精虽藏于肾，而实主于心。心之所藏者神，神安则气定，气为水母，气定则水澄，而精
自藏
走，精逐而流也。且心主血，心血空虚，则邪火上壅，而淆其灵舍，于是神昏志荡，天精摇
摇，淫梦交作，而精以泄。其甚者，不待梦而时泄。此时以降火之法治之，而火不可降，即
以龙骨、牡蛎涩精之品施之，亦属随止随发。殊不知神不归舍，斯精不归元，故肾病当治其
心，宜以养气安神为主，以润燥滋血之品为先，君火既安，相火自能从令，神清气爽，而精
安有不固者哉？
人身之精，融化于周身，如树中胶汁，本无形质，至因情动摇，遂各成形质而出。其所
出者
出，皆为精所施化，多出皆能伤精，但与遗精者相较，则感有浅深，质有浓薄，伤有轻重耳
。
此即遗精痿症也。其初起于酒色不节，精血日竭，水火俱衰，肝风、脾湿、肾虚生寒，
三气
元，而筋骨日瘁也。法宜清气安神，以养心脾之血；润燥滋血，以归肝肾之阴。
白浊、白淫，从新久定名。初出茎中痛而浓浊如膏，谓之白浊。久之不已，精微弱而薄
，痛
淫，则火衰而寒胜矣。此因肾家元气降而不升，故粘丝带腻，马口含糊而不已。治法宜回阳
气而使上升，固其精元而不使下陷，则病自止矣。外此有症非属虚，而湿热下注者，宜从丹
溪治法。又有所求不遂，志意郁结而精泄，及气虚人失精气而遗者，皆非虚病也。
精虽然储藏于肾，但实际上由心所主宰。心中所藏的是神，神安宁则气安定，气是水的源头（母），气安定则水清澈，精自然就能封藏。如果心神不宁，精就会随气乱走，随着水流而外泄。况且心主血，心血空虚，邪火就会上壅，扰乱心神所在的灵舍，于是神志昏沉、意志荡散，天精动摇，淫梦频繁发作，导致精液外泄。严重的，甚至不需要做梦也会时常泄精。这时候如果用降火的方法治疗，但火无法降下；或者直接用龙骨、牡蛎等涩精的药物来治疗，也属于刚止住随即又发作的情况。殊不知神不归位，精就不能归元，所以治疗肾病应当治心，宜以养气安神为主，以润燥滋血的药物为先。君火既然安定，相火自然听从命令，神清气爽，精怎么会有不固摄的呢？
人身中的精，融化在周身，就像树中的胶汁，本来没有固定的形质，直到因为情欲动摇，才各自形成形质而排出。排出的物质，都是精所施化出来的，排出多都能损伤精，只是与遗精者相比，感受有深浅之分，质地有浓薄之别，损伤有轻重之异罢了。
这就是遗精痿症。其初起于酒色不节制，精血日渐枯竭，水火两衰，肝风、脾湿、肾虚生寒，这三种气机紊乱，导致筋骨日渐憔悴。治法宜清气安神，以滋养心脾之血；润燥滋血，以回归肝肾之阴。
白浊、白淫，根据病程新久来定名。初起时尿道中疼痛且分泌物浓浊如膏，称为白浊。时间久了不好，精微弱而稀薄，疼痛减轻或消失，称为白淫，这是火衰而寒胜的表现。这是因为肾家元气下降而不升，所以分泌物粘滞带腻，马口（尿道口）含糊不清而不止。治法宜回阳气温升，固摄精元不使其下陷，病自然就会停止。此外，有的症状不属于虚证，而是湿热下注的，宜从朱丹溪的治法治疗。又有因求偶不得，志意郁结而导致精泄，以及气虚之人失精气而遗精的，这些都不属于虚病。
Although Jing (Essence) is stored in the Kidney, it is actually governed by the Heart. What the Heart stores is Shen (Spirit); when Shen is tranquil, Qi (Vital Energy) is stable. Qi is the mother of Water; when Qi is stable, Water becomes clear, and Jing naturally remains sealed. If Shen is restless, Jing will follow the chaotic movement of Qi and flow out with the water. Moreover, the Heart governs Blood. When Heart Blood is deficient, pathogenic Fire will surge upward, disturbing the spiritual residence of Shen, leading to mental confusion and erratic will, causing Tian Jing (Heavenly Essence) to tremble, frequent erotic dreams, and subsequent leakage of Jing. In severe cases, leakage occurs even without dreams. At this stage, if one attempts to treat it by subduing Fire but the Fire cannot be subdued, or directly employs astringent herbs like Long Gu (Fossilized Bones) and Mu Li (Oyster Shell), it results in temporary cessation followed by immediate recurrence. It is unknown that if Shen does not return to its residence, Jing cannot return to its origin. Therefore, when treating Kidney disease, one should treat the Heart, prioritizing nourishing Qi and calming Shen, and using moistening and blood-nourishing agents first. Once the Ministerial Fire (Jun Huo) is tranquil, the Executor Fire (Xiang Huo) will naturally obey, Shen will be clear and refreshing, and how could Jing fail to be secured?
The Jing in the human body is dissolved throughout the body, like the resin in trees, originally having no fixed form. Only due to emotional agitation does it take various forms and exit. The substances expelled are all transformations of Jing; excessive expulsion can injure Jing. Compared with those suffering from spermatorrhea, the differences lie only in the depth of the pathogenic influence, the thickness or thinness of the substance, and the severity of the injury.
This is Spermatorrhea and Impotence. It initially arises from immoderation in alcohol and sexual activity, leading to daily depletion of Jing and Blood, decline of both Water and Fire, Liver Wind, Spleen Dampness, and Cold generated by Kidney Deficiency. These three pathogenic factors disrupt the vital energy, causing bones and sinews to deteriorate daily. The treatment method should involve clearing Qi and calming Shen to nourish Heart and Spleen Blood; moistening dryness and nourishing Blood to restore Kidney and Liver Yin.
Bai Zhuo (White Turbidity) and Bai Yin (White Leukorrhea/Discharge) are named according to the duration of the disease. Initially, there is pain in the urethra, and the discharge is thick and turbid like paste, called Bai Zhuo. If it persists for a long time, the Jing becomes weak and thin, pain subsides, and it is called Bai Yin, indicating Fire deficiency and prevailing Cold. This is caused by the Yuan Qi (Original Qi) of the Kidney descending rather than ascending, resulting in sticky and greasy discharge, unclear sensation at the Ma Kou (Urethral Orifice), and continuous leakage. The treatment method should involve restoring Yang Qi to promote ascent and securing Jing Yuan to prevent sinking, after which the disease will cease. Additionally, some symptoms do not belong to deficiency but to Damp-Heat pouring downward, which should be treated according to the methods of Danxi (Zhu Zhenheng). Furthermore, leakage due to unfulfilled desires and constrained will, as well as leakage in Qi-deficient individuals due to loss of Jing and Qi, are not considered deficiency diseases.