男子久战不已，忽然乐极情浓，大泄不止，精尽继之以血，气喘而手足身体皆冷，人皆
以男脱精为阳脱，女脱精为阴脱，其实男女俱有阴阳之脱，不必分男女以治之也。大约脱症
俱宜治阳。盖精脱之后，精已尽亡，是无阴也。而阳气亦在将脱未脱之际，若不急救其阳气
，则阳气一散，归阴甚速。况阴性迟而阳性速，徒补其阴则迂缓之极，何济于事乎。倘执补
阴之说，阴已尽泄，内绝真阴之根，又从何处补起，是补阳可以续阴，而补阴难以引阳也。
然阴尽继之以血，似乎血亦宜止。而止血之药，要不外涩药以闭之，但内已无阴，何从闭塞
，不若用补气之剂，以助其阳气，阳旺而阴自能生，阴阳交济，气血交通，自然精生血闭，
不涩之涩也。
方用续阴救绝汤∶
人参（二两） 白术（三两） 附子（一钱） 巴戟天（一两）
水煎服。一剂血止，二剂阴生，连服四剂，可以不死。
此方补阳气之圣药也。用人参回绝，续于无何有之乡，用白术以通利其腰脐之气，用附
子以追其散失之元阳，用巴戟天补其心肾之阴，仍是补阳之药，则阳回而阴亦回也。倘不用
人参，止用附、术、巴戟，亦可夺命于须臾，然无参为君主之味，则附子之热无以驾驭，恐
有阳旺阴消之弊，倘能以补阴之药济其后，亦不至有偏胜耳。
此症用参附五味汤亦大效。
人参（三两） 附子（二钱） 北五味子（三钱）
水煎服。
有妇人爱风月者，尽情浪战，以致虚火沸腾，阴精下脱，死去更苏，头目昏晕，止存游
气，人以为阴脱也，谁知是阳脱乎。妇人主静不主动，最难泄精，以妇人满身纯阴，肾中独
存阳气也。男子成仙者，采妇人之阳气，以为丹母，然而采者多，而能得之者绝少。凡妇人
泄精必自动之极，而漏泄之时，其乐有不可言者，正泄其阳气也。阳气之泄，将一身骨髓之
真阳，尽从胞胎之管而喷出，然亦止泄其气，而非泄其精也。惟火动之极，则肝气大开，血
不藏矣，血不藏则精亦不能固，而肾中之真阴，亦随之俱泄。当此之时，妇人乃动极而不能
自止，情愿身死以殉，故愈动而愈泄，而及至精尽一笑而亡。惟藉男子紧抱其身，以嘴哺气
，阳不离阴之户，然后死去还魂，是阳脱而阴尚未绝耳，可不急救其阴乎。然而救阴不能回
阳，必须仍救阳也。
方用回阳救阴丹∶
人参（三两） 黄 （三两） 当归（一两） 茯神（五钱） 生枣仁（三钱） 北五味子（一钱）
水煎服，一剂阳回，二剂阴生。然后方中再加熟地一两，山茱萸五钱，一剂煎饮，连服
一月，可以还元如故。
此方先用参以挽回于一时，后用熟地、山药以善后于平日。盖人参实能救脱以回阳，而
不能救涸以填阴。先补阳而后补阴，则已脱之精可生，未脱之气易长，庶不至阳旺而阴消也
此症用参术汤亦可救。
人参（三两） 白术（三两）
水煎服。
人有小便之时，忽然寒噤脱去，虽无阴精之泄，然气泄即精泄也。人以为中风之症，谁
知是阴阳两脱乎。夫膀胱气化，殆能小便，此气即肾中之气也。人过泄精，则气不能旺矣。
气衰则精易泄，精泄而气益微，小便之时脱去者，未有不因过于交感泄精所致。交感时泄精
以脱者，因于乐极情浓。交感后当小便而脱者，必战败阳痿之人。故脱于男女身上者，多有
回生。脱于坑厕之地者，每难救死。盖彼有阴阳之根，此无阴阳之倚也。然脱有不同，倘脱
去昏晕，外势缩入者，尚可救援，急以手拽出龟头，不使缩入，后用生人汤救之。
方用∶
生枣仁（五钱） 人参（二两） 附子（三钱） 白术（四两） 菖蒲（五分）
水煎服。一剂再苏，二剂更健，改用调阴回阳汤∶
熟地（二两） 山茱萸（一两） 白术（一两） 茯神（三钱） 人参（一两） 肉桂（一钱） 白芥子（二钱）
水煎服。调理二月而愈。
前方回阳于无何有之乡，后方生阴于正可续之际，自然阳回而阴不至于骤绝，阴生而阳
不至于太旺耳。或谓龟头缩入，明是寒极宜死之兆，不知犹有生机者，以内有阳气未绝耳。
使阳已绝矣，则龟头反不深入。龟头之深入者，阴欲入阳之兆也，故以阳药急救之而更苏矣
此症用参术附子汤亦可效。
人参 白术（各二两） 附子（三钱）
水煎服。
人有大便之时，一时昏晕而脱者，两目上视，手足冰冷，牙关不收，不能语言，人以为
中风不语也，谁知是阴脱之症乎。夫大便之能开阖者，肾主之也。肾水足，大便无燥结之虞
，肾水衰，大便有滑利之患。是大便之燥润，全责之肾也。然大肠之病何能遽绝。不知大肠
过燥，则火烁其水而阴绝，过滑则水制其火而阴亦绝也。且大肠阴绝，仍绝于肾耳，故肾脱
而大肠亦脱，惟救其肾绝而已。
方用六味地黄汤∶
熟地（二两） 山茱萸（一两） 茯苓（八钱） 丹皮（六钱） 山药（一两） 泽泻（六钱）
水煎服。一剂昏晕苏，再剂言语出，连服一月全愈。
此方非救脱之药也。然肾水枯而肾始绝，大滋其肾水，枯槁之时得滂沱之泽，则沟洫之
间，无非生意，是补水正所以救肾之绝，岂大肠得水而反不能救其脱乎。
此症用两援汤亦可治。
熟地（二两） 当归 人参 白术（各一两） 肉桂（二钱）
水煎服。
人有并不与妇人交感，一闻妇女之声音，而淫精流出，虽非阴阳脱症之重，然亦脱症之
渐也。夫阴阳不相离者也，久战不泄者，肾火与肾水俱旺也，惟肾水衰，而火易动，肾火衰
而水难固。久战不泄者，非为肾中水火之旺，亦心中水火之旺也。心火旺，肾火不敢夺其权
，心水旺，肾水不敢移其柄。惟心中水少，而肾中之水始有下竭之忧。心中火少，而肾中之
火始有下移之患。闻妇女之声淫精即出，此心中水火虚极而动也，而肾中水火随心君之动而
外泄矣。若流而不止，此阴阳将脱之候，尤为危症。苟不急治，亦与鬼为邻。治法宜大补其
心肾。
方用交济汤∶
人参（五钱） 熟地（一两） 山茱萸（五钱） 麦冬（一两） 柏子仁（三钱） 龙骨（醋 ，二钱） 黄连
（五分） 肉桂（五分） 当归（五钱） 黄 （五钱）
水煎服。十剂虽闻妇女之声亦止而不流矣，更服二十剂全愈。
此方心肾两补，少加涩精之味，使玉门自闭，不至经络之大开也。盖心肾不交，而玉门
之关既易开，心肾易交，而玉门之关反难闭。闻声流精声，其精原先离于肾宫，故随闻随出
，亦其中之关门大开故耳，所以宜用涩于补之中也。
此症用葆精丸亦佳。
人参（五两） 白术 黄 （各一斤） 山药 熟地 芡实（各一斤） 北五味（三两） 远志（四两） 炒
枣仁 山萸肉 巴戟天 菟丝子 麦冬（各八两） 龙骨（三两，醋 ） 金樱子（四两）
蜜为丸，每日早晚白滚水吞服，各六钱，一料全愈。
男子长期频繁行房，忽然在极度欢愉、情欲浓烈之时，出现精液大量滑脱不止的情况，精液耗尽后继而流出血液，伴有气喘，且手足及全身发冷。人们通常认为男性因精气耗竭导致的虚脱属于阳脱，女性则属于阴脱，但实际上男女都可能出现阴阳两脱的情况，治疗时不必区分性别。大体上，对于这类虚脱证候，都应当以救治阳气为主。这是因为精气耗竭之后，阴精已经亡失殆尽，这就是所谓的“无阴”。而此时阳气也正处于即将散脱但尚未完全散脱的临界状态，如果不紧急挽救阳气，一旦阳气彻底消散，就会迅速回归于阴（即死亡）。况且阴性性质迟缓而阳性性质迅疾，如果只单纯滋补阴液，药效过于迂缓，对急救有何帮助呢？如果固执于补阴的说法，既然阴精已经全部泄尽，体内真阴的根本已经断绝，又从何处开始补起呢？因此，补阳可以延续阴液的生成，而单纯补阴却难以引导阳气回归。
然而，阴精耗尽后继而出血，似乎也应该止血。但止血的药物，不外乎是用收敛固涩的药来封闭，但此时体内已经没有阴精作为基础，如何能进行闭塞呢？不如使用补气的方法，来助长阳气，当阳气旺盛时，阴液自然能够滋生，达到阴阳相互济助、气血通畅的状态，自然就能使精液再生、血液停止外溢，这是一种不通过直接收敛而达到收敛效果的方法。
方剂用续阴救绝汤：
人参（二两） 白术（三两） 附子（一钱） 巴戟天（一两）
用水煎服。服用一剂后血止，两剂后阴液滋生，连续服用四剂，就可以不死。
这个方子是补益阳气的圣药。用人参来挽回将绝的生命力，将其接续于虚无之中；用白术来通利腰脐部位的气机；用附子来追回散失的元阳；用巴戟天来补益心肾之阴。这仍然是补阳的药物，只要阳气回复，阴液也会随之回复。如果不用人参，只用附子、白术和巴戟天，也可以在短时间内挽救生命，但是如果没有人参作为君药的主导，附子的热性就无法被驾驭，恐怕会有阳气过旺而损伤阴液的弊端。如果能用补阴的药物在后面辅助，也不至于造成偏胜的危害。
此症使用参附五味汤也有很大疗效。
人参（三两） 附子（二钱） 北五味子（三钱）
用水煎服。
有一位喜爱风月之事的女子，尽情放纵地行房，导致虚火沸腾，阴精向下脱漏，甚至一度假死又苏醒过来，头目昏晕，只剩下一丝游移之气。人们以为这是阴脱，谁知道其实是阳脱呢？女子本性主静而不主动，最难泄出精液，因为女子全身都是纯阴，只有肾中独存一点阳气。男子成仙者，采集女子的阳气作为炼丹的母质，然而采集的人很多，真正能得到的人极少。凡是女子泄精，必定是在动极之时，而在漏泄的时候，其中的快乐是不可言说的，这正是泄出了她的阳气。阳气的泄出，是将一身骨髓中的真阳，全部从胞胎的管道中喷出，但这只是泄气，而不是泄精。只有当火热动到极致时，肝气大开，血液不能藏守；血液不能藏守，精液也就不能固摄，于是肾中的真阴也随之一起泄出。在这个时候，女子处于动极而不能自止的状态，情愿身死以殉情，所以越是动作越剧烈，泄得越多，直到精尽笑死。这时必须依靠男子紧紧抱住她，用嘴哺喂气息，使阳气不离阴户，然后才能死去还魂，这说明是阳脱而阴尚未绝灭，怎能不紧急救治阴液呢？然而，单救阴不能回阳，必须仍然救治阳气。
方剂用回阳救阴丹：
人参（三两） 黄芪（三两） 当归（一两） 茯神（五钱） 生枣仁（三钱） 北五味子（一钱）
用水煎服，一剂后阳气回复，二剂后阴液滋生。然后在方中再加熟地黄一两、山茱萸五钱，煎服一剂，连续服用一个月，可以恢复元气如常。
这个方子先用参类药材在短时间内挽回阳气，后用熟地黄、山药在平日善后调理。因为人参确实能救脱以回阳，但不能救枯竭以填阴。先补阳而后补阴，那么已经脱失的精液可以再生，未脱失的气容易生长，这样才不至于出现阳旺阴消的局面。
此症使用参术汤也可以救治。
人参（三两） 白术（三两）
用水煎服。
有人在小便时，忽然发生寒战并发生虚脱，虽然没有阴精的泄出，但气泄也就是精泄。人们以为是中风症，谁知道这是阴阳两脱呢？膀胱的气化功能，大概能促使小便排出，这股气就是肾中的气。人如果过度泄精，气就不能旺盛了。气衰则精易泄，精泄则气更微弱，小便时发生虚脱的，没有不是因为过度性交泄精所导致的。在性交过程中因乐极情浓而泄精致脱的，是因为当时的情境；在性交后应当小便时发生虚脱的，必定是那些战败阳痿之人。所以在男女身上发生的虚脱，大多有回生的希望；在坑厕之地发生的虚脱，往往难以救活。因为前者还有阴阳的根本，后者则没有阴阳的依托。然而虚脱的表现有所不同，如果虚脱时昏晕，且外生殖器收缩入腹的，还可以救援，急忙用手拉出龟头，不让其缩入，然后用生人汤救治。
方剂用：
生枣仁（五钱） 人参（二两） 附子（三钱） 白术（四两） 石菖蒲（五分）
用水煎服。一剂后再次苏醒，二剂后更加健壮，改用调阴回阳汤：
熟地黄（二两） 山茱萸（一两） 白术（一两） 茯神（三钱） 人参（一两） 肉桂（一钱） 白芥子（二钱）
用水煎服。调理两个月而痊愈。
前方在无何有之乡回阳，后方在正可续之际生阴，自然阳气回复而阴不至于骤然断绝，阴液滋生而阳不至于太过旺盛。有人说龟头缩入，明明是寒极宜死的征兆，不知道其中还有生机，是因为体内阳气尚未绝灭。假如阳气已经绝灭，龟头反而不会深入。龟头深入，是阴欲入阳的征兆，所以用阳药急救而使其复苏。
此症使用参术附子汤也有效。
人参 白术（各二两） 附子（三钱）
用水煎服。
有人在大便时，一时昏晕而虚脱，两眼上视，手足冰冷，牙关紧闭，不能言语，人们以为是中风不语，谁知道这是阴脱症呢？大便的开阖，由肾所主。肾水充足，大便就没有燥结的忧虑；肾水衰弱，大便就有滑利的隐患。大便的干燥或润泽，全责在于肾。但是大肠的病怎么能突然断绝呢？不知道大肠过于干燥，则火热灼烧津液而导致阴绝；过于滑利，则水制伏火热而导致阴也绝。而且大肠的阴绝，归根结底还是源于肾的绝灭，所以肾脱则大肠也脱，只需救治肾的绝灭即可。
方剂用六味地黄汤：
熟地黄（二两） 山茱萸（一两） 茯苓（八钱） 牡丹皮（六钱） 山药（一两） 泽泻（六钱）
用水煎服。一剂后昏晕苏醒，再剂后言语恢复，连续服用一个月完全痊愈。
这个方子不是专门的救脱药。但是肾水枯竭肾才会绝灭，大力滋补肾水，在枯槁之时得到充沛的滋润，那么沟渠之间，无非都是生机，补水正是为了救肾的绝灭，难道大肠得到水反而不能救其虚脱吗？
此症使用两援汤也可以治疗。
熟地黄（二两） 当归 人参 白术（各一两） 肉桂（二钱）
用水煎服。
有人并不与妇人交合，只是一听到妇女的声音，淫精就流出，虽然这不是阴阳脱症的严重情况，但也是虚脱的开端。阴阳是不相分离的，长期行房不泄精的，是肾火与肾水都旺盛；只有肾水衰弱，火才容易妄动；肾火衰弱，水才难以固摄。长期行房不泄精，并非因为肾中水火旺盛，也是因为心中水火旺盛。心火旺，肾火不敢夺取其权柄；心水旺，肾水不敢转移其主导权。只有心中水少，肾中之水才有下竭的担忧；心中火少，肾中之火才有下移的祸患。听到妇女的声音淫精就流出，这是心中水火极度虚弱而妄动，肾中的水火随着心君的妄动而外泄。如果流出不止，这是阴阳即将脱失的征候，尤为危重病症。如果不紧急治疗，也将与鬼为邻。治疗方法应当大补心肾。
方剂用交济汤：
人参（五钱） 熟地黄（一两） 山茱萸（五钱） 麦冬（一两） 柏子仁（三钱） 龙骨（醋煅，二钱） 黄连（五分） 肉桂（五分） 当归（五钱） 黄芪（五钱）
用水煎服。十剂后，即使听到妇女的声音也不会再流出，再服用二十剂完全痊愈。
这个方子心肾双补，稍微加入一些固涩精液的药物，使玉门（指前阴）自行闭合，不至于经络大开。因为心肾不交，玉门的关隘就容易打开；心肾易交，玉门的关隘反而难闭。听到声音流精，其精原本就离于肾宫，所以随闻随出，也是因为心中的关门大开所致，所以适宜在补益之中使用固涩药。
此症使用葆精丸也很好。
人参（五两） 白术 黄芪（各一斤） 山药 熟地黄 芡实（各一斤） 北五味子（三两） 远志（四两） 炒枣仁 山萸肉 巴戟天 菟丝子 麦冬（各八两） 龙骨（三两，醋煅） 金樱子（四两）
炼蜜为丸，每日早晚用白开水吞服，每次六钱，一料药即可全愈。
A man who has engaged in prolonged and frequent sexual intercourse suddenly experiences uncontrollable seminal emission at the peak of pleasure and intense passion. After the semen is exhausted, blood follows. He suffers from panting, and his hands, feet, and entire body become cold. People generally believe that seminal depletion in men constitutes Yang collapse (Yang Tuo), while in women it constitutes Yin collapse (Yin Tuo). In reality, both men and women can experience collapse of either Yin or Yang, and treatment should not be differentiated by gender. Generally speaking, such collapse syndromes should be treated by addressing Yang. This is because after seminal depletion, the essence (Jing) is completely lost, which means there is no Yin. At this moment, Yang Qi is also on the verge of collapsing but has not yet fully dispersed. If Yang Qi is not urgently rescued, once it scatters, it will return to Yin (death) very quickly. Moreover, Yin nature is slow, while Yang nature is rapid. Merely tonifying Yin would be extremely sluggish and of little help in an emergency. If one adheres strictly to the theory of tonifying Yin, since the Yin essence has already been entirely drained and the root of True Yin inside is severed, where can the tonification begin? Therefore, tonifying Yang can sustain Yin, whereas tonifying Yin alone makes it difficult to guide Yang back.
However, when Yin essence is exhausted and bleeding follows, it seems hemostasis should be employed. But hemostatic herbs are essentially astringents used to close the leakage. Yet, with no Yin left inside, how can closure be achieved? It is better to use formulas that tonify Qi to assist Yang Qi. When Yang Qi becomes vigorous, Yin will naturally generate. Through the mutual assistance of Yin and Yang, and the smooth flow of Qi and Blood, semen will regenerate and bleeding will stop naturally. This achieves astringency without using astringent herbs.
Prescription: Xuyin Jiujue Tang (Continuing Yin Decoction for Saving the Desperate)
Ren Shen (Ginseng Radix et Rhizoma) 2 liang
Bai Zhu (Atractylodis Macrocephalae Rhizoma) 3 liang
Fu Zi (Aconiti Lateralis Radix Praeparata) 1 qian
Ba Ji Tian (Morinda Officinalis Radix) 1 liang
Decoct in water and take orally. Bleeding stops after one dose; Yin generates after two doses. Taking it continuously for four doses ensures survival.
This prescription is a holy medicine for tonifying Yang Qi. Ren Shen rescues the desperate state and reconnects life in the realm of nothingness; Bai Zhu promotes the free flow of Qi in the waist and umbilical region; Fu Zi retrieves scattered Yuan Yang (Original Yang); Ba Ji Tian tonifies the Yin of the Heart and Kidney. These are still Yang-tonifying herbs; thus, when Yang returns, Yin also returns. If Ren Shen is omitted and only Fu Zi, Bai Zhu, and Ba Ji Tian are used, life can still be snatched from death in an instant. However, without Ren Shen as the sovereign herb to command the formula, the heat of Fu Zi cannot be controlled, posing a risk of excessive Yang damaging Yin. If Yin-tonifying herbs are added later to support, bias will not occur.
For this syndrome, Shen Fu Wu Wei Tang (Ginseng, Aconite, and Schisandra Decoction) is also highly effective.
Ren Shen (Ginseng Radix et Rhizoma) 3 liang
Fu Zi (Aconiti Lateralis Radix Praeparata) 2 qian
Bei Wu Wei Zi (Schisandrae Chinensis Fructus) 3 qian
Decoct in water and take orally.
A woman fond of sexual indulgence, engaging in unrestrained intercourse, causes deflagration of deficient fire and downward leakage of Yin essence. She falls into apparent death and revives, suffering from dizziness and vertigo, with only wandering Qi remaining. People assume this is Yin collapse, but who would know it is actually Yang collapse? Women are inherently quiet and non-active, making seminal leakage difficult because their bodies are purely Yin, with only a trace of Yang Qi existing in the Kidney. Immortal men collect women's Yang Qi to serve as the mother of elixirs, yet few succeed. Whenever a woman leaks essence, it must be at the extreme of movement, and the pleasure during leakage is indescribable; this is precisely the leakage of her Yang Qi. The leakage of Yang Qi involves the expulsion of the True Yang from the bone marrow through the uterus tube. However, this is merely the leakage of Qi, not Essence. Only when fire moves to the extreme does Liver Qi open widely, causing Blood to fail to store; if Blood fails to store, Essence cannot be secured, and the True Yin in the Kidney leaks out with it. At this time, the woman is in a state of extreme movement she cannot control, willing to die to follow her lover. Thus, the more active she is, the more she leaks, until she dies laughing after exhausting her essence. She relies on the man holding her tightly and breathing air into her mouth, keeping Yang Qi near the Yin gate, allowing her to revive from apparent death. This indicates Yang collapse while Yin is not yet extinct; why not urgently rescue Yin? However, rescuing Yin alone cannot restore Yang; one must still rescue Yang.
Prescription: Huiyang Jiuyin Dan (Restoring Yang and Saving Yin Pill)
Ren Shen (Ginseng Radix et Rhizoma) 3 liang
Huang Qi (Astragali Membranacei Radix) 3 liang
Dang Gui (Angelicae Sinensis Radix) 1 liang
Fu Shen (Poria Cum Radix) 5 qian
Sheng Zao Ren (Ziziphi Spinosae Semen) 3 qian
Bei Wu Wei Zi (Schisandrae Chinensis Fructus) 1 qian
Decoct in water and take orally. Yang returns after one dose; Yin generates after two doses. Then add Shu Di Huang (Rehmanniae Radix Praeparata) 1 liang and Shan Zhu Yu (Corni Fructus) 5 qian to the formula. Decoct and take one dose, continuing for one month to restore original vitality.
This formula first uses Ginseng to temporarily restore Yang, then uses Shu Di Huang and Shan Yao to manage recovery in daily life. Ren Shen truly saves collapse and restores Yang but cannot fill dryness to tonify Yin. Tonifying Yang first and then Yin allows depleted essence to regenerate and un-depleted Qi to grow easily, preventing Yang from flourishing and Yin from declining.
For this syndrome, Shen Shu Tang (Ginseng and Atractylodes Decoction) can also save the patient.
Ren Shen (Ginseng Radix et Rhizoma) 3 liang
Bai Zhu (Atractylodis Macrocephalae Rhizoma) 3 liang
Decoct in water and take orally.
A person suddenly experiences chills and collapse during urination. Although there is no leakage of Yin essence, Qi leakage implies Essence leakage. People think this is Wind-Stroke, but who knows it is a dual collapse of Yin and Yang? The Qi transformation of the Bladder enables urination; this Qi is the Qi within the Kidney. Excessive seminal emission weakens Qi. Weak Qi leads to easy Essence leakage; Essence leakage further weakens Qi. Collapse during urination is invariably caused by excessive sexual activity and seminal emission. Collapse during intercourse due to extreme pleasure differs from collapse after intercourse during urination, which occurs in those who have suffered defeat and suffer from impotence. Collapses occurring on the bed often allow for revival, whereas collapses occurring in latrines are often fatal. The former retains the root of Yin and Yang; the latter lacks reliance on Yin and Yang. However, manifestations of collapse vary. If collapse involves fainting and retraction of the external genitalia, rescue is possible. Urgently pull out the glans penis to prevent retraction, then treat with Sheng Ren Tang (Reviving Person Decoction).
Prescription:
Sheng Zao Ren (Ziziphi Spinosae Semen) 5 qian
Ren Shen (Ginseng Radix et Rhizoma) 2 liang
Fu Zi (Aconiti Lateralis Radix Praeparata) 3 qian
Bai Zhu (Atractylodis Macrocephalae Rhizoma) 4 liang
Shi Chang Pu (Acori Tatarinowii Rhizoma) 5 fen
Decoct in water and take orally. Revival occurs after one dose; strength improves after two doses. Switch to Tiao Yin Hui Yang Tang (Regulating Yin and Restoring Yang Decoction):
Shu Di Huang (Rehmanniae Radix Praeparata) 2 liang
Shan Zhu Yu (Corni Fructus) 1 liang
Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 liang
Fu Shen (Poria Cum Radix) 3 qian
Ren Shen (Ginseng Radix et Rhizoma) 1 liang
Rou Gui (Cinnamomi Cortex) 1 qian
Bai Jie Zi (Sinapis Semen) 2 qian
Decoct in water and take orally. Recovery occurs after two months of regulation.
The former formula restores Yang in the realm of nothingness; the latter generates Yin when continuation is possible. Naturally, Yang returns without Yin abruptly severing, and Yin generates without Yang becoming excessively vigorous. Some argue that retracted glans penis indicates extreme cold and impending death, unaware that vitality remains because internal Yang is not yet extinct. If Yang were truly extinct, the glans would not retract deeply. Deep retraction signifies Yin desiring to enter Yang; thus, urgent administration of Yang-warming herbs leads to revival.
For this syndrome, Shen Shu Fu Zi Tang (Ginseng, Atractylodes, and Aconite Decoction) is also effective.
Ren Shen (Ginseng Radix et Rhizoma) 2 liang
Bai Zhu (Atractylodis Macrocephalae Rhizoma) 2 liang
Fu Zi (Aconiti Lateralis Radix Praeparata) 3 qian
Decoct in water and take orally.
A person faints and collapses during defecation, with eyes rolling upward, cold hands and feet, locked jaw, and inability to speak. People assume this is Wind-Stroke with aphasia, but who knows it is Yin collapse? Defecation is governed by the Kidney. Sufficient Kidney Water prevents constipation; deficient Kidney Water leads to diarrhea. The dryness or moisture of stool depends entirely on the Kidney. How can the Large Intestine disease cause sudden extinction? Extremes of dryness burn Water leading to Yin extinction; extremes of slipperiness suppress Fire leading to Yin extinction. Ultimately, Large Intestine Yin extinction stems from Kidney extinction. Therefore, Kidney collapse entails Large Intestine collapse; treating Kidney extinction is key.
Prescription: Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill)
Shu Di Huang (Rehmanniae Radix Praeparata) 2 liang
Shan Zhu Yu (Corni Fructus) 1 liang
Fu Ling (Poria) 8 qian
Dan Pi (Moutan Cortex) 6 qian
Shan Yao (Dioscoreae Rhizoma) 1 liang
Ze Xie (Alismatis Rhizoma) 6 qian
Decoct in water and take orally. Fainting resolves after one dose; speech returns after two doses. Continuous use for one month ensures full recovery.
This formula is not specifically for saving collapse. However, Kidney Water exhaustion leads to Kidney extinction. Greatly nourishing Kidney Water provides abundant moisture to dryness, bringing life to all channels. Nourishing Water is precisely how one saves Kidney extinction; how could the Large Intestine, receiving Water, fail to be saved from collapse?
For this syndrome, Liang Yuan Tang (Two-Support Decoction) is also effective.
Shu Di Huang (Rehmanniae Radix Praeparata) 2 liang
Dang Gui (Angelicae Sinensis Radix) 1 liang
Ren Shen (Ginseng Radix et Rhizoma) 1 liang
Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 liang
Rou Gui (Cinnamomi Cortex) 2 qian
Decoct in water and take orally.
A person emits seminal fluid upon hearing a woman's voice, without actual sexual intercourse. Although this is not a severe case of Yin-Yang collapse, it is the beginning of collapse. Yin and Yang are inseparable. Prolonged intercourse without emission indicates prosperity of both Kidney Fire and Kidney Water. Only when Kidney Water is deficient does Fire move easily; only when Kidney Fire is deficient is Water hard to secure. Prolonged intercourse without emission reflects not just Kidney Fire/Water prosperity, but also Heart Fire/Water prosperity. Prosperous Heart Fire prevents Kidney Fire from usurping authority; prosperous Heart Water prevents Kidney Water from shifting control. Only when Heart Water is scant does Kidney Water face lower exhaustion; only when Heart Fire is scant does Kidney Fire face downward migration. Hearing a woman's voice causing emission indicates extreme deficiency and agitation of Heart Fire and Water, causing Kidney Fire and Water to leak externally following the agitation of the Heart Sovereign. If emission continues unchecked, it signals impending Yin-Yang collapse, a critical condition. Without urgent treatment, death is imminent. Treatment requires massive tonification of Heart and Kidney.
Prescription: Jiaoji Tang (Interacting Decoction)
Ren Shen (Ginseng Radix et Rhizoma) 5 qian
Shu Di Huang (Rehmanniae Radix Praeparata) 1 liang
Shan Zhu Yu (Corni Fructus) 5 qian
Mai Dong (Ophiopogonis Radix) 1 liang
Bai Zi Ren (Platycladi Semen) 3 qian
Long Gu (Fossilia Ossis Mastodi) 2 qian (vinegar calcined)
Huang Lian (Coptidis Rhizoma) 5 fen
Rou Gui (Cinnamomi Cortex) 5 fen
Dang Gui (Angelicae Sinensis Radix) 5 qian
Huang Qi (Astragali Membranacei Radix) 5 qian
Decoct in water and take orally. After ten doses, emission ceases even upon hearing women's voices. Twenty additional doses ensure full recovery.
This formula tonifies both Heart and Kidney, adding slight astringent herbs to close the Jade Gate (external genitalia) and prevent excessive opening of meridians. When Heart and Kidney do not interact, the Jade Gate opens easily; when they interact, it closes firmly. Emission triggered by sound occurs because Essence has already separated from the Kidney Palace, exiting immediately upon hearing due to the open gates within. Hence, astringents are needed amidst tonification.
For this syndrome, Baojing Wan (Essence-Preserving Pill) is also excellent.
Ren Shen (Ginseng Radix et Rhizoma) 5 liang
Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 jin
Huang Qi (Astragali Membranacei Radix) 1 jin
Shan Yao (Dioscoreae Rhizoma) 1 jin
Shu Di Huang (Rehmanniae Radix Praeparata) 1 jin
Qian Shi (Loti Semen) 1 jin
Bei Wu Wei Zi (Schisandrae Chinensis Fructus) 3 liang
Yuan Zhi (Polygalae Radix) 4 liang
Chao Zao Ren (Ziziphi Spinosae Semen, stir-fried) 8 liang
Shan Yu Rou (Corni Fructus) 8 liang
Ba Ji Tian (Morinda Officinalis Radix) 8 liang
Tu Si Zi (Cuscutae Semen) 8 liang
Mai Dong (Ophiopogonis Radix) 8 liang
Long Gu (Fossilia Ossis Mastodi) 3 liang (vinegar calcined)
Jin Ying Zi (Chrysanthemi Indici Fructus) 4 liang
Process with honey to form pills. Take orally with plain boiled water morning and evening, 6 qian each time. One course ensures complete recovery.