凡人梦交而不泄者，心肾气实也；梦而即泄者，心肾气虚也。此病生于心肾，非药可治。当用纸捻长八寸，
每夜紧系阴囊，天明解之，自然不泄。若肾气虚脱，寒精自出者，灸关元六百壮而愈。若人一见女子精即泄者，
乃心肾大虚也，服大丹五两，甚者灸巨门五十壮。（仲景云∶阴寒精自出，酸削不能行。可知精之不固，由于
阳之不密。先生云∶肾气虚脱，寒精自出，则温补下元为得法矣。世医苟明此理，以治遗精，必不专事寒凉，
而治人夭枉矣。）
此由肾气不足，又兼湿气入客小肠，连脐发痛，或上或下，若豚之奔，或痛连外肾成疝气者，服塌气散、
茱萸丸、金铃子丸或蟠葱散。（奔豚与疝不同，混淆不得，从小腹而上，抵心者，奔豚也；从少腹而上逆脐，
HT气与横弦，HT 疝也；从阴囊而上冲心膈，痛欲死者，冲疝也；从少腹而下连肾区者，小肠与狐疝也。是有差
别，不可不审。）
此证因肺虚，气不下降，寒气凝结，令人胸膈连背作痛，或呕吐冷酸水，当服五膈散自愈。（此证治若失
宜，久久必成膈证。）
此由肾气虚惫，肾主骨，肾水既涸则诸骨皆枯，渐至短
缩，治迟则死。须加灸艾，内服丹附之药，非寻常草木药所能治也，（凡人年老，逐渐矬矮，其犹骨缩之病乎。）
治验
一人身长五尺，因伤酒色，渐觉肌肉消瘦，予令灸关元三百壮，服保元丹一斤，自后大便滑，小便长，饮
食渐加，肌肉渐生，半年如故。（此自消瘦，与骨缩有间，不知何缘附此，中间疑有缺文。）
凡是做梦性交但没有射精的，是心肾之气充实的表现；做梦性交随即射精的，是心肾之气虚弱的表现。这种病根源于心肾，不是单纯靠吃药就能治好的。应当用纸条搓成捻子，长约八寸，每晚紧紧系在阴囊上，天亮时解开，自然就不会再遗精了。如果是肾气虚脱，导致寒性精液自行滑出的，灸关元穴六百壮就可以痊愈。如果人一见女子精气就射精的，这是心肾极度虚弱的表现，服用大丹五两，严重的灸巨门穴五十壮。（张仲景说：阴寒内盛导致精液自行滑出，身体酸痛消瘦无法行走。由此可知，精液不固守，是因为阳气不够严密。先生说：肾气虚脱，寒精自出，那么温补下焦元气就是正确的方法了。世间的医生如果明白这个道理，在治疗遗精时，必然不会专门使用寒凉药物，从而避免让人夭折了。）
这种情况是由于肾气不足，又兼有湿气侵入小肠，牵连肚脐部位发作疼痛，疼痛或上或下，像小猪奔跑一样急促，或者疼痛牵连外生殖器形成疝气的，服用塌气散、茱萸丸、金铃子丸或蟠葱散。（奔豚病与疝气不同，不能混淆。从小腹向上冲，直达心胸部位的，是奔豚病；从少腹向上逆至肚脐，伴有气机横逆弦紧感的，是疝气；从阴囊向上冲击心膈，疼痛欲死的，是冲疝；从少腹向下牵连肾区的，是小肠疝与狐疝。这些是有区别的，不可不仔细审察。）
这个证候是因为肺气虚弱，气不能下降，寒气凝结，导致胸膈连带背部疼痛，或者呕吐冷酸水，应当服用五膈散即可自愈。（这个证候治疗如果不恰当，时间久了必定会发展成膈证。）
这是由于肾气极度虚弱，肾主骨，肾水枯竭则所有骨骼都会干枯，逐渐变得短小收缩，治疗迟缓就会死亡。必须加用艾灸，内服含有丹砂和附子的药物，这不是普通的草木药物所能治疗的。（一般人年老时，逐渐变得矮小，这大概就是骨缩病吧。）
治疗验案
有一人身高五尺，因为纵欲酗酒，逐渐觉得肌肉消瘦，我让他灸关元穴三百壮，服用保元丹一斤，此后大便通畅，小便增多，饮食逐渐增加，肌肉逐渐生长，半年后恢复如初。（这种自发性消瘦，与骨缩病是有区别的，不知道为何附在此处，中间怀疑有缺文。）
When one dreams of sexual intercourse without ejaculation, it indicates that the Qi of the Heart and Kidney is substantial; when one dreams of sexual intercourse and ejaculates immediately, it indicates that the Qi of the Heart and Kidney is deficient. This disease originates from the Heart and Kidney and cannot be cured by medicine alone. One should roll paper into a wick eight cun long, tie it tightly around the scrotum every night, and untie it at dawn; naturally, emission will cease. If Kidney Qi is exhausted and cold semen issues spontaneously, moxibustion on Guanyuan (CV4) for six hundred moxa cones will result in recovery. If a person ejaculates upon merely seeing a woman's essence, this signifies extreme deficiency of the Heart and Kidney; taking five liang of Grand Elixir (Da Dan) is indicated, and in severe cases, moxibustion on Jumen (ST16) for fifty moxa cones. (Zhang Zhongjing stated: "Coldness in the Yin causes spontaneous emission, with soreness and emaciation preventing walking." From this, we know that the insecurity of semen is due to the lack of Yang's sealing function. The Master said: "When Kidney Qi is exhausted and cold semen issues spontaneously, warming and tonifying the Lower Yuan is the appropriate method." If physicians of the world understood this principle, they would not exclusively use cooling herbs to treat nocturnal emission, thereby avoiding causing premature death.)
This condition arises from insufficient Kidney Qi combined with dampness invading the Small Intestine, causing pain connected to the navel, moving up or down like a running piglet, or pain extending to the external genitalia forming hernia. In such cases, take Taqi San, Zhuyu Wan, Jinlingzi Wan, or Pansong San. (Ben Tun [Rushing Pig] and Shan [Hernia] are different and must not be confused. When Qi rushes from the lower abdomen up to the heart, it is Ben Tun [Rushing Pig]; when it rises from the lower abdomen to the navel with transverse and taut sensations, it is Shan [Hernia]; when it rushes from the scrotum up to the chest and diaphragm with fatal pain, it is Chong Shan [Rushing Hernia]; when it descends from the lower abdomen to connect with the kidney region, it is Xiaochang Shan [Small Intestine Hernia] and Hu Shan [Fox Hernia]. These have distinctions and must be carefully examined.)
This syndrome is caused by Lung Qi deficiency, where Qi fails to descend, leading to congealing of Cold, causing pain in the chest and diaphragm radiating to the back, or vomiting of cold, sour water. Taking Wuge San will lead to self-healing. (If this syndrome is treated improperly, over time it will inevitably develop into Ge Syndrome [Dysphagia/Obstruction].)
This is due to extreme exhaustion of Kidney Qi. Since the Kidney governs the bones, once Kidney Water is depleted, all bones become dry, gradually shortening and shrinking. Delayed treatment leads to death. Moxibustion must be added, and internally administered pills containing Cinnabar (Dan) and Aconite (Fu) are required; ordinary herbal medicines cannot treat this. (It seems that as people age, they gradually become shorter and stouter; could this be similar to the Bone Shrinking Disease?)
Clinical Case
A man was five chi tall. Due to excessive alcohol and sexual indulgence, he gradually felt his muscles wasting away. I instructed him to undergo moxibustion on Guanyuan (CV4) for three hundred cones and to take one jin of Baoyuan Dan. Afterwards, his stool became loose, urination increased, food intake gradually rose, and muscles regenerated. Within half a year, he returned to his normal state. (This spontaneous emaciation differs from Bone Shrinking Disease; it is unclear why it is attached here, suggesting possible missing text in the original manuscript.)