Written By Jun Heo(許浚, 1539~1615), Translated by Namil Kim, Wung Seok Cha et al., Published by Ministry of Health & Welfare (Korea)
Dream Emissions also Pertain to Stagnation 夢泄亦屬鬱몽설은 울증에도 속한다
① It is said in the Formulas for Universal Relief (本事), “Essence leaks when kidney qi is blocked.” It is also said in the Basic Questionss (素問), “kidneys are the office of labor, and convergencies of vital energy comes from them.”
Also it said, “kidneys store essence.” The kidneys collect essence-qi, give birth, and nurture. The collecting and dispersing of essence-qi all depends on the kidneys. When kidney qi is weak, essence-qi in the body is not collected well; this leads essence-qi to flow haplessly, and essence leaks at any time. A Polyporus Pill is used to treat such symptoms.
② It is said in the Compendium of Medicine (綱目), “More than half of the dream emissions are due to qi stagnation. Foolish doctors do not know that it is from qi stagnation, and keep on using astringing medicines to stop the leakage. However, the
more medication is applied to stop the leakage, the more severe the stagnation symptoms become. The diseases get worse by the minute. Once a man had murky urine and upsurging qi from the lower abdomen due to dream emissions and felt heat along the waist everyday at the time of Myo (5:00 am ~ 7:00 am) and cooling down at the time of yu (5:00 pm ~ 7:00 pm).
When heat is felt along the waist, the hands and feet become cold with a weak penis, and as the heat subsides the hands and feet warm up and the penis gathers qi. Also, he passed gas often in the morning and belched often in the evening, and had dream emissions every 10~20 days. The pulse was slippery, string-like, and large, and became surging and large during the
day. I figured he had qi stagnation and prescribed an Aquilaria Pill to Harmonise the Center [The prescription is in the chapter Phlegm]. To induce diarrhea and prescribed a Modified Eight Ingredient Decoction [The prescription is in the chapter Five Viscera] with 100 pills of Nourish Kidneys Pill [The prescription is in the chapter Urine]. If astringing medicines are used, the urine gets even murkier and the dream emissions appear as often as twice a night. If this happens, prescribe concentrated Guide Out Red Powder [The prescription is in the chapter Five Viscera] to treat the dream emissions and murky urine at the same time.
③ Another man also had dream emissions, which were aggravated after taking astringing medicine. I first prescribed a Spiritual Chuanxiong Pill [The prescription is in the chapter Five Viscera] to induce diarrhea and then prescribed Polyporus Pill. The two cases show that many cases of dream emissions result from stagnation.
Spermatorrhea Belongs to Deficiency 精滑脫屬虛정이 새어 나가는 것은 허증이다
① Zhongjing said, “A man who often leaks essence has pulling pain in the lower abdomen, cold penis, dizziness, and hair loss. The pulse is very deficient, hollow and slow, and often the excretion is of undigested food and sometimes bloody essence leaks. When a man has an essence leakage or has dreams of having intercourse with a woman, a Cinnamon Twig, Dragon
Bone, and Oyster Shell Decoction is commonly prescribed.”
② In the Divine
Pivot (靈樞), it says “Essence is harmed if fear is not resolved. When essence is harmed, bones get chilly, hands and feet cold, legs weak, and essence spontaneously leaks from time to time.” Also it says “If essence lacks greatly, hearing loss will follow.” ③ It is said in the Inner Classic (內經), “The penis gets weak when a man keeps on thinking and yet does not achieve what one wants, has too many obscene thoughts, or has excessive intercourse, which all wilt the penis and leads to muscular flaccidity and white ooze.” The essence in the kidneys must be treasured; if the mind is controlled well, essence is stored well and does not leak. If the thoughts are too many or one has excessive intercourse, the essence cannot be protected well and leaks along with urine without notice. Therefore, the wilting of the penis results from muscular flaccidity.[P11]
④ When a man’s essence leaks without intercourse, it is from the weakness of the penis. This muscular flaccidity results when an obscene story is heard, a beautiful woman is seen, many thoughts do not result in achievements, or when intercourse is
excessive. White ooze is spontaneously leaking semen due to muscular flaccidity. Since essence is continuously leaking, Modified Pinctada Powder Pill. [The prescription is in the chapter Urine] must be prescribed.
⑤ Also it is said, “Essence leaks along with one’s desire . When it is not ejected for a long time, there will be itching and pain inside the penis, and the person will have an urge to urinate all the time. If essence is urinated or leaks, it is called seminal emission. This is a worse symptom than dream emission, so a modified Eight Substances Decoction should be taken with a
Pearl Powder Pill. [The prescription was mentioned previously].”
⑥ When a man has too much sexual desire at a young age and loses yang qi, which leads to seminal emissions, a Golden Lock Pure Formula Elixir. [The prescription is in the chapter Five Viscera] or Secret Genuine Elixir should be prescribed.[B146]
⑦ Spermatorrhea is only due to dampness-heat, so Phellodendri Cortex (黃柏), Anemarrhenae Rhizoma (知母), Ostreae Testa (牡蠣), and Anodontae Caro Pulvis (蛤粉) must be used.[P32]
⑧ A man was deficient that his semen leaked and the pulse was string-like and large. No medication was effective; later when he took pills made of 1 nyang of Galla Rhois and 2 nyang of Poria Sclerotium (白茯苓), it showed effect. For securing what is
leaking, Galla Rhois is more effective than Fossilia Ossis Mastodii (龍骨) and Anodontae Caro Pulvis (蛤粉).[B057] ⑨ A young boy with strong yang so his desires are very active, yet he is unable to suffice the desires and will experience dream emissions. In this case, it must not be tonified. His heart must be cleared first of all. A Clear Heart Lotus Seed Drink [The prescription is in the chapter Wasting-thirst] should be taken in the morning and a Settle the Will Pill. [The prescription is in the chapter Spirit]. Should be taken in the evening.[B162]
⑩ Dr. Dai (戴氏) said, “Leakage of semen even when one is not dreaming is called spermatorrhea. It happens when ministerial Fire is activated.” ⑪ When semen leaks simple prescriptions like a Morinda Pill, Tonify True Dewdrops Pill, Stabilize the Essence Formula, Euryale Pill, Cynomorii Herba Elixir, Jade Lock Elixir, and Secret Formula Elixir․ Keep the Essence Formula and Nine Dragons Elixir should be taken.
• Morinda Pill 巴戟丸 파극환
It treats a white and pale face, sadness on the verge of crying, and an empty pulse. These symptoms are due to lack of essence and spirit. Therefore, the doctor should strongly tonify the liver and kidneys, collect essence qi and tonify genuine yang. Prepare the same amounts of Schisandrae Fructus (五味子), Morindae Radix (巴戟), Cistanchis Herba (肉蓯蓉), Cuscutae Semen (兎絲子), Ginseng Radix (人蔘), Atractylodis Rhizoma Alba (白朮), Rehmanniae Radix Preparata (熟地黃), Drynariae Rhizoma, Foeniculi Fructus, Ostreae Testa (牡蠣), Fossilia Ossis Mastodii (龍骨), Rubi Fructus (覆盆子), and Alpiniae Oxyphyllae
Fructus (益智仁). Ground into powder, mix these with honey, and make pills the size of the seed of the foxglove tree. Take 30 pills at a time with porridge 3 times a day. Make the patient take the medicine with an Eight Substances Decoction if the patient is severly deficient.[B215]
• Tonify True Dewdrops Pill 補眞玉露丸 보진옥로환
It treats a yang deficiency: not able to stop leaking semen. Prepare the same amounts of Poria Sclerotium (白茯苓), white Fossilia Ossis Mastodii (levigated on water), Allii Tuberosi Semen (韭子) (stir-fried with alcohol), and Cuscutae Semen (兎絲子) (soaked in alcohol and decocted). Ground into powder, mix these with honey, and make pills to a size of the seed of the foxglove tree. Take 50 pills at a time with warm alcohol or salty water on an empty stomach, and then eat good food. The medicine should be made on the day of Fire.
• Cinnamon Twig, Dragon Bone, and Oyster Shell Decoction 桂枝龍骨牡蠣湯 계지용골모려탕
It treats a loss of essence. Prepare 3 nyang of Cinnamomi Ramulus, Paeoniae Radix Alba (白芍藥), Fossilia Ossis Mastodi (heated), Ostreae Testa (牡蠣) (heated), and Zingiberis Rhizoma Crudus, 2 nyang of Glycyrrhizae Radix (甘草), and 12
Zizyphi Fructus. Cut these in pieces, put it in 7 doe of water, and decoct until the decoction is 3 doe. Drink the decoction three times.[P30]
• Stabilize the Essence Formula 固精丸 고정환
It treats leakage of semen due to a kidney deficiency, so it firmly protects semen from being lost. Prepare 1 nyang of Anemarrhenae Rhizoma (知母) and Phellodendri Cortex (黃柏) (together soaked in salty water and stir-fried), 3 don of Ostreae Testa (牡蠣), Euryales Semen (芡實), Nelumbinis Stamen (蓮花蘂), Poria Sclerotium (白茯苓), and Polygalae Radix (遠志), 2 don of Fossilia Ossis Mastodii (龍骨), and 5 don of Corni Fructus (山茱萸). Grind these herbs into powder, knead with starch made of Dioscoreae Rhizoma (山藥), and make pills to a size of the seed of the foxglove tree. Cover the pills with Cinnabaris (朱砂). Take 50 pills at a time with salty water on an empty stomach.[B104]
• Euryale Pill 芡實丸 감실환
It is effective in treating seminal emissions before intercourse and dream emissions due to a yang deficiency. Prepare 500 Euryales Semen (芡實), 1 nyang of Nelumbinis Stamen (蓮花蘂) (collected on July 7th in the lunar calendar), and Corni Fructus (山茱萸), 5 nyang of Tribuli Fructus, 2 nyang of Rubi Fructus (覆盆子), and 5 don of Fossilia Ossis Mastodii (龍骨). Grind these and knead with honey and make pills to a size of the seed of the foxglove tree. Take 60~70 pills at a time with a Nelumbinis Semen (蓮肉) decoction on an empty stomach.[B146]
• Cynomorii Herba Elixir 陽丹 쇄양단
It treats continuous leakage of semen. Prepare 3 nyang of Mantidis Oőtheca (桑螵蛸) (roasted), 1 nyang of Mastodi and Poria Sclerotium (白茯苓). Grind these into powder, mix with starch, and make pills to a size of the seed of the foxglove tree. Take 70 pills at a time with a Poria Sclerotium (白茯苓) decoction or salt water.[B090]
• Jade Lock Elixir 玉鎖丹 옥쇄단
It treats a leakage of semen due to an essence-qi deficiency. Prepare the same amounts of Mastodi, Nelumbinis Stamen (蓮花蘂), Euryales Semen (芡實), and Mume Fructus Praeparatum. Grind these herbs into powder, mix with starch made of Dioscoreae Rhizoma (山藥), and make pills to a size of an adzuki bean. Take 30 pills at a time with porridge on an empty stomach.[B090]
• Secret Formula Elixir 秘元丹 비원단
It is prescribed in emergency cases with a continuous leakage of semen. Prepare 1 nyang of Mastodi (soaked in alcohol and dried under fire) and Cinnabar Artificial, and 5 don of Amomi Fructus (砂仁) and Terminaliae Fructus (flesh from small ones roasted on ash Fire). Grind these into powder, mix with starch made of glutinous rice, and make pills to a size of a mung bean. Take 15~30 pills at a time with warm water.[B073]
• Keep Essence Pill 約精丸 약정환
It treats continuous seminal emissions through the urine. Prepare 1 geun of Allii Tuberosi Semen (韭子) (Collected after the first frost, soaked in alcohol for one night, and dried under a fire.), and 2 nyang of white Mastodi. Grind these into powder, mix with alcohol and starch made of glutinous rice, and make pills to a size of the seed of the foxglove tree. Take 30 pills at a time with salt water on an empty stomach.[B186]
• Nine Dragons Elixir 九龍丹 구룡단
It treats spermatorrhea. Prepare the same amounts of Lycii Fructus (枸杞子), Rosae Laevigatae Fructus (金櫻子), Crataegi Fructus, Nelumbinis Semen (蓮肉), Rehmanniae Radix Preparata (熟地黃), Euryales Semen (芡實), Poria Sclerotium (白茯苓), and Angelica Gigantis Radix (當歸). Grind these into powder, mix with alcohol and starch made of glutinous rice, and make pills to a size of the seed of the foxglove tree. Take 50 pills at a time with warm alcohol or salty water on an empty stomach. If a man who has murky urine due to an essence leakage takes this medicine for 2~3 days, the urine will become clear as water, and the person will be able to eat twice his usual amount and walk briskly.[B172]
• Cure Milk-White Urine Induced by Leaking Bone Marrow Prescription 治小便白濁出髓條方 골수가 새나가 소변이 뿌연 것을 치료하는 처방
Prepare the same amounts of Zizyphi Semen (酸棗仁) (stir-fried), Atractylodis Rhizoma Alba (白朮), Ginseng Radix (人蔘), Poria Sclerotium (白茯苓), Psoraleae Semen (破古紙), Alpiniae Oxyphyllae Fructus (益智仁), Foeniculi Fructus, and Ostreae Testa (牡
蠣) (heated). Grind these into powder, mix with starch added with alcohol and blue salt. Make pills to a size of the seed of the foxglove tree. Take 30 pills at a time with warm alcohol or porridge on an empty stomach.[B104]
