内经曰。思想无穷。所愿不得则意淫于外。入房太甚宗筋弛纵。发为筋急。乃为白淫。
夫肾脏天一。以坚为主。志意内驰。则精因而出。思想为淫。房室太甚。则固者摇矣。故淫
溢不
方
七珍丸(王氏博济方)补真益气。壮腰膝。进饮食。治小儿白淫。
肉苁蓉(半斤细切酒煮烂研成膏) 补骨脂(炒) 巴戟天(去心) 附子(炮去皮脐
各二两)
杏仁(汤浸去皮尖) 桃仁(汤浸去皮尖) 胡桃仁(研各一两) 上将后六味捣研为末。
与苁蓉
膏同研匀。更入炼蜜捣三五百杵。丸如梧桐子大。每服一丸。热酒化下。日三服。一名四神
煎。
莲实丸 治下元虚冷。小便白淫。
莲实(去皮) 附子(炮去皮脐) 巴戟天 补骨脂(炒各二两) 覆盆子(炒一两) 山
茱萸
(一
龙骨汤 治小便白淫。及遗泄无故自出。
龙骨(研五两) 人参 白茯苓 甘草(炙) 牡蛎( ) 桂(去粗皮) 熟地黄(焙
各二两)
上
内补鹿茸丸(一名曰鹿茸丸)治劳伤思虚。阴阳气虚。益精止白淫。
金锁丸(一名金锁子丸)治下元虚小便白淫。夜梦遗泄。
石斛散 治阳虚惫小便白淫。
石斛(去根) 巴戟天(去心) 菟丝子(酒浸二宿别捣各三两) 杜仲(去粗皮炙锉)
桑螵
蛸(
白石英散 治小便白淫。
白石英(研) 肉苁蓉(酒浸焙) 泽泻 韭子(各一两) 白粳米(淘五合) 上为
散。每服
二钱。米饮调下。食前。日三服。
秘真丸(宣明论)治小便白淫不止。精气不固。及有余沥。或梦寐阴人通泄。
龙骨(研一两) 诃黎勒(炮取皮五个) 缩砂仁(去皮半两) 丹砂(研一两留一钱
为衣)
上为末。煮糯米粥为丸如绿豆大。以丹砂为衣。每日空心热酒下一丸。夜卧冷水下三丸。勿
多服
阳起石丸(杨氏家藏方)治下元虚惫。耳鸣。面黑。腰背疼痛。遗泄白淫。手
足冷。肌
阳起石( 研一两) 白芷 黄蜡(各半两) 生砒(研一分) 上将三味同研匀。以
黄蜡为
丸如梧桐子大。每服三丸。空心冷盐汤或冷酒下。微温亦可。药后忌热食少时。久服美进饮
食。补下元。暖腰脚。
天雄散 治肾脏虚冷。小便白淫。(方见虚劳门虚劳失精类)
(案原方∶天雄三两炮裂去皮脐。石斛去根生。补骨脂微炒。天麻。麋角屑。泽泻。巴
戟。五味子。沉香。续断。苁蓉酒浸一宿刮去粗皮炙干。菟丝子酒浸三日曝干另捣为末。龙
骨。山茱萸。杜仲去粗皮炙微黄锉。防风去芦头。腽肭脐酒浸炙令微黄。木香各一分。上为
末。炼
附矾丸 治白淫过甚。
附子(炮去皮脐二两) 矾石(二两熬去汁) 上为末。水煮面糊和丸如梧桐
子大。每服十丸至二十丸。空心夜卧清茶下。
黄连丸 治心肾气不足。思想无穷。小便白淫。
黄连(去须) 白茯苓(去黑皮) 上等分为末。酒糊和丸如梧桐子大。每服三十丸。
煎补
骨脂
金泊丸(卫生宝鉴)治下焦虚。小便白淫。夜多梦泄。
原蚕蛾 破故纸 韭子(炒各一两) 牛膝(酒浸) 肉苁蓉 龙骨 山茱萸 桑螵蛸 菟
丝子
前
服。
补真玉露丸(卫生宝鉴)治阴盛精脱。淫乐胫酸。\x
白茯苓 白龙骨(火 ) 韭子(酒浸各二两) 菟丝子(酒浸一两) 上为细末。米
醋同面
糊和
《黄帝内经》说:思虑无穷,愿望不得实现,则意念外驰而产生淫欲;房事过度导致宗筋弛缓纵垮,进而引发筋脉拘急,这就形成了白淫。
肾脏属水,本性坚固,若意志内耗驰散,精气就会随之流出。思虑化为淫念,房事过于频繁,原本坚固的根基就会动摇。因此出现精液溢出、无法自控的情况。
七珍丸(出自王氏《博济方》):补益真元,益气力,强壮腰膝,增进饮食。治疗小儿白淫。
药材:肉苁蓉(半斤,细切后用酒煮烂,研成膏状)、补骨脂(炒制)、巴戟天(去心)、附子(炮制,去皮和脐,各二两)、杏仁(热水浸泡,去皮尖)、桃仁(热水浸泡,去皮尖)、胡桃仁(研碎,各一两)。
用法:将后六味药捣碎研为细末,与肉苁蓉膏混合均匀研磨,再加入炼蜜捣三五百下,制成梧桐子大小的丸剂。每次服用一丸,用热酒化开送服,每日三次。此方又名四神煎。
莲实丸:治疗下元虚冷,小便白淫。
药材:莲实(去皮)、附子(炮制,去皮和脐)、巴戟天、补骨脂(炒制,各二两)、覆盆子(炒制,一两)、山茱萸(一两)、龙骨(一两)。
龙骨汤:治疗小便白淫,以及无故自发的遗精滑泄。
药材:龙骨(研碎,五两)、人参、白茯苓、甘草(炙制)、牡蛎(煅制)、桂枝(去掉粗皮)、熟地黄(焙干,各二两)。
内补鹿茸丸(又名鹿茸丸):治疗劳伤思虑过度导致的阴阳气虚,益精血,止白淫。
金锁丸(又名金锁子丸):治疗下元虚损引起的小便白淫,夜间梦遗滑泄。
石斛散:治疗阳气虚惫引起的小便白淫。
药材:石斛(去根)、巴戟天(去心)、菟丝子(酒浸两天,另捣碎,各三两)、杜仲(去掉粗皮,炙后锉碎)、桑螵蛸(炙制)。
白石英散:治疗小便白淫。
药材:白石英(研碎)、肉苁蓉(酒浸后焙干)、泽泻、韭子(各一两)、白粳米(淘洗五合)。
用法:上药研为散剂。每次服用二钱,用米饮调下,饭前服用,每日三次。
秘真丸(出自《宣明论》):治疗小便白淫不止,精气不固,以及排尿后有残余滴沥,或梦中与女子交合而泄精。
药材:龙骨(研碎,一两)、诃黎勒(炮制取皮,五个)、缩砂仁(去皮,半两)、丹砂(研碎,一两,留一钱作为包衣)。
用法:上药研为细末,用糯米粥煮糊为丸,如绿豆大小,以丹砂为衣。每天空腹时,早晨用热酒送服一丸,晚上睡觉时用冷水送服三丸。不要多服。
阳起石丸(出自杨氏《家藏方》):治疗下元虚惫,耳鸣,面色黑,腰背疼痛,遗精滑泄白淫,手足冰冷,肌肉消瘦。
药材:阳起石(研碎,一两)、白芷、黄蜡(各半两)、生砒(研碎,一分)。
用法:将以上三味药同研均匀,以黄蜡为粘合剂,制成梧桐子大小的丸剂。每次服用三丸,空腹时用冷盐汤或冷酒送服,微温亦可。服药后暂时忌食热食。长期服用可改善饮食,补益下元,温暖腰脚。
天雄散:治疗肾脏虚冷,小便白淫。(原方见“虚劳门·虚劳失精类”)
原方组成:天雄(三两,炮裂,去皮和脐)、石斛(去根,生用)、补骨脂(微炒)、天麻、麋角屑、泽泻、巴戟天、五味子、沉香、续断、肉苁蓉(酒浸一夜,刮去粗皮,炙干)、菟丝子(酒浸三天,晒干,另捣为末)、龙骨、山茱萸、杜仲(去粗皮,炙至微黄,锉碎)、防风(去芦头)、腽肭脐(酒浸,炙至微黄)、木香(各一分)。
用法:上药研为细末,炼蜜为丸。
附矾丸:治疗白淫症状严重者。
药材:附子(炮制,去皮和脐,二两)、矾石(二两,熬制去汁)。
用法:上药研为细末,用水煮面糊和丸,如梧桐子大小。每次服用十丸至二十丸,空腹及睡前用清茶送服。
黄连丸:治疗心肾气不足,思虑无穷,小便白淫。
药材:黄连(去须)、白茯苓(去黑皮)。
用法:上等分研为细末,用酒糊和丸,如梧桐子大小。每次服用三十丸,煎补骨脂汤送服。
金泊丸(出自《卫生宝鉴》):治疗下焦虚损,小便白淫,夜间多梦遗泄。
药材:原蚕蛾、破故纸(补骨脂)、韭子(炒制,各一两)、牛膝(酒浸)、肉苁蓉、龙骨、山茱萸、桑螵蛸、菟丝子(酒浸,各一两)。
用法:上药研为细末,酒糊和丸,如梧桐子大小。每次服用三十丸,空心温酒送服。
补真玉露丸(出自《卫生宝鉴》):治疗阴盛精脱,淫乐导致的小腿酸软。
药材:白茯苓、白龙骨(火煅)、韭子(酒浸,各二两)、菟丝子(酒浸,一两)。
用法:上药研为细末,用米醋和面糊调和制作。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "When thoughts are endless and desires remain unfulfilled, the mind wanders externally, generating lustful imaginings. Excessive sexual intercourse causes the sinews to become flaccid and relaxed, leading to spasms of the tendons; this condition is termed 'Baiyin' (White Turbidity)."
The Kidney belongs to Water and its nature is firmness. If the will dissipates inwardly, essence will flow out. When thoughts transform into lust and sexual activity is excessive, what was once solid becomes unstable. Consequently, seminal overflow occurs without control.
**Qizhen Wan** (Seven Treasures Pill, from Wang Shi's *Boji Fang*): Tonifies true Yuan Qi, benefits Qi, strengthens the waist and knees, and promotes appetite. Treats pediatric Baiyin.
Ingredients: *Rou Cong Rong* (Cistanche Herba, half a jin, sliced thinly, boiled in wine until soft, ground into paste); *Bu Gu Zhi* (Psoraleae Fructus, stir-fried); *Ba Ji Tian* (Morinda Radix, heart removed); *Fu Zi* (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed, two liang each); *Xing Ren* (Armeniacae Semen, soaked in hot water, skin and tip removed); *Tao Ren* (Persicae Semen, soaked in hot water, skin and tip removed); *Hu Tao Ren* (Juglandis Semen, ground, one liang each).
Usage: The latter six ingredients are crushed and ground into fine powder, mixed evenly with the Cistanche paste, then combined with refined honey and pounded three to five hundred times. Form pills the size of Sophora seeds. Take one pill per dose, dissolved in hot wine. Three times daily. This formula is also known as **Sishen Jian** (Four Spirits Decoction).
**Lianshi Wan** (Lotus Seed Pill): Treats deficiency-cold of the Lower Origin (Lower Jiao/Kidneys), manifesting as Baiyin in urine.
Ingredients: *Lian Shi* (Nelumbinis Semen, skin removed); *Fu Zi* (Processed, skin and umbilicus removed); *Ba Ji Tian*; *Bu Gu Zhi* (Stir-fried, two liang each); *Fu Pen Zi* (Rubi Fructus, stir-fried, one liang); *Shan Zhu Yu* (Corni Fructus, one liang); *Long Gu* (Fossilia Ossis Mastodi, one liang).
**Longgu Tang** (Dragon Bone Decoction): Treats Baiyin in urine, as well as spontaneous seminal emission or leakage without cause.
Ingredients: *Long Gu* (Ground, five liang); *Ren Shen* (Ginseng Radix et Rhizoma); *Bai Fu Ling* (Poria, white part); *Gan Cao* (Licorice Root, honey-fried); *Mu Li* (Ostreae Concha, calcined); *Gui* (Cinnamomi Ramulus, coarse bark removed); *Shu Di Huang* (Rehmanniae Radix Praeparata, baked, two liang each).
**Neibu Lurong Wan** (Internal Nourishing Deer Antler Pill, also called Lurong Wan): Treats Yin-Yang Qi deficiency caused by labor injury and excessive mental exertion; tonifies essence and stops Baiyin.
**Jinsuo Wan** (Golden Lock Pill, also called Jin Suo Zi Wan): Treats Baiyin in urine due to deficiency of the Lower Origin, accompanied by nocturnal seminal emission during dreams.
**Shihu San** (Dendrobium Powder): Treats Baiyin in urine resulting from severe Yang deficiency and exhaustion.
Ingredients: *Shihu* (Dendrobii Caulis, roots removed); *Ba Ji Tian* (Heart removed); *Tu Si Zi* (Cuscutae Semen, soaked in wine for two nights, separately ground, three liang each); *Du Zhong* (Eucommiae Cortex, coarse bark removed, processed and chopped); *Sang Piao Xiao* (Mantis Ootheca, processed).
**Baishiying San** (White Quartz Powder): Treats Baiyin in urine.
Ingredients: *Baishiying* (Quartzum Album, ground); *Rou Cong Rong* (Soaked in wine and baked); *Ze Xie* (Alismatis Rhizoma); *Jiu Zi* (Allii Tuberosi Semen, one liang each); *Bai Jing Mi* (White Japonica Rice, washed, five he).
Usage: Grind all ingredients into powder. Take two qian per dose, mixed with rice drink. Take before meals, three times daily.
**Mizhen Wan** (Secret True Pill, from *Xuanming Lun*): Treats persistent Baiyin in urine, insecurity of essence, post-void dribbling, or seminal emission during dreams of sexual intercourse.
Ingredients: *Long Gu* (Ground, one liang); *He Li Le* (Terminalia Chebula Retzii Pericarpium, processed, skin used, five fruits); *Suo Sha Ren* (Amomi Fructus, skin removed, half liang); *Dan Sha* (Cinnabar, ground, one liang, reserve one qian for coating).
Usage: Grind into fine powder. Use glutinous rice porridge paste to form pills the size of mung beans, coated with Cinnabar. In the morning on an empty stomach, take one pill with hot wine. At night before bed, take three pills with cold water. Do not overdose.
**Yangqishi Wan** (Yangqi Stone Pill, from Yang Shi's *Jiacang Fang*): Treats deficiency-exhaustion of the Lower Origin, tinnitus, dark complexion, pain in the lower back and body, seminal emission with Baiyin, cold hands and feet, and emaciation.
Ingredients: *Yang Qishi* (Actinolithus, ground, one liang); *Bai Zhi* (Angelicae Dahuricae Radix); *Huang La* (Beeswax, half liang each); *Sheng Pi* (Realgar, raw, ground, one fen).
Usage: Grind the three ingredients together uniformly. Use Beeswax as a binder to form pills the size of Sophora seeds. Take three pills per dose on an empty stomach with cold salted water or cold wine; slightly warm is acceptable. Avoid hot food for a short time after taking the medicine. Long-term use improves diet, tonifies the Lower Origin, and warms the waist and legs.
**Tianxiong San** (Aconitum Hypocrateriforme Powder): Treats Kidney deficiency-cold and Baiyin in urine. (See original formula in "Xu Lao Men - Xu Lao Shi Jing Category").
Original Formula Composition: *Tian Xiong* (three liang, processed until cracked, skin and umbilicus removed); *Shihu* (roots removed, raw); *Bu Gu Zhi* (lightly stir-fried); *Tian Ma* (Gastrodiae Rhizoma); *Mi Jiao Xie* (Elaphoceri Cornu); *Ze Xie*; *Ba Ji*; *Wu Wei Zi* (Schisandrae Fructus); *Chen Xiang* (Aquilariae Lignum Resinatum); *Xu Duan* (Dipsaci Radix); *Cong Rong* (soaked in wine overnight, scraped clean, processed and dried); *Tu Si Zi* (soaked in wine for three days, sun-dried, separately ground into powder); *Long Gu*; *Shan Zhu Yu*; *Du Zhong* (skin removed, processed until slightly yellow, chopped); *Fang Feng* (Saposhnikoviae Radix, radicle removed); *An Na Qi* (Viverridae Gland); *Mu Xiang* (Aucklandiae Radix, one fen each).
Usage: Grind into powder, mix with refined honey to form pills.
**Fu Fan Wan** (Aconite and Alum Pill): Treats severe cases of Baiyin.
Ingredients: *Fu Zi* (Processed, skin and umbilicus removed, two liang); *Fan Shi* (Alumen, two liang, boiled to remove juice).
Usage: Grind into powder. Mix with water-boiled wheat flour paste to form pills the size of Sophora seeds. Take 10–20 pills per dose on an empty stomach and before sleep, with clear tea.
**Huanglian Wan** (Coptis Pill): Treats insufficiency of Heart and Kidney Qi, endless thoughts, and Baiyin in urine.
Ingredients: *Huang Lian* (Coptidis Rhizoma, mustards removed); *Bai Fu Ling* (Poria, black skin removed).
Usage: Divide equally, grind into powder. Mix with wine paste to form pills the size of Sophora seeds. Take 30 pills per dose, taken with decoction of Bu Gu Zhi.
**Jinbo Wan** (Gold Leaf Pill, from *Weisheng Baojian*): Treats deficiency of the Lower Jiao, Baiyin in urine, and frequent nocturnal emissions during dreams.
Ingredients: *Yuan Can E* (Bombyx Batryticatus); *Po Gu Zhi* (Psoraleae Fructus); *Jiu Zi* (Stir-fried, one liang each); *Niu Xi* (Achyranthis Bidentatae Radix, soaked in wine); *Rou Cong Rong*; *Long Gu*; *Shan Zhu Yu*; *Sang Piao Xiao*; *Tu Si Zi* (Soaked in wine, one liang each).
Usage: Grind into fine powder. Mix with wine paste to form pills the size of Sophora seeds. Take 30 pills per dose on an empty stomach with warm wine.
**Buzhen Yulu Wan** (Tonify True Jade Dew Pill, from *Weisheng Baojian*): Treats excess Yin with essence depletion, and calf soreness caused by excessive sexual pleasure.
Ingredients: *Bai Fu Ling*; *Bai Long Gu* (Fire-calcined); *Jiu Zi* (Soaked in wine, two liang each); *Tu Si Zi* (Soaked in wine, one liang).
Usage: Grind into fine powder. Mix with rice vinegar and flour paste.