一曰热。经云∶热至则淋闭。又云∶少阴之复,膈肠不便是也。二曰寒。经云∶太阳
所至为流泄禁止是也。三曰湿。经云∶太阴司天,湿淫所胜,病大便难是也。
照海(灸三壮,泻之) 章门(参二七壮) 太白(灸三壮,泻之) 气海(刺)
三里(刺)
《内经》曰∶精者,身之本,生气之源,髓之化也。又曰∶阴平阳秘,精神乃治;
阴阳离决,精神乃竭。又曰∶肾主受五脏六腑之精而藏之,阴阳之要会也。是精之藏制
则在肾,精之主宰,又在于心。又曰∶上古之人,其知道者,法于阴阳,和于术数,饮食
有节,起居有常,不妄作劳,故能形与神惧,而尽终其天年。恬 虚无,真气从之。精神内
守,病安从来?
五脏六腑皆有精气,而肾为都会关司之所,而输泄者,又听命于心焉。心为君火,肾
为相火,而相火奉行君火之命令,故其病虽在肾,而其责本在心。心主乎神,神有所动,
则精泄。
一曰梦交而遗精者,乃心火炽而心神虚也;二曰下元虚败,精不禁而遗者,乃肾虚精
滑故也;三曰壮年气盛,久节房欲,经络壅滞而遗者,乃旷夫满而溢也。四曰情动于中,所愿
不得而遗者,乃为情不遂欲而泄也;五曰湿热郁滞而梦遗者,如《纲目》用猪苓丸、青州白
丸子之属是也。夫壮年气盛,情欲动中,只舒其情自愈,虽不药饵可也。至若梦中交泄,
则当治其心肾虚;精滑,则当补其肾。此谓知本,此谓治之至也。
第一种情况是热邪。《内经》说:热邪盛则导致小便淋沥闭塞。又说:少阴经气复返,会出现胸膈和肠道不畅的症状。第二种情况是寒邪。《内经》说:太阳经气所至,会导致排泄通畅与阻滞交替出现(此处指因寒凝导致的便秘或泄泻异常)。第三种情况是湿邪。《内经》说:太阴湿土主司天时,湿气过胜,病症表现为大便困难。
照海穴(艾灸三壮,用泻法) 章门穴(针刺参考二七十四壮的量) 太白穴(艾灸三壮,用泻法) 气海穴(针刺) 足三里穴(针刺)
《内经》说:精,是身体的根本,是生气的源头,由髓转化而来。又说:阴气平和,阳气固秘,精神就能正常;如果阴阳分离决裂,精神就会枯竭。又说:肾主管接受并储藏五脏六腑的精微物质,是阴阳汇聚的关键所在。因此,精的储藏和控制在于肾,而精的主宰又在于心。又说:上古时代的人,那些懂得养生之道的人,效法阴阳规律,调和养生方法,饮食有节制,起居有常规,不妄加劳累,所以能使形体与精神相俱,从而活完天然的寿数。心境恬淡虚无,真气就会顺从。精神内守于体内,疾病从哪里产生呢?
五脏六腑都有精气,但肾是精气汇聚、关锁和输泄的关键部位,而这些功能的执行又听从心的指挥。心为君火,肾为相火,相火奉行君火的命令,所以虽然病变表现在肾,但责任根源在于心。心主宰神志,神志一旦有所妄动,就会导致精液外泄。
第一种是梦中性交而遗精,这是心火炽盛而心神虚弱所致;第二种是下元虚衰败坏,精关不固而遗精,这是肾虚导致精滑的缘故;第三种是壮年时期气血旺盛,长期节制房事,导致经络壅滞而遗精,这就像单身男子满溢一样;第四种是情欲在心中萌动,愿望未能实现而遗精,这是因为情志不畅、欲望未遂而泄出;第五种是湿热郁滞而导致梦遗,例如《本草纲目》中提到的使用猪苓丸、青州白丸子等方剂的情况。对于壮年气血旺盛、情欲在内心萌动者,只需舒缓情志即可自愈,即使不服药也可以。至于梦中交合泄精,则应当治疗心和肾的虚损;如果是精滑不禁,则应当补肾。这就叫做知晓病本,这就叫做治疗的最高境界。
The first type is Heat. The *Classic of Internal Medicine* (*Huangdi Neijing*) states: "When Heat prevails, it leads to strangury and retention." It also states: "When the Shaoyin (Lesser Yin) qi rebounds, there will be discomfort in the diaphragm and intestines." The second type is Cold. The *Classic* states: "When Taiyang (Greater Yang) qi arrives, it manifests as alternating flow/leakage and obstruction." The third type is Dampness. The *Classic* states: "When Tainyin (Greater Yin) governs the year, excessive Dampness causes diseases such as difficult defecation."
Zhaohai (KI6) (Moxibustion: three moxa cones; reducing method) Zhangmen (LR13) (Acupuncture: reference quantity equivalent to two sets of seven needles/cones) Taibai (SP3) (Moxibustion: three moxa cones; reducing method) Qihai (CV6) (Acupuncture) Zusanli (ST36) (Acupuncture)
The *Classic of Internal Medicine* states: "Jing (Essence) is the root of the body, the source of Shengqi (Vital Qi), and transforms from Sui (Marrow)." It further states: "When Yin is peaceful and Yang is secure, Jing Shen (Spirit) functions normally; when Yin and Yang separate and rupture, Jing Shen becomes exhausted." It also states: "The Kidney receives and stores the essence of the five zang and six fu organs; it is the convergence point of Yin and Yang." Therefore, the storage and regulation of Jing reside in the Kidney, while its mastery lies in the Heart. Furthermore, it states: "In ancient times, those who understood the Dao followed the laws of Yin and Yang, harmonized with proper techniques, regulated their diet, maintained regular daily routines, and avoided reckless exertion. Thus, they could keep their Xing (Form) and Shen (Spirit) together and complete their natural lifespan. By remaining tranquil and void of desires, True Qi follows them. With Jing Shen guarded within, how could disease arise?"
The five zang and six fu organs all possess Jing Qi, but the Kidney is the hub for gathering, controlling, and transmitting these essences, and the execution of these functions obeys the command of the Heart. The Heart is the Minister Fire (Jun Huo), and the Kidney is the Ministerial Fire (Xiang Huo). Since Ministerial Fire executes the commands of Minister Fire, although the pathology may manifest in the Kidney, the root responsibility lies in the Heart. The Heart masters Shen (Spirit); when Shen moves erratically, Jing leaks out.
The first type is nocturnal emission during dreams of sexual intercourse, caused by blazing Heart Fire and deficient Heart Shen. The second type is spontaneous emission due to deficiency and collapse of the lower origin (Xiayuan), where Jing cannot be controlled, caused by Kidney deficiency leading to slippery Jing. The third type occurs in vigorous youth with abundant Qi, after long abstinence from sexual desire, causing stagnation in the meridians and vessels, resulting in emission—similar to a surplus overflowing in an unmarried man. The fourth type involves emotional stirring within, where unfulfilled wishes lead to emission, caused by frustrated emotions and unmet desires. The fifth type is nocturnal emission due to stagnation of Damp-Heat, such as the use of Zhuling Wan (Polyporus Pill) or Qingzhou Baizhi Wan (Qingzhou White Pill) as described in *Bencao Gangmu*. For those in vigorous youth with abundant Qi and internal emotional stirring, soothing the emotions allows self-healing, and medication may not even be necessary. However, for emissions occurring during dream intercourse, one must treat the deficiency of the Heart and Kidney; for slippery Jing, one must tonify the Kidney. This is called knowing the root, and this is the highest level of treatment.