At the early stage, spermatorrhea is mainly attributive to hyperactivity of monarch fire and minister fire and downward movement of damp heat which disturbs seminal vesicle, thus pertaining to excess syndrome. If the disease persists and is caused by deficiency of yin, hyperactivity of fire, inability to store essence due to kidney deficiency, it pertains to deficiency syndrome. To treat excess syndrome, heat-clearing methods such as removing heart fire and clearing away damp heat should be employed.

Essentials for Diagnosis 
(1) If emission of semen occurs in married males ore than once a week, and often during sleep without sexual activities, or if the unmarried have seminal emission more than twice a week, accompanied by tinnitus, vertigo, lassitude, soreness of loins and knees which persist for over a month, these can be indicative of the disease.

(2) Rectum digital examination, ultrasonography B over the prostate and seminal fluid examination can help determine the diagnosis.

(3) Spermatorrhea should be distinguished from overflow of seminal fluid and premature ejaculation. Overflow of seminal fluid is a physiological phenomenon here the unmarried or the healthy man who has not had sexual intercourse for a long time has seminal emission once or twice a month without any indisposition or other symptoms he following day. Premature ejaculation refers o the early ejaculation of sperm during sexual activity and inability to carry on sexual intercourse.