孙文垣治一人，色欲过度，梦遗精滑。先服清相火之剂不效，继用固涩之剂亦无功。求孙治，与以玉华白
丹，浓煎人参汤送二钱，（雄按∶此丹必须脉象微弱，别无实火症者，始可暂用。）两服后稍固。兼进六味地黄丸
加莲须、芡实、远志、五味子，凡一月而愈。玉华白丹∶钟乳粉、白石脂、阳起石、左顾牡蛎。
李妓两寸短涩，两尺洪滑，关弦。孙诊之，问经可行否？曰∶仅行一日，亦点滴耳。曰∶此脉在良家主梦
遗，若不宜有也。曰∶良然。即御客时亦或遗，遗则冷汗淫淫，体倦不能支。不与药。或问故，曰∶金木相胜，
心神无主，法在不治。或谓人尚无恙，何便至此？曰∶弦为春令，当金之时，犹然猖獗。设在卯月木旺火相，
则肺金枯萎，水之上源竭矣。且肾脉洪滑，（雄按∶洪为火是矣，滑则未必为阴亏。审为是脉，不过血热耳。
如果阴亏虚而欲火内炽，尺脉必然洪数，加以关弦，必死于春夏矣。）妓以欲胜，阴血既亏，淫火愈炽，阴虚
则病，阴绝则死。今已咳嗽，其死见矣，乌可治乎？次年二月果死。
薛立斋治朱工部，劳则遗精，齿牙即痛，用补中益气加半夏、茯苓、白芍，（雄按∶劳则遗精，火浮齿动，
补中益气，何可投乎？虽佐滋阴，未足为训。）并六味地黄丸，更以十全大补加麦冬、五味子而痊。
一男子白浊梦遗，兼脚跟着痛，口干作渴，大便闭涩，午后热甚，用补中益气汤加白芍、元参，并加减八
味丸而愈。
龚子才治陈桂林秀才，患夜梦遗精，每月一二次，或三五次，遗后神思昏沉，身体困倦。诊之，六脉微涩
无力。此阴虚火动之症，以辰砂既济丸加紫河车、龙骨，服之数月奏效。奈数患不能谨守，因口占俚语一章以
戒之。曰∶培养精神贵节房，更祛尘虑要周防。食惟半饱宜清淡，酒止三分勿过伤。药饥随时应勉进，功名有分
不须忙。几行俚语君能味，便是长生不老方。
黄履素曰∶余年三十外，曾患遗精，龟头时有精微微流出，昼夜常然。初时惊惧特甚，人身中几许精血，
而堪此涓涓不绝乎。医之高明者谓为无害，但毋服涩药。（雄按∶惟火症，故不可涩。虚寒精滑，涩之何害？
医者先须审证，不可偏守一法也。）绿病以服附子得之，知是火证，但凉补而勿热补，用六味丸加沙菀蒺藜、菟
丝子及炒黄柏少许等药。将此病付之度外，莫置诸怀，如常调理，凡两年始全愈。龙骨、牡蛎等药，从未入口，
盖人身中惟气血周流斯快畅，岂可涩之使滞？虽得暂效，为害实深，患者审之。予初有惧心，及两年间应酬如
常，绝无倦态。岂此精与交媾之元精不同，故无大害耶。
张路玉治韩慕庐季子，素禀清 ，宿有精滑不禁之恙。诊之，脉微弦而数，尺中略有不续之状。此不但肾
气不充，抑且气秘不调，致不能司封藏之令。与六味丸去泽泻，加鳔胶、五味，略兼沉香，于补中寓宣。法虽
如此，但久滑窍疏，难期速效耳。
李士材治一人，考试劳神，患精滑，小便后及梦寐间俱有遗失。自服金樱膏，经月不验。李诊之曰∶气虚
而神动，非远志丸不可。服十日减半，一月全愈。
王叔权曰∶有士人年少觅灸，梦遗，为点肾 穴，令其灸而愈。不拘老少，皆肾虚也。古人云∶百病皆生
于心。又曰∶百病皆生于肾。心劳生百病，人皆知之。肾虚亦生百病，人或未知也。盖天一生水，地二生火，
肾水不上升，则心火不下降，兹病所由生也。人不可不养心，不可不爱护肾也。（《资生经》。）
平江谭医云∶夫遗泄，寻常只治心肾，未有别治。以《素问》、仲景考之，当治脾，服之屡效。用浓朴二两，
姜汁制，羊胫一两，炭火 过通红，取出研细如粉。上二味，白水面糊为丸如梧桐子大。每服百丸至三百丸，
米汤下。（《集成》。同上。雄按∶中焦有湿热者宜之，与松石猪肚丸同功，非可概治一切之遗也。）
陆祖愚治一人，因作文夜深，倚几而卧，卧即梦遗，明早吐血数口，数日后复吐。自此，或间日，或连日，
或数日，或吐血，或梦遗。或与六味地黄汤几百帖，即加减亦不出滋阴清火而已，数月不愈。口干微咳，恶风
恶寒，懒于动作，大便溏，小便短赤。脉之，豁大无力，沉按则驶，曰∶此症非得之房室，乃思虑太过，损其
心血。心血虚则无以养其神，而心神飞越，因有梦交之事，神不守舍，则志亦不固，而肾精为之下遗。肾虚则
火益无制，逼血妄行而吐，上刑肺金而咳。其畏风寒而懒动作者，火为元气之贼，火旺则元气自虚也。其肌肉
削而大便溏者，思虑损其心血，即是伤其脾阴也。与归脾汤二十剂，吐遂减半。又二十剂，诸症俱痊，百剂而
精神加倍矣。
缪仲淳治娄东王官寿，患遗精，闻妇人声即泄，瘠甚欲死，医告术穷。缪之门人以远志为君，莲须、石莲
子为臣，龙齿、茯神、沙菀蒺藜、牡蛎为佐使，丸服稍止。然终不断，缪于前方加鳔胶一味，不终剂而愈。
赵景之太史未第时，因肄业劳心太过，患梦遗症已三四年矣，不数日一发，发过则虚火上炎，头面烘热，
手足冷逆，终夜不寐，补心肾及涩精药无不用过。壬申春偶因感冒来邀诊视，谈及前症之苦，为疏丸方，以黄
柏为君，佐以地黄、枸杞、莲须、鳔胶、萸肉、五味、车前、天麦冬之类，不终剂而瘳。初景之疑黄柏大寒不
欲用，谓尊恙之所以久而不愈者，政未用此药耳。五脏苦欲补泻，云肾欲坚，急食苦以坚之，黄柏是也。肾得
坚，则心经虽有火而精自固，何梦遗之有哉？向徒用补益收涩而未及此，故难取效。
立斋治王上舍，遗精，劳苦愈甚，坳中结核，服清心莲子饮、连翘消毒散不应。以八珍汤加山药、萸肉、
远志，十余剂渐愈。更以茯苓丸治之，遂不复作。叶巡检患此，云诸药不应，卢丹谷与八味丸治之而愈。
徐灵胎曰∶遗精治法，不外乎填精镇心，本无神妙方法。俗医往往用温热及粘腻等物，必至伤人。盖此症
总有伏邪为患，如火如痰，如湿如风。必须搜剔余邪，兼以调和脏气，委曲施治，方无变症。一味安神填肾，
犹多未尽之理也。
孙文垣治疗一名男子，因房事过度，出现梦中遗精、滑精的症状。起初服用清泻相火的药物无效，随后改用固涩止遗的药物也毫无功效。求孙文垣诊治，给予玉华白丹，用人参汤浓煎后送服二钱。（徐灵胎按：此丹药必须在脉象微弱，且没有其他实火症状的情况下，才可以暂时使用。）服用两剂后，病情稍见稳固。同时配合服用六味地黄丸，加入莲须、芡实、远志、五味子，经过一个月治疗而痊愈。玉华白丹的组成：钟乳粉、白石脂、阳起石、左顾牡蛎。
李妓（一位姓李的歌女）两手寸脉短涩，两尺脉洪滑，关脉弦。孙文垣诊察后，询问月经是否正常？回答说：仅来潮一天，而且量极少，点滴而已。孙文垣说：这种脉象在良家妇女身上若出现梦遗，是不应该有的。对方说：确实如此。即使是接客时也会发生遗精，一旦遗精就会冷汗淋漓，身体疲倦无法支撑。孙文垣没有给她开药。有人问原因，孙文垣说：这是金木相克，心神无主，按照医理属于不治之症。有人觉得病人尚且无恙，为何判断得这么严重？孙文垣说：弦脉对应春季木旺之时，但在金气当令的季节（秋季），脉象依然猖獗。假如到了卯月（春季二月），木旺火相，那么肺金就会枯萎，水之上源枯竭了。况且肾脉洪滑，（徐灵胎按：洪脉代表火是对的，但滑脉未必代表阴亏。如果确实是这种脉象，不过是血热罢了。如果是阴亏虚导致欲火内炽，尺脉必然洪数，再加上关脉弦，必定死于春夏季节了。）这位歌女因纵欲过度，阴血已经亏损，淫火更加炽盛，阴虚则生病，阴绝则死亡。现在已经出现咳嗽，死亡迹象已现，怎么能治疗呢？次年二月果然去世。
薛立斋治疗朱工部，劳累后遗精，牙齿随即疼痛，使用补中益气汤加入半夏、茯苓、白芍，（徐灵胎按：劳累后遗精，是火浮于上导致牙齿松动疼痛，补中益气汤怎么可以投用呢？虽然佐以滋阴药物，但不足以作为典范。）并配合六味地黄丸，后来改用十全大补汤加入麦冬、五味子而痊愈。
一名男子患白浊、梦遗，兼有脚跟着痛，口干作渴，大便闭结涩滞，午后发热严重，使用补中益气汤加入白芍、元参，并配合加减八味丸而痊愈。
龚子才治疗陈桂林秀才，患有夜间梦遗精，每月一两次，或者三五次，遗精后神思昏沉，身体困倦。诊察发现六脉微涩无力。这是阴虚火动的病症，使用辰砂既济丸加入紫河车、龙骨，服用数月见效。无奈他多次患病不能谨守医嘱，因此口占一首俚语一章来告诫他。说道：培养精神贵在节制房事，更要祛除尘世杂念要周全防备。饮食只要半饱宜清淡，饮酒只限三分不要过度伤害。药物饥饿时要随时勉强进服，功名缘分自有定数不必匆忙。这几句俚语你若能体味，便是长生不老的方子。
黄履素说：我三十多岁时，曾患遗精，龟头时常有少量精液微微流出，昼夜常然如此。起初非常惊恐害怕，人体中有多少精血，怎能经得起这样涓涓不绝地流失呢。医术高明的人认为这无害，只是不要服用涩药。（徐灵胎按：因为是火证，所以不可用涩法。若是虚寒导致的精滑，用涩法有什么害处？医生必须先审察证候，不可偏执一种治法。）绿病（此处疑为“遗精”或特定病名，原文作“绿病”，结合语境指代前述遗精之疾）通过服用附子得以知晓是火证，应当凉补而不要热补，使用六味丸加入沙苑蒺藜、菟丝子以及少许炒黄柏等药物。将此病置之度外，不要放在心上，照常调理，经过两年才完全痊愈。龙骨、牡蛎等药物，从未入口，因为人体中只有气血周流才能快畅，怎么可以用涩药使其停滞呢？虽然得到暂时疗效，危害其实很深，患者务必审慎。我起初有恐惧之心，及至两年间应酬如常，绝无疲倦之态。难道这精液与交媾时的元精不同，所以没有大害吗？
张路玉治疗韩慕庐的小儿子，平素禀赋清虚，素有精滑不禁的毛病。诊察发现，脉微弦而数，尺脉中略有断续之状。这不仅是肾气不充，而且气机秘滞不调，导致不能行使封藏的功能。给予六味丸去掉泽泻，加入鳔胶、五味子，略加沉香，在补益中寓含宣通之意。方法虽然是如此，但久滑导致窍道疏松，难以期望迅速见效。
李士材治疗一名男子，因考试劳神，患精滑，小便后及睡梦中都有精液遗失。自行服用金樱膏，经过一个月不见效验。李士材诊察后说：这是气虚而神动，非远志丸不可。服用十天后减半，一个月完全痊愈。
王叔权说：有一位年轻士人寻求艾灸治疗，患梦遗，为他点取肾俞穴，让他艾灸而痊愈。不论老少，都是肾虚所致。古人说：百病皆生于心。又说：百病皆生于肾。心劳生百病，人们都知道。肾虚也生百病，有人却不知道。盖天一生水，地二生火，肾水不向上滋升，则心火不向下潜降，这就是疾病产生的原因。人不可以不养心，不可以不爱护肾。（《资生经》。）
平江谭医生说：对于遗泄，平常只治疗心肾，没有别的治法。根据《素问》和张仲景的论述，应当治疗脾，服用后屡获效验。用药：浓朴二两，用姜汁炮制；羊胫骨一两，用炭火烧至通红，取出研细如粉。以上两味药，用白面糊做成梧桐子大小的丸药。每次服用一百丸到三百丸，米汤送下。（《集成》。同上。徐灵胎按：中焦有湿热者适宜使用，与松石猪肚丸功效相同，并非可以概括治疗所有遗精的方法。）
陆祖愚治疗一名男子，因写文章夜深，靠着几案睡觉，睡着即梦遗，第二天早上吐血几口，几天后又吐血。从此，有时隔日，有时连日，有时几天，或者吐血，或者梦遗。有人给他服用六味地黄汤几百帖，即使加减也没有超出滋阴清火的范围，几个月都不愈。口干微咳，恶风恶寒，懒于动作，大便溏薄，小便短赤。诊脉，脉豁大无力，沉取则急驶，说：这个病症不是得自房室过度，而是思虑太过，损伤了心血。心血虚则无法滋养神志，而心神飞越，因而有梦交之事，神不守舍，则意志也不坚固，肾精因此下遗。肾虚则火更无法制约，逼迫血液妄行而吐血，上刑肺金而咳嗽。其畏风寒而懒于动作，是因为火是元气的贼邪，火旺则元气自然虚弱。其肌肉消瘦而大便溏薄，是因为思虑损伤心血，也就是伤了脾阴。给予归脾汤二十剂，吐血减半。又二十剂，各种症状都痊愈，服用百剂后精神加倍。
缪仲淳治疗娄东王官寿，患遗精，听到妇人声音就泄精，极度消瘦快要死了，医生们法术用尽。缪仲淳的门人以远志为君药，莲须、石莲子为臣药，龙齿、茯神、沙苑蒺藜、牡蛎为佐使药，制成丸药服用，稍微止住。然而终究不能断根，缪仲淳在前方的基础上加一味鳔胶，未服完一剂而痊愈。
赵景之太史在未考中进士时，因学业劳心太过，患梦遗症已经三四年了，没过几天发作一次，发作过后虚火上炎，头面部烘热，手足冷逆，整夜不眠，补心肾及涩精的药没有不用过的。壬申年春天偶然因感冒来邀请诊治，谈及前症的痛苦，为他开具丸方，以黄柏为君药，佐以地黄、枸杞、莲须、鳔胶、山茱萸、五味子、车前子、天冬、麦冬之类，未服完一剂而病愈。起初赵景之怀疑黄柏大寒不想使用，我说您之所以久治不愈，正是因为没有用此药。五脏苦欲补泻理论说，肾欲坚，急食苦以坚之，黄柏就是这样的药。肾得到坚固，则心经虽有火而精自固，哪里会有梦遗呢？先前徒然使用补益收涩而没有考虑到这一点，所以难以取效。
薛立斋治疗王上舍，患遗精，劳累辛苦后症状加重，腋下出现结核，服用清心莲子饮、连翘消毒散没有反应。使用八珍汤加入山药、山茱萸、远志，十余剂后逐渐痊愈。再用茯苓丸治疗，于是不再发作。叶巡检患此病，说诸药无效，卢丹谷用八味丸治疗而痊愈。
徐灵胎说：遗精的治法，不外乎填精镇心，本没有什么神妙的方法。俗医往往使用温热及粘腻等药物，必定会伤人。因为这个病症总有伏邪为患，如火如痰，如湿如风。必须搜剔余邪，兼以调和脏气，委婉曲折地施治，才不会产生变症。一味安神填肾，还有很多未尽的道理。
Sun Wenyuan treated a man who, due to excessive sexual activity, suffered from nocturnal emission and spermatorrhea. Initially, he took herbs to clear ministerial fire without effect, and subsequently used astringent remedies for spermatorrhea with no success. Seeking Sun's treatment, he was given Yuhua Bai Dan (Jade White Pill), administered with two qian of thickly decocted Ginseng Decoction. (Xu Lingtai notes: This pill should only be temporarily used when the pulse is weak and there are no other signs of excess heat.) After two doses, the condition stabilized slightly. Concurrently, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) was taken with added Lotus Stamens (Lianxu), Euryale Seed (Qianshi), Polygala Root (Yuanzhi), and Schisandra Berry (Wuweizi). The patient recovered after one month. Composition of Yuhua Bai Dan: Gypsum Fibrosum (Zhongru Fen), Kaolin (Baishi Zhi), Yangqishi, and Oyster Shell (Muli) facing left.
A courtesan surnamed Li had short and choppy pulses at both cun positions, surging and slippery pulses at both chi positions, and a wiry pulse at the guan position. Upon examination, Sun asked if her menstruation was regular. She replied that it lasted only one day and was scanty, merely spotting. Sun stated, "This pulse pattern causing nocturnal emission in a virtuous woman is abnormal." She agreed, adding that even during intercourse, emission would occur, accompanied by profuse cold sweat, extreme fatigue, and inability to support herself. Sun prescribed no medicine. When asked why, he explained, "Metal and Wood are overcoming each other, and the Heart Spirit lacks mastery; according to medical principles, this is incurable." Someone argued that since she appeared healthy, the prognosis seemed too severe. Sun replied, "The wiry pulse corresponds to Spring (Wood prosperity), yet it remains rampant when Metal is dominant (Autumn). If it were the Mao month (February, when Wood is prosperous and Fire is secondary), Lung Metal would wither, and the upper source of Water would dry up. Moreover, the Kidney pulse is surging and slippery. (Xu Lingtai notes: A surging pulse indicates Fire, but a slippery pulse does not necessarily indicate Yin deficiency. If this is indeed the pulse, it merely indicates Blood Heat. If it were Yin deficiency with internal blazing desire fire, the chi pulse would be surging and rapid; combined with a wiry guan pulse, death would occur in Spring or Summer.) This courtesan, due to excessive desire, has depleted her Yin Blood, causing淫火 (libidinous fire) to blaze further. Yin deficiency leads to disease; Yin exhaustion leads to death. Coughing has already appeared, signaling impending death. How can it be treated?" She indeed died in February of the following year.
Xue Lizai treated Supervisor Zhu, who suffered from spermatorrhea upon exertion and toothache immediately thereafter. He was treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Pinellia Tuber (Banxia), Poria (Fuling), and White Peony Root (Baishao). (Xu Lingtai notes: Spermatorrhea upon exertion indicates floating fire causing loose teeth; how can Buzhong Yiqi Tang be appropriate? Although supplemented with Yin-nourishing herbs, it serves as a poor example.) He also took Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). Later, Shiquan Dabu Tang (Ten Complete Tonifying Decoction) added with Ophiopogon Tuber (Maidong) and Schisandra Berry (Wuweizi) led to his recovery.
A male patient suffered from white turbidity and nocturnal emission, accompanied by heel pain, dry mouth with thirst, constipation, and severe afternoon fever. He was cured using Buzhong Yiqi Tang added with White Peony Root (Baishao) and Scrophularia Root (Yuanshen), along with Jiajian Bawei Wan (Modified Eight-Ingredient Pill).
Gong Zicai treated Scholar Chen Guilin of Guilin, who suffered from nocturnal emission once or twice, or three to five times per month. After emission, he felt mentally dull and physically exhausted. Examination revealed faint, choppy, and powerless pulses in all six positions. This was a syndrome of Yin deficiency with moving fire. He was treated with Chensha Jiji Wan (Cinnabar Equilibration Pill) added with Placenta Humanum (Ziheche) and Dragon Bone (Longgu). After several months, efficacy was observed. However, due to repeated illnesses and failure to strictly adhere to advice, Gong composed a colloquial verse to warn him: "Nurture spirit and essence, valuing sexual restraint; dispel worldly thoughts, guarding against distractions. Eat until half-full, favor bland diet; limit wine to three parts, avoid overindulgence. Take medicine when hungry, advance as needed; fame and fortune have their share, do not rush. If you can savor these few lines, it is the prescription for immortality."
Huang Lvsu stated: "In my thirties, I suffered from spermatorrhea, with slight leakage from the glans penis constantly day and night. Initially, I was terrified, wondering how much essence and blood the body possessed to withstand such continuous loss. Highly skilled physicians deemed it harmless, advising against astringents. (Xu Lingtai notes: Because it was a Fire syndrome, astringents were contraindicated. For deficiency-cold spermatorrhea, what harm is there in using them? Physicians must first examine the syndrome and not adhere rigidly to one method.) Through taking Aconite Root (Fuzi), I realized it was a Fire syndrome; thus, cooling tonification rather than warming tonification was required. I used Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) added with Astragalus Complanatus Seed (Shawen Jili), Dodder Seed (Tusizi), and a small amount of stir-fried Phellodendron Bark (Huangbai). I set the illness aside, did not dwell on it, and regulated life normally, recovering fully after two years. Dragon Bone (Longgu) and Oyster Shell (Muli) were never ingested, as only free circulation of Qi and Blood brings comfort; how can astringents cause stagnation? Though temporary relief might be gained, the harm is profound; patients must deliberate carefully. I initially feared, but throughout the two years, social engagements continued normally without fatigue. Could this semen differ from the primordial essence of intercourse, thus posing no great harm?"
Zhang Luyu treated the youngest son of Han Mulu, who had a delicate constitution and a chronic history of uncontrollable spermatorrhea. Examination revealed a faint, wiry, and rapid pulse, with a slight discontinuity in the chi position. This indicated not only insufficient Kidney Qi but also stagnant and unregulated Qi mechanism, failing to perform the function of sealing and storing. He was given Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) with Alisma Rhizome (Zexie) removed, added with Fish Maw (Biao Jiao) and Schisandra Berry (Wuweizi), with a touch of Aquilaria Wood (Chenxiang), embodying dissemination within tonification. Although this method was sound, long-term slipping leads to lax orifices, making rapid recovery difficult.
Li Shicai treated a man whose mental exertion from examinations caused spermatorrhea, with leakage after urination and during dreams. He had self-administered Jin Ying Gao (Cherokee Rose Fruit Paste) for a month without effect. Li diagnosed, "Qi deficiency with agitated Spirit requires Yuanzhi Wan (Polygala Pill)." After ten doses, symptoms halved; after one month, full recovery occurred.
Wang Shuquan stated: "A young scholar sought moxibustion for nocturnal emission. Points on the Kidney channel were selected, and moxibustion cured him. Regardless of age, this is due to Kidney deficiency. Ancients said: 'All diseases arise from the Heart.' Also: 'All diseases arise from the Kidney.' Everyone knows Heart labor causes myriad diseases; few know Kidney deficiency does so as well. Heaven generates Water (One), Earth generates Fire (Two). If Kidney Water does not ascend, Heart Fire does not descend; this is the origin of disease. One must nourish the Heart and protect the Kidney." (From *Zisheng Jing*.)
Physician Tan from Pingjiang said: "For emission, usually only the Heart and Kidney are treated, with no other approaches. Examining *Suwen* and Zhang Zhongjing's works, the Spleen should be treated, yielding frequent success. Prescription: Magnolia Bark (Noumu) two liang, processed with Ginger Juice; Sheep Tibia bone one liang, burned red-hot in charcoal, then ground to powder. These two ingredients formed into pills the size of Sophora seeds using wheat flour paste. Take 100 to 300 pills per dose, washed down with rice soup." (*Jicheng*. Xu Lingtai notes: Suitable for damp-heat in the middle jiao, functioning similarly to Songshi Zhudu Wan, but not applicable to all cases of emission.)
Lu Zuyu treated a man who, while writing late at night, leaned on a table to rest, fell asleep, and emitted semen in a dream. The next morning, he coughed up blood several times, repeating days later. From then on, bleeding and emission occurred intermittently or consecutively. Hundreds of doses of Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction) were given, varying only slightly within Yin-nourishing and fire-clearing methods, yet ineffective for months. Symptoms included dry mouth, mild cough, aversion to wind and cold, lethargy, loose stools, and scanty dark urine. Pulse was vast and powerless superficially, but rapid and forceful deep down. Lu stated, "This syndrome did not originate from sexual excess but from excessive mental worry damaging Heart Blood. Deficient Heart Blood cannot nourish the Spirit, causing the Spirit to fly away, leading to dream intercourse. With the Spirit unsettled, Will (Zhi) becomes insecure, causing Kidney Essence to leak downward. Kidney deficiency allows Fire to run unchecked, forcing Blood to bleed recklessly causing hemoptysis, and attacking Lung Metal causing cough. Aversion to wind/cold and lethargy occur because Fire is the thief of Original Qi; when Fire is strong, Original Qi becomes deficient. Muscle wasting and loose stools result because worrying damages Heart Blood, which is equivalent to injuring Spleen Yin." He was given Guipi Tang (Restore the Spleen Decoction) for twenty doses, reducing hemoptysis by half. Another twenty doses cured all symptoms; after a hundred doses, spirit doubled.
Miu Zhongchun treated Wang Guanshou from Lou Dong, who suffered from emission, ejaculating upon hearing women's voices, becoming extremely emaciated and near death, with doctors exhausted of methods. Miu's disciple used Polygala Root (Yuanzhi) as the sovereign herb, Lotus Stamens (Lianxu) and Stone Lotus Seeds (Shilianzi) as ministers, Dragon Teeth (Longchi), Poria (Fushen), Astragalus Complanatus Seed (Shawen Jili), and Oyster Shell (Muli) as assistants and guides. Pills stopped the flow slightly but did not cure it completely. Miu added Fish Maw (Biao Jiao) to the previous formula, curing the patient before finishing one dose.
Grand Secretary Zhao Jingzhi, before passing the imperial exams, suffered from nocturnal emission for three to four years due to excessive mental labor from study. Attacks occurred every few days; afterwards, deficient Fire flared upward, causing facial flushing, cold hands and feet, and insomnia. All Heart-Kidney tonics and astringents had been tried. In the spring of Ren Shen year, he invited diagnosis due to a cold. Discussing his suffering, a pill formula was prescribed with Phellodendron Bark (Huangbai) as sovereign, assisted by Rehmannia Root (Dihuang), Goji Berry (Gouqi), Lotus Stamens (Lianxu), Fish Maw (Biao Jiao), Cornus Fruit (Yurou), Schisandra Berry (Wuweizi), Plantago Seed (Cheqian), Asparagus Tuber (Tian Dong), and Ophiopogon Tuber (Maidong). Recovery occurred before finishing one dose. Initially, Zhao doubted Huangbai's extreme coldness. I said, "Your prolonged non-recovery is precisely because this herb was not used. The theory of Five Organs' preferences states: 'Kidney desires firmness; urgently eat bitter to firm it.' Huangbai is such an herb. When the Kidney is firm, even if Heart Fire exists, Essence remains secure, preventing nocturnal emission. Previously, only tonifying and astringing were used, missing this point, hence lack of efficacy."
Xue Lizai treated Supervisor Wang, who suffered from emission worsening with labor, accompanied by axillary nodules. Qingxin Lianzi Yin (Clear Heart Lotus Seed Drink) and Lianqiao Xiaodu San (Forsythia Detoxification Powder) failed. Bazhen Tang (Eight-Treasure Decoction) added with Chinese Yam (Shanyao), Cornus Fruit (Yurou), and Polygala Root (Yuanzhi) showed gradual improvement over ten doses. Subsequent treatment with Fuling Wan (Poria Pill) prevented recurrence. Inspector Ye suffered similarly, claiming all medicines failed; Ludangu cured him with Bawei Wan (Eight-Ingredient Pill).
Xu Lingtai stated: "Treatment of emission essentially involves replenishing Essence and calming the Heart; there are no miraculous methods. Quack doctors often use warming and sticky substances, inevitably harming patients. This syndrome always involves latent pathogens, such as Fire, Phlegm, Dampness, or Wind. It is necessary to search out and eliminate residual pathogens while harmonizing organ Qi, treating tactfully to avoid complications. Merely calming the Spirit and tonifying the Kidney leaves many aspects unresolved."