摘要
在西医高等院校《中医学》的教材中，“心肾相交”和“心肾不交”的解释存在矛盾，把“心肾相交”解释为心火和肾水的关系，而把“心肾不交”阐述为心阴和‘肾阴的关系。如果不搞清楚“心肾不交”的发病机制就无法决定“交通心肾”的具体治法。对其理论、临床证候及其治则方剂进行梳理及探讨，认为心肾不交之证，首先当识别心肾水火之盛衰，如肾水不足，不能上济于心，火火亢盛者，黄连阿胶汤证主之；而心火独亢，不能下交于肾，肾乏心火之助，真阳亏损者，交泰丸主之。以此规范教材，更好为临床教学服务。
There are some problems in the definitions of ＇ interaction between the heart and the kidney＇ and ＇ non-interaction between the heart and the kidney＇ made in the teaching material of tradi- tional Chinese medicine used by western medicine institutes, colleges and universities. In the teaching material, it explains ＇ interaction between the heart and the kidney＇ as the relation between heart fire and kidney water, and ＇ non-interaction between the heart and the kidney＇ as the relation between heart-yin and kidney-yin. If we cannot correctly understand the pathogenesis of ＇ non-interaction be- tween the heart and the kidney＇ , we will fail to determine the concrete treatment method for ＇ coordina- ting the heart and the kidney＇. Through the analysis and discussion on the theory, clinical syndrome, therapeutic principles and prescriptions for the syndrome of disharmony between the heart and the kid- ney, the authors draw the conclusion that the therapy for this disease should be determined according to the excess and deficiency of the heat fire and kidney water. For instance, if the deficient kidney water cant ascend to coordinate with the heart and results in exuberance of heart fire, Huanglian Ejiao decoc- tion should be used; in the other situation, if the exuberant heart-fire can＇t descend to coordinate with the kidney and results in deficiency of kidney yang, Jiaotai Pill should be used. The theoretical results could standardize textbook and give better service to the clinical education.
出处
《中华医学教育探索杂志》
2012年第9期963-966,共4页
Chinese Journal of Medical Education Research
基金
北京协和医学院教学改革立项课题（2008）
关键词
心肾相交
心肾不交
交通心肾
Interaction between the heart and the kidney
Non-interaction between the heartand the kidney
Coordinating the heart and the kidney
