, and irregular daily routines. This causes Heart Fire to blaze upward without ceasing, and Kidney Water to scatter without returning, preventing mutual nourishment between upper and lower. Disease in the Heart causes Yi Jing (Spermatorrhea) and Bai Zhuo (White Turbid Urine); disease in the Kidney also causes Yi Jing (Spermatorrhea) and Bai Zhuo (White Turbid Urine). These are all caused by the failure of Heart-Kidney interaction and an insecure key mechanism. Kidney disease requires securing and consolidating; Heart disease requires calming and tranquilizing." (*Ji Sheng Fang*)
Meng Yi (Dream Emission) and Jing Hua (Slippery Emission) both belong to Fire, but differ in involving the Heart or Kidney. When moved by the Heart, spirit trembles above, causing essence to leak below. There is no need to treat the Kidney; one only needs to clear the Heart, and dreams will cease naturally. Although the storage of Jing is in the Kidney, its master is the Heart. Therefore, clever young people often suffer from this, while rustic country folk do not; it all depends on the movement or stillness of the Heart. (*Jin Kui Yi*)
Etiology due to Kidney Deficiency: Xu Lao Niao Jing (Deficiency Consumption with Sperm in Urine) syndrome is due to weak Kidney Qi. The Kidneys store Jing, and their Qi connects to the external genitalia. Damage from overwork leads to Kidney deficiency, inability to store Jing, thus causing seminal fluid to exit with urine. (*Bing Yuan Lun*)
Xu Fang Yi Jing Jian Wen Jing Chu (Deficiency Formula for Overflowing Essence upon Seeing/Hearing): Due to weak Kidney Qi, essence overflows. Seeing, hearing, or being touched agitates the Kidney Qi. The Kidneys store Jing; now, due to deficiency, they cannot control the essence, so it overflows upon sensory stimulation.
Xu Lao Shi Jing (Deficiency Consumption with Loss of Essence): Kidney Qi is deficient and damaged, unable to store Jing, causing leakage. Symptoms include tightness and urgency in the lower abdomen, coldness at the glans penis, pain in the eye sockets, hair loss, and a pulse that is Rapid and Scattered, which is the pulse of lost essence.
Xu Lao Meng Xie Jing (Deficiency Consumption with Dream Emission): Kidney deficiency allows pathogenic factors to invade; pathogens lodge in the Yin, causing dreams of sexual intercourse. The Kidneys store Jing; now, due to Kidney deficiency, they cannot control the essence, leading to emission stirred by dreams.
Xu Lao Jing Xue Chu (Deficiency Consumption with Essence and Blood Discharge): This is due to injury of Kidney Qi by overwork. The Kidneys store Jing, and Jing is formed from Blood. Deficiency consumption generates Seven Injuries and Six Extremes, damaging both Qi and Blood. The Kidney family is particularly deficient and cannot store Jing, causing both essence and blood to discharge. (All above five items: although symptoms differ, the cause is the same, so they are listed together.) (Same source)
Dai Yun said: Emission of essence due to dreaming of sexual intercourse is called Meng Yi (Dream Emission). Emission of essence without dreaming is called Jing Hua (Slippery Emission). Both are moved by Ministerial Fire; long-term cases involve only deficiency without cold. (*Gou Xuan*)
There are several aspects to the disease. Medical texts state that dream emission is due to Kidney deficiency, suggesting only tonifying the Kidney and astringing essence, yet this has rarely been effective. I argue this disease has three patterns: First, extreme deficiency where the Kidney cannot grasp essence and the Heart cannot grasp thoughts, resulting in emission with or without dreams; these cases are severe and require large doses of tonic medicine, but few people suffer from this. The rest are merely Heart deficiency or Heart Heat, where emotional triggers cause dream emission; these cases are milder, and most patients fall into this category, healing simply with Fu Ling San (Poria Powder). I have used this repeatedly to save people with excellent results. Secondly, young people with vigorous Qi, or widowers/monks who forcibly suppress desires, may emit due to mental arousal; this is considered non-pathological. Doctors and health preservers often claim dream emission is worse than sexual fatigue, which is likely incorrect. I have verified that people who engage in sexual activity before recovering from epidemic fevers often die, whereas dream emission never causes such distress; this is certain, though dream emission varies in severity. (*Su Shen Liang Fang*)
There are several types of Meng Yi (Dream Emission): For lower origin deficiency and exhaustion with inability to control essence, Hui Xiang Wan (Fennel Pill) is suitable. For those in their prime with vigorous Qi who have long abstained from sex, causing meridian stagnation, Qing Xin Wan (Clear Heart Pill) is suitable. For those with desire stirring within, described in the classics as "unfulfilled desires" named Bai Yin (White Sperm), Liang Fang Fu Ling San (Good Formula Poria Powder) is suitable. It is like boiling soup in a bottle: if Qi is full and overflowing, it spills like boiling soup; if desire stirs the heart, it spills like a tilted bottle; if deficient and exhausted, it leaks like a cracked bottle. Medication cannot be applied uniformly. Another theory states: The classics say, "If Kidney Qi is closed, essence leaks." *Su Wen* says, "The Kidneys are the officials of strength and vigor, producing skill and ingenuity." It also says, "Kidney Qi stores essence." Essentially, the Kidneys control essence and Qi for human reproduction, governing both retention and dispersion. Now, if Kidney Qi is blocked, the essence and Qi of the whole body lack control, wandering and exiting irregularly. Zhu Ling Wan (Polyporus Pill) is specifically designed for this. (*Ben Shi Fang*)
Yi Jing (Spermatorrhea) has four causes: 1. Overuse of the mind, where the Heart fails to control the Kidney, leading to loss of essence; 2. Unfulfilled lustful thoughts, causing essence to lose its position and discharge; 3. Excessive sexual desire, leading to slippery and uncontrollable emission; 4. Youthful vigor and abundance, with long abstinence, causing fullness and overflow of essence. However, the manifestations vary. (*Yao Jue*) [Note: There is also a meridian heat pattern, see under Qing Xin Wan. Ming dynasty physicians added more causes, which are slightly redundant, so they are not cited extensively.]
More than half of Meng Yi (Dream Emission) cases belong to Stagnation. Quack doctors, unaware of the stagnation, use astringents like Long Gu (Dragon Bone) and Mu Li (Oyster Shell) to secure collapse, not realizing that excessive astringency worsens the stagnation and aggravates the disease. I once treated a middle-aged man with Meng Yi (Dream Emission); after using astringent medicines, his condition worsened, with emissions occurring for several nights consecutively. I first administered Shen Xiong Wan (Divine Celery Pill - containing Da Huang, Huang Qin, Huang Lian, Qian Niu Zi, Hua Shi, Bo He, Xiong Diao) to purge heavily, then prescribed Zhu Ling Wan (Polyporus Pill), resulting in recovery. This demonstrates that many Meng Yi (Dream Emission) cases belong to stagnation. (*Ben Cao Gang Mu*) (Excerpt)
Various theories on syndrome differentiation and treatment. As mentioned, Yi Jing (Spermatorrhea) has four causes, but manifestations vary. Some experience uncontrollable discharge after urination; some discharge spontaneously without urinating; some have itching and pain at the urethral meatus with a constant urge to urinate. All these should initially use Chen Sha Miao Xiang San (Cinnabar Wonderful Fragrance Powder), swallowing Yu Hua Bai Dan (Jade Flower White Pill - containing Bai Shi Zhi, Mu Li, Yang Qi Shi, Zhong Ru), assisted by Wei Xi Wan (Wei Xi Pill) or Li Qing Yin (Clarify Clear Decoction), and separately decocting Long Gu (Dragon Bone) wrapped in cotton. Alternatively, take half a dose of Li Qing Yin (Clarify Clear Decoction), adding Wu Bei Zi, Mu Li powder, Bai Fu Ling, and Wu Wei Zi, each half qian. If caused by overuse of the mind, use Yuan Zhi Wan (Polygala Pill - containing Er Fu, Ren Shen, Long Chi, Yuan Zhi, Chang Pu), taking Jiao Gan Tang (Interacting Decoction - likely Jiao Gan Wan made into decoction, containing Sheng Di, Dang Gui, Yan Hu Suo, Sheng Jiang, Pu Huang, Hu Po) with Lian Rou and Wu Wei Zi swallowed, assisted by Ling Sha Dan (Spirit Cinnabar Pill). If confirmed as caused by unfulfilled lustful thoughts, use Si Qi Tang (Four Seven Decoction) to swallow Bai Wan Zi (White Pills). In severe cases where hearing or seeing triggers emission, named Bai Yin (White Sperm), use Miao Xiang San (Wonderful Fragrance Powder) swallowing Yu Hua Bai Dan (Jade Flower White Pill). If confirmed as excessive sexual desire, lower origin deficiency and exhaustion, with slippery and uncontrollable emission, use Zheng Yuan Yin (Correct Origin Decoction - see *He Ji*) adding Mu Li powder and Rou Cong Rong, each half qian, swallowing Yang Qi Dan (Nourish Qi Pill - see *He Ji*) or Ling Sha Dan (Spirit Cinnabar Pill), assisted by Lu Rong Wan (Deer Antler Pill - see *Ji Sheng*), Shan Yao Wan (Dioscorea Pill), Da Tu Si Zi Wan (Large Dodder Pill), Gu Yang Wan (Secure Yang Pill - all see *He Ji*) etc. [Note: *Zhun Sheng* states: These medicines are too aggressive and drying; if misused in excess, Yin fluids will be depleted, ministerial fire will blaze alone, flesh will waste away, bones will stand out, sinews will flaccid, becoming incurable. Users must be cautious.] If confirmed as youthful fullness and overflow, use *Ben Shi Fang* Qing Xin Wan (Clear Heart Pill), still taking Huang Qi Liu Yi Tang (Astragalus Six-to-One Decoction - attached to *Han Zheng*), although the formula is not perfectly matched, it addresses the overflow of essence and marrow by using Atractylodes to dry dampness. Yi Li (Residual Dribbling) is slightly less than Yi Jing (Spermatorrhea); a few drops of thick sticky fluid appear during urination, slight pain at the glans, or one or two drops appear shortly after urination stops. The etiology does not exceed the previously mentioned causes; carefully apply the previous medicines. Meng Yi (Dream Emission), commonly known as night dreams of ghost intercourse, should use Wen Dan Tang (Warm Gallbladder Decoction) removing Zhu Ru, adding Ren Shen, Yuan Zhi, Lian Rou, Chao Suan Zao Ren, and Fu Shen, each half qian, swallowing Yu Hua Bai Dan (Jade Flower White Pill) and Gu Yang Wan (Secure Yang Pill). Meng Yi (Dream Emission) also covers the previous four syndromes; determine the trigger and use the previous medicines. (*Yao Jue*)
Meng Yi (Dream Emission) belongs to Liver Heat and Gallbladder Cold. Liver Heat causes fire to overflow externally, Hun (Ethereal Soul) fails to remain internal, leading to many erotic dreams and loss of essence. Palpitations may occur; this is common in obese people. Treat by clearing the Liver, no need to tonify the Kidney. Use Wen Dan Tang (Warm Gallbladder Decoction) adding Ren Shen, Fu Shen, Zao Ren, and Lian Rou. (*Yi Tong*)
Zhang Zhongjing treated restless heat in hands and feet, dry throat and mouth, or palpitations and epistaxis. This is Yang rising without descending, Yin dwelling exclusively above, causing Meng Yi (Dream Emission). Use Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) to harmonize. This is misunderstood by the世俗 (common world). (*Sha Zhao*) [Note: This theory originates from *Zhun Sheng*.]
For Yi Jing (Spermatorrhea) without dreams, due to insecure Kidney gate and slipping essence aperture, use Sang Piao Xiao San (Mantis Egg Case Powder - a modification of Kou Zongshi's formula, see *Xiao Bian Duo*). Fill essence, secure and grasp, employing methods of combining slipperiness and astringency. For Yi Jing (Spermatorrhea) with dreams, due to excessive fatigue, spleen-stomach injury, Heart-Kidney non-interaction, and mutual damage of upper and lower, use Gui Pi Tang (Restore the Spleen Decoction), Miao Xiang San (Wonderful Fragrance Powder), Shen Zhu Gao (Ginseng and Atractylodes Paste), Bu Xin Dan (Tonify Heart Pill), etc., representing a method of treating Heart, Spleen, and Kidney simultaneously. For Yin deficiency failing to grasp, with Damp-Heat pouring downward causing slippery emission, use Huang Bo, Bi Xie, Huang Lian, Fu Ling, Ze Xie, etc., focusing on bitter-draining of Jue Yin Heat and unblocking fu organ qi. (*Lin Zheng Zhi Nan* Zou Zijiu)
A person suffered from continuous seminal discharge with urine after contracting Shang Han (Cold Damage). Many doctors failed to treat it, and the syndrome was unknown. I cured him with Xiao Chai Hu Tang (Minor Bupleurum Decoction) adding Zhi Mu, Huang Bo, Mu Li, and Qing Dai. Initially, residual heat from the Shao Yang Meridian lingered in the Kidney; over time, it agitated Kidney Fire causing emission. Although the external cold syndrome resolved, this internal fire remained. (*Xing Hai*)
Treating Brain Cold. Someone had Meng Yi (Dream Emission). Initially, visual triggers were present; later, even without visual triggers in dreams, leakage occurred day and night indiscriminately. Treated as Heart Qi deficiency, Heart Qi medicines failed. Treated as Kidney Qi deficiency, Kidney tonics failed. The doctor asked if the patient felt cold in the brain. The patient replied, "Only because my brain is cold." Taking Qu Han San (Expel Cold Powder - formula unknown) brought relief. The brain is the meeting place of all Yang meridians and the sea of Marrow. Brain cold means Marrow is insecure, causing leakage. For this disease, first expel wind-cold from the brain; when Brain Qi harmonizes, assist with Heart-Kidney tonics. No case fails to heal. (*Yi Shuo*)
Bai Jing Shi Dao (Rotten Essence Losing its Path). Spleen and Kidney both deficient, rotten essence loses its path, causing slippery and insecure essence. Jiu Long Dan (Nine Dragon Pill - containing Gou Qi, Jin Ying, Lian Xu, Lian Rou, Qian Shi, Shan Zhu Yu, Dang Gui, Di Huang) remove Dang Gui, add Bi Xie and Wu Wei Zi. However, Cui Xian Wan (Extract Immortal Pill - containing Ji Li, Shan Zhu Yu, Qian Shi, Lian Rui, Gou Qi, Tu Si Zi, Xu Duan, Fu Pen, Jin Ying) is even better. "Rotten essence losing its path" does not mean rotten essence is retained due to lack of discharge, but rather that the essence aperture opens frequently, failing to close tightly, losing its normal degree, and flowing endlessly. Thus, astringent agents are appropriate. (*Yi Tong*)
Jing Sai Shui Qiao (Essence Blocking Water Aperture). Essence blocking water aperture, causing obstruction, belongs to incomplete sexual release, unfulfilled lustful thoughts, holding back ejaculation due to fear, or elderly people lacking Qi to send essence out. Avoid Qi-breaking, purgative, diuretic, and drying-hot drugs. Promote expulsion of rotten essence. Robust individuals should additionally drain fire. Elderly individuals should additionally tonify Qi. (*Ben Cao Jing Jiu Shu*)
Jing Zhong Hong Xian (Red Lines in Essence). With Fire Excess, red threads often appear in essence. Let urine fall into a bucket; clarify and view to see them. Use Bu Yin Wan (Tonify Yin Pill) and Shen Qi Wan (Kidney Qi Pill). (*Ru Men*)
Formulas for Securing the Kidney. *Duan Ju Fang* Jiu Zi Tang (Leek Seed Decoction), treating loss of essence.
Jiu Zi (One sheng) Long Gu (Three liang) Chi Shi Zhi (Three liang)
These three ingredients, boil in seven sheng of water, reduce to two and a half sheng, divide into three doses. (*Yi Xin Fang*)
Formula for treating Xu Lao Niao Jing (Deficiency Consumption with Sperm in Urine).
Jiu Zi (Two sheng) Dao Mi (Three sheng) [Note: *Wai Tai* uses Nuomi (Glutinous Rice) one sheng.]
Boil these two ingredients in seventeen sheng of water until porridge-like, extract six sheng of juice, divide into three doses. Same for Jing Yi (Essence Overflow). (*Qian Jin*)
Formula for treating Bladder Deficiency-Cold, slippery and frequent urination with white turbidity, and dream emission. Suitable to take Rou Cong Rong Wan (Cistanche Pill).
Rou Cong Rong (Two liang, soaked in wine overnight, scraped clean, dried by roasting) Lu Rong (Two liang, de-haired, coated with butter, roasted until slightly yellow) Bai Long Gu (Two liang, calcined)
Ze Xie (One liang) Fu Zi (Two liang, processed, peeled, navel removed) Bu Gu Zhi (Two liang, lightly stir-fried) Shan Zhu Yu (One liang) Jiao Hong (Two liang, lightly stir-fried) Tu Si Zi
(One liang, soaked in wine for three nights, sun-dried, pounded separately into powder.)
Pound and sieve the above ingredients into powder, mix with refined honey, pound 300-200 times, form pills like paulownia seeds. Take thirty pills before meals with warm wine. (*Sheng Hui*) Also treats frequent urination or incontinence. Tu Si Zi San (Dodder Powder): Remove Lu Rong, Long Gu, Ze Xie, Bu Gu Zhi, Shan Zhu Yu, Jiao Hong from the above formula, add Mu Li, Wu Wei Zi, and Ji Nei Jin Huang Pi (Chicken Gizzard Membrane Yellow Skin), make into powder. (*Qi Xiao*) Further adds Lu Rong, boiled in wine to make paste for pills, named Tu Si Zi Wan (Dodder Pill).
Formula for treating continuous Bai Yin (White Sperm) in urine, Mi Zhen Wan (Secret True Pill).
Long Gu (Pounded, one liang) He Li Le (Processed, skin of five fruits) Suo Sha Ren (Skin removed, half liang) Dan Sha (Pounded, one liang, reserve one fen for coating)
Pound and grind these four ingredients into powder, make pills with glutinous rice porridge, size of mung beans, coat with Dan Sha (Cinnabar). Take one pill with hot wine on an empty stomach daily, three pills with cold water before sleep. Do not overdose. If constipation occurs and passage is desired, take with scallion water and tea to induce passage. (*Sheng Ji*) *De Xiao Fang* Mi Yuan Dan (Secret Origin Pill): Treats internal deficiency and interior cold, spontaneous sweating, urinary incontinence. Remove Dan Sha from the above formula, form pills like paulownia seeds. Take fifty pills per dose.
Jin Suo Dan (Golden Lock Pill), treating Yi Jing (Spermatorrhea) and dream leakage, insecure lock. (Also named Hui Xiang Wan/Fennel Pill).
Bo Shang Hui Xiang (Stir-fried) Hu Lu Ba Po Gu Zhi (Roasted fragrant) Bai Long Gu (Each one liang) Mu Xiang (One and a half liang) Tao Ren (Three to seven, pounded)
Yang Shi Zi (Three pairs, split, rubbed with half liang salt, roasted熟, pounded to paste)
Make the first five ingredients into powder. Pound the last two into paste. Mix with wine-soaked steamed dough, pound until cooked, form pills like paulownia seeds. Take thirty to fifty pills on an empty stomach with warm wine. (*Ben Shi Fang*)
Lian Rou San (Lotus Seed Powder), treating Bai Zhuo (White Turbid Urine), Meng Yi (Dream Emission), and Jing Xie (Essence Leakage).
Yi Zhi Rou Shi Lian Rou Wu Se Long Gu
Equal parts, make into powder. Take two qian per dose with clear rice drink on an empty stomach. (*Jia Bao*)
Xuan Tu Dan (Dark Tortoise Pill), taken regularly to prevent Yi Jing (Spermatorrhea) and stop Bai Zhuo (White Turbid Urine). (*He Ji Ju Fang*) (Formula see under Xiao Ke/Wasting-Thirst).
San Bai Wan (Three Whites Pill), also named Suo Dan, treating Yi Jing (Spermatorrhea) in urine, Bai Zhuo (White Turbid Urine) with slippery frequency, and night sweats.
Long Gu (Separately pounded) Mu Li (Each one liang) Lu Jiao Shuang (Two liang)
Make into fine powder, drop water to form pills, size of paulownia seeds, coat with Hua Shi (Talc). Take ten pills, increase to fifteen, swallow with salt water on an empty stomach. (*Wei Shi*) Also Jin Suo San (Golden Lock Powder): Treats Yi Jing (Spermatorrhea) and Bai Zhuo (White Turbid Urine). Add Fu Ling, Yi Zhi, Tu Si Zi, Che Qian Zi to the above formula, make into powder. Take three qian per dose. Stir-fry Hui Xiang (Fennel) until red, add one cup of wine, boil four or five times, cool slightly, and mix with medicine.
Yu Suo Dan (Jade Lock Pill), treating Qi-Essence deficiency and slipperiness, emission with or without dreams, inability to control.
Long Gu Lian Hua Rui Ji Tou Shi Wu Mei Rou (Equal parts of all above)
Make into fine powder. Cook Shan Yao (Dioscorea) until soft, peel, pound to paste. Mix with pills size of adzuki beans. Take twenty pills on an empty stomach daily with rice drink. (*Yu Yao Yuan Fang*)
Sang Piao Xiao Wan (Mantis Egg Case Pill), treating Lower Jiao Deficiency-Cold, slippery essence insecurity, continuous residual dribbling.
Fu Zi (Remove skin and tip) Wu Wei Zi Long Gu (Each half liang) Sang Piao Xiao (Seven pieces, cut and stir-fried)
Make into powder, use pure glutinous rice paste to form pills. Take thirty pills on an empty stomach with salt water. (*De Xiao Fang*)
San Xian Wan (Three Immortals Pill), treating Meng Xie (Dream Emission). (Same as *Ji Sheng Fang* Suo Quan Wan formula, see *Xiao Bian Duo*/Frequent Urination).
Dao Shen Fang (Guide Kidney Formula) Zhu Ling Wan (Polyporus Pill).
Take Ban Xia (Pinellia) one liang, break into bean-sized pieces. Use Mu Zhu Ling (Wood Polyporus) four liang. First, stir-fry half of the Ban Xia until yellow but not burnt, bury in ground for half a day to remove fire toxicity. Pound Ban Xia into powder, make pills with paste, size of paulownia seeds. After drying, stir-fry remaining two liang of Zhu Ling powder until slightly cracked. Combine, store in non-leaking sand jar. Take thirty to forty pills on an empty stomach with warm wine and salt water. For regular use, take with cold wine between Shen and You hours (3-7 PM). This medicine treats Meng Yi (Dream Emission). [Note: The following discusses several types of Meng Yi (Dream Emission), cited earlier.] This is an ancient formula, currently popular, but few understand its rationale. Ban Xia has draining properties, and Zhu Ling guides water; the intent is to guide Kidney Qi to flow freely. I kept this medicine in my pouch, distributing it in emergencies. Three to five doses always worked promptly. Lin Jiancheng Bimin also recovered after a few doses. (*Ben Shi Fang*) [Note: *Ji Feng* names it Jian Zhong Dan, treating leukorrhea in unmarried women.]
Formulas for Calming Heart and Clearing Spirit. Treating dream emission, Fu Ling San (Poria Powder).
Pound solid white Fu Ling (Poria) into powder. Take five qian per dose, mixed with warm water. Take on an empty stomach before meals and before bed, four to five times a day. (*Su Shen Liang Fang*) (Refer to section "Disease has several aspects")
Formula for treating insecure essence, Bai Yin (White Sperm) in urine, residual dribbling, or dream emission; for women with long-standing cold in Blood Sea, leukorrhea, prolonged infertility. Wei Xi Wan (Wei Xi Pill).
Bai Fu Ling (Remove black skin, four liang, cut into large chunks, cook with one part Zhu Ling (Polyporus) in porcelain pot for 30-20 boils. Take Fu Ling, cut finely again, discard Zhu Ling.) Huang La (Beeswax, four liang)
First pound Fu Ling into powder. Melt Huang La (Beeswax) over fire. Quickly form pills by hand, size of small marbles. Take one pill per dose, chew finely and swallow dry. Stop when urine clears. (*Sheng Ji Zong Lu*)
Formula for treating Heart-Kidney Qi deficiency, endless thinking, Bai Yin (White Sperm) in urine. Huang Lian Wan (Coptis Pill).
Huang Lian (Remove roots) Bai Fu Ling (Remove black skin, equal parts)
Pound these two ingredients into powder, mix with yeast paste to form pills, size of paulownia seeds. Take thirty pills per dose, swallow with decoction of Bu Gu Zhi (Psoralea), three times daily, anytime. (Same source)