Seminal Emission – Yi Jing

Seminal emission (Yi Jing) is the passing of seminal fluid during ones sleep or when they are awake without sexual excitement.

Etiology (causes) of Seminal Emission:

1. Heart and Kidney Disharmony -Kidney looses control over lower gate allowing seminal fluid to leak out.

2. Kidney Yin Deficiency

3. Liver Heat

4. Damp Heat in L.Jiao

5. Kidney Qi Deficiency

6. Phlegm Fire

Chinese Medicine Differentiation and Treatment

Heart and Kidney Disharmony Seminal emission comes with dreams, insomnia, palpitations, yellow short urine, Kidney yin deficient symptoms. T - red Pulse - rapid

Principle of Treatment: Clear Heart heat (king fire) and nourish Kidney.

Acupuncture points – Ren, hand and foot Shaoyin, Heart 7 (sedate), Kidney 3 (tonify), Ren 4 (mild

Moxa to control the gate), Spleen 6 - dizziness and/or blurred vision- Du 20, Gall bladder 20

Herbal Medicine Treatment: San Cai Feng Shui Dan + clear heat herbs

Kidney Yin Deficiency Seminal emission without dreams or palpitations, Kidney yin deficient symptoms. Tongue - red, thin coat Pulse - thin, rapid

Principle of Treatment: Nourish Kidney yin, clear minister fire

Acupuncture points – Ren 4, Spleen 6, Kidney 6, Ren 3, Bladder 52, Pericardium 8

Herbal Medicine Treatment: Zhi Bai Di Huang Wan

Liver Heat Seminal emission without dreams, prolonged erections during daytime, liver fire symptoms, vexation, bitter taste Tongue - red Pulse - rapid

Principle of Treatment: Purge liver fire

Herbal Medicine Treatment: Long Dan Xie Gan tang

Damp Heat in Lower Jiao Seminal emissions at night, eruptions around genitalia, possible semen in urine, damp/heat symptoms Tongue - red, thick yellow coat Pulse - rapid, slippery

Principle of Treatment: induce diuresis to clear heat and transform dampness

Acupuncture points – Shu, Ren, foot Taiyin, Bladder 28 and Ren 3, Bladder 23, 32, Spleen 6, 9

Herbal Medicine Treatment: Bei Xie Fen Qing Yin

Kidney Qi Deficiency Seminal emission when awake, pale puffy complexion, lassitude, Kidney Qi deficiency symptoms and possible Spleen Qi deficiency symptoms T - pale Pulse - deep, weak

Principle of Treatment: Nourish Kidney Qi and consolidate essence

Herbal Medicine Treatment: Jin Gui Shen Qi Wan + Mi Jing Wan (+ Gui Pi Tang if Spleen Def.)  

Phlegm Fire Seminal emission, selling in lower jiao, fullness/distention in chest, dark hot scanty difficult urine, cough with phlegm, bitter taste, thirst with no desire to drink. Tongue - red, yellow greasy coating Pulse - red, slippery

Principle of Treatment: Clear fire and remove phlegm

Herbal Medicine Treatment: Zhu Ling Wan

Heart Spleen deficiency over-thinking, overtired, or over-stressed leads to emissions, Heart and Spleen symptoms(palpitations, insomnia, worry, poor appetite and digestion, loose stool, pale complexion)

Acupuncture points – Shu, foot Yangming, Taiyin, Bladder 15, 20, 23, Stomach 36, Spleen 6, Ren 4, Heart 7, Pericardium 6, Gall bladder 20

Alternative Treatment Methods for Seminal Emission 

Ear Acupuncture - internal (Nei Sheng Zhi Qi) and external (Wai Sheng Zhi Qi) reproductive points, subcortex, endocrine, shenmen, *KI, LR, HT, Spleen

injection therapy - vitamin B1, Dang Gui solution, inject at Ren 3, 4, lower abdomen, inner upper thigh, inguinal groove, Bladder 52, sacrum, 0.2-0.5ml, get sensation then lift slightly and inject. Once a day for 10 days alternating points, or 3 spots every 3 days