遗浊本二症，遗是遗精，浊是浊带。遗分有梦无梦，浊分赤色白色。有梦而遗者，相火
之强
也；无梦而遗者，心肾之衰也。浊而赤色者，血虚热甚也；浊而白色者，气虚湿热也。然遗
精症状，各有不同。大抵小便后流出不可禁者，为湿热下注，不小便而自出者，为精关滑脱
。或茎中痛痒，常欲如小便者，为败精阻滞。凡人酒色过度，思虑无穷，致真元衰惫，虚火
流行，每多患此。又浊带症状各有不同，大约以干掩窍端者为火，不干掩者为湿。小水赤涩
而痛，或浊有赤色者，为小肠湿热。小水不赤不痛，而所下色白，或渗利转甚者，为脾气下
陷。茎中痒痛而发寒热，或有结痛者，为毒邪所侵。丹溪谓胃中浊痰渗入膀胱，未足以尽之
也。设有是症而兼目疾，遗是精病，肾之虚也，宜贞元五子饮之类。浊是气病，膀胱不化也
，宜通关五苓散之类，其目眵泪赤肿，湿热相火也，宜萆 厘清饮。或翳雾羞明者，脾肾两
亏也，宜脾肾双补丸。或瞳神淡白者，乃真精走尽，元气大亏，不可为矣。惟宜大剂填补，
希冀百中之一也。
者，疟之总名也。疟者，病之暴疟也。经曰∶夏伤于暑，秋必 疟。盖暑热伤阴，暑
必挟
湿。湿与热并，不泻则痢，不痢则疟也。又曰∶阴阳相搏而疟作，阴搏阳而为寒，阳搏阴而
为热。如二人相争，此胜则彼负，彼胜则此负。阴阳互相胜负，故寒热并作也。大抵无痰不
成疟，外感四气，内伤七情，饮食饥饱，房室劳倦，皆能致之。而其中气凝滞，鼓动痰涎，
则一也。三阳为浅，三阴为深。太阳之疟，腰背头项俱疼，先寒后热，热止汗出。阳明之疟
，鼻干舌燥，寒甚乃热，热甚汗出，喜见日光。少阳之疟，口苦胁痛而呕，寒热往来，身体
解。少阴之疟，寒少热多，呕吐独甚，舌干口燥，欲闭户牖而处。太阴之疟，惨然太息，
腹满恶食，病至善呕，呕已乃衰。厥阴之疟，腰痛，少腹满，小便数而不利，恐惧不足，腹
中悒悒。若有兼目疾者，当分经专治，暑者清之，湿者燥之，风者散之，虚者补之，调其寒
热，治以温凉。其治本病之方，仲景小柴胡汤，出入加减，洵为至当不易，毋忽视也。
遗浊本属两种病症，所谓“遗”是指遗精，“浊”是指白浊或赤白带下。遗精分为有梦而遗和无梦而遗；白浊/赤带分为赤色和白色。有梦而遗的，是相火（寄居于肝肾、主司生殖机能的生理之火）过旺所致；无梦而遗的，是心肾两脏功能衰退所致。白浊/赤带呈赤色的，是血虚且热邪炽盛所致；呈白色的，是气虚兼夹湿热所致。然而，遗精的症状表现各不相同。大致而言，小便之后流出精液且无法控制的，属于湿热下注；不小便而精液自行滑出的，属于精关不固、滑脱不禁。如果尿道中疼痛发痒，经常想解小便的感觉，这是败精阻滞所致。大凡人们酒色过度、思虑无穷，导致真元（人体根本元气）衰惫、虚火流行，往往容易患此病。另外，白浊/赤带的症状也各不相同，大约以干燥时遮盖住尿道口者为火证，不干燥遮盖者为湿证。小便赤涩且疼痛，或者白浊/赤带带有赤色的，是小肠湿热所致。小便不赤也不痛，但排出的分泌物颜色洁白，或者渗利症状反而加重的，是脾气下陷所致。尿道中痒痛并伴有寒热往来，或者有结块疼痛的，是毒邪侵袭所致。朱丹溪认为这是胃中浊痰渗入膀胱所致，这种观点不足以概括全部情况。如果有上述症状又兼有眼疾，遗精属于精病，是肾脏虚弱，适宜用贞元五子饮之类的方剂。白浊/赤带属于气病，是膀胱气化不利，适宜用通关五苓散之类的方剂。如果眼睛眵多泪出、红肿，这是湿热与相火为患，适宜用萆薢分清饮。如果出现云翳、视物如雾、羞明怕光，这是脾肾两亏，适宜用脾肾双补丸。如果瞳神颜色淡白，这是真精耗尽、元气大亏，已经难以治愈了。只宜用大剂量填补真元的药物，希望能有一线生机。
疟（nüè，疟疾），是此类疾病的总称。疟疾，是发病急骤的疟病。医经说：夏季感受暑邪，秋季必定发生疟疾。这是因为暑热损伤阴液，暑邪必然挟带湿气。湿与热相结合，如果不导致痢疾，就会导致疟疾。又说：阴阳相互搏结而引发疟疾，阴邪搏结阳分则表现为恶寒，阳邪搏结阴分则表现为发热。就像两个人争斗，这个胜了那个就败，那个胜了这个就败。阴阳互相胜负交替，所以寒热交替发作。大致而言，没有痰涎就不成疟疾，外感风、寒、暑、湿四气，内伤情志七情，饮食饥饱失调，房劳过度，都能导致疟疾。而其机理都是中焦气机凝滞，鼓动痰涎上逆，这一点是相同的。三阳经病变较浅，三阴经病变较深。太阳经疟疾，腰背头项都疼痛，先恶寒后发热，热退汗出。阳明经疟疾，鼻干舌燥，寒邪极甚才发热，热势极甚才出汗，喜欢见到阳光。少阳经疟疾，口苦胁痛且呕吐，寒热往来，身体懈怠无力。少阴经疟疾，恶寒少而发热多，呕吐特别严重，舌干口燥，想要关闭门窗独处。太阴经疟疾，神情凄惨长吁短叹，腹部胀满厌恶进食，病发时容易呕吐，吐完后病情稍减。厥阴经疟疾，腰痛，小腹胀满，小便频数但排尿不畅，恐惧不安，腹中郁闷不乐。如果兼有眼疾，应当分经专治，暑邪者清解之，湿邪者燥化之，风邪者疏散之，虚证者补益之，调和其寒热，用温凉之法治疗。治疗本病的方剂，张仲景的小柴胡汤，根据病情出入加减，确实是最恰当且不可更改的方法，不可忽视。
Yi Zhuo (Spermatorrhea and Turbid Urine) originally refers to two syndromes. "Yi" refers to spermatorrhea, and "Zhuo" refers to turbid urine or leukorrhea. Spermatorrhea is divided into dream-elicited and non-dream-elicited; turbid urine/leukorrhea is divided into red-colored and white-colored. Dream-elicited spermatorrhea is caused by the exuberance of Ministerial Fire (Xiang Huo, a physiological fire residing in the Liver and Kidney governing reproductive functions); non-dream-elicited spermatorrhea is caused by the decline of Heart and Kidney functions. Red-colored turbid urine/leukorrhea is caused by Blood deficiency with intense Heat; white-colored turbid urine/leukorrhea is caused by Qi deficiency combined with Damp-Heat. However, the symptoms of spermatorrhea vary. Generally speaking, semen flowing out uncontrollably after urination belongs to Damp-Heat pouring downward; semen slipping out spontaneously without urination belongs to the sliding and incontinence of the Essence Gate (Jing Guan). If there is pain and itching in the urethra, accompanied by a frequent urge to urinate, this is caused by the obstruction of stale essence. Overindulgence in alcohol and sexual activity, along with endless mental worry, leads to the exhaustion of True Yuan (the root Qi of the human body) and the rampant flow of Deficient Fire, often resulting in these diseases. Furthermore, the symptoms of turbid urine/leukorrhea also vary. Roughly speaking, if it dries and covers the urethral orifice, it is a Fire syndrome; if it does not dry and cover, it is a Dampness syndrome. Reddish, astringent, and painful urination, or turbid discharge with red color, indicates Damp-Heat in the Small Intestine. Urination that is neither reddish nor painful, but the discharged secretion is white, or where the draining sensation worsens, indicates the sinking of Spleen Qi. Itching and pain in the urethra accompanied by alternating chills and fever, or nodular pain, indicates invasion by toxic pathogens. Zhu Danxi attributed this to turbid phlegm from the Stomach seeping into the Bladder, which is insufficient to explain all cases. If these symptoms are accompanied by eye diseases: Spermatorrhea is an Essence disease due to Kidney deficiency, suitable for formulas like Zhenyuan Wuzi Yin (Cure Origin Five Seeds Decoction). Turbid urine/leukorrhea is a Qi disease due to Bladder failure in transformation, suitable for formulas like Tongguan Wuling San (Passage Through Five Ling Powder). If the eyes have excessive discharge, tearing, redness, and swelling, this is due to Damp-Heat and Ministerial Fire, suitable for Bixie Fenqing Yin (Grass Root Differentiating Clear Decoction). If there are visual obscurations, misty vision, and photophobia, this is due to dual deficiency of Spleen and Kidney, suitable for Shipen Shuangbu Wan (Spleen-Kidney Dual Tonifying Pill). If the pupil appears pale white, this signifies the depletion of True Essence and severe deficiency of Original Qi, which is incurable. Only large doses of tonifying substances can be used, hoping for one chance in a hundred.
Nüe (Malaria), is the general term for this category of diseases. Malaria refers to the acute onset of malarial illness. The Classics state: Summer injury by Summerheat leads to Autumn malaria. This is because Summerheat damages Yin, and Summerheat invariably carries Dampness. When Dampness and Heat combine, if it does not result in dysentery, it results in malaria. It is also said: Malaria arises from the struggle between Yin and Yang. When Yin struggles with Yang, it manifests as cold; when Yang struggles with Yin, it manifests as heat. Like two people fighting, if one wins, the other loses. Because Yin and Yang alternate in victory and defeat, chills and fever occur alternately. Generally speaking, malaria cannot form without Phlegm. External contraction of the Four Qi (Wind, Cold, Summerheat, Dampness), internal injury by the Seven Emotions, dietary irregularities, and sexual fatigue can all cause it. Their common mechanism is the stagnation of Middle Jiao Qi, stirring up Phlegm-Saliva. The Three Yang meridians represent shallow levels, while the Three Yin meridians represent deep levels. Taiyang Malaria involves pain in the waist, back, head, and neck, starting with chills followed by fever, ending with sweating upon fever cessation. Yangming Malaria involves dry nose and tongue, extreme cold before heat, and extreme heat before sweating, with a preference for sunlight. Shaoyang Malaria involves bitter taste, hypochondriac pain, vomiting, alternating chills and fever, and bodily lassitude. Shaoyin Malaria involves less chills and more fever, severe vomiting, dry tongue and mouth, and a desire to stay in closed rooms. Taiyin Malaria involves melancholic sighing, abdominal fullness, aversion to food, vomiting upon onset, and symptom relief after vomiting. Jueyin Malaria involves lower back pain, lower abdominal fullness, frequent but difficult urination, fearfulness, and inner depression. If accompanied by eye diseases, treatment should target the specific meridian: clear Summerheat, dry Dampness, disperse Wind, tonify deficiency, harmonize cold and heat, and treat with warm and cool methods. For treating the primary disease, Zhang Zhongjing's Xiaochaihu Tang (Minor Bupleurum Decoction), with modifications based on clinical presentation, is indeed the most appropriate and unchangeable method, and should not be overlooked.