陈左 精藏于肾,而主于心;精生于气,而役于神;神动于中,精驰于下。遗泄已久,心悸头晕。补精必安
其神,安神必益其气,拟益气养阴,安神固泄。
炒潞党参(二钱) 熟女贞(二钱) 大砂仁(研,八分) 剪芡实(三钱) 清炙黄 (三钱) 生枣仁(三钱)
川黄柏(八分) 朱茯神(三钱) 大熟地(四钱) 青龙齿(四钱) 桑螵蛸(三钱) 明天冬(二钱)
紫石英(三钱) 白莲须(一钱五分)
王左 癸水不足,相火有余,精关因而不固。始患遗泄,延及上源,更兼咳嗽,恙久根深,非易速痊。拟壮
水之主,以制阳光。
明天冬(一钱五分) 抱茯神(三钱) 左牡蛎(四钱) 竹沥半夏(二钱) 大生地(三钱) 黄柏炭(八分)
花龙骨(三钱) 炙远志肉(一钱) 潞党参(三钱) 带壳砂仁(八分) 剪芡实(三钱) 川象贝(各二钱) 甜
光杏(三钱) 白莲须(一钱五分)
戴左 真阴不足,肝火客之,鼓其精房,乃病遗泄。内热口燥,头痛眩晕,拟育阴清肝,固涩精房。
明天冬(一钱五分) 黄柏炭(八分) 左牡蛎(四钱) 豆衣(三钱) 大生地(三钱) 春砂壳(八分)
青龙齿(三钱) 嫩钩钩(后入,三钱) 南北沙参(各二钱) 白莲须(一钱五分)
陈左:精液藏于肾,而由心所主宰;精气生于气,而受神所役使;神志在中焦扰动,则精液在下焦驰纵外泄。遗精滑泄日久,伴有心悸、头晕。补益精液必须安定其神志,安定神志必须补益其气,拟定益气养阴、安神固涩止泄之法。
炒潞党参(二钱) 熟女贞子(二钱) 大砂仁(研碎,八分) 剪芡实(三钱) 清炙黄芪(三钱) 生酸枣仁(三钱)
川黄柏(八分) 朱砂拌茯神(三钱) 大熟地黄(四钱) 青龙齿(四钱) 桑螵蛸(三钱) 明天冬(二钱)
紫石英(三钱) 白莲须(一钱五分)
王左:癸水(肾阴)不足,相火(命门之火)偏亢,导致精关因而不能固摄。起初患遗精滑泄,病势延及上源(肺),更兼有咳嗽症状,病程长久根深蒂固,不易迅速痊愈。拟定壮水之主(滋补肾阴),以制约阳光(抑制偏亢之相火)。
明天冬(一钱五分) 抱茯神(三钱) 左牡蛎(四钱) 竹沥制半夏(二钱) 大生地黄(三钱) 黄柏炭(八分)
花龙骨(三钱) 炙远志肉(一钱) 潞党参(三钱) 带壳砂仁(八分) 剪芡实(三钱) 川象贝母(各二钱) 甜光杏仁(三钱) 白莲须(一钱五分)
戴左:真阴(肾阴)不足,肝火客居其间,鼓动精室,从而发生遗精滑泄。伴有内热、口燥、头痛、眩晕,拟定育阴清肝、固涩精室之法。
明天冬(一钱五分) 黄柏炭(八分) 左牡蛎(四钱) 豆衣(三钱) 大生地黄(三钱) 春砂壳(八分)
青龙齿(三钱) 嫩钩藤(后下,三钱) 南沙参与北沙参(各二钱) 白莲须(一钱五分)
Chen, Male: Essence is stored in the Kidney and governed by the Heart; Jing (Essence) is generated by Qi and controlled by Shen (Spirit). When Shen moves internally, Jing escapes externally. Having suffered from spermatorrhea for a long time, accompanied by palpitations and dizziness. To tonify essence, one must calm the Spirit; to calm the Spirit, one must benefit Qi. The proposed prescription aims to benefit Qi and nourish Yin, calm the Spirit, and consolidate to stop leakage.
Stir-fried Codonopsis Radix (Ludangshen) (2 qian)
Prepared Ligustrum Lucidum Fruit (Shunü Zhen) (2 qian)
Large Amomum Fruit (Dasha Ren), crushed (0.8 qian)
Cut Euryale Seed (Jian Qianshi) (3 qian)
Clear-honey fried Astragalus Root (Qingzhi Huangqi) (3 qian)
Raw Sour Jujube Seed (Sheng Zaoren) (3 qian)
Sichuan Phellodendron Bark (Chuan Huangbai) (0.8 qian)
Cinnabar-coated Poria (Zhufushen) (3 qian)
Large Prepared Rehmannia Root (Dashudi) (4 qian)
Blue Dragon Teeth (Qinglongchi) (4 qian)
Mantis Egg Case (Sangpiaoxiao) (3 qian)
Tiantian Dong (2 qian)
Purple Quartz (Zhi Yanshi) (3 qian)
White Lotus Stamen (Bailianxu) (1.5 qian)
Wang, Male: Gui Water (Kidney Yin) is insufficient, while Xiang Huo (Ministerial Fire) is excessive, causing the essence gate to fail in its securing function. Initially suffering from spermatorrhea, the condition extended to the upper source (Lung), accompanied by cough. The illness has been deep-rooted for a long time and is not easy to cure quickly. The proposal is to strengthen the master of Water (nourish Kidney Yin) to control the sunlight (suppress hyperactive Ministerial Fire).
Tiantian Dong (1.5 qian)
Baofushen (Poria wrapped around pine roots) (3 qian)
Left Oyster Shell (Zuo Muli) (4 qian)
Pinellia Rhizome processed with Bamboo Sap (Zhuli Banxia) (2 qian)
Large Raw Rehmannia Root (Dashengdi) (3 qian)
Charred Phellodendron Bark (Huangbai Tan) (0.8 qian)
Flowered Dragon Bone (Hualonggu) (3 qian)
Ginseng Seed Processed with Honey (Zhi Yuanzhi Rou) (1 qian)
Codonopsis Radix (Ludangshen) (3 qian)
Shell-on Amomum Fruit (Daikeshashen) (0.8 qian)
Cut Euryale Seed (Jian Qianshi) (3 qian)
Chuanxiang Beimu (Fritillaria Thunbergii Bulb) (each 2 qian)
Sweet Guangxing (Prunus Armeniaca Seed) (3 qian)
White Lotus Stamen (Bailianxu) (1.5 qian)
Dai, Female: True Yin (Kidney Yin) is insufficient, and Liver Fire invades it, stirring the essence chamber, resulting in spermatorrhea. Accompanied by internal heat, dry mouth, headache, and vertigo. The proposal is to nourish Yin and clear the Liver, and consolidate to secure the essence chamber.
Tiantian Dong (1.5 qain)
Charred Phellodendron Bark (Huangbai Tan) (0.8 qian)
Left Oyster Shell (Zuo Muli) (4 qian)
Sojae Semen Album Cotyledon (Douyi) (3 qian)
Large Raw Rehmannia Root (Dashengdi) (3 qian)
Chunsha Ke (Amomum Fruit Shell) (0.8 qian)
Blue Dragon Teeth (Qinglongchi) (3 qian)
Young Uncaria Ramulus with Hooks (Nen Gou gou), added later (3 qian)
Southern and Northern Glehnia Roots (Nanbeishashen) (each 2 qian)
White Lotus Stamen (Bailianxu) (1.5 qian)