论交感脱精 论梦遗脱精
天师曰∶闭治者，乃虚极下脱，关门不闭而闭之也。如人交感乐极，男女脱精而死者，或梦遗精滑不
守者是也。男女走精而亡，亦因气虚不能自禁，一时男贪女爱，尽情纵欲，以致虚火沸腾，下元尽失。先
泄者阴精，后泄者纯血，血尽继之以气而已。当此之时，切不可离炉，仍然抱住。男脱则女以口哺送其热
气，女脱则男以口哺送其热气，一连数口呵之，则必悠悠忽忽，阳气重回，阴精不尽全流出。倘一出王
炉，则彼此不相交接，必立时身死，然苟能以独参汤数两急煎之，内可加附子一钱，乘热灌之，亦有已
死重生者。盖脱症乃一时暴亡，阳气未绝，止阴精脱绝耳，故急补其真阳，则阳能生阴，可以回绝续于无
何有之乡。方中人参，纯是补气之剂，附子乃追亡逐失之妙药，相济易于成功。倘无参而徒用附子，则
阳旺而阴愈消，故必用人参以为君。既用参矣，而珍惜不肯多加，终亦无效。盖阴精尽泄，一身之中，
已为空壳，若不多加人参，何以生津，以长其再造之阴哉。故必多加参，而后收功耳。
问用阴药以引阳可否？
天师曰∶似是而非，此喻嘉言之臆说耳。盖阴精尽出，用补阴之味，内无根源，何从补入。故必补
阳以生阴，而不可补阴以引阳也。论理阴精脱尽，宜用涩精之药以闭之，殊不知内已无阴，何从闭涩。独
用人参补气，气足而阴自生，阴生而关自闭，此不闭之闭，正妙于闭也。
至于梦遗脱精，又不可执此法以治之。梦遗之病，多成于读书飘荡之子，或见色而思，或已泄而战，
或用心作文，以取快于一时，或夜卧不安而渔色，遂至风情大胜，心气不宁，操守全无，玉关不闭。往往
少年坐困，老大徒伤，为可叹也。今立一方，熟地八两，山茱萸四两，山药八两，北五味三两，麦冬三两，
炒枣仁四两，远志一两，车前子三两，茯苓三两，芡实半斤，白术八两，各为末，蜜为丸。每日白滚水
送下一两，一料全愈，不再发。比方妙在用芡实、山药为君，而以熟地、山茱之类为佐，直补其心肾之
阴；而又以白术利其腰脐，而元精自不外泄。况梦遗原无止法，愈止而
愈泄，不若补其阴气，纵或走泄，亦不野狼狈，何必补涩而后不走失乎。然则不闭之闭，正深于闭，又
何必牡蛎、金樱子之为得哉。车前利小便而不走气，利其水则必存其精，又不可不知其功也。
张公曰∶前后俱妙，男女脱精，以口送气固佳。然而不知其法，以冷气送之，亦是徒然。必须闭
口先提关元之气，尽力哺其口中，而后送下喉，可救于垂绝之顷，否则，适所以害之也。但不可遽然离
炉，即欲离炉，亦须缓缓取出，不可见其死去，惊走下床也。离炉抱住其身，尚不至死。此等症，富贵
人多，而贫贱人少。富贵人，自宜独参三两，或四两，或半斤，或一斤愈妙，煎汤灌之，可以重苏；若
贫穷之士，荆布之妇，亦得此病，急用黄 四两，当归二两，附子二钱，水五碗，煎一碗，急灌之，亦有
生者，又不可不知。即死在床褥之内，亦可以药灌之而生。大约夜死者，日救之则活；日死者，夜救之
则亡。梦遗之症，余尚有一方至妙，可佐天师之不言。有人梦遗，日日而遗者，有不须梦而遗者，俱
效。方用芡实八两，山药十两，生枣仁十两，莲子心五钱，将莲子劈开，肉不用，单用其绿芽，焙干为
末，前药俱为末，米汤打粉为丸，如桐子大。每日早晚用白滚水送下各五钱。此方平淡之中，有至理
存焉。盖心一动而精即遗，此乃心虚之故，而玉门不闭也。方中山药补肾而生精，芡实生心而去湿，生枣
仁清心而益心包之火，莲肉心尤能清心，而气下通于肾，使心肾相交，关玉门之圣药。谁知莲肉之妙全
在心，总由世医之不读书耳。果然此段文，乃载在《大乘莲花经》内，医道所以须通竺典。生枣仁正安
其不睡，始能不泄，妙在
与山药同用，又能睡而不泄。
华君曰∶同。
雷公曰，我亦有梦遗方最妙。方用白术八两，山药八两。人参二两，生枣仁四两，远志一两，麦
冬四两，芡实四两，炒北五味一两，车前一两，各为末，蜜为丸。每日白滚水送下五钱自愈，此亦补心
肾之法。
孙真君曰∶遇交感脱精，急以人参三两，煎汤灌之，固是奇妙方法，然贫家何以救之。我有法，
用人抱起坐之，以人之口气哺其口，又恐不能入喉，以笔管通其两头，入病患喉内，使女子呵之，不必皆
妻外家也。凡妇人皆可尽力呵之，虽死去者亦能生。妙法也，吾今日泄天地之奇。（〔批〕孙君泄尽天
地之秘矣。）
【背景信息】
书名：石室秘录 作者：陈士铎 朝代：清 章节：闭治法 类别：综合
【待处理原文翻译】
天师说：所谓“闭治”，是指身体极度虚弱导致精气下脱，关门（指肾关或精关）不能闭合而强行使其闭合的治疗方法。例如，人在性交快感达到极致时，男女因泄精过多而死亡，或者梦中遗精、滑精无法自控的情况，就是此类病症。男女因走精（泄精）而亡，也是因为气虚不能自我控制，一时之间男贪女爱，尽情纵欲，导致虚火沸腾，下元（肾中元气）完全丧失。先流出的是阴精，后流出的是纯血，血流尽后接着流失的就是气了。在这个时候，千万不可离开床铺，仍然要抱住对方。如果是男子脱精，女子就用口向其口中呵送热气；如果是女子脱精，男子就用口向其口中呵送热气，连续呵送几口，病人就会悠悠忽忽地恢复意识，阳气重新回归，阴精就不会全部流出。如果一旦离开了床铺，彼此不再接触交接，病人必定立即死亡。然而，如果能用独参汤（单用人参煎制的汤剂）数两急火煎煮，内部可加入一钱附子，趁热灌服，也有已经死亡却起死回生的案例。这是因为脱症属于一时的暴亡，阳气尚未断绝，只是阴精脱失殆尽罢了，所以急需补益真阳，因为阳能生阴，可以在虚无缥缈之处接续生命。方中的人参，纯粹是补气的药物，附子是追回亡失阳气的妙药，两者相辅相成容易成功。如果没有人参而只使用附子，那么阳气旺盛而阴液会更加消亡，所以必须用人参作为君药。既然使用了人参，却又珍惜不肯多加剂量，最终也是无效的。因为阴精已经全部泄出，全身上下如同空壳一样，如果不多加人参，如何能生津液，以滋养再造的阴气呢？所以必须大量使用人参，才能收到疗效。
问：使用滋阴药物来引导阳气，是否可以？
天师说：这看起来似乎有理其实不然，这是喻嘉言（清代医家喻昌，字嘉言）的主观臆测。因为阴精已经全部排出，如果使用补阴的药物，体内没有根基，从哪里进行补益呢？所以必须通过补阳来生阴，而不能通过补阴来引阳。按理说，阴精脱尽，应该使用固涩精液的药物来封闭它，殊不知体内已经没有阴液了，从哪里去固涩呢？单独使用人参补气，气充足了阴自然就会生成，阴生成了关门自然就会关闭，这就是不通过固涩来达到固涩的目的，正比一般的固涩方法更为巧妙。
至于梦遗导致的脱精，又不可以固执地使用这种方法来治疗。梦遗这种病，多发生在读书心志飘忽不定的人身上，或者是见到美色就产生邪念，或者是已经射精后身体颤抖，或者是用心写作文章以求一时之快，或者是夜间睡眠不安而去寻求女色，从而导致情欲大胜，心气不宁，操守全无，玉关（指精关）不闭。往往少年时期因此坐困愁城，年老时徒然悲伤，真是令人叹息啊。现在制定一方：熟地黄八两，山茱萸四两，山药八两，北五味子三两，麦冬三两，炒酸枣仁四两，远志一两，车前子三两，茯苓三两，芡实半斤，白术八两，各研为细末，用蜂蜜制成丸药。每天用白开水送服一两，服用一料即可全愈，不再复发。这个方子的妙处在于使用芡实、山药作为君药，而以熟地黄、山茱萸之类作为佐药，直接补益心肾之阴；同时又用白术疏通腰脐部位的气机，使得元精自然不外泄。况且梦遗原本就没有止住的方法，越止反而越泄漏，不如补益其阴气，即使偶尔发生走泄，也不会狼狈不堪，何必非要通过补益和固涩之后才不走失呢？然而，这种不通过固涩来达到固涩的目的，正是比固涩更深层次的闭藏，又何必依赖牡蛎、金樱子等收敛药物呢？车前子通利小便而不耗散气机，通利水湿则必然保存精液，这也是不可忽视的功效。
张公说：前后的论述都很精妙，男女脱精，用口送气固然好。然而如果不懂这个方法，用冷气送去，也是徒劳无功。必须先闭口提起关元穴（位于腹部正中线上，脐下三寸）的气，尽力在口中酝酿，然后送入喉中，才能在垂危之际挽救，否则，反而会造成伤害。但是不可突然离开床铺，即使想要离开，也必须缓缓取出，不可看到病人死去的样子，惊吓得跑下床去。离开床铺抱住病人的身体，还不至于死亡。这类病症，富贵人家多见，贫贱人家少见。富贵人，应当使用独参汤三两，或者四两，或者半斤，或者一斤更好，煎汤灌服，可以使人重新苏醒；如果是贫穷的人家，穿着荆布衣服的妇女，也会得这种病，急忙使用黄芪四两，当归二两，附子二钱，水五碗，煎成一碗，急忙灌服，也有救活的，这也是不可不知道的。即使死在床上褥子里，也可以通过灌药而活过来。大约晚上死的，白天抢救就能活；白天死的，晚上抢救就会死亡。关于梦遗的病症，我还有一个非常奇妙的方子，可以辅助天师未提及的内容。有人做梦遗精，每天都遗精的，也有不需要做梦就遗精的，都有效。方子用芡实八两，山药十两，生酸枣仁十两，莲子心五钱，将莲子劈开，不用莲肉，只用绿色的芽，焙干研为细末，前面的药物也都研为细末，用米汤打粉制成丸药，如梧桐子大小。每天早晚用白开水各送服五钱。这个方子在平淡之中蕴含着至深的道理。因为心一动念精就遗出，这是心虚的缘故，导致玉门（精关）不闭。方中山药补肾而生精，芡实生心而去湿，生酸枣仁清心而益心包之火，莲子心尤其能清心，且气下行通达于肾，使心肾相交，是关闭玉门的圣药。谁知道莲子肉的妙处全在于清心，这都是由于世俗医生不读书造成的。果然这段文字，记载在《大乘莲花经》内，医道之所以需要通晓佛教经典。生酸枣仁确实能安神让人入睡，开始能不泄精，妙在与山药同用，又能让人睡着而不泄精。
华君说：同意。
雷公说，我也有一个治疗梦遗最妙的方子。方子用白术八两，山药八两，人参二两，生酸枣仁四两，远志一两，麦冬四两，芡实四两，炒北五味子一两，车前子一两，各研为细末，用蜂蜜制成丸药。每天用白开水送服五钱即可自愈，这也是补益心肾的方法。
孙真人（孙思邈）说：遇到交感脱精，急忙用人参三两煎汤灌服，固然是奇妙的方法，然而贫困家庭如何救治呢？我有办法，让人抱起患者让他坐着，用人的口气向患者口中呵送，又担心不能进入喉中，可以用笔管贯通两头，插入患者喉内，让女子对着笔管呵气，不必都是妻子娘家人。凡是妇人都可以尽力呵气，即使是死去的人也能救活。真是妙法啊，我今天泄露了天地的奥秘。（〔批注〕孙君泄露尽了天地的秘密。）
[Background Information]
Book: *Shishi Milu* (Secrets of the Stone Chamber)
Author: Chen Shiduo
Dynasty: Qing
Chapter: Methods for Closing Treatment (Bì Zhì Fǎ)
Category: Comprehensive
[English Translation]
Discussion on Exhaustion of Essence due to Sexual Intercourse and Nocturnal Emission with Essence Loss
The Heavenly Master said: The so-called "Closing Treatment" refers to a method where one forcibly closes the gate when the body is extremely deficient, leading to the downward leakage of essence, and the gate (referring to the Kidney Gate or Essence Gate) fails to close. For example, when people reach the peak of pleasure during sexual intercourse and die due to excessive loss of essence by both men and women, or when they suffer from nocturnal emission or spermatorrhea that cannot be controlled, these are such cases. Death due to the loss of essence in men and women also occurs because Qi deficiency prevents self-control. In a moment of mutual lust and unrestrained indulgence, deficient fire flares up, and the lower origin (Yuan Qi in the Kidneys) is completely lost. First, Yin essence is discharged, followed by pure blood; after the blood is exhausted, Qi follows. At this time, one must absolutely not leave the bed but should continue to embrace the partner. If the man suffers from essence exhaustion, the woman should blow warm breath into his mouth; if the woman suffers from it, the man should blow warm breath into her mouth. By blowing continuously for several times, the patient will gradually regain consciousness, Yang Qi will return, and the Yin essence will not flow out completely. However, if one leaves the bed immediately, ceasing physical contact, the patient will die instantly. Nevertheless, if Decoction of Single Ginseng (Dúshēn Tāng) made from several taels of Ginseng Radix et Rhizoma is rapidly decocted, with one qian of Aconiti Lateralis Radix Praeparata (Fuzi, Prepared Root of Chinese Aconite) added internally and administered hot, there are cases of revival from apparent death. This is because sudden collapse is a temporary cessation of life functions; Yang Qi has not yet perished, only the Yin essence has been exhausted. Therefore, urgently tonifying the True Yang allows Yang to generate Yin, potentially restoring life from nothingness. Ginseng Radix et Rhizoma in the formula is purely a Qi-tonifying agent, while Aconiti Lateralis Radix Praeparata is a miraculous drug for retrieving lost Yang. Their synergy facilitates success. If Ginseng Radix et Rhizoma is absent and only Aconiti Lateralis Radix Praeparata is used, excessive Yang will further consume Yin; thus, Ginseng Radix et Rhizoma must serve as the Sovereign herb. Once Ginseng Radix et Rhizoma is used, but sparingly due to reluctance to add more dosage, the treatment will ultimately fail. Since all Yin essence has been discharged, the body becomes like an empty shell. Without adding sufficient Ginseng Radix et Rhizoma, how can Body Fluids be generated to nourish the regenerated Yin? Therefore, a large dose of Ginseng Radix et Rhizoma is necessary to achieve efficacy.
Question: Is it feasible to use Yin-nourishing herbs to guide Yang?
The Heavenly Master replied: This seems plausible but is actually incorrect; it is merely the subjective speculation of Yu Jiayan (Yu Chang, courtesy name Jiayan). When Yin essence is entirely depleted, using Yin-nourishing substances is futile because there is no internal root from which to absorb the nourishment. Thus, one must tonify Yang to generate Yin, rather than tonify Yin to guide Yang. Logically, when Yin essence is exhausted, astringent herbs should be used to close the leakage. However, since there is no Yin left internally, what is there to astringe? Using only Ginseng Radix et Rhizoma to tonify Qi, once Qi is sufficient, Yin naturally generates. Once Yin is generated, the gate closes itself. This is "closing without closing," which is precisely superior to conventional astringency.
Regarding essence loss due to nocturnal emission, this method cannot be rigidly applied. Nocturnal emission often arises in scholars whose minds wander, or those who entertain lustful thoughts upon seeing beauty, or who experience trembling after ejaculation, or who strain their minds writing for temporary gratification, or who seek sexual partners due to restless sleep. This leads to overwhelming desire, unsettled Heart Qi, complete lack of moral restraint, and an open Essence Gate. Often, youth is wasted in distress, leaving only regret in old age, which is truly lamentable. I now prescribe a formula: Rehmanniae Radix Preparata (Shudi, Prepared Root of Chinese Foxglove) 8 liang, Corni Fructus (Shanzhuyu, Fruit of Cornelian Cherry) 4 liang, Dioscoreae Rhizoma (Shanyao, Yam Rhizome) 8 liang, Schisandrae Fructus (Beiwuweizi, Schisandra Berry) 3 liang, Ophiopogonis Radix (Maidong, Ophiopogon Root) 3 liang, Ziziphi Spinosae Semen Ustam (Chao Zaoren, Fried Seed of Jujube) 4 liang, Polygalae Radix (Yuanzhi, Milkwort Root) 1 liang, Plantaginis Semen (Cheqianzi, Plantago Seed) 3 liang, Poria (Fuling, Porii Sclerotium) 3 liang, Euryales Semen (Qianshi, Lotus Seed) 0.5 jin, Atractylodis Macrocephalae Rhizoma (Baizhu, Large-headed Atractylodes Rhizome) 8 liang. Each is ground into fine powder and formed into pills with honey. Take 1 liang daily with plain boiled water. One course will result in complete recovery and prevent recurrence. The brilliance of this formula lies in using Euryales Semen and Dioscoreae Rhizoma as Sovereign herbs, supported by Rehmanniae Radix Preparata and Corni Fructus, to directly nourish the Yin of the Heart and Kidneys. Additionally, Atractylodis Macrocephalae Rhizoma promotes circulation in the waist and umbilical region, ensuring Yuan Jing (Essence) does not leak externally. Moreover, nocturnal emission inherently resists simple suppression; the more one tries to stop it, the more it leaks. It is better to tonify Yin Qi; even if occasional leakage occurs, it will not be disastrous. Why rely solely on tonification and astringency to prevent loss? Thus, "closing without closing" represents a deeper level of containment than mere astringents like Ostrea Concha (Muli, Oyster Shell) or Rosa Laevigata Fructus (Jinyingzi, Cherokee Rose Fruit). Plantaginis Semen promotes urination without depleting Qi; by promoting water metabolism, it preserves essence, a function that must not be overlooked.
Lord Zhang said: Both previous discussions are exquisite. Using breath to revive those exhausted by intercourse is good. However, if one does not understand the technique and uses cold breath, it is futile. One must first close the mouth and draw up Qi from Guanyuan (CV-4), cultivate it fully in the mouth, and then deliver it down the throat to save the patient at the brink of death. Otherwise, it may cause harm. One must not abruptly leave the bed; even if departing, one must do so slowly. Seeing the patient appear dead and fleeing in panic is dangerous. Embracing the body after leaving the bed prevents death. Such conditions are more common among the wealthy than the poor. For the wealthy, taking 3 to 1 jin of Decoction of Single Ginseng, decocted and灌 (administered), can restore consciousness. For the poor, including women in simple clothing, who also suffer from this, urgently administer Huangqi (Astragali Radix) 4 liang, Angelicae Sinensis Radix (Danggui, Dang Gui) 2 liang, and Aconiti Lateralis Radix Praeparata 2 qian, with 5 bowls of water decocted to 1 bowl, and administer rapidly. There are survivors. This knowledge is essential. Even if death appears to have occurred in bed, administration of medicine can bring them back. Generally, those who die at night can be saved if treated during the day; those who die during the day cannot be saved if treated at night. Regarding nocturnal emission, I have another excellent formula to supplement what the Heavenly Master omitted. For patients with daily emissions, whether dream-induced or spontaneous, this formula is effective: Euryales Semen 8 liang, Dioscoreae Rhizoma 10 liang, Ziziphi Spinosae Semen Cruda (Sheng Zaoren, Raw Seed of Jujube) 10 liang, Nelumbinis Plumula (Lianzixin, Lotus Plumule) 5 qian. Split the lotus seeds, discard the flesh, use only the green plumule, dry and roast until fragrant, then grind into powder. Mix with powders of the other herbs, form pills with rice paste, sized like paulownia seeds. Take 5 qian each morning and evening with plain boiled water. This formula contains profound principles within its simplicity. Emission triggered by mental movement indicates Heart deficiency and an open Essence Gate. Dioscoreae Rhizoma tonifies the Kidney and generates essence; Euryales Semen benefits the Heart and removes dampness; Ziziphi Spinosae Semen Cruda clears the Heart and supports the Fire of the Pericardium; Nelumbinis Plumule particularly clears the Heart, and its Qi descends to connect with the Kidney, facilitating the interaction between Heart and Kidney, serving as a sacred herb for closing the Essence Gate. Who knows that the efficacy of lotus seed lies entirely in clearing the Heart? This is due to worldly physicians' lack of reading. Indeed, this passage is recorded in the *Mahayana Lotus Sutra*, indicating that medical arts require understanding Buddhist classics. Ziziphi Spinosae Semen Cruda calms the mind to enable sleep, thereby preventing emission. Its妙 (wonder) lies in its combination with Dioscoreae Rhizoma, allowing sleep without emission.
Lord Hua said: Agreed.
Lei Gong said: I also have a most excellent formula for nocturnal emission. It consists of Atractylodis Macrocephalae Rhizoma 8 liang, Dioscoreae Rhizoma 8 liang, Ginseng Radix et Rhizoma 2 liang, Ziziphi Spinosae Semen Cruda 4 liang, Polygalae Radix 1 liang, Ophiopogonis Radix 4 liang, Euryales Semen 4 liang, Schisandrae Fructus Ustam 1 liang, Plantaginis Semen 1 liang. All are ground into powder and formed into honey pills. Take 5 qian daily with plain boiled water for self-healing. This is also a method of tonifying the Heart and Kidneys.
Sun Taizhen (Sun Simiao) said: For exhaustion of essence due to intercourse, urgently administering 3 liang of Ginseng Radix et Rhizoma decocted in water is indeed a wonderful method, but how can poor families afford it? I have a method: Have someone hold the patient sitting up and blow air into their mouth. To ensure entry into the throat, use a hollow brush handle inserted into the patient's throat, allowing a woman to blow through it. It need not be the wife's relative; any woman can blow forcefully. Even the seemingly dead can be revived. What a marvelous method! Today I have revealed the secrets of Heaven and Earth. ([Commentary] Lord Sun has revealed all the secrets of Heaven and Earth.)