治阳虚自汗。
牡蛎（ ，研） 黄 麻黄根（一钱） 浮小麦（百粒。）煎服。
此手太阴、少阴药也。陈来章曰∶汗为心之液，心有火则汗不止，牡蛎、浮小麦之咸凉
，去烦热而止汗；阳为阴之卫，阳气虚则卫不固，黄 、麻黄根之甘温，走肌表而固卫。
治阴虚盗汗。
柏子仁（炒，研，去油） 人参 白术 半夏 五味子牡蛎 麻黄根（一两）麦麸（五
钱
此手足太阴、少阴药也。陈来章曰∶心血虚则睡而汗出，柏子仁之甘辛平，养心宁神，
为君；牡蛎、麦麸之咸凉，静躁收脱，为臣；五味酸敛涩收，半夏和胃燥湿，为佐（湿能作
汗）；麻
（《局方》）
治遗精白浊，及强中消渴（心肾为水火之脏，法天施地生之道。心神伤则火动，火动不
已则肾水受伤，肾主藏精，所受五脏六腑输至之精，皆不得藏而时下矣，故为遗精梦泄。戴
氏曰∶
有色
属
虚
菟丝子（十两） 五味子（八两） 石莲肉 白茯苓（三两） 山药（六两。）将菟丝
用酒浸，
渴，米饮下。
此手足少阴药也。菟丝辛甘和平，强阴益阳，能治精寒遗泄，五味滋肾生津，石莲清心
止
于补正中能泄肾邪也。
治胃中湿热，渗入膀胱，下浊不止（淋病在溺窍，属肝、胆部；浊病在精窍，属肾、膀
胱部。或由湿热、或由虚寒，大抵热者多而寒者少。赤属血，白属气。或由败精瘀血壅塞窍
道，痛
莲须 黄连（炒，二两） 黄柏 益智仁 砂仁 半夏（姜制） 茯苓（一两） 猪苓
（二两）
此足少阴、太阳、太阴药也。精浊多由湿热与痰，黄连泻心火，黄柏泻肾火，所以清热
；二
既以散留滞之气，且稍济连柏之寒；甘草和中而补土；惟莲须之涩，则所以固其脱也（朱丹
溪曰∶《巢氏原病候论》曰∶白浊者由劳伤肾，肾气虚冷故也。历代宗其说，不惟白浊之理
不明，
客胜
夫
寒则清洁，可谓发圣人之旨，以正千载之误矣。予尝闻先生论赤白浊多因湿热下流膀胱而成
，即《灵枢》所谓中气不足，溲便为之变是也，必先补中气使升举之，而后分其脏腑气血、
赤白虚实以治，与夫其他邪热所伤者，固在泻热补虚，设肾气虚甚，或火热亢极者，则不宜
过用寒凉之剂，必以反佐治之，在权衡轻重而已矣。叶氏曰∶遗滑多作肾虚，补涩之而罔
效，不知此因脾胃湿热所乘，饮酒浓味痰火之人，多有此疾。肾虽藏精，其精本于脾胃饮食
生化而输于肾，若脾胃受伤，湿热内郁，使中气淆而不清，则所输皆浊气，邪火扰动，水不
得而安静，故令遗滑也）。
治疗阳虚导致的自汗。
牡蛎（煅，研碎）一钱，麻黄根一钱，浮小麦一百粒。煎汤服用。
这是手太阴肺经和手少阴心经的药物。陈来章说：汗是心的体液，心有火邪则汗出不止，牡蛎、浮小麦的咸凉之性，能去除烦热而止汗；阳气是阴气的卫外屏障，阳气虚弱则卫外不固，黄芪、麻黄根的甘温之性，能走窜肌表而巩固卫气。
治疗阴虚导致的盗汗。
柏子仁（炒，研碎，去油），人参，白术，半夏，五味子，牡蛎，麻黄根（各一两），麦麸五钱。
这是手足太阴肺脾经和手足少阴心肾经的药物。陈来章说：心血虚则睡眠时汗出，柏子仁的甘辛平之性，能养心安神，作为君药；牡蛎、麦麸的咸凉之性，能镇静躁动、收敛脱失，作为臣药；五味子酸涩收敛，半夏和胃燥湿，作为佐药（湿气能导致出汗）。
（出自《太平惠民和剂局方》）
治疗遗精、白浊，以及强中消渴。（心和肾分别是水和火的脏器，遵循天道施生、地道化生的规律。心神受损则火动，火动不已则损伤肾水，肾主藏精，五脏六腑输送来的精气，都不能收藏而时常下泄，所以出现遗精梦泄。戴氏说：有房事过度属于虚证……菟丝子十两，五味子八两，石莲肉，白茯苓三两，山药六两。将菟丝子用酒浸泡……口渴时，用米饮送服。）
这是手足少阴心肾经的药物。菟丝子辛甘平和，能强壮阴气、补益阳气，能治疗精寒引起的遗泄，五味子滋补肾阴生津液，石莲清心止……在于补益之中能泻除肾邪。
治疗胃中湿热，渗入膀胱，导致下焦浑浊不止。（淋病发生在尿道口，属于肝、胆部位；浊病发生在精窍，属于肾、膀胱部位。或由湿热引起，或由虚寒引起，大体上是热证多而寒证少。红色属血，白色属气。或由败精瘀血壅塞窍道，疼痛……莲须，黄连（炒，二两），黄柏，益智仁，砂仁，半夏（姜制），茯苓一两，猪苓二两。）
这是足少阴肾经、足太阳膀胱经、足太阴脾经的药物。精浊多由湿热与痰引起，黄连泻心火，黄柏泻肾火，用来清热；……既能疏散留滞的气机，又稍微缓解黄连、黄柏的寒性；甘草调和脾胃而补土；只有莲须的涩味，是用来固摄脱失的（朱丹溪说：《诸病源候论》说：白浊是由于劳伤肾，肾气虚冷造成的。历代医家都遵从这一说法，不仅白浊的道理不明确……客邪胜正……夫……寒则清洁，可以说是阐发圣人的旨意，以纠正千年的错误。我曾听先生论述赤白浊多因湿热下流膀胱而成，即《灵枢》所谓中气不足，大小便为之变化是也，必须先补中气使其升举，然后分别脏腑气血、赤白虚实来治疗，与其他邪热所伤的，固然在泻热补虚，如果肾气非常虚弱，或火热亢极的，则不宜过用寒凉药剂，必须用反佐法治疗，在于权衡轻重罢了。叶氏说：遗精滑脱多当作肾虚治疗，用补涩法却无效，不知道这是因为脾胃湿热所乘，饮酒厚味痰火之人，多有此疾。肾虽然藏精，但精本源于脾胃饮食生化而输送给肾，如果脾胃受伤，湿热内郁，使中气混淆而不清，则所输送的都是浊气，邪火扰动，水不得安静，所以导致遗滑也）。
Treats spontaneous sweating due to Yang deficiency.
Oyster Shell (Dried, ground) 1 qian, Ephedrae Ramulus Root (Mahuanggen) 1 qian, Floating Wheat (Fuxiaomai) 100 grains. Decoct and take orally.
These are herbs for the Hand-Taiyin Lung meridian and Hand-Shaoyin Heart meridian. Chen Laizhang said: Sweat is the fluid of the Heart; if there is Fire in the Heart, sweating will not stop. The salty and cool nature of Oyster Shell and Floating Wheat removes irritability and heat to stop sweating; Yang Qi is the protective shield of Yin Qi; when Yang Qi is deficient, the exterior defense is not solid. The sweet and warm nature of Astragalus Root (Huangqi) and Ephedrae Ramulus Root moves to the muscle surface to consolidate the defensive Qi.
Treats night sweating due to Yin deficiency.
Biota Seed (Baiziren) (stir-fried, ground, oil removed), Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Pinelliae Tuber (Banxia), Schisandrae Fructus (Wuweizi), Oyster Shell (Muli), Ephedrae Ramulus Root (Mahuanggen) (each 1 liang), Wheat Bran (Maifujia) 5 qian.
These are herbs for the Hand-Foot Taiyin Lung-Spleen meridians and Hand-Foot Shaoyin Heart-Kidney meridians. Chen Laizhang said: When Heart Blood is deficient, sweating occurs during sleep. The sweet, pungent, and neutral nature of Biota Seed nourishes the Heart and calms the Spirit, serving as the Sovereign herb; the salty and cool nature of Oyster Shell and Wheat Bran calms restlessness and astringes leakage, serving as the Minister herbs; Schisandra is sour and astringent, Pinellia harmonizes the Stomach and dries Dampness, serving as the Assistant herbs (Dampness can cause sweating).
(From *Tai Ping Hui Min He Ji Ju Fang*)
Treats spermatorrhea, white turbidity, and excessive thirst with priapism (The Heart and Kidney are the viscera of Water and Fire, following the principles of Heaven bestowing life and Earth generating it. If the Heart Spirit is injured, Fire moves; if Fire moves incessantly, it injures Kidney Water. The Kidney governs storing Essence; the Essence transported from the Five Zang and Six Fu organs cannot be stored and leaks out frequently, thus causing spermatorrhea and nocturnal emissions. Dai Shi said: Sexual excess belongs to deficiency... Cuscutae Semen (Tusizi) 10 liang, Schisandrae Fructus (Wuweizi) 8 liang, Nelumbinis Plumula (Shilianrou), Poria (Fuling) 3 liang, Dioscoreae Rhizoma (Shanyao) 6 liang. Soak Cuscuta in wine... If thirsty, take with rice water.)
These are herbs for the Hand-Foot Shaoyin Heart-Kidney meridians. Cuscuta is acrid, sweet, and balanced; it strengthens Yin and benefits Yang, treating spermatorrhea caused by cold Essence. Schisandra nourishes the Kidney and generates fluids; Nelumbo plumule clears the Heart and stops... benefiting while purging Kidney pathogenic factors.
Treats damp-heat in the Stomach penetrating into the Bladder, causing continuous lower turbidity (Lin syndrome occurs at the urinary orifice, belonging to the Liver and Gallbladder regions; Zhuo syndrome occurs at the essence orifice, belonging to the Kidney and Bladder regions. It may be caused by damp-heat or deficiency-cold; generally, heat patterns are more common than cold patterns. Red indicates Blood involvement, White indicates Qi involvement. It may also be caused by seminal residue and blood stasis obstructing the orifices, causing pain... Lotus Stamens (Lianxu), Coptidis Rhizoma (Huanglian) (stir-fried, 2 liang), Phellodendri Cortex (Huangbai), Alpiniae Oxyphyllae Fructus (Yizhiren), Amomi Fructus Rotundus (Sharen), Pinelliae Tuber (Banxia) (prepared with ginger), Poria (Fuling) 1 liang, Polyporus (Zhuling) 2 liang.)
These are herbs for the Foot-Shaoyin Kidney meridian, Foot-Taiyang Bladder meridian, and Foot-Taiyin Spleen meridian. Essence turbidity is mostly caused by damp-heat and phlegm. Coptis drains Heart Fire, Phellodendron drains Kidney Fire, thereby clearing heat; ... both to disperse stagnant Qi and slightly mitigate the coldness of Coptis and Phellodendron; Licorice Root (Gancao) harmonizes the Middle and tonifies Earth; only Lotus Stamens' astringency is used to secure leakage (Zhu Danxi said: *Zhu Bing Yuan Hou Lun* states that white turbidity is due to overwork injuring the Kidney, resulting in Kidney Qi deficiency and cold. Generations of physicians have followed this view, failing to clarify the principle of white turbidity... Exogenous pathogens overcoming正气... Cold implies clarity, which can be said to elucidate the Sage's intent and correct a millennium of error. I once heard my teacher discuss that red and white turbidity are mostly caused by damp-heat flowing downward into the Bladder, as stated in *Ling Shu*: "When Middle Qi is insufficient, urination and defecation become abnormal." One must first tonify Middle Qi to raise it, then treat according to the Zang-Fu, Qi-Blood, red-white, and deficiency-excess distinctions. For other injuries by pathogenic heat, clearing heat and tonifying deficiency is indeed appropriate. However, if Kidney Qi is extremely deficient or Fire is hyperactive, one should not overuse cold-cooling agents but must use counter-assistance therapy, relying on weighing the severity. Ye Shi said: Spermatorrhea and sliding are often treated as Kidney deficiency, and astringent tonification fails; this is unknown because it is caused by damp-heat of the Spleen and Stomach invading. People who drink alcohol and eat rich flavors with phlegm-fire often have this disease. Although the Kidney stores Essence, Essence originates from the transformation and transportation of food and drink by the Spleen and Stomach and is transported to the Kidney. If the Spleen and Stomach are injured, damp-heat stagnates internally, confusing the Middle Qi so it is no longer clear, then what is transported is all turbid Qi. Evil Fire disturbs, Water cannot remain quiet, thus causing spermatorrhea and sliding)."