从“水火既济”论乌梅丸证

Discussion of Mume Pill Syndrome From the Perspective of“Coordinating Water and Fire”

乌梅丸的上热下寒,实际就是人体阴阳水火运行失常不相交融的表现。其中,阳气不能布达是水火失济的主要原因。厥阴病之肢厥不同于少阴病心肾阳虚所致的厥逆,厥阴病的厥逆是阳气分布不均匀,气机升降出现了问题,故治疗上应以宣畅气机、交通水火为第一要务。乌梅丸正是为此而设。

The symptom of upper heat and lower cold of Mume Pill Syndrome is actually due to the abnormal moving and non-mingling of yin,yang,water and fire in the human body.The failure of yang qi to disperse is the main cause for water-fire imbalance.Cold limbs in Jueyin disease is different from the cold limbs in Shaoyin disease due to yang deficiency of the heart and kidney.Cold limbs in Jueyin disease are caused by the uneven distribution of yang qi and the dysfunction of qi movement in ascending and descending,and therefore the therapy should take ventilating the qi movement and restoring normal coordination between the heart and kidney as the priority.Mume Pill is thus formulated.