从未济卦阐释心肾相交

Weiji Hexagram Model for Coordination Between Heart and Kidney

中医学素以既济卦表示心肾相交,但其不能为临床治疗提供直接指导。未济卦中火在水上,坎离在位不当却仍有阴阳相应的关系存在,且坎离与心肾两脏在阴阳属性、阴阳结构等方面亦具有统一性。所以,未济卦亦可以作为心肾相交的卦象模型,但仍需其他脏腑的协助。脾胃作为阴阳升降枢纽,在其中发挥了重要作用。若未济卦的阴阳平衡被打破则发为虚火上冲,应治以纳气伏火,阴虚火旺者予三才封髓丹加减,虚阳浮越者予潜阳封髓丹加减,还应予黑地黄丸加以祛湿补土,发挥脾胃的枢纽作用。

In traditional Chinese medicine,the divinatory trigrams(Gua)are used to represent the coordination of heart and kidney,but they can not provide direct guidance for clinical treatment.In the Weiji hexagram,the fire is on the water,the LI and Khan are not in position,but here is a corresponding relationship between yin and yang,and the two organs of the heart and kidney accord with LI and Khan in the attribute and structure of yin and yang.Therefore,the Weiji hexagram can also be used as a model for coordination between the heart and kidney,but it still needs the help of other viscera to complete the physiological activities of intersection of yin and yang.Spleen and stomach,as the hub of yin and yang ascending and descending,play an important role in it.If the balance between yin and yang of the Weiji hexagram is broken,it will lead to the deficiency fire rushing up.It should be treated by activating qi to suppress fire.Modified Sancai Fengsui Pill(三才封髓丹)is prescribed for those with yin deficiency and excubant fire,and modified Qianyang Fengsui Pill(潜阳封髓丹)is prescribed for those with deficiency and floating yang,meanwhile,Heidihuang Pill(黑地黄丸)should be given to strengthen the spleen and dry the dampness,which plays the pivotal role of the spleen and stomach.