Seminal emission — nocturnal

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Textbook Prescriptions Urogenital

Essentials of Chinese Acupuncture (Beijing, Shanghai and Nanjing Colleges of Traditional Chinese Medicine, 1980) — the standard prescriptions of the Chinese colleges.

Points

  1. HT7 Shenmen bilateral

    Yuan-Source of the Heart; reduced to lessen heart fire

    Reduce.

  2. BL15 Xinshu bilateral

    Back-Shu of the Heart; reduced to lessen heart fire

    Reduce.

    • ⚠ Pneumothorax
  3. KI3 Taixi bilateral

    Yuan-Source of the Kidney; reinforced to tonify kidney qi

    Reinforce.

  4. BL52 Zhishi bilateral

    Outer back point beside BL23; reinforced to tonify kidney qi

    Reinforce.

Needling Safety

Cited hazards for these points. Tick what applies to the patient to see the cautions that follow from it.

  • BL15 Xinshu
    • ⚠ Pneumothorax risk: too deep an insertion can puncture the pleura. World Health Organization 1999, Section II §5.2 (Lung and pleura), p. 25

Treatment Principle

Calm heart fire and strengthen the kidney.

Indications

Emission during dreamsDizziness the morning after, palpitations, listlessness, tirednessScanty yellow urineRed tongue, thready rapid pulse

Method

Reducing method at the Heart channel points (HT7, BL15); reinforcing method at the kidney points (KI3, BL52).

⚠ Cautions

Persistent emission with other genitourinary symptoms warrants a medical check (prostatitis, infection). BL15 lies over the thorax: needle obliquely and shallowly to avoid pneumothorax.

About

The colleges' prescription for dream-related emission, which the book attributes to a weak kidney with excessive heart fire.

Rationale

HT7 and BL15 are reduced to drain the heart fire that disturbs sleep, while KI3 and BL52 are reinforced to support the kidney, so the prescription treats the imbalance between heart and kidney from both sides.

Clinical Notes

The book gives an ear-acupuncture option for seminal emission (Seminal Vesicle, Endocrine, Liver, Kidney).

Sources

  • Beijing College of Traditional Chinese Medicine, et al. Essentials of Chinese Acupuncture. Beijing: Foreign Languages Press, 1980. Chapter III, Seminal emission, p. 368.

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