CAJ | 학술논문

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.
재서의고등원교《중의학》적교재중,“심신상교”화“심신불교”적해석존재모순,파“심신상교”해석위심화화신수적관계,이파“심신불교”천술위심음화신음적관계.여과불고청초“심신불교”적발병궤제취무법결정“교통심신”적구체치법.대기이론、림상증후급기치칙방제진행소리급탐토,인위심신불교지증,수선당식별심신수화지성쇠,여신수불족,불능상제우심,화화항성자,황련아효탕증주지；이심화독항,불능하교우신,신핍심화지조,진양우손자,교태환주지.이차규범교재,경호위림상교학복무.
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 traditional 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 beart and the kidney' as the relation between heart-yin and kidney-yin.If we cannot correctly understand the pathogenesis of 'non-interaction between the heart and the kidney',we will fail to determine the concrete treatment method for ' coordinating 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 kidney,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 decoction 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.