Traditional Chinese medicine treatment and stretching exercises for nocturnal emission

**Prolonged nocturnal emission depletes vital energy; prepare a decoction to nourish kidney yin.**

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Nocturnal emission refers to the involuntary ejaculation of semen in men without sexual intercourse, and it is divided into nocturnal emission and spermatorrhea. Nocturnal emission refers to the symptom of ejaculation upon waking after having dreams during sleep. Spermatorrhea, also known as "slippery ejaculation," refers to the involuntary discharge of semen at night without dreams, or even while awake. For unmarried adult men or married men living separately, 1-2 nocturnal emissions per month is a normal physiological phenomenon. However, if unmarried young men experience frequent nocturnal emissions, or if married men experience frequent nocturnal emissions despite having sexual intercourse, or if middle-aged or elderly men experience daytime spermatorrhea, then it is considered pathological. Frequent nocturnal emissions can cause lethargy, dizziness, weakness in the lower back and knees, and a sallow complexion, affecting physical and mental health.

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There are many symptoms of nocturnal emission, and we need to treat them according to the specific symptoms.

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(1) For those experiencing restless sleep with frequent dreams, nocturnal emissions, insomnia, forgetfulness, dizziness, and tinnitus, this is considered nocturnal emission due to disharmony between the heart and kidneys. Medications that harmonize the heart and lungs can be taken. Take 5 grams each of Coptis chinensis and Glycyrrhiza uralensis, 10 grams each of Angelica sinensis and Polygala tenuifolia, 15 grams each of Ziziphus jujuba seed, Rehmannia glutinosa, Poria cocos, and Nelumbo nucifera seed, and 18 grams each of calcined dragon bone and oyster shell. Decoct in water and take one dose daily.

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(2) Nocturnal emission, easy penile erection, hypersexuality, irritability and anger are symptoms of nocturnal emission due to excessive liver fire, and should be treated by clearing liver fire. Take 10 grams each of peony bark, gentian root, gardenia, Sichuan pepper, scutellaria, and bupleurum, 15 grams each of rehmannia root and white peony root, and 6 grams of licorice root. Decocted in water and taken once a day.

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(3) Frequent nocturnal emission, or a small amount of semen leaking out during urination, reddish and turbid urine, or difficulty urinating, bitter taste in the mouth, thirst, irritability, and insomnia, indicates nocturnal emission due to heat accumulation in the lower body. The focus of treatment is to clear heat and promote diuresis. Take 10 grams each of Poria cocos, Pyrrosia lingua, Plantago asiatica, Juncus effusus, Acorus tatarinowii, Phellodendron chinense, Atractylodes lancea, and Gentiana scabra, 15 grams of raw oyster shell, and 6 grams of Glycyrrhiza uralensis. Decocted in water and taken once a day.

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When using traditional Chinese medicine to treat nocturnal emission, combining it with other herbal therapies can achieve twice the result with half the effort. This is because meridian therapy has unique effects on strengthening the body and regulating nerve function. Below are some simple and easy-to-perform meridian therapies.

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**1. Massage the Dantian and Shenshu acupoints.**

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Use your fingers to gently massage the Dantian and Shenshu acupoints repeatedly in clockwise and counterclockwise directions. Massaging these two acupoints can help adjust and improve sexual function.

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2. Regularly perform Kegel exercises.

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Every night before bed, try contracting your anus, mimicking the sensation of holding back a bowel movement. Do this 48-64 times each time. Inhale as you contract, and exhale as you relax. The movements should be gentle, slow, rhythmic, and with even pressure. Persistence will yield results.

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3. Practice standing meditation.

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As we all know, Zhan Zhuang (standing meditation) is a fundamental skill in martial arts, which can strengthen leg muscles. However, some people may not know that Zhan Zhuang can also treat illnesses. Below is a detailed explanation of the practice method: Keep your chest up and back straight, bend your knees into a quarter squat (the angle between your thighs and calves should be approximately 120-140 degrees), keep your head and neck straight, look straight ahead, and extend both arms forward. While maintaining this posture, try to squeeze your knees inward as much as possible, keeping your legs, lower abdomen, and buttocks highly tense. Hold this position for half a minute, then walk a few steps to relax your muscles before repeating. Repeat this 6 times, once in the morning and once in the evening. As your leg strength increases, you can gradually extend the duration and increase the number of repetitions.

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**Stretching Exercises to Prevent Nocturnal Emission**

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The common symptoms of nocturnal emission are as follows:

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> (1) Nocturnal emission still occurs even after marriage when there is regular sexual activity.

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(2) Frequent nocturnal emission when unmarried, more than 3 times a week or multiple times a night.

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> (3) Nocturnal emission occurs when there is only sexual desire, or incontinence occurs during sleep.

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> (4) Dizziness, emotional instability, nerve atrophy, insomnia and dreaminess, memory loss, forgetfulness and fear, depression and physical fatigue.

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> (5) Accompanied by symptoms such as decreased libido, premature ejaculation, and impotence.

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(6) The amount of semen is reduced or excessive, the semen is thin and tasteless, and the sperm content is reduced compared to normal.

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There are many ways to treat nocturnal emission, and some external therapies can be used in conjunction with this approach. Stretching is a good option.

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(1) Stand upright and bend your upper body forward and backward 10-20 times. Note that your knees should not be bent.

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(2) Stand with your arms hanging down and rotate your upper body to the left and right 20-30 times, swinging your arms naturally towards your back as you rotate.

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(3) Stand with your upper body bent to the left and right, and raise your arms along the sides to your armpits to help with the bending motion. Bend to the left and right 16-20 times each.

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> (4) Contract your anus forcefully for 5 seconds, then relax. Repeat this 20 times.

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> (5) Open your legs, straighten your chest, and push your buttocks back slightly to concentrate your strength in your waist and abdomen. You can also inhale while standing upright and slowly widen the distance between your legs while exhaling. Repeat 5 times or more.

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(6) Lie on your back with your feet together on the floor, with your hands by your sides or outstretched, but not touching the floor. Lie on your back first, then sit up. You can also use the reaction force of your hands swinging down from your head to help your upper body sit up when you start. But you should not grab objects or press your hands on the floor. You need to do 10 to 25 repetitions (i.e., sit-ups).

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> (7) Waist bending and stretching: Lie face down, raise your head and feet together as high as possible, then suddenly lower them, lift your chin, and forcefully contract your heels. Repeat 10 times.