Basic Information
Chinese name: Nocturnal emission
Occurrence object: male
Type: Physiological phenomenon
Introduction
The spontaneous ejaculation of semen in the absence of sexual intercourse is called nocturnal emission, also known as vaginal discharge and insomnia. Nocturnal emission in a dream is called wet dream; those who leave without a dream are called slippery sperm. "Zhang's Medical Knowledge" Volume 7 quotes "Lu Lijing said: "The original three of nocturnal emission. If there is too much slaughter and mourning, the kidney qi is not stored, and there is no dream, you should nourish the essence and strengthen the fire, such as Lu Antler Pills, Anshen Pills, Jujing Pills, Jiulong Dan, Jinsuo Yuguan Pills, etc. If the kidneys do not pay attention and are left lying down, they should fill the soil with water, such as Guipi Decoction, Miaoxiang Powder, Yuanzhi Pills, Buzhong Yiqi Decoction, and Cinnabar Anshen Pills. Those who have endless thoughts, can't get what they want, and leave their dreams in vain, should purify fire and use calm water, such as Zishen Pills, Weixi Pills, Zhuling Pills of "Fantastic Things", and Qingxin Lotus Seed Drink. "
For those with deficiency of kidney yang and insufficiency of essence, it is advisable to use dampness and firmness in the kidney, use Yougui Pill, Lurong Dabu Pill and other prescriptions; for those with insufficient kidney essence and rash movement of fire, it is advisable to nourish yin and reduce fire, and use Dabuyin Pill, Zhirong Dabuwan, etc. Baidihuang Pill, Wangshui Decoction, Sancai Fengsui Dan, etc.; for liver stagnation, use Xiaoyao San and Xiaochaihu Decoction; add Longdan Xiegan Pill for those with heat; overwork, delusional thoughts, and frequent wet dreams For the treatment of clearing the heart and taking the kidney, use Jingxin Tang, Tianwang Buxin Dan, Qingxin Lotus Seed Drink, Dingzhi Pill and other prescriptions; after illness, those with physical weakness, palpitations, and wet dreams should use oyster powder. Nocturnal emission is more common in neurasthenia, chronic prostatitis, and chronic wasting diseases.
wet dream
Nocturnal emission refers to the syndrome of nocturnal emission during sleep, which is known only after waking up. Wet dreams can be the result of sexual dreams, or the result of overly warm bedding, overly tight underwear, stimulation of the penis by clothing, or pressure on the penis. In traditional Chinese medicine literature, the classification of "nocturnal emission from a dream is nocturnal emission, and nocturnal emission without a dream" is the earliest statement to distinguish between nocturnal emission and nocturnal emission. The sexual dream before the wet dream may be very vague, and some people cannot recall the main plot of the sexual dream after the wet dream. It may also be clear that some people wake up in the morning with a clear recollection of the events that occurred in the dream. In reality, sexual dreams are subconscious responses, often linked in some way to fantasies and experiences.
Nocturnal emissions are both false and real, and there are first real and then virtual. Over time, deficiency syndrome is more common, or deficiency and excess are mixed. Deficiency is divided into yang deficiency and yin deficiency. The disease location is mainly in the kidney, yang deficiency leads to insufficiency of the essence, which is mostly caused by congenital deficiency, frequent masturbation, early marriage, and inappropriate sexual intercourse. However, these contents are not recognized by Western medicine, and there is no scientific experiment to prove that these will lead to wet dreams.
The ancients believed: "Nocturnal emission is not separated from kidney disease, but it should also be related to the king of the heart." Dai Yuanli, a physician in the Ming Dynasty, said in "Syndromes and Treatments: Nocturnal emission chapters": "There is excessive use of intention, and the heart does not absorb the kidney, resulting in loss of sperm; there are Because of the failure of thinking and desire, the dislocation of essence and color, and the discharge of semen..." From the Qing Dynasty, it was pointed out to nocturnal emission that "dreams are heart disease, and no dreams are kidney disease." "The leftovers of dreams are called wet dreams; no dreams. And those left behind are called slippery essences." Nocturnal emission is divided into nocturnal emission and slippery sperm, which are still used by later generations of doctors. It is difficult to separate them in clinical syndrome differentiation and treatment, so they are collectively referred to as nocturnal emission.
What is nocturnal emission
non-dream nocturnal emission
Nocturnal emission is the spontaneous ejaculation of semen without sexual intercourse, which is called nocturnal emission, also known as nocturnal emission and insomnia. Nocturnal emission in a dream is called wet dream; those who leave without a dream are called slippery sperm. Nocturnal emission refers to the symptoms of nocturnal emission during sleep, which is known only after waking up. Wet dreams can be the result of sexual dreams, or the result of overly warm bedding, overly tight underwear, stimulation of the penis by clothing, or pressure on the penis. In traditional Chinese medicine literature, the classification of "nocturnal emission from a dream is nocturnal emission, and nocturnal emission without a dream" is the earliest statement to distinguish between nocturnal emission and nocturnal emission. The sexual dream before the wet dream may be very vague, and some people cannot recall the main plot of the sexual dream after the wet dream. It may also be clear that some people wake up in the morning with a clear recollection of the events that occurred in the dream. In reality, sexual dreams are subconscious responses, often linked in some way to fantasies and experiences.
Nocturnal emissions are both false and real, and there are first real and then virtual. Over time, deficiency syndrome is more common, or deficiency and excess are mixed. Deficiency is divided into yang deficiency and yin deficiency. The disease location is mainly in the kidney, yang deficiency leads to insufficiency of the essence, which is mostly caused by congenital deficiency, frequent masturbation, early marriage, and inappropriate sexual intercourse. However, these contents are not recognized by Western medicine, and there is no scientific experiment to prove that these will lead to wet dreams. The ancients believed: "Nocturnal emission is not separated from kidney disease, but it should also be related to the king of the heart." Dai Yuanli, a physician in the Ming Dynasty, said in "Syndromes and Treatments: Nocturnal emission chapters": "There is excessive use of intention, and the heart does not absorb the kidney, resulting in loss of sperm; there are Because of the failure of thinking and desire, the dislocation of essence and color, and the discharge of semen..." From the Qing Dynasty, it was pointed out to nocturnal emission that "dreams are heart disease, and no dreams are kidney disease." "The leftovers of dreams are called wet dreams; no dreams. And those left behind are called slippery essences." Nocturnal emission is divided into nocturnal emission and slippery sperm, which are still used by later generations of doctors. It is difficult to separate them in clinical syndrome differentiation and treatment, so they are collectively referred to as nocturnal emission.
Cause of nocturnal emission
Nocturnal emission refers to the phenomenon of ejaculation without sexual intercourse. According to statistics, 80% of men have this phenomenon. Most of this phenomenon occurs during sleep at night. Generally, the frequency of nocturnal emission can range from 1 to 2 weeks to 4 to 5 It is normal to have nocturnal emission several times a week or several times a night, which is a pathological phenomenon. Nocturnal emission is mainly caused by the dysfunction of the cortex center, the spinal cord center, and some diseases of the reproductive system, which are described as follows:
A. Mental factors: Because the sexual demands are too strong and cannot be restrained, especially the sexual excitement caused by lust before sleep, the central nervous system of sexual activity is stimulated for a long time, resulting in nocturnal emission (such as frequent reading of obscene books, obscene paintings, leading to impulsive emission of nocturnal emission). ).
B. The constitution is weak and the functions of various organs are not sound enough, such as the insufficiency of the cerebral cortex, the loss of control of the lower sexual center, and the increased excitability of the erection center and ejaculation center, and nocturnal emission will also occur.
check test
Digital rectal examination, prostate B-ultrasound, routine semen and prostatic fluid examination can help diagnose the cause.
Differential diagnosis
1. Physiological Ejaculation Adult unmarried men, or those who are separated after marriage, have nocturnal emission once or twice a month, and there is no obvious discomfort or other symptoms the next day, which belongs to the phenomenon of physiological overflow. Just as "Jingyue Quanshu·Nocturnal emission" says: "If the person is full and overflows, the one that goes away will go away, and the one who is alive will be born spontaneously, and the force will come out of nature, and there is nothing to worry about." There are dreams and discharge, the frequency is more than ordinary people, generally do not feel sleepy and tired after discharge, the moss pulse can be normal. The pathological nocturnal emission is more than twice a week, or several times a day, and is accompanied by dizziness, fatigue, soreness of the waist and legs, palpitation, shortness of breath and other symptoms.
2. Turbidity of essence refers to the frequent dripping of rice-like or paste-like turbidity in the urethra, dripping continuously, itching or pain in the stem, even if it is cut with a knife and burning, but the urine is not cloudy. Those with turbidity without blood are often white turbid, and those with blood are red turbid. And nocturnal emission no pain.
3. Premature ejaculation refers to a condition in which ejaculation occurs after a very short intercourse time, or even before sexual intercourse. Normal sexual intercourse is not possible. As "Shen Shi Zunsheng Book" said: "Ejaculation before sexual intercourse, or discharge immediately after sexual intercourse." Nocturnal emission is discharged without sexual intercourse, which generally does not affect sexual life.
4. Lin turbidity Lin syndrome refers to the urgency of urination and astringent pain. Mostly caused by urinary tract infection. Turbidity symptoms include pain in the penis when urinating, turbid essence dripping like pus, and foul odor. Occasionally can be accompanied by ulceration of jade stems, mostly gonorrhea, which is an acute or chronic inflammatory contact infection caused by gonococcus and mainly urogenital membranes. Men are more common than women, especially in young and middle-aged people. A positive test for gonorrhea can confirm the diagnosis. [1]
How to treat nocturnal emission
The treatment of nocturnal emission is mainly for the treatment of the cause. First of all, it is necessary to learn the knowledge about sex, establish a normal sexual life law, avoid excessive excitement, strengthen physical exercise, enhance the body's physique, and apply the main energy to study and work. In addition, you should take the side lying position during sleep and avoid lying on your back, because when lying on your back, your hands are pressed on the lower abdomen, and the quilt is also pressed on the abdomen; do not wear too tight or narrow pants, because these will stimulate the reproductive organs and cause sexual intercourse. Nocturnal emission caused by excitement, nocturnal emission due to lower urinary tract disease, treatment should be given according to the cause, such as phimosis or foreskin too long, need surgical treatment, urethritis or prostatitis can be treated with antibiotics, spermatorrhea caused by neurasthenia, serious Oral sedatives can be appropriate, such as tribromine mixture 5 to 10 mg three times a day, or chlordiazepoxide 5 mg three times a day or diazepam 2.5 to 5 mg three times a day.
Nocturnal emission begins 1 to 2 years after the onset of puberty, and can occur until old age. Spontaneous ejaculation without masturbation or stimulation of sexual intercourse that occurs during a man's waking hours is called "slippery semen". There is not much difference between slippery and wet dreams. Women can also have wet dreams of heavy vaginal discharge during sleep, but it generally does not confuse them more. Men are different. many men regard the normal physiological phenomenon of nocturnal emission as a disease, so they are worried about the frequency of nocturnal emission, whether it is accompanied by sexual dreams, the impact on male sexual function and fertility, and so on. In addition, people are also concerned about its historical background and its relationship with adolescence. only by clarifying these issues can we treat it correctly and eliminate the various psychological burdens of adolescents.
Nocturnal emission rarely occurs in boys under the age of 12. The incidence of nocturnal emission in boys aged 14 is 25%, 55% at the age of 16, 70% at the age of 18, 75-80% at the age of 20, and at least 90% of men at the age of 45. Nocturnal emission occurred under certain circumstances. 40% of women will have sexual dreams of orgasm. Therefore, most of the adolescent boys will have spermatorrhea sooner or later. The incidence rate is 1 time per week on average, it can be as low as 0.5 times per week, and it can be as many as several times per week. It is normal.
Boys from families of higher socioeconomic status and boys with more education are more prone to nocturnal emission, possibly because these men have a greater capacity for sexual fantasies and dreams, but also because they have fewer other sexual way of venting. Not surprisingly, single adult men and divorced men will have higher rates of nocturnal emission than married men. There is no doubt that the incidence of nocturnal emission in imprisoned men is obviously higher than that of men living in free life.
Nocturnal emission can account for 8% of all sexual outlets for single men with high school education; nocturnal emission can account for 10-16% of all sexual outlets for single men with college education. Married men have 2 to 6% of orgasms from nocturnal emission. In men, nocturnal emission is most common during the period from puberty to before the age of 30.
The peak age of female sexual dreams is later than that of males, and it is more common in the age group of 30 to 50 years old. For example, a 38-year-old woman who has been married for 15 years complained of frequent sexual dreams. It turned out that in recent years, the frequency of her sexual life with her husband was only 1 to 2 times per month. Because of her frequent sexual dreams, she wondered if she was hypersexual or unchaste, and felt anxious and depressed about it. At her age, it is the peak age for women to have sexual dreams, and her sexual life is so poor, so it is completely understandable to have sexual dreams.
Nocturnal emission can be the result of sexual dreams, or it can be the result of pure tactile stimulation of the genitals by underwear and quilts. If there is a dream, it is nocturnal emission, and if there is no dream, it is nocturnal emission. For example, nocturnal emission can sometimes occur in completely paraplegic patients whose nerve impulses from the brain (where dreams occur) do not reach the center of the spinal cord.
The content of sexual dreams related to nocturnal emission can be very vague, or it can be very clear specific events involving the emission of spermatorrhea. Sexual dreams can reflect recent or past actual experiences, or more commonly just a fantasy or desire to experience. An actual orgasm is not necessarily achieved in a dream, and when a man ejaculates, he is likely to be half-awake or fully awake. Some people can vividly recall events in their dreams in the morning.
The physiological process of nocturnal emission is no different from ejaculation when awake. It is also stimulated by psychological stimulation acting on the thoracic and lumbar sympathetic nerves or tactile reflex stimulation acting on the sympathetic and sacral parasympathetic nerves. body secretion. Orgasm involves both involuntary nerve impulses acting through norepinephrine released from the sympathetic nerves and actual ejaculation through efferent nerve fibers of the somatic pudendal nerve. This entire process is affected by both male hormone levels. It is also affected by nerve centers from the cerebral cortex, hypothalamus, and limbic system.
It is not clear what purpose spermatorrhea has in male sexual behavior? Because in addition to humans, many animals have spermatorrhea or spontaneous ejaculation, such as cats, dogs, cows, horses, rats, gophers, deer . The most logical explanation is that nocturnal emission serves to release sexual tension in the absence of other sexual outlets, however, if a sexually active man becomes a bachelor, he will experience far fewer nocturnal emission than he had previously. The number of sexual intercourse shows that spermatorrhea only plays an incomplete compensatory role.
Nocturnal emission can be seen as the pinnacle of sexual dreams, but the sexual dreams themselves may be the result of repressed sexual urges. Nocturnal emission during adolescence contributes to men's gender identity, which is not always so clear-cut. It has also been pointed out that nocturnal emission is beneficial to racial reproduction, because periodic semen excretion can improve the quality of sperm, that is, their fertility. In fact, with the progress of sexual development in boys, the testicles produce sperm, the prostate and seminal vesicles secrete seminal plasma, and the two together form semen. Outside the body, that is, because of the so-called "full overflow". The medical community generally believes that nocturnal emission can relieve the sexual tension in the body to a certain extent, resulting in a physical and psychological balance.
At present, people regard nocturnal emission as a normal physiological phenomenon and a normal part of human sexual behavior, but people used to regard nocturnal emission as an abnormal phenomenon in the past. In Babylonian times, it was believed that nocturnal emission was the result of the visit of the "Night Maiden" or "Night Angel", who would visit while the man was asleep. In the Middle Ages, people believed that nocturnal emission was the work of the devil (nightmare or female nightmare). Freud believed that nocturnal emission and masturbation may be the cause of neurasthenia, and therefore may be a disease. As for the traditional Chinese concept, which overemphasizes the preciousness of semen, nocturnal emission is always regarded as a kind of disease, which is caused by insufficiency of semen, kidney deficiency or kidney deficiency, which will lead to serious damage to vitality. Recipe for the treatment of nocturnal emission. To this day, there are still many medical or popular science books that list it as a disease. For example, some people say that once a month nocturnal emission is normal, and once a week is a disease, and if the emission is more frequent, it is a serious kidney deficiency. .
In fact, the number of nocturnal emission is closely related to a person’s life experience, physical condition, and frequent exposure to pornographic stimulation. Therefore, it is difficult to say that the number of nocturnal emission is normal, and the number of nocturnal emission is abnormal. These standards are completely irresponsible assumptions of some people. .
If this is just a purely academic debate, it doesn't matter, everyone has their own opinions! But how can some authors know that this wrong view has brought enormous mental pressure to many young people, making them panic and unable to live forever . They are very nervous before going to sleep and are afraid of nocturnal emission at night. As a result, after falling asleep, they can only stimulate more frequent emission. They are both afraid and self-blame, always thinking that they are immoral, immoral, and very remorseful, and they dare not talk to adults or consult a doctor, which eventually leads to serious psychological disorders, and some people even ask doctors to perform orchiectomy for them. Vasectomy to prevent spermatorrhea from damaging the body. Very few young people thought they had an incurable disease and committed suicide by lying on the rails. In fact, healthy young people, in the absence of normal sexual life, have nocturnal emission 1 to 4 times a month, or even more. It is not an abnormal phenomenon, so don't mind. When necessary, proper use of indomethacin to inhibit the synthesis of prostaglandins in the body and reduce the level of testosterone in the body can help reduce the number of nocturnal emission, thereby relieving the mental tension and anxiety of nocturnal emission patients.
Misunderstandings about spermatorrhea have a particularly serious impact on adolescent boys, because this is the age when male sexual impulses are strongest, the age when male spermatorrhea is the most frequent, and the age when they lack sexual knowledge and need to acquire correct sexual knowledge. Nocturnal emission itself can confuse them, fear, guilt and self-blame. If they listen to those false and fearful propaganda, wouldn’t it worsen their psychological burden? Teenagers don’t know what is going on in their bodies. Some people thought it was bleeding, some thought it was venereal disease and pus, and they didn’t know whether it was normal or not, and whether the same thing happened to other boys, so parents or school teachers must explain this normal physiological phenomenon to them in time. Recognize the role of nocturnal emission in the normal growth and development of a man. They also don't have to worry about soiling their panties and sheets.
However, some parents don't see this issue in this way. Instead, they say: "I didn't expect this child to be so bad at such a young age", "Go wash yourself, who cares about you" and other foul words, which hurt their self-esteem. , but also aggravated their psychological burden, not only on the current, but also on their future life has a very negative impact. As Premier Zhou Enlai said: "Before the girls get their period, and the boys have their first nocturnal emission, they should be told the scientific knowledge of sexual hygiene."
