Land and Water Two Immortals Elixir

Source: Zhèng Zhì Zhǔn Shéng 证治准绳

Alternate Chinese names: 水陆二味丹

Ingredients:

Action: Supplements the kidney, secures essence, and checks vaginal discharge.

Indication: Kidney vacuity with seminal emission or seminal efflux in men, and vacuity vaginal discharge in women.

Category: Astringing formulas / essence-astringing essence enuresis-checking

Rationale: Qiàn shí supplements the spleen and kidney, and checks emission and discharge. Jīn yīng zǐ astringes and secures. Seminal emission occurs in both repletion and vacuity patterns. Dream emission (ejaculation associated with erotic dreams) is attributed to exuberance of the ministerial fire, while emission unassociated with dreaming usually occurs when the kidney is vacuous and the essence gate is insecure. Repletion patterns are treated by enriching yīn and downbearing fire with a formula such as Zhī bǎi dì huáng wán (知柏地黄丸 Anemarrhena, Phellodendron, and Rehmannia Pill)or Fēng suǐ dān (封髓丹 Marrow-Sealing Elixir). Pure vacuity patterns should be treated with Shuǐ lù èr xiān dān (水陆二仙丹 Land and Water Two Immortals Elixir)or Jīn suǒ gù jīng wán (金锁固精丸 Golden Lock Essence-Securing Pill).

Notes: The words l and water in the title are probably explained by the fact that the formula supplements spleen-earth and kidney-water.

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