神芎丸
大黄 黄芩（各二两） 黑丑（头末） 滑石（各四两） 黄连 川芎 薄荷叶（各半两）
滴水丸桐子大，每服五十丸，食后温水下。（《局方》无黄连。）娄全善云∶一中年梦遗
，与涩药勿效。改与神芎丸下之，后与猪苓丸，遂愈。
猪苓丸 治年壮气盛，湿热郁滞梦遗。
半夏一两破如豆粒，用猪苓二两，为末，先将一半炒半夏色黄，勿令焦，出火毒，
夏为末，糊丸梧子大，候干，用前猪苓末一半，又同炒微裂，入瓷瓶内养之，空心温酒或盐
汤下三四十丸。常又服于未申间，以温酒下。此方以行为止，治湿热郁滞，小水频数，梦遗
精滑良。盖半夏有利性，而猪苓导水，即肾气闭，导气使通之意。
一男子梦遗，医与涩药，反甚，先服神芎丸大下之，却服此猪苓丸愈。可见梦遗属郁滞
者多矣。
经验猪肚丸 治梦遗泄精，进饮食，健肢体，此药神应。
白术（面炒，五两） 苦参（白者，三两） 牡蛎（左顾者， 研，四两）
上为末，用雄猪肚一具洗净，以瓷罐煮极烂，木石捣如泥和药，再加肚汁捣半日，丸如
小豆大，每服四五十丸，日进三服，米饮送下。久服自觉身肥，而梦遗永止。
《和剂》威喜丸
白茯苓（去皮，四两，切块，同猪苓二钱半于瓷器内煮二十余沸，晒干，不用猪苓） 黄
蜡（四两）
上以茯苓为末，溶黄蜡搜和为丸，如弹子大。每空心细嚼，满口生津，徐徐咽服，以小
便清和为度效。忌米醋及怒气动性。
三仙丸
益智仁（二两，用盐二两炒，去盐） 乌梅（一两半，炒） 山药（一两，另为末。）
上用山药末，煮糊为丸，梧子大，每服五十丸，用朱砂为衣，空心临卧以盐汤下。
苍术丸
茅山苍术（去粗皮，一斤，米泔浸一日夜，焙干） 舶山茴香（炒，三两） 川乌（炮，去
皮脐
）破故纸（各二两，炒，） 川楝子（蒸取肉，焙干，三两） 白茯苓（二两） 龙骨（别研，二
两）
上末，糊丸梧子大，朱砂为衣，每服五十丸，空心缩砂仁汤下。粳米饮亦可。此《直指
》所谓脾精不禁，当用苍术辈以敛脾精是也。若有热者，宜凤髓丹。
神芎丸
大黄、黄芩（各二两）、黑丑（取头末）、滑石（各四两）、黄连、川芎、薄荷叶（各半两）。
用滴水法制作成梧桐子大小的药丸，每次服用五十丸，饭后用温开水送服。（《太平惠民和剂局方》中此方没有黄连。）娄全善说：有一位中年男子出现梦遗症状，使用固涩药物治疗无效。改用神芎丸通下治疗后，再服用猪苓丸，最终痊愈。
猪苓丸 治疗壮年气盛，因湿热郁滞导致的梦遗。
半夏一两，破开如豆粒大小；猪苓二两，研为细末。先将一半半夏炒至黄色，注意不要炒焦，以去除火毒，然后研为细末。用米糊制作成梧桐子大小的药丸，待干燥后，再用剩余的猪苓细末一半与药丸同炒，直至微裂，装入瓷瓶中储存备用。空腹时用温酒或盐汤送服三四十丸。平时也可在未时和申时之间服用，用温酒送服。此方以“通”为“止”，治疗湿热郁滞引起的小便频数、梦遗精滑，效果良好。因为半夏具有利水之性，而猪苓能引导水湿下行，这正符合肾气闭塞时，通过疏导气机使其通畅的治疗意图。
曾有一男子患梦遗，医生给予固涩药物，病情反而加重。先服用神芎丸大量通便泻下，随后服用猪苓丸而痊愈。由此可见，梦遗属于郁滞证型的很多。
经验猪肚丸 治疗梦遗泄精，增进饮食，强健肢体，此药疗效神奇。
白术（面粉炒，五两）、苦参（白色者，三两）、牡蛎（向左顾视者，研碎，四两）。
以上药材研为细末，取一只雄猪肚洗净，用瓷罐煮至极烂，用木石捣成泥状并与药末混合，再加入猪肚汁继续捣制半天，制成如小豆大小的药丸。每次服用四五十丸，每日三次，用米饮送服。长期服用自觉身体丰满，且梦遗症状永远停止。
《和剂局方》威喜丸
白茯苓（去皮，四两，切成块，与猪苓二钱半在瓷器内煮沸二十多次，晒干，不用猪苓）、黄蜡（四两）。
将茯苓研为细末，熔化黄蜡调和做成药丸，如弹子大小。每次空腹细细咀嚼，口中生津后徐徐咽下，以小便清澈调和为见效标准。忌食米醋及动怒生气。
三仙丸
益智仁（二两，用盐二两炒，去盐）、乌梅（一两半，炒）、山药（一两，另研为细末）。
用山药末煮糊制作药丸，梧桐子大小。每次服用五十丸，用朱砂做衣，空腹及睡前用盐汤送服。
苍术丸
茅山苍术（去粗皮，一斤，米泔水浸泡一天一夜，焙干）、舶山茴香（炒，三两）、川乌（炮制，去皮脐）、破故纸（各二两，炒）、川楝子（蒸取肉，焙干，三两）、白茯苓（二两）、龙骨（单独研碎，二两）。
以上药材研为细末，用米糊制作成梧桐子大小的药丸，朱砂做衣。每次服用五十丸，空腹用缩砂仁汤送服。粳米饮也可以。这是《直指方》所说的脾精不禁，应当用苍术这类药物来收敛脾精。如果有热象的，适宜使用凤髓丹。
Shenxiong Wan (Divine Xanthoxylum Pill)
Rhei Radix et Rhizoma, Scutellariae Radix (each 2 liang), Pharbitidis Semen (head end powder only), Talcum (each 4 liang), Coptidis Rhizoma, Chuanxiong Rhizoma, Menthae Haplocalycis Folium (each 0.5 liang).
Prepare pills by adding water dropwise to the size of *Cocculus trilobus* seeds. Take 50 pills per dose, with warm water after meals. (*Taiping Huimin Heji Jufang* does not include Coptidis Rhizoma in this formula.) Lou Quanshan stated: A middle-aged man suffered from nocturnal emission; astringent medicines were ineffective. After administering Shenxiong Wan to purge the pathogen, followed by Zhuling Wan, he was cured.
Zhuling Wan (Polyporus Pill)
Indicated for nocturnal emission caused by damp-heat stagnation in vigorous young adults.
Pinelliae Rhizoma (1 liang, broken into bean-sized pieces), Polypori Sclerotium (2 liang, powdered). First, stir-fry half of the Pinelliae Rhizoma until yellow, avoiding charring, and remove "fire toxicity." Grind into powder. Use rice paste to make pills the size of *Cocculus trilobus* seeds. Once dried, mix with half of the remaining Polypori Sclerotium powder and stir-fry lightly until slightly cracked. Store in a porcelain jar. Take 30–40 pills on an empty stomach with warm wine or salted water. It can also be taken between Wei (1–3 PM) and Shen (3–5 PM) hours with warm wine. This formula uses "draining" to achieve "stopping," treating frequent urination and seminal emission due to damp-heat stagnation. Pinellia promotes fluid metabolism, and Polyporus guides water downward, reflecting the principle of unblocking Qi when Kidney Qi is obstructed.
A case involved a man with nocturnal emission whose condition worsened after taking astringents. He was first purged heavily with Shenxiong Wan, then cured with Zhuling Wan. This demonstrates that many cases of nocturnal emission are due to stagnation.
Experience Pig Stomach Pill (Jingyan Zhudu Wan)
Indicated for nocturnal emission and spermatorrhea, improving appetite, and strengthening the body. The efficacy is miraculous.
Atractylodis Macrocephalae Rhizoma (stir-fried with flour, 5 liang), Sophorae Flavescentis Radix (white variety, 3 liang), Ostreae Concha (left-facing, ground, 4 liang).
Grind the above herbs into powder. Clean one male pig stomach and boil it in a porcelain pot until extremely tender. Pound into a paste using wooden or stone tools, mix with the herb powder, add stomach juice, and continue pounding for half a day. Make pills the size of small beans. Take 40–50 pills per dose, three times daily, with rice decoction. Long-term use results in a robust physique and permanent cessation of nocturnal emission.
Weixi Wan (from *Heji Jufang*)
Poria (decocted with 2.5 qian of Polypori Sclerotium in a porcelain vessel for over 20 boils, then dried; discard Polypori Sclerotium, 4 liang), Beeswax (4 liang).
Grind Poria into powder. Melt beeswax and knead with the powder to form pills the size of marbles. Chew thoroughly on an empty stomach until saliva is abundant, then swallow slowly. Efficacy is confirmed when urine becomes clear and balanced. Avoid vinegar and emotional anger.
Sanxian Wan (Three Immortals Pill)
Alpiniae Oxyphyllae Fructus (2 liang, stir-fried with 2 liang of salt, then discard salt), Mume Fructus (1.5 liang, stir-fried), Dioscoreae Rhizoma (1 liang, separately powdered).
Use Dioscoreae Rhizoma powder to make a paste for pill formation, sized like *Cocculus trilobus* seeds. Take 50 pills per dose, coated with Cinnabaris, taken on an empty stomach and before bed with salted water.
Cangzhu Wan (Atractylodes Lancea Pill)
Mao Mountain Atractylodis Rhizoma (remove coarse skin, 1 jin, soaked in rice wash water for one day and night, then dried),舶山 Foeniculum Vulgare Fruit (stir-fried, 3 liang), Aconiti Lateralis Radix Praeparata (processed, skin and navel removed), Psoraleae Fructus (each 2 liang, stir-fried), Toosendan Fructus (steamed, flesh extracted, dried, 3 liang), Poria (2 liang), Dragon Bone (separately ground, 2 liang).
Grind all ingredients into powder. Use rice paste to make pills the size of *Cocculus trilobus* seeds, coated with Cinnabaris. Take 50 pills per dose on an empty stomach with Amomi Fructus decoction. Rice gruel is also acceptable. This corresponds to the statement in *Zhizhi Fang*: "When Spleen Essence is uncontrollable, use Atractylodes-type herbs to consolidate Spleen Essence." If heat signs are present, Fengsui Dan is appropriate.