（专主热、脱精。）
戴云∶因梦交而出精者谓之梦遗。不因梦而自泄精者，谓之精滑。皆相火所动，久则有虚而无寒者也。
带下与梦遗同法治。
青黛 海石 黄柏 即椿树根丸。
内伤气血，不能固守，当补以八物汤加减，吞椿树根丸。思想成病，其病在心，安神带补，热则流通。
知母 黄柏 蛤粉
（专主湿热。）
戴云∶滑者，小便精滑下也。俱是膀胱湿热，虽有赤白之异，终无寒热之别。河间云∶天气热则水混浊，
寒则澄澈清冷，由此观之，浊之为病，湿热明矣。
黄柏 知母 牡蛎 蛤粉
又方∶
良姜（三钱） 芍药（二钱） 黄柏（二钱，烧灰存性） 樗树皮（白皮，一两半。）
上为末，糊为丸。每服三十丸。
湿热、有痰、有虚，赤浊属血、白浊属气，寒则坚凝、热则流通。
大率皆是湿热流注，宜燥中宫之湿。用二陈汤加苍术、白术，燥去湿。赤者乃是湿伤血，加白芍药。仍用
珍珠粉丸加椿树根皮、滑石、青黛等作丸。
虚劳者，用补阴药，大概不利热药。
肥白人必多痰，以二陈汤去其热。胃弱者兼用人参，以柴胡、升麻升胃中之气。丸药用∶
青黛 黄柏（炒褐色） 干姜（炒微黑色） 海石 蛤粉
胃中浊气下流为赤白浊者，用柴胡、升麻、苍术、白术、二陈汤。丸药用樗末、蛤粉、炒姜、炒黄柏。
专主胃中之浊气下流，渗入膀胱，用青黛、蛤粉。
肝脉弦者，用青黛以泻肝。
又方∶
黄柏（一两，炒黑） 生柏（二钱半；一作三两） 海石（二两） 神曲（五钱）
为末，水丸。
有热者，黄柏、滑石、青黛之类。
燥湿痰∶南星、半夏、蛤粉。
上神曲为丸，青黛为衣。或用海石代曲。
张子元气血两虚，有痰，痛风时作，阴火间起，小便白浊，或带下赤白，方在前痛风中。
一人便浊，常有半年，或时梦遗，形瘦，作心虚主治∶珍珠粉丸和匀定志丸服。
一妇人年近六十，形肥，奉养膏粱，饮食肥美，中焦不清，浊气流入膀胱，下注白浊，白浊即是湿痰也。
戴云∶断用二陈汤去痰；加升麻、柴胡升胃中之清气；加苍术去湿；白术补胃；全在活法。服四帖后，
浊减大半。觉胸满，因柴胡、升麻升动其气。痰阻满闭，用二陈汤加炒曲、白术。素无痰者，升动胃气不满。
丸药方
青黛 椿皮 蛤粉 滑石 干姜（炒） 黄柏（炒）
上为末，炒神曲糊丸。仍用前燥湿痰丸，亦能治带。
又方
滑石利窍，黄柏治湿热，青黛解郁结，蛤粉咸寒入肾，炒干姜味苦，敛肺气下降，使阴血生。干姜盐制之。
（专门主治热证、遗精滑泄。）
戴元礼说：因做梦性交而射精的，称为梦遗。没有做梦而自然泄精的，称为精滑。这都是由相火妄动引起的，时间久了就只有虚证而没有寒证了。
带下病的治疗方法与梦遗相同。
青黛、海浮石、黄柏，即椿树根丸。
如果是内伤导致气血不足，不能固摄守持，应当用八物汤加减进行补益，并吞服椿树根丸。因思虑过度致病，病位在心，治疗需安神并配合补益，若有热邪则使气机流通。
知母、黄柏、蛤粉。
（专门主治湿热证。）
戴元礼说：“浊”是指小便中精微物质滑脱下注。这都属于膀胱湿热，虽然颜色有赤白之分，但最终没有寒证与热证的本质区别。刘河间说：天气热时水就会浑浊，天气冷时水就清澈寒冷，由此看来，浊病的病因显然是湿热。
黄柏、知母、牡蛎、蛤粉。
另一个方子：
良姜（三钱）、芍药（二钱）、黄柏（二钱，烧成炭保留药性）、樗树皮（白色树皮，一两半）。
以上药物研为细末，用米糊制成丸剂。每次服用三十丸。
湿热、有痰、有虚证，赤浊属于血分病变、白浊属于气分病变，寒邪会使气血坚凝、热邪会使气血流通。
大体上都是湿热流注所致，适宜燥化中焦脾胃的湿气。使用二陈汤加入苍术、白术，以燥湿祛湿。发赤色的乃是湿气损伤了血分，加入白芍药。仍然使用珍珠粉丸加入椿树根皮、滑石、青黛等制成丸剂。
虚劳病患者，使用补阴药物，大抵不宜使用热性药物。
肥胖的人必定多痰，用二陈汤去除其热邪。胃气虚弱者兼用人参，并用柴胡、升麻提升胃中的清气。丸药配方用：
青黛、黄柏（炒至褐色）、干姜（炒至微黑色）、海浮石、蛤粉。
胃中浊气下流导致赤白浊的，使用柴胡、升麻、苍术、白术、二陈汤。丸药配方用樗木粉末、蛤粉、炒干姜、炒黄柏。
专门主治胃中浊气下流，渗入膀胱，使用青黛、蛤粉。
肝脉呈现弦象的，使用青黛来泻肝火。
另一个方子：
黄柏（一两，炒黑）、生柏皮（二钱半；一说三两）、海浮石（二两）、神曲（五钱）。
研为细末，用水泛丸。
有热邪的，用黄柏、滑石、青黛之类。
燥湿化痰：南星、半夏、蛤粉。
以上药物用神曲做丸，青黛做衣。或者用海浮石代替神曲。
张子元气血两虚，有痰，痛风时常发作，阴火偶尔兴起，小便白浊，或带下赤白，方剂在前面痛风章节中。
有一人患便浊，持续半年之久，有时梦遗，形体消瘦，按心虚主治：将珍珠粉丸和定志丸混合服用。
一位年近六十的妇女，形体肥胖，饮食肥甘厚味，中焦不清，浊气流入膀胱，下注形成白浊，白浊就是湿痰。
戴元礼说：断然使用二陈汤去痰；加入升麻、柴胡提升胃中的清气；加入苍术去湿；白术补胃；关键在于灵活运用。服用四帖后，浊症减轻大半。感到胸满，是因为柴胡、升麻升提之气带动所致。痰阻导致胸闷闭塞，用二陈汤加炒神曲、白术。平时没有痰的人，升提胃气不会导致胸闷。
丸药方
青黛、椿皮、蛤粉、滑石、干姜（炒）、黄柏（炒）
以上研为细末，用炒神曲糊制成丸剂。仍然使用前文提到的燥湿痰丸，也能治疗带下病。
另一个方子
滑石通利窍道，黄柏治疗湿热，青黛解郁结，蛤粉咸寒入肾经，炒干姜味苦，收敛肺气下降，使阴血生成。干姜需用盐炮制。
(The pathology is located solely in the Stomach and Large Intestine.)
Huangqin (Scutellariae Radix), Qinjiao (Gentianae Macrophyllae Radix), Huaijiao (Aescini Fructus), Shengma (Cimicifugae Rhizoma), Qingdai (Indigo Naturalis).
(Specifically treats Heat syndromes and seminal emission/spermatorrhea.)
Dai Yun stated: Emission of semen occurring during dreams is called "dream emission" (Mengyi). Emission of semen without dreaming is called "slippery sperm" (Jinghua). Both are caused by the hyperactivity of Ministerial Fire (Xianghuo); prolonged cases result in Deficiency without Cold.
Leukorrhea is treated with the same method as dream emission.
Qingdai (Indigo Naturalis), Haishi (Pumex), Huangbai (Phellodendri Cortex) constitute Chunshugen Wan (Toona Seed Decoction Pill).
In cases of internal injury to Qi and Blood failing to secure and retain, tonification should be administered using Bawu Tang (Eight Substance Decoction) with modifications, swallowed alongside Chunshugen Wan. Diseases arising from excessive thinking originate in the Heart; treatment requires calming the Spirit and tonifying, while ensuring free flow if Heat is present.
Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Hafan (Concha Meretricis et Cyclinae).
(Specifically treats Damp-Heat syndromes.)
Dai Yun stated: "Zhuo" (Turbidity) refers to the slippery downward flow of essence in urine. All such conditions belong to Damp-Heat in the Bladder. Although there may be differences between red and white turbidity, fundamentally there is no distinction between Cold and Heat. He Jian said: When the weather is hot, water becomes turbid; when cold, it becomes clear and chilly. From this observation, it is evident that the pathology of Zhuo is clearly due to Damp-Heat.
Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Muli (Concha Ostreae), Hafan (Concha Meretricis et Cyclinae).
Another prescription:
Liangjiang (Alpiniae Katsumadai Rhizoma, 3 qian), Shaoyao (Paeoniae Radix Alba, 2 qian), Huangbai (Phellodendri Cortex, 2 qian, charred but retaining efficacy), Chupishu (Bark of Toona sinensis, white bark, 1.5 liang).
Grind into powder, form pills with paste. Take thirty pills per dose.
Damp-Heat, Phlegm, and Deficiency are involved. Red turbidity pertains to Blood, white turbidity pertains to Qi. Cold causes stagnation and coagulation, while Heat promotes free flow.
Generally, these are all caused by the pouring down of Damp-Heat, suitable for drying the Dampness of the Middle Jiao. Use Erchen Tang (Two Aged Ingredients Decoction) added with Cangzhu (Atractylodis Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma) to dry and remove Dampness. If red, it indicates Dampness injuring the Blood; add Baishaoyao (White Peony Root). Continue using Zhenzhufen Wan (Pearl Powder Pill) added with Chunshugenpi (Toona Bark), Huashi (Talcum), and Qingdai (Indigo Naturalis) to form pills.
For patients with Xu Lao (Consumptive Disease), use Yin-tonifying medicines; generally, avoid Hot-natured drugs.
Obese individuals inevitably have much Phlegm; use Erchen Tang to clear their Heat. For those with weak Stomach Qi, add Renshen (Ginseng Radix et Rhizoma), and use Chaihu (Bupleuri Radix) and Shengma (Cimicifugae Rhizoma) to raise the clear Qi of the Stomach. The pill formula uses:
Qingdai (Indigo Naturalis), Huangbai (Phellodendri Cortex, stir-fried until brown), Ganjiang (Zingiberis Rhizoma, stir-fried until slightly black), Haishi (Pumex), Hafan (Concha Meretricis et Cyclinae).
For red and white turbidity caused by the downward flow of turbid Qi from the Stomach, use Chaihu (Bupleuri Radix), Shengma (Cimicifugae Rhizoma), Cangzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), and Erchen Tang (Two Aged Ingredients Decoction). The pill formula uses Chumo (Toona powder), Hafan (Concha Meretricis et Cyclinae), stir-fried Jiang (Ginger), and stir-fried Huangbai (Phellodendri Cortex).
Specifically treating the downward flow of turbid Qi from the Stomach infiltrating the Bladder, use Qingdai (Indigo Naturalis) and Hafan (Concha Meretricis et Cyclinae).
If the Liver pulse is Xian (Wiry), use Qingdai (Indigo Naturalis) to drain the Liver.
Another prescription:
Huangbai (Phellodendri Cortex, 1 liang, stir-fried black), Shengbai (Fresh Cypress Bark, 2.5 qian; alternatively 3 liang), Haishi (Pumex, 2 liang), Shenqu (Medicated Leaven, 5 qian).
Grind into powder, make water pills.
For those with Heat, use Huangbai (Phellodendri Cortex), Huashi (Talcum), Qingdai (Indigo Naturalis), etc.
To dry Dampness and resolve Phlegm: Nanting (Arisaematis Cum Bile), Banxia (Pinelliae Tuber), Hafan (Concha Meretricis et Cyclinae).
Make pills with Shenqu (Medicated Leaven), coat with Qingdai (Indigo Naturalis). Alternatively, replace Shenqu with Haishi (Pumex).
Zhang Zi Yuan had both Qi and Blood deficiency, Phlegm, intermittent Gout pain, occasional rising of Yin Fire, white turbid urine, or red and white leukorrhea. The prescription is found in the preceding section on Gout.
One patient suffered from urinary turbidity for half a year, occasionally experiencing dream emission, with emaciated physique. Treated primarily as Heart Deficiency: take Zhenzhufen Wan (Pearl Powder Pill) mixed evenly with Dingzhi Wan (Stabilize Spirit Pill).
A woman near sixty years old was obese, indulged in rich and greasy food, resulting in unclear Middle Jiao. Turbid Qi flowed into the Bladder, causing downward injection of white turbidity. White turbidity is essentially Wet Phlegm.
Dai Yun stated: Firmly use Erchen Tang (Two Aged Ingredients Decoction) to resolve Phlegm; add Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix) to raise the clear Qi of the Stomach; add Cangzhu (Atractylodis Rhizoma) to remove Dampness; Baizhu (Atractylodis Macrocephalae Rhizoma) tonifies the Stomach. Flexibility is key. After four doses, turbidity reduced by more than half. Chest fullness was felt because Chaihu and Shengma raised and stirred the Qi. For obstruction and closure due to Phlegm, use Erchen Tang (Two Aged Ingredients Decoction) added with stir-fried Shenqu (Medicated Leaven) and Baizhu (Atractylodis Macrocephalae Rhizoma). Those without Phlegm do not experience fullness when Stomach Qi is raised.
Pill Formula
Qingdai (Indigo Naturalis), Chunpi (Toona Bark), Hafan (Concha Meretricis et Cyclinae), Huashi (Talcum), Ganjiang (Zingiberis Rhizoma, stir-fried), Huangbai (Phellodendri Cortex, stir-fried).
Grind into powder, form pills with stir-fried Shenqu paste. The previously mentioned Drying-Dampness-and-Phlegm Pill can also treat leukorrhea.
Another Prescription
Huashi (Talcum) benefits the orifices; Huangbai (Phellodendri Cortex) treats Damp-Heat; Qingdai (Indigo Naturalis) resolves depression and stagnation; Hafan (Concha Meretricis et Cyclinae) is salty and cold, entering the Kidney channel; stir-fried Ganjiang (Zingiberis Rhizoma) is bitter, astringing Lung Qi to descend, thereby generating Yin Blood. Ganjiang should be processed with salt.