夫阴阳交媾，当经尽之后，无有不成胎者。惟男气不足，女血虚寒，故二气不交，徒施不聚
。世之无子者，曾不问自己脏腑之亏，但以涩清壮阳之剂，误为生子之良方，伤天地之和，
即或有孕者，无非热药偶成，因贻毒于子女，故虽得而不实也。医之上工，因人无子，着论
立方，男以补肾为要，女以调经为先，而又参之补气行气之说。究其盈亏，审而治之，夫然
后一举可孕，天下之男无不父，女无不母矣。余考之上古男子三十而娶，女子二十而嫁，故
所生子多寿。今人未满十六岁而御女，女子未满十四岁而嫁婿，阴气早泄，未全而伤，未实
而动，所以今人不如古人寿。设或用药，不可混治，必察实男子所亏，女人经候，或有崩漏
带下，必难受孕，男子不育，必有阳脱痿弱，精冷而清淡，或阳痿不射，故女以调经为先，
男以补肾为主也。服药之后，又宜清心寡欲，使我之本原先壮，然后识日之奇偶，施之而不
孕者，未之有也。
褚澄氏曰∶男女交合，阴血先至，阳精后冲而成男，阳精先泄，阴血后冲而成女，此一说也
。东垣云∶经水才断一二日，血海始净，交合者成男，四五日后，血脉已旺，交合者成女。
此又一说也。顾或有经始断而交合生女，经久断而交合生男者，亦有三四五日以交合无孕，
八九日以后，交合有孕者，独何欤?《俞子本选·广嗣要略》云∶实阳能入虚阴，实阴不能
受虚阳，即东垣之见也。又谓阳微不能射阴，弱阴不能摄阳，信斯言也。世有 羸之夫，怯
弱之妇，屡屡受胎，虽欲止而不止者。亦有壮年精力过人，乃艰于育嗣者，独何欤?丹溪论
治妇人，以经水为主，然富贵之家，侍外家已多，其中宁无月水当期者乎?已经前夫频频生育
，娶之以图其易者，顾亦不能得胎，更遣与他人，转盼生男矣，岂不能受孕于此，而能受孕
于彼乎?愚以为父母之生子，如天之生物，《易》曰∶坤道其顺乎，承天而时行，夫知地之
生物，不过顺承乎天，则知母之生子，亦不过顺承乎父而已。知母之顺承乎父，则种子者当
以男子为主，男子为主，而交媾之时，又以百脉齐到为善。交媾而百脉齐到，虽老弱易泄，
亦可以成胎。若交媾而百脉参差，虽少壮康宁难泄，亦不能成胎，妇人所构之血，固由于百
脉合聚，较之男子之精，不能无轻重之分也。若男女之辨，又不以精血先后为拘，不以月经
尽几日为拘，不以夜半前后交媾为拘，只以男女精血，各由百脉齐到者别胜负耳。是故精之
百脉齐到，有以胜乎血，则成男矣；血之百
脉齐到，有以胜乎精，则成女矣。至有产而不育者，有育而不能寿者，有寿而黄 无疆者，
则亦以精之坚脆，分为修短耳。世人不察精之坚脆，而定于禀受之初，此论其常也。有少年
斫丧而夭者，此论其变也。乃以不育转付之儿，以寿夭专诿之数，不甚谬乎!
宋遂真先生曰∶男女交合，有丢泄前后之分。男曰泄，女曰丢。盖妇人月事已净，其乐欲之
时， 之候，气蒸而热，昏而若闷，有不可明言之状，此的候也。交接之候，意合情浓，
相持不舍，则百脉齐到而成胎矣。若男情已淡，女意未休，则男先泄而成女，如女先丢，而
男后泄者，则成男矣。则知男女各有精，非独男也。《易》曰∶男女媾精，万物化生，而交
合
之后，即以宗筋验其有血无血立见矣，则知男女各有精也明矣。盖月水初净，新血始生，藏
而
不露，故交合之后，毫无血痕也。经云∶阴精所奉其人寿，阳精所降其人夭。信斯言也。苟
能清心寡欲，待时而动，亦何所求而不得子欤!
巢氏论妇人妊孕，一月怀胎似露珠，名曰胎胚，足厥阴脉养之。二月大如桃花痕，名曰始膏
，足少阳脉养之。三月始分男共女，名曰始胎，手心经脉养之。四月形像俱分明，始受水精
，以行血脉，手少阳脉养之。五月五脏俱生足，始受火精以成其气，足太阴脉养之。六月方
才六腑成，始受金精以成其筋，足阳明经养之。七月发生通关窍，始受木精以成其骨，手太
阴脉养之。八月动手游其魂，始受土精以成其肤革，手阳明经养之。十月受孕足，方生脏腑
关节，人神俱备矣。
女科地黄丸 治妇人经水不调。
熟地（四两） 山萸（二两） 山药（二两） 丹皮（两半） 茯苓（两半） 艾叶（五钱，醋炒） 香
附（三两，童便制炒） 阿胶（一两）
共为末，蜜丸滚汤下。
正元丹 调经种子。
香附（一斤，用蕲艾三两，先以醋同浸一宿，分开，制醋、童便、盐山栀汤各制四两） 阿胶
（一两，蛤粉炒） 枳壳（两半，炒半生半） 生地 熟地 归身 白芍 川芎 茯苓（各四两）
琥珀（二两）
共为末，醋糊丸，每日早晨，空心淡盐汤送下。
千金种子丸 令人多子，并治虚损梦遗。
沙蒺藜（四两） 白莲须（四两） 萸肉（三两） 芡实（四两） 覆盆（二两） 龙骨（五钱，火 ）
共为末，蜜丸，空心淡盐汤下，忌房事一月。
聚精丸
鱼胶（一斤，蛤粉炒成珠） 沙蒺藜（半斤，马乳浸二宿，如无马乳以牛乳代之，蒸一炷香）
上为末，蜜丸，如桐子大，每服八十丸。空心温酒下。
五子衍宗丸 添精补髓。
枸杞子 菟丝子（各八两） 五味子（一两） 覆盆子（四两，酒洗） 车前子（一两）
上为末，蜜丸，空心淡盐汤送下。
壮阳丸 治阳痿气馁不振，老年无子，此药允宜。
肉苁蓉 仙茅 蛇床子 山药 五味子 补骨脂 茯神 紫霄花 杜仲 韭菜子 雄鸡肝
鳖肝 海狗肾（如无海狗肾以黄狗肾代之）
上药共为末，先将鸡肝、鳖肝用盐酒椒蒸熟，捣烂，和前药晒干，再将前末药磨细，用酒拌
山药末，醋调糊为丸，空心淡盐汤下百丸。如阳痿精冷，加肉桂、附子、石燕各一两。
金锁思仙丹 治男子欲劳过度，精神不继。
莲蕊 莲子 芡实（各等分） 茯神（三两）
共为末，用金樱子一斤，去毛煎膏为丸，每服三十丸，空心淡盐汤送下。服过一月后，即不
走泄，遇种子期，用车前子汤送下。
阴阳二气交合，应当在月经完全结束之后的时期进行，没有不成胎的。只有当男方的阳气不足，女方的血虚且寒，导致阴阳二气不能交合，虽然行房事却无法受孕。世间那些没有子女的人，从不反省自己脏腑的亏损，只是用涩精壮阳的药物，误以为是生育的好方子，伤害了天地间的和谐之气。即使偶尔怀孕，也不过是热性药物偶然促成，反而将毒害传给子女，所以即使得到孩子也不健壮。医术高明的医生，针对人们无子的情况，撰写论述并制定方剂，认为男方以补肾为关键，女方以调经为首要，同时参考补气、行气的理论。探究其盈亏状况，审慎地治疗，这样之后才能一举受孕，天下的男人没有不做父亲的，女人没有不做母亲的。我考察上古时代，男子三十岁娶妻，女子二十岁嫁人，所以所生的孩子大多长寿。现在的人未满十六岁就过性生活，女子未满十四岁就出嫁，阴气过早泄漏，身体未发育完全就受到损伤，精气未充实就妄动，所以现在的人不如古人长寿。如果用药治疗，不可混淆乱治，必须详细检查男子亏损的具体情况，以及女子的月经状况。如果有崩漏（非经期大量出血或淋漓不尽）或带下病，必定难以受孕；男子不育，必定有阳气脱失、阳痿软弱、精液寒冷清稀，或者阳痿不射精等情况。所以女方以调经为先，男方以补肾为主。服药之后，又应当清心寡欲，使我的本源先强壮，然后识别日期的奇偶（指排卵期等适宜受孕的时间），施以行房之事而不孕的，是没有的。
褚澄说：男女交合，如果阴血先到，阳精后冲入则生男孩；如果阳精先射出，阴血后冲入则生女孩，这是其中一种说法。李东垣说：月经刚结束的一两天，血海刚刚干净，此时交合者生男孩；四五天以后，血脉已经旺盛，此时交合者生女孩。这又是另一种说法。但是，有的月经刚结束就交合生了女孩，月经结束后很久才交合生了男孩，也有三到四天交合没有怀孕，八九天以后交合却怀孕的情况，这究竟为什么呢？《俞子本选·广嗣要略》中说：实阳能进入虚阴，实阴不能承受虚阳，这就是李东垣的观点。又说阳气微弱不能射入阴中，弱阴不能摄受阳气，相信这些话。世上有瘦弱的丈夫和怯弱的妻子，屡屡受孕，即使想停止也停不下来。也有壮年精力过人，却难以养育后代的，这又是为什么呢？朱丹溪论治妇人，以月经为主，然而富贵人家，侍妾已经很多，其中难道没有按时来月经的吗？嫁给前夫时频繁生育，娶她是为了图容易怀孕，结果也不能受孕，再转嫁给别人，转眼就生了男孩，难道不能在此处受孕，却能在他处受孕吗？我认为父母生孩子，就像上天化生万物，《易经》说：地道柔顺，承奉天道而按时运行。知道大地化生万物，不过是顺承天道，就知道母亲生孩子，也不过是顺承父亲罢了。知道母亲顺承父亲，那么求子的关键在于男子为主，男子为主，而在交合之时，又以双方气血经脉同时到达为最好。交合时双方气血经脉同时到达，即使是年老体弱容易早泄，也可以成胎。如果交合时双方气血经脉参差不齐，即使是年轻力壮健康难泄，也不能成胎。妇女所构成的血，固然由于百脉汇聚，与男子的精相比，不能没有轻重的区别。至于男女的辨别，又不拘泥于精血到来的先后，不拘泥于月经结束几天，不拘泥于半夜前后交合，只以男女精血各自由百脉同时到达来分别胜负罢了。因此，如果男子的精在百脉同时到达方面胜过女子的血，就生男孩；如果女子的血在百脉同时到达方面胜过男子的精，就生女孩。至于有生产后不能抚养的，有抚养但不能长寿的，有长寿但寿命没有尽头的，这也是因为精的坚固或脆弱，分为短命或长寿。世人不考察精的坚固或脆弱，而将其归定于禀受之初，这是论述常理。有少年纵欲过度而夭折的，这是论述变局。于是把不能抚养的责任推给孩子，把寿夭专门推给命运，不是很荒谬吗！
宋遂真先生说：男女交合，有男泄女丢的前后之分。男子叫泄，女子叫丢。大概妇人月经已净，在她产生性欲的时候，是“丢”的征兆，体内气蒸发热，昏沉若闷，有不可明说的状态，这是确切的时机。交接的时机，心意相合情意浓烈，相互坚持不舍弃，则百脉同时到达而成胎。如果男方情欲已淡，女方意犹未尽，则男方先泄而生女孩；如果女方先丢，而男方后泄，则生男孩。由此可知男女各有精，不只是男子有。《易经》说：男女媾精，万物化生。而在交合之后，立即通过宗筋（生殖器）检验是否有血，立刻就能见到，由此可知男女各有精是很明显的。大概月经刚干净，新血刚开始生成，藏而不露，所以交合之后，毫无血痕。经文说：阴精上奉的人长寿，阳精下降的人短命。相信这些话。如果能够清心寡欲，等待合适的时机行动，还有什么求不到孩子的呢！
巢元方论述妇人怀孕，一个月怀胎像露珠，名叫胎胚，由足厥阴肝经滋养。两个月大如桃花痕迹，名叫始膏，由足少阳胆经滋养。三个月开始分辨男女，名叫始胎，由手心主心包经滋养。四个月形象都分明，开始接受水精，以运行血脉，由手少阳三焦经滋养。五个月五脏都生成，开始接受火精以形成其气，由足太阴脾经滋养。六个月才六腑形成，开始接受金精以形成其筋，由足阳明胃经滋养。七个月发生通关窍，开始接受木精以形成其骨，由手太阴肺经滋养。八个月动手游其魂，开始接受土精以形成其皮肤，由手阳明大肠经滋养。十个月受孕足，才生出脏腑关节，人的神志都具备了。
女科地黄丸 治疗妇人月经不调。
熟地黄（四两） 山茱萸（二两） 山药（二两） 牡丹皮（一两半） 茯苓（一两半） 艾叶（五钱，醋炒） 香附（三两，童便制炒） 阿胶（一两）
共研为末，蜂蜜丸，滚开水送服。
正元丹 调经种子。
香附（一斤，用蕲艾三两，先用醋同浸一夜，分开，用醋、童便、盐栀子汤各制四两） 阿胶（一两，蛤粉炒） 枳壳（一两半，炒至半生半熟） 生地黄 熟地黄 当归身 白芍 川芎 茯苓（各四两） 琥珀（二两）
共研为末，醋糊为丸，每天早晨，空腹淡盐水送服。
千金种子丸 让人多子，并治疗虚损梦遗。
沙苑蒺藜（四两） 白莲须（四两） 山茱萸（三两） 芡实（四两） 覆盆子（二两） 龙骨（五钱，煅烧）
共研为末，蜂蜜丸，空腹淡盐水送服，忌房事一个月。
聚精丸
鱼胶（一斤，蛤粉炒成珠状） 沙苑蒺藜（半斤，马乳浸泡两夜，如果没有马乳用牛乳代替，蒸一炷香时间）
以上研为末，蜂蜜丸，如梧桐子大，每次服用八十丸。空腹温酒送服。
五子衍宗丸 添精补髓。
枸杞子 菟丝子（各八两） 五味子（一两） 覆盆子（四两，酒洗） 车前子（一两）
以上研为末，蜂蜜丸，空腹淡盐水送服。
壮阳丸 治疗阳痿气馁不振，老年无子，此药适宜。
肉苁蓉 仙茅 蛇床子 山药 五味子 补骨脂 茯神 紫霄花 杜仲 韭菜子 雄鸡肝 鳖肝 海狗肾（如果没有海狗肾用黄狗肾代替）
以上药物共研为末，先将鸡肝、鳖肝用盐、酒、花椒蒸熟，捣烂，与前药混合晒干，再将前面的药末磨细，用酒拌山药末，醋调糊为丸，空腹淡盐水送服一百丸。如果阳痿精冷，加肉桂、附子、石燕各一两。
金锁思仙丹 治疗男子欲劳过度，精神不继。
莲蕊 莲子 芡实（各等分） 茯神（三两）
共研为末，用金樱子一斤，去毛煎膏为丸，每次服用三十丸，空腹淡盐水送服。服用过一个月后，即不再滑精，遇到求子期，用车前子汤送服。
The interaction of Yin and Yang Qi should occur after the menstrual flow has completely ceased; conception will invariably result. However, if the male's Yang Qi is insufficient or the female's blood is deficient and cold, the two Qi cannot interact, rendering intercourse futile for conception. Those in the world who are childless often fail to reflect on their own organ deficiencies, instead mistakenly using astringent and Yang-boosting agents as good prescriptions for procreation, thereby damaging the harmony of Heaven and Earth. Even if pregnancy occasionally occurs, it is merely due to the accidental effect of hot-natured drugs, which may transmit toxicity to the offspring, resulting in children who are born but not robust. Superior physicians, addressing infertility, formulate theories and prescriptions, emphasizing that for males, tonifying the Kidney is essential, while for females, regulating menstruation is paramount, supplemented by theories of tonifying Qi and promoting Qi movement. By investigating their excesses and deficiencies and treating them prudently, one can achieve conception with ease, ensuring that every man becomes a father and every woman a mother. I have examined ancient records indicating that men married at thirty and women at twenty, resulting in children who were generally long-lived. In contrast, modern people engage in sexual activity before sixteen and marry before fourteen, leading to premature leakage of Yin Qi and damage before physical maturity. Thus, modern people are less long-lived than ancients. If medication is used, it must not be administered indiscriminately; one must carefully examine the specific deficiencies of the male and the menstrual condition of the female. Conditions such as metrorrhagia (irregular heavy bleeding or spotting) or leukorrhea make conception difficult. Male infertility is often associated with Yang depletion, impotence, weak erection, cold and thin semen, or anejaculation. Therefore, female treatment prioritizes menstruation regulation, while male treatment focuses on Kidney tonification. After taking medicine, one should maintain mental clarity and reduce desires to strengthen the root, then identify auspicious days for intercourse. Failure to conceive under these conditions is unheard of.
Chu Cheng stated: During intercourse, if Yin blood arrives first and Yang essence follows, a male is conceived; if Yang essence is emitted first and Yin blood follows, a female is conceived. This is one theory. Li Dongyuan stated: Intercourse one or two days after menstruation ceases, when the Blood Sea is clean, results in a male; four to five days later, when blood vessels are vigorous, results in a female. This is another theory. Yet, some conceive females shortly after menstruation ends and males after a longer interval; some conceive after three to four days of intercourse without success, while others conceive after eight to nine days. Why is this? The *Yu Zi Ben Xuan · Guang Si Yao Lue* states: Solid Yang can enter Empty Yin, but Solid Yin cannot receive Weak Yang, reflecting Li Dongyuan's view. It also says: Weak Yang cannot shoot into Yin, and Weak Yin cannot grasp Yang. Believing this, we see frail husbands and timid wives conceiving repeatedly despite wanting to stop, while vigorous young men struggle to sire children. Why? Zhu Danxi treated women focusing on menstruation. Wealthy families with many concubines surely have those with regular cycles. A woman who bore many children for a previous husband might fail to conceive with a new husband seeking fertility, yet conceive quickly with another. Is it possible she could not conceive here but could elsewhere? I believe parents' generation of children is like Heaven's creation of all things. The *I Ching* says: "The way of Kun is yielding, receiving from Heaven and acting according to time." Just as Earth generates all things by following Heaven, mothers generate children by following fathers. Thus, conception depends primarily on the male. At the moment of intercourse, it is best if the Qi and blood of all meridians arrive simultaneously. If both parties' meridians align, even an old or weak man prone to premature emission can conceive. If meridians are misaligned, even a strong young man unable to emit cannot conceive. The blood formed by the woman, gathered from all meridians, differs in weight from the man's essence. Differentiation of sex does not depend strictly on the order of essence/blood arrival, days since menstruation ended, or time of day, but on which party's essence/blood arrives via simultaneous meridian activation prevails. If male essence prevails, a male is conceived; if female blood prevails, a female is conceived. Issues of postpartum mortality, short life, or longevity depend on the firmness or fragility of the essence, determining lifespan. People attribute this solely to initial endowment, which is the norm. Premature death from youthful indulgence is the variation. Blaming failure to rear children on the child and attributing lifespan to fate is erroneous.
Song Suizhen stated: Intercourse involves differences in timing between male emission and female release. Males emit; females release. When a woman's menstruation has just ceased and she experiences desire, signs of "release" appear: internal heat, dizziness, and indescribable sensations mark the precise timing. If mutual desire is intense and sustained, meridians align for conception. If the male's desire fades while the female's remains, male emission precedes, resulting in a female. If the female releases first and the male emits later, a male is conceived. Thus, both sexes possess essence. The *I Ching* states: "Male and female unite in essence, and all things are transformed." Post-intercourse, checking the genitalia for blood confirms this. When menstruation just ends, new blood is generated and hidden, so no blood traces appear post-coitus. The classic says: "Those whose Yin essence is upheld live long; those whose Yang essence descends die young." With mental clarity, reduced desires, and timely action, what child could one fail to obtain?
Chao Yuanfang described fetal development: At one month, the fetus resembles a dewdrop, named *Tai Pei*, nourished by the Foot Jueyin Liver Meridian. At two months, like a peach blossom stain, named *Shi Gao*, nourished by the Foot Shaoyang Gallbladder Meridian. At three months, sex differentiates, named *Shi Tai*, nourished by the Hand Shaoyin Heart Pericardium Meridian. At four months, forms become distinct, receiving Water Essence to circulate blood, nourished by the Hand Shaoyang Sanjiao Meridian. At five months, five Zang organs form, receiving Fire Essence to establish Qi, nourished by the Foot Taiyin Spleen Meridian. At six months, six Fu organs form, receiving Metal Essence to establish sinews, nourished by the Foot Yangming Stomach Meridian. At seven months, orifices open, receiving Wood Essence to establish bones, nourished by the Hand Taiyin Lung Meridian. At eight months, movement begins, receiving Earth Essence to establish skin and flesh, nourished by the Hand Yangming Large Intestine Meridian. At ten months, gestation completes, organs and joints form, and spirit is fully present.
**Nüke Dihuang Wan** treats irregular menstruation in women.
Prepared Rehmannia Root (*Shu Di Huang*, 4 liang), Cornus Fruit (*Shan Yu*, 2 liang), Chinese Yam (*Shan Yao*, 2 liang), Moutan Bark (*Dan Pi*, 1.5 liang), Poria (*Fu Ling*, 1.5 liang), Mugwort Leaf (*Ai Ye*, 5 qian, stir-fried with vinegar), Cyperus Rhizome (*Xiang Fu*, 3 liang, processed with boy's urine), Donkey-hide Gelatin (*E Jiao*, 1 liang).
Grind into powder, form pills with honey, take with boiling water.
**Zhengyuan Dan** regulates menstruation and aids conception.
Cyperus Rhizome (*Xiang Fu*, 1 jin, soaked overnight in vinegar with 3 liang Qichai Ai, separated and processed separately with vinegar, boy's urine, and salt Gardenia decoction, 4 liang each), Donkey-hide Gelatin (*E Jiao*, 1 liang, stir-fried with clam powder), Bitter Orange (*Zhi Ke*, 1.5 liang, half raw half stir-fried), Raw Rehmannia (*Sheng Di*), Prepared Rehmannia (*Shu Di*), Angelica Sinensis Root (*Gui Shen*), White Peony Root (*Bai Shao*), Szechuan Lovage Rhizome (*Chuan Xiong*), Poria (*Fu Ling*, 4 liang each), Amber (*Hu Po*, 2 liang).
Grind into powder, form pills with vinegar paste, take daily in the morning on an empty stomach with light salt water.
**Qianjin Zhongzi Wan** promotes fertility and treats deficiency-induced nocturnal emission.
Spiny Cocklebur Fruit (*Sha Ji Li*, 4 liang), White Lotus Stamen (*Bai Lian Xu*, 4 liang), Cornus Fruit (*Yu Rou*, 3 liang), Euryale Seed (*Qian Shi*, 4 liang), Raspberry (*Fu Pen*, 2 liang), Dragon Bone (*Long Gu*, 5 qian, calcined).
Grind into powder, form pills with honey, take on an empty stomach with light salt water. Avoid sexual activity for one month.
**Jujing Wan**
Fish Maw (*Yu Jiao*, 1 jin, stir-fried with clam powder until puffed), Spiny Cocklebur Fruit (*Sha Ji Li*, 0.5 jin, soaked in horse milk for two nights; substitute cow milk if unavailable, steamed for the duration of one incense stick).
Grind into powder, form pills the size of paulownia seeds, take 80 pills per dose with warm wine on an empty stomach.
**Wuzi Yanzong Wan** replenishes essence and marrow.
Goji Berry (*Gou Qi Zi*), Dodder Seed (*Tu Si Zi*, 8 liang each), Schisandra Berry (*Wu Wei Zi*, 1 liang), Raspberry (*Fu Pen Zi*, 4 liang, washed with wine), Plantago Seed (*Che Qian Zi*, 1 liang).
Grind into powder, form pills with honey, take on an empty stomach with light salt water.
**Zhuangyang Wan** treats impotence, lack of vitality, and infertility in the elderly.
Cistanche Stem (*Rou Cong Rong*), Curculigo Rhizome (*Xian Mao*), Cnidium Fruit (*She Chuang Zi*), Chinese Yam (*Shan Yao*), Schisandra Berry (*Wu Wei Zi*), Psoralea Fruit (*Bu Gu Zhi*), Poria (*Fu Shen*), Purple Sky Flower (*Zi Xiao Hua*), Eucommia Bark (*Du Zhong*), Leek Seed (*Jiu Cai Zi*), Rooster Liver (*Xiong Ji Gan*), Turtle Liver (*Die Gan*), Sea Dog Kidney (*Hai Gou Shen*, substitute Yellow Dog Kidney if unavailable).
Grind herbs into powder. Steam rooster and turtle livers with salt, wine, and Sichuan pepper until cooked, mash, mix with dried herbs, dry, and grind fine. Mix with Chinese Yam powder moistened with wine, form pills with vinegar paste. Take 100 pills on an empty stomach with light salt water. For impotence with cold semen, add Cinnamon Bark (*Rou Gui*), Aconite Root (*Fu Zi*), and Stone Swallow (*Shi Yan*), 1 liang each.
**Jinsuo Sixian Dan** treats excessive sexual fatigue and mental exhaustion in men.
Lotus Plumule (*Lian Rui*), Lotus Seed (*Lian Zi*), Euryale Seed (*Qian Shi*, equal parts), Poria (*Fu Shen*, 3 liang).
Grind into powder. Use 1 jin of Cherokee Rose Fruit (*Jin Ying Zi*), remove hairs, decoct into paste to form pills. Take 30 pills on an empty stomach with light salt water. After one month, emissions cease. During fertile periods, take with Plantago seed decoction.