（精滑）
经曰∶精者身之本，生气之源，髓之化也。又曰∶阴平阳秘，精神乃治；阴阳离决，精神乃
竭。盖精之藏摄在肾，精之主宰在心。心为君火，肾为相火。相奉君命，故病在肾而责在心。心
藏神，神动精泄。病机有五∶曰梦交，火炽神虚，宜养心药敛。曰滑脱，肾虚不摄，宜滋补肾气
。曰满溢，少壮鳏旷，宜静默精化（精能化气）。曰情想，妄言视听，宜摄意降心。曰湿热，伤
热流通，宜渗湿清火。大都制相火，壮肾水，宁心神，固精髓，不易法也。尺脉洪数，失精便浊
；心脉短小，主梦遗。
主方 黄连 生地 远志 茯神 枣仁 芡实 柏子仁 石莲肉 黄柏（盐炒） 麦门冬
莲蕊（各一钱） 上加灯心二十枝，水煎成，调朱砂（飞）、龙骨（研。各一钱），服。
王荆公妙香散 安神定心，固精。
茯苓 茯神（各二两） 远志 益智仁 龙骨（研。各一两） 甘草 朱砂（飞。各五钱）
上为末，入龙、朱研匀，每服二钱，临睡温酒调下。
金锁丹 肾虚精滑，心神不安。
黄柏（盐水炒） 知母（炒。各一两） 牡蛎（火 ，醋淬） 赤石脂 龙骨（三味另研）
莲蕊 芡实 茯苓 远志 山萸肉（各三钱） 朱砂（二钱）
上为末，山药末调糊，丸桐子大，朱衣。每服六十丸，空心酒下。
固精丸 扶元益肾秘精。
人参 白术 茯苓 熟地 山药 锁阳 牡蛎（ ） 蛤粉（煨） 黄柏 知母（俱酒炒）
杜仲 金樱子 椿根皮（臭）破故纸（酒炒。各一两）
上末，蜜丸桐子大，朱衣。每五十丸，空心酒下。
十全大补汤或补中益气汤（方见虚损）加山萸、五味、山药之类，治气血虚、遗精。
简便方 泄精。
莲子心为末一钱，入朱砂二分，空心白汤下。
又 嫩乌药、益智仁、朱砂（各一两，留半为衣）。山药糊丸桐子大，每百丸，早盐汤下。
又 韭子（炒，研末），酒糊丸，每二钱盐汤下。或旱莲草焙，研末，米汤下。
遗精盗汗∶卧床中，侧身缩脚，唾调五倍子末，填脐内，帛束，一手扎阴囊。
（精滑）
《内经》说：精是身体的根本，生气的源头，髓的化生之源。又说：阴气平和，阳气固秘，精神就能正常；阴阳分离决裂，精神就会枯竭。大概精的藏摄在于肾，精的主宰在于心。心属君火，肾属相火。相火奉行君火的命令，所以病位在肾而责任在心。心藏神，神动则精泄。病机有五种：一是梦交，因火炽盛而神虚，宜用养心药收敛；二是滑脱，因肾虚不能摄纳，宜滋补肾气；三是满溢，因青壮年鳏居旷男，宜静默使精自化（精能化气）；四是情想，因妄言视听，宜摄意降心；五是湿热，因热伤流通，宜渗湿清火。大抵制伏相火，壮旺肾水，安宁心神，固护精髓，是不变的法则。尺脉洪数，主失精、小便浑浊；心脉短小，主梦遗。
主方：黄连、生地、远志、茯神、枣仁、芡实、柏子仁、石莲肉、黄柏（盐炒）、麦门冬、莲蕊（各一钱）。上加灯心二十枝，水煎成，调朱砂（飞研）、龙骨（研，各一钱），服用。
王荆公妙香散：安神定心，固精。
茯苓、茯神（各二两）、远志、益智仁、龙骨（研，各一两）、甘草、朱砂（飞研，各五钱）。
上药为末，加入龙、朱研匀，每服二钱，临睡前温酒调下。
金锁丹：治肾虚精滑，心神不安。
黄柏（盐水炒）、知母（炒，各一两）、牡蛎（火煅，醋淬）、赤石脂、龙骨（这三味另研）、莲蕊、芡实、茯苓、远志、山萸肉（各三钱）、朱砂（二钱）。
上药为末，用山药末调糊，丸如桐子大，朱砂为衣。每服六十丸，空腹酒送下。
固精丸：扶元益肾，秘精。
人参、白术、茯苓、熟地、山药、锁阳、牡蛎（煅）、蛤粉（煨）、黄柏、知母（均酒炒）、杜仲、金樱子、椿根皮（臭）、破故纸（酒炒，各一两）。
上药为末，蜜丸如桐子大，朱砂为衣。每服五十丸，空腹酒送下。
十全大补汤或补中益气汤（方见虚损篇），加山萸、五味子、山药之类，治疗气血虚引起的遗精。
简便方：治泄精。
莲子心为末一钱，入朱砂二分，空腹白开水送下。
又方：嫩乌药、益智仁、朱砂（各一两，留一半作衣）。山药糊丸如桐子大，每服百丸，早晨盐汤送下。
(Spermatorrhea)
The *Neijing* states: Essence is the root of the body, the source of vital energy, and the transformation of marrow. It also states: When Yin is peaceful and Yang is secure, spirit and mind are regulated; when Yin and Yang separate and rupture, spirit and mind will be exhausted. Generally, the storage and control of essence reside in the Kidney, while the command over essence lies in the Heart. The Heart belongs to Ministerial Fire (Jun Huo), and the Kidney to Official Fire (Xiang Huo). Official fire obeys the orders of Ministerial fire; therefore, although the pathology is located in the Kidney, the responsibility lies with the Heart. The Heart stores the Shen (Spirit); when Shen moves, essence leaks. There are five pathogenic mechanisms: 1. Dream intercourse, due to blazing fire and deficient Shen, should be treated with herbs that nourish the Heart and astringe; 2. Slippage and loss, due to Kidney deficiency failing to grasp, should be treated by nourishing and tonifying Kidney Qi; 3. Fullness and overflow, due to young widowers or celibate men, should be managed by quietude allowing essence to transform naturally (essence can transform into Qi); 4. Emotional desire, due to delusional speech and visual/auditory stimulation, requires controlling thoughts and subduing the Heart; 5. Damp-heat, due to heat damaging free flow, requires draining dampness and clearing fire. Broadly speaking, restraining Official Fire, strengthening Kidney Water, calming the Heart Spirit, and securing essence and marrow are unchanging principles. A surging and rapid pulse at the Chi position indicates loss of essence and turbid urine; a short and small pulse at the Cun position indicates dream emission.
Main Formula: Huanglian (Coptidis Rhizoma), Shengdi (Rehmanniae Radix), Yuanzhi (Polygalae Radix), Fushen (Poria with Hostwood), Zaoren (Ziziphi Spinosomi Semen), Qianshi (Euryales Semen), Baiziren (Platycladi Semen), Shilianrou (Nelumbinis Plumula), Huangbai (Phellodendri Cortex, salt-fried), Maimendong (Ophiopogonis Radix), Lianrui (Nelumbinis Plumula) (each 1 qian). Add Dengxincao (Junci Medulla) twenty stems, decoct in water, take with Zhusha (Cinnabaris, levigated) and Longgu (Draconis Os, ground) (each 1 qian).
Wang Jinggong's Miaoxiang San: Calms the Spirit and settles the Heart, secures essence.
Fuling (Poria), Fushen (Poria with Hostwood) (each 2 liang), Yuanzhi (Polygalae Radix), Yizhiren (Alpiniae Oxyphyllae Semen), Longgu (Draconis Os, ground) (each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma), Zhusha (Cinnabaris, levigated) (each 5 qian).
Grind all into powder, mix thoroughly with Dragon Bone and Cinnabar. Take 2 qian per dose, mixed with warm wine before sleep.
Jinsuo Dan: Treats Kidney deficiency with spermatorrhea and restless Heart Spirit.
Huangbai (Phellodendri Cortex, salt-water fried), Zhimu (Anemarrhenae Rhizoma, fried) (each 1 liang), Muli (Ostreae Concha, calcined, quenched in vinegar), Chishizhi (Halloysit Rubrum), Longgu (Draconis Os) (these three separately ground), Lianrui (Nelumbinis Plumula), Qianshi (Euryales Semen), Fuling (Poria), Yuanzhi (Polygalae Radix), Shanyurou (Corni Fructus) (each 3 qian), Zhusha (Cinnabaris) (2 qian).
Grind into powder, use Shan Yao (Dioscoreae Rhizoma) powder mixed with paste to form pills the size of paulownia seeds, coat with Cinnabar. Take 60 pills per dose with wine on an empty stomach.
Gu Jing Wan: Supports Yuan Qi, tonifies the Kidney, and consolidates essence.
Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Shudi (Rehmanniae Radix Preparata), Shanyao (Dioscoreae Rhizoma), Suoyang (Cynomorii Herba), Muli (Ostreae Concha, calcined), Gafen (Calamina), Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma) (all stir-fried with wine), Duzhong (Eucommiae Cortex), Jinyingzi (Chrysanthemi Indici Fructus), Chun Gen Pi (Toosendan Cortex), Poguzhi (Psoraleae Fructus, stir-fried with wine) (each 1 liang).
Grind into powder, honey-pill the size of paulownia seeds, coat with Cinnabar. Take 50 pills per dose with wine on an empty stomach.
Shiquan Dabu Tang (Decoction for Perfect Tonification) or Buzhong Yiqi Tang (Decoction for Boosting the Middle and Augmenting Qi) (formula see Deficiency Damage chapter), add Shanyu (Corni Fructus), Wuweizi (Schisandrae Chinensis Fructus), Shanyao (Dioscoreae Rhizoma), etc., to treat spermatorrhea due to Qi and Blood deficiency.
Simple Formula: For seminal leakage.
Lianzixin (Nelumbinis Plumula) ground into powder 1 qian, mixed with Zhusha (Cinnabaris) 2 fen, taken with plain boiled water on an empty stomach.
Another prescription: Nen Wuyao (Linderae Radix), Yizhiren (Alpiniae Oxyphyllae Semen), Zhusha (Cinnabaris) (each 1 liang, reserve half for coating). Form pills with Shan Yao (Dioscoreae Rhizoma) paste the size of paulownia seeds. Take 100 pills in the morning with salted water.
Another prescription: Jiu Zi (Proteas Semen, fried, ground), formed into pills with wine paste. Take 2 qian with salted water. Or dry Han Lian Cao (Ecliptae Herba), grind into powder, take with rice soup.
Spermatorrhea and Night Sweats: Lie in bed, turn to the side and curl up the legs. Mix Wu Bei Zi (Galla Chinensis) powder with saliva, fill into the umbilicus, bind with cloth, and tie one hand around the scrotum.