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。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，此候瘥轻，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》言，梦寐甚于房劳，此殆不然。予尝验之，人之病，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。
锡沙（作银泥者即以黄丹代油和梧桐子大） 芜荑 槟榔（二物等分为散）
上煎石榴根浓汁半升，下散三钱，丸五枚，中夜服，旦日下。予少时病白虫，始则逾粳
米，数岁之后，遂长寸余。古说虫长盈尺，人即死，以药攻之，下虫数合，或如带长丈余，
蟠蜒如猪脏，熠熠而动，其末寸断，辄为一虫。虫去，病少，以后数月复如初，如是者数四。
后
仆尝读《本草》，露蜂房、蛇蜕反，乱发，各烧灰，每味取一钱匕，酒调服，治疮久不
合神验，仆屡试之。烧灰略存性， 治痈疽， 忍冬嫩苗一握，叶尖圆茎生，茎叶皆有毛，
生田野篱落，处处有之，两叶对生。春夏新叶梢尖，而色嫩绿柔薄，秋冬即坚浓，色深而圆，
得霜则叶卷而色紫，经冬不凋。四月开花，极芬，香闻数步，初开色白，数日则变黄。每黄
白相间，故一名金银花。花开曳蕊数茎如丝，故一名老翁须，一名金钗股。冬间叶圆浓，似
薜荔枝，一名大薜荔，可移根庭槛间，以备急。花气可爱，似茉莉、瑞香、甘草。（生用半
两）
上忍冬烂研，同甘草，入酒一斤半，沙瓶中，塞口煮两食顷，温服。予在江西，有医僧
鉴清，善治发背疽，得其方，用老翁须，予颇神秘之。后十年过金陵，闻医王琪亦善治疡，
其方用水杨藤，求得观之，乃老翁须也。又数年，友人王子渊曰，言得神方，尝活数人，方
用大薜荔。又过历阳，杜医者治疡，常以二万钱活一人，用千金藤。过宣州宁国尉王子驳，
传一方，用金银花。海州士人刘纯臣，传一方，用金钗股，此数君皆自神其术。求其草视之，
盖一物也。予以《本草》考之，乃忍冬也。古人但为补药，未尝治疽。其用甘草煮饮之法，
制方皆同。若仓卒求不获，只用干叶为散，每服三方寸匕，甘草方寸匕，酒煮服之亦可，然
不及生者。
将坚硬的白色茯苓研磨成粉末，每次服用五钱，用温水调服。应在空腹、进食前以及临睡前服用，每日服用四到五次。医书中关于梦遗的论述，都说是肾虚所致，只是采用补肾固精的方法，然而也未曾见到有效的案例。我对此病进行分析，认为此疾有三种证候：第一种是极度虚弱，肾不能固摄精气，心不能控制念头。或者在梦中泄精，或者不在梦中泄精。这种证候都很严重，必须大量服用补益药物。然而患此病的人很少，其余的大多只是心虚或心热。因为心中有所感触，所以在梦中泄精，这种证候较轻，患病的人大多属于这种情况，只需服用茯苓散即可痊愈，我多次用它来救助他人，都有很好的疗效。又有少年气盛，或者是鳏夫和道士，强行克制情欲，因念头而动而泄精，这属于没有疾病的情况。《医及摄生家》中说，梦遗比房劳伤害更大，这大概是不对的。我曾经验证过，人在外感热病初愈时，如果犯房事禁忌，大多会死亡；至于梦遗，则从未导致困顿衰竭，这是完全可以确定的，只是梦遗本身有轻重之分罢了。
锡沙（如果是制作银泥用的，就用黄丹代替，调和如梧桐子大小） 芜荑 槟榔（这两味药等分为散剂）
以上药材煎煮石榴根浓汁半升，加入散剂三钱，制成丸药五枚，半夜服用，次日早晨排出虫体。我年轻时患有寸白虫（绦虫），起初虫体超过粳米长度，几年之后，竟长到一寸多。古书说虫体长满一尺，人就会死，我用药物攻伐它，排出的虫有几合之多，有的像带子一样长丈余，蜿蜒盘曲如同猪肠，闪闪发光地蠕动，末端一寸断开，就变成一条虫。虫排出后，病情稍减，但几个月后又恢复如初，这样的情况发生了四五次。后来
我曾经阅读《本草》，发现露蜂房、蛇蜕、乱发，各烧成灰，每味取一钱匕的量，用酒调服，治疗疮疡久不愈合非常神效，我多次尝试过。烧灰时要略微保留药性。治疗痈疽，取忍冬嫩苗一把，其叶尖圆，茎部生长，茎叶都有毛，生长在田野篱笆旁，到处都有。两叶对生。春夏时节新叶梢尖，颜色嫩绿柔薄，秋冬时节则坚硬浓厚，颜色深且圆，遇到霜冻叶子卷曲呈紫色，整个冬天不凋谢。四月开花，香气极浓，几步之外都能闻到，刚开时颜色白，几天后变黄。每当黄白相间，所以又名金银花。花开时拖出几根如丝的花蕊，所以又名老翁须，又名金钗股。冬天叶子圆润浓厚，类似薜荔，又名大薜荔，可以移栽到庭院栏杆间，以备急用。花气可爱，类似茉莉、瑞香、甘草。（生用半两）
以上忍冬捣烂研细，同甘草一起，放入一斤半酒中，用沙瓶塞紧口煮两个用餐的时间，温服。我在江西时，有一位名叫鉴清的医僧，擅长治疗发背疽，得到了他的方子，使用老翁须，我觉得很神奇。十年后经过金陵，听说医生王琪也擅长治疗疮疡，他的方子用水杨藤，我求得观看，原来是老翁须。又过了几年，友人王子渊说，得到了一个神方，曾经救活了几个人，方子使用大薜荔。又经过历阳，杜医生治疗疮疡，常以两万元救活一人，使用千金藤。经过宣州宁国尉王子驳处，他传给我一个方子，使用金银花。海州士人刘纯臣，传给我一个方子，使用金钗股，这几位先生都让自己的医术显得神奇。我去寻找这些草药查看，原来是一味药。我以《本草》考证，这就是忍冬。古人只把它作为补药，未曾用来治疗疽。其中使用甘草煮饮的方法，制方都是一样的。如果仓促之间找不到新鲜的，只用干叶研为散剂，每次服用三方寸匕，甘草一方寸匕，用酒煮服也可以，但不如新鲜的好。
Grind the firm, white Poria (Fuling, 茯苓) into powder. Take five qian each time, mixed with warm water for oral administration. It should be taken on an empty stomach, before meals, and before going to bed, four to five times a day. Medical texts regarding nocturnal emission (Mengxie, 梦泄) all attribute it to Kidney deficiency (Shen Xu, 肾虚), suggesting only tonifying the Kidney and astringing essence (Bu Shen Se Jing, 补肾涩精). However, such methods have rarely proven effective. My analysis indicates three types of syndromes for this condition: The first is extreme deficiency, where the Kidney cannot secure essence and the Heart cannot control thoughts. Emission may occur during dreams or without dreams. These conditions are severe and require large doses of tonic medicines. However, few people suffer from this type. The rest mostly suffer from Heart deficiency (Xin Xu, 心虚) or Heart heat (Xin Re, 心热). Due to emotional stimuli from the Heart, emissions occur in dreams. This syndrome is milder, and most patients fall into this category; they can recover simply by taking Poria Powder (Fuling San, 茯苓散). I have used it repeatedly to save others with excellent results. There are also young men with vigorous Qi, or widowers and Daoist priests, who forcibly restrain their desires. Emissions caused by mental arousal belong to a state of no disease. *Yi Ji She Sheng Jia* states that nocturnal emission is more harmful than sexual excess, which is likely incorrect. I have verified that when people engage in sexual activity shortly after recovering from epidemic febrile diseases (Tian Xing, 天行), death often ensues. In contrast, nocturnal emission never causes physical exhaustion, which is clearly evident; there are merely degrees of severity in nocturnal emissions.
Tin sand (if used for making silver paste, replace with Minium (Huangdan, 黄丹) and mix to the size of Wutongzi pills) Tordis Seed (Wuyi, 芜荑) Areca Nut (Binglang, 槟榔) (These two herbs are ground equally into powder.)
Decoct concentrated pomegranate root juice to half a sheng. Add three qian of the powder and form five pills. Take at midnight, and expel worms the next morning. When I was young, I suffered from Taenia solium (Cunbai Chong, 寸白虫). Initially, the worms were longer than rice grains. After several years, they grew to over one cun in length. Ancient texts say that if a worm reaches one chi in length, the person dies. I treated it with medicine, expelling several he of worms. Some were like ribbons, over ten zhang long, coiling like pig intestines, moving shimmeringly. When the tip broke off at one cun, it became a separate worm. After expulsion, the illness subsided slightly, but returned to its original state after a few months. This happened four or five times. Later
I once read *Ben Cao*, noting that Honeycomb (Lufengfang, 露蜂房), Snake Slough (Shetui, 蛇蜕), and tangled hair, each burned to ash, taken as one qian bi per herb, mixed with wine, are miraculously effective for treating ulcers that fail to heal. I have tested this repeatedly. Burn them until the medicinal properties are partially retained. For treating carbuncles and sores (Yong Ju, 痈疽), take a handful of fresh Honeysuckle buds (Rendong, 忍冬). The leaves are pointed and round, growing on stems with hairs. They grow in fields and along fences everywhere. Leaves grow opposite each other. In spring and summer, new leaf tips are tender green and thin. In autumn and winter, they become thick and hard, dark green and round. After frost, leaves curl and turn purple, remaining evergreen through winter. Flowers bloom in April, extremely fragrant, scent detectable from several steps away. Initially white, turning yellow after a few days. The alternating yellow and white flowers give it the name Gold and Silver Flower (Jinyinhua, 金银花). The stamens hang down like threads, hence also called Old Man's Beard (Laowengxu, 老翁须) or Golden Hairpin (Jinchai Gu, 金chai gu). In winter, the round, thick leaves resemble Ficus pumila (Bilixiang, 薜荔), also called Big Bilixiang (Dabilixiang, 大薜荔). It can be transplanted to courtyard railings for emergency use. The floral fragrance is pleasant, similar to Jasmine (Moli, 茉莉), Daphne (Ruixiang, 瑞香), and Licorice (Gancao, 甘草). (Use raw Ban liang)
Mash the fresh Honeysuckle thoroughly, combine with Licorice Root (Gancao, 甘草), and add one jin and half sheng of wine. Seal in a clay pot and boil for the duration of two meals. Take warm. While in Jiangxi, I met Monk Jianqing, a physician skilled in treating Back Carbuncle (Fabai Ju, 发背疽). He shared his formula using Old Man's Beard, which I found mysterious. Ten years later, passing through Jinling, I heard Physician Wang Qi was also skilled in treating sores. His formula used Willow Vine (Shuiyang Teng, 水杨藤). Upon inspection, it was indeed Old Man's Beard. A few years later, my friend Wang Ziyuan mentioned a divine formula that saved several people, using Big Bilixiang. Passing through Liyang, Physician Du treated sores, saving one person for twenty thousand coins, using Thunbergia laurifolia (Qianjin Teng, 千金藤). At Ningguo County尉 in Xuanzhou, Wang Zibo passed on a formula using Gold and Silver Flower. Liu Chunchen, a scholar from Haizhou, passed on a formula using Golden Hairpin. These gentlemen all made their skills seem miraculous. Investigating these herbs, I found they are all the same plant. Consulting *Ben Cao*, it is Honeysuckle. Ancients used it only as a tonic, not for treating sores. The method of boiling with Licorice is consistent across formulas. If fresh herbs are unavailable in haste, dry leaves can be powdered. Take three fang cun bi of the leaf powder and one fang cun bi of Licorice, boiled in wine. This is acceptable but inferior to fresh herbs.