一书生梦遗精滑，世人多作肾虚不效。余将清心莲子饮，加知柏、龙骨、牡蛎、萆
，或再加菟丝而愈。
一童子梦遗不止，余以二陈加减，除胃中湿痰，后以清心莲子饮，数服而愈。
一男子遗精白浊，口干作渴，大便中涩，午后热甚，用补中益气加芍药、玄参，加减
六味丸而愈。
夫左胁者，肝之部位也。窃见患痰火者，往往多左胁痛，此盖由性燥暴而多怒，怒伤肝
，故作患也。丹溪云∶左胁痛，肝火盛，有气实，有死血。右胁痛者，有痰流注，盖右胁者
，乃肺之部位也。肝急气实，须用苍术、川芎、青皮、当归之类。痛甚者，肺火盛，以当归
龙荟丸，姜汤下，是泻火之要药。死血用桃仁、红花、川芎，加之以辛凉之剂以治之。余治
儒病痰火者，多见此症，由作文写字，多以左胁伏桌，倦后尽力倚靠，暂不见伤，久则胁痛
，乃胸前死血作梗也，于主方中加红花一钱，其效如神。再于熟药内，掺入童便、韭汁各少
许，捣匀温服更效。右胁痛微者，即是痰流注，并食积，每用盐煎散、顺气丸，辛温之剂以
治之也。又尝论左胁痛，胃脘疼，妇人多有之，盖以忧思忿怒之气，不得条达，故作痛也。
治妇人诸疾，必以行气开郁为主，兼以破结散火，庶得机矣。语云∶香附、缩砂，女人之至
宝，山药、苁蓉，男子之佳珍，此之谓也。
一位书生出现梦遗和精液滑泄的症状，世人大多将其当作肾虚治疗但无效。我将清心莲子饮（清心火、益气血的方剂）作为基础，加入知母、黄柏、龙骨、牡蛎、萆薢，或者再加菟丝子，最终治愈了该病。
一名童子梦遗不止，我用二陈汤（燥湿化痰的基础方）进行加减，以清除胃中的湿痰，随后服用清心莲子饮，经过几次服药后痊愈。
一名男子出现遗精和白浊（尿液浑浊如米泔），伴有口干口渴，大便干涩不畅，午后发热严重。我使用补中益气汤（补中益气、升阳举陷的方剂）加入芍药、玄参，并配合加减六味丸（滋阴补肾的方剂）进行治疗，最终痊愈。
左侧胁部是肝脏所在的部位。我观察到患有痰火证的患者，往往容易出现左胁疼痛，这大概是因为性格急躁易怒，愤怒损伤了肝脏，从而导致了疾病的发生。朱丹溪曾说：“左胁痛，是肝火旺盛，有的是气实，有的是死血（瘀血）。右胁痛者，多由痰饮流注所致。”因为右侧胁部是肺脏所在的部位。如果肝气急迫且气实，必须使用苍术、川芎、青皮、当归之类的药物。疼痛剧烈的，若是肺火旺盛，可用当归龙荟丸，用姜汤送服，这是泻火的要药。对于死血（瘀血）引起的疼痛，使用桃仁、红花、川芎，并加入辛凉性质的药剂来治疗。我治疗患痰火证的儒生时，经常见到这种症状，这是由于他们写作写字时，常常将左胁伏在桌上，疲倦后尽力倚靠，暂时看不出受伤，时间久了则导致胁痛，这是胸前的死血（瘀血）阻滞所致。在主方中加入一钱红花，效果神奇。再在熟药（成药或煎好的药液）中，掺入少许童便（健康儿童的尿液）、韭汁，捣匀后温服，效果更好。右胁轻微疼痛的，就是痰饮流注，并伴有食积，通常使用盐煎散、顺气丸等辛温性质的药剂来治疗。我又曾论述过左胁痛、胃脘疼，妇女多有此症，大概是因为忧思忿怒之气，不能条达舒畅，从而引起疼痛。治疗妇女的各种疾病，必须以行气开郁为主，兼以破结散火，才能掌握治疗的机要。俗话说：“香附、缩砂仁，是女人的至宝；山药、肉苁蓉，是男子的佳珍”，说的就是这个道理。
Chicken: Yellow hen (female chicken), Black-bone chicken. Pig kidney, pig heart. Roe deer meat. Walnut. Cherry.
A scholar suffered from nocturnal emission and seminal leakage. The general public often treated this as Kidney deficiency without success. I used Qingxin Lianzi Yin (Clear the Heart with Lotus Seed Decoction) as a base, adding Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Longgu (Fossilia Ossis Mastodi et Scapulae), Muli (Concha Ostreae), and Bixie (Dioscoreae Hypoglaucae Rhizoma), or additionally Tusizi (Cuscutae Semen), which resulted in a cure.
A young boy suffered from continuous nocturnal emission. I modified Erchen Tang (Two-Cured Decoction) to eliminate damp-phlegm in the stomach, followed by several doses of Qingxin Lianzi Yin, leading to recovery.
A man presented with seminal emission and white turbidity (cloudy urine resembling rice water), accompanied by dry mouth and thirst, constipation, and severe afternoon fever. I treated him with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Shaoyao (Paeoniae Radix Alba) and Xuanshen (Scrophulariae Radix), combined with Jiawei Liuwei Wan (Modified Six-Ingredient Pill with Rehmannia), resulting in a cure.
The left hypochondrium is the region of the Liver. I have observed that patients suffering from Phlegm-Fire often experience pain in the left hypochondrium. This is likely due to an irritable and angry temperament; anger injures the Liver, thereby causing the disease. Danxi stated: "Left hypochondriac pain indicates excessive Liver Fire, caused either by Excess of Qi or by Fixed Blood (Blood Stasis). Right hypochondriac pain is usually caused by the flow and accumulation of Phlegm," because the right hypochondrium is the region of the Lung. If Liver Qi is urgent and Excess, one must use herbs such as Cangzhu (Atractylodis Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), and Danggui (Angelicae Sinensis Radix). For severe pain due to excessive Lung Fire, Danggui Longhui Wan (Angelica and Gardenia Pill) should be taken with Ginger Decoction; this is a crucial formula for purging Fire. For Fixed Blood (Blood Stasis), use Taoren (Persicae Semen), Honghua (Carthami Flos), and Chuanxiong, added with acrid-cool agents to treat it. In treating scholars suffering from Phlegm-Fire, I frequently encounter this symptom. It arises because they lean their left hypochondrium against the desk while writing or composing essays. After fatigue, they lean heavily against it. Initially, no injury is apparent, but over time, hypochondriac pain develops due to the obstruction of Fixed Blood (Blood Stasis) in the chest. Adding one qian of Honghua (Carthami Flos) to the principal formula yields miraculous effects. Furthermore, mixing small amounts of Tongbian (Urine of Healthy Child) and Jiuji (Juice of Allium Tuberosum) into the prepared medicine, grinding them evenly, and taking it warm yields even better results. Mild pain in the right hypochondrium indicates the flow and accumulation of Phlegm, often accompanied by Food Retention. In such cases, Yanjian San (Salt-Fried Powder) and Shunqi Wan (Regulate Qi Pill), which are acrid-warm agents, are typically used. I have also discussed left hypochondriac pain and epigastric pain, which are common in women. This is generally due to Qi stagnation from worry, thought, and anger failing to flow freely, thus causing pain. When treating various diseases in women, the primary approach must be to move Qi and relieve depression, supplemented by breaking accumulations and dissipating Fire, to grasp the essence of treatment. As the saying goes: "Xiangfu (Cyperi Rhizoma) and Suosha (Amomi Fructus Rotundus) are the supreme treasures for women; Shanyao (Dioscoreae Rhizoma) and Congrong (Cynomorii Folium) are the fine delicacies for men." This refers to the aforementioned principles.