Introduction
Seminal emission refers to discharge of semen without sexual activity. One or twice seminal emission in a month without evident discomfort in healthy man is regarded as physiological phenomenon. However, several times a week or in a night, accompanied by spiritual lassitude, dizziness and tinnitus, is morbid. Seminal emission in dream is called nocturnal emission, while seminal emission in conscious state is called spermatorrhea. Nocturnal emission is usually caused by overanxiety, indulgence in sexual life, disharmony between the heart and kidney as well as deficiency of water and exuberance of fire; or by partiality to greasy and pungent foods and accumulation of dampness into heat that disturbs semen. Prolonged duration may exhaust kidney qi and weakens storage of semen, leading to spermatorrhea.

Syndrome Differentiation
1. Disharmony Between the Heart and Kidney
Dreaminess, priapism, susceptibility to erection, dysphoria and insomnia, dizziness, aching loins and spiritual lassitude, red tongue, thin and rapid pulse.

2. Downward Migration of Damp-heat
Frequent seminal emission, lassitude and anorexia, dampness or pruritus of pudendum, yellow and brown urine, unsmooth urination or burning sensation in urination, red tongue tip and margins, yellow and greasy fur, slippery or rapid pulse.

3. Asthenia of Kidney Yang
Seminal emission without dream, even spermatorrhea with the desire of sex, dizziness and tinnitus, bright-white complexion, aching and weakness of loins and knees, aversion to cold and cold limbs, or accompanied by impotence,  spontaneous  sweating  and  shortness  of breath, light-colored tongue with white fur, thin and weak pulse.

Treatment
1. Body Acupuncture
Prescription:
Shenshu (BL 23), Guanyuan (CV 4) and Sanyinjiao (SP 6).
Modification: For disharmony between the heart and kidney, Xinshu (BL 15), Shenmen (HT 7), Neiguan (PC 6) and Taichong (LR 3) are added; for downward migration of damp-heat, ghongji (CV 3), Yinlingquan (SP 9) and Xingjian (LR 2) are added; for decline of kidney yang, Mingmen (GV 4), Taixi (KI 3) and Zusanli (ST 36) are added.

Performance:
For seminal emission, mild reinforcing and reducing or reducing needling techniques is used; for spermatorrhea, reinforcing needling technique is used with the addition of moxibustion.

2. Ear Acupuncture
Prescription:
Internal Genitalia (TF2), Ear Shenmen (TF4), Liver (CO12), Kidney (CO10) and Subcortex (AT4).

Performance:
Medium stimulation is required or Wangbuliuxingzi (Semen Vaccariae) is used for ear acupressure.