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The ingenious relationship between the five zang-organs and six fu-organs in the lecture hall of traditional Chinese medicine
The five internal organs include liver, heart, spleen, lung and kidney, and the six internal organs include gallbladder, stomach, small intestine, large intestine, bladder and triple energizer. What is the relationship between them? Come and see!

1. Heart and lung

The relationship between heart and lung is mainly the relationship between heart governing blood vessels and lung governing qi activity. The lung governs the declaration and descending, "moving in the pulse", which can promote the blood circulation of the heart; The normal circulation of blood and nutrition in the whole body can maintain normal lung breathing function. Because of the physiological function of "Zongqi", it can control breathing through the breath path and promote blood circulation through the heart pulse, so the central connection between heart and lung is mainly "Zongqi".

2. Heart and spleen

The relationship between heart and spleen is mainly manifested in the close relationship between blood production and operation. If the spleen is healthy and full of qi and blood, then the heart has a master. If the spleen is healthy and vigorous, and the blood circulation function of the spleen is normal, the blood will flow in the pulse instead of escaping from the pulse. Pathologically, if the spleen is weak, the transportation is dereliction of duty, the qi and blood are passive, or the spleen does not control the blood, resulting in blood disorder, all of which can cause blood deficiency. Clinical manifestations such as dizziness, palpitation, insomnia, dreaminess, abdominal distension, anorexia, burnout, and dull complexion can be seen.

3. Heart and liver

The relationship between heart and liver is mainly reflected in blood circulation and emotional activities. When the blood function of the heart is normal, the liver is hidden; The liver does not hide blood, and the heart has no owner. Therefore, "deficiency of heart, liver and blood" often occurs at the same time in clinic. Although people's spiritual and emotional activities are dominated by the heart, they are also closely related to the catharsis function of the liver. Because of emotional injury, fire often hurts yin, so clinically, heart-liver yin deficiency and heart-liver fire often affect each other or see at the same time.

4. Heart and kidney

The relationship between heart and kidney is mainly manifested in the interdependence of yin and yang of heart and kidney. The center of the five elements belongs to fire, and the upper part belongs to yang; Kidney belongs to water in the five elements and yin in the lower position. Heart fire will descend on kidney, and kidney water will benefit the heart, so that the physiological functions between heart and kidney can be coordinated, which is called "intersection of heart and kidney" and "fire and water ji ji". On the other hand, if heart fire fails to reach the kidney, kidney water cannot be concentrated in the heart, the relationship between heart and kidney is unbalanced, and a series of pathological manifestations such as insomnia, palpitation, upset, soreness of waist and knees, or seeing wet dream, men and women sleeping, are called "disharmony between heart and kidney", also known as "disharmony between fire and water".

5. Lung and spleen

The relationship between lung and spleen is mainly manifested in the generation of qi and the metabolism of body fluid. The generation of ancestral qi mainly depends on the clear qi inhaled by the respiratory function of the lung and the Shui Gu essence produced by the transport and transformation function of the spleen. The transport and metabolism of body fluid are mainly related to the function of lung, regulating water channels and spleen, and transporting body fluid. Deficiency of spleen qi often leads to deficiency of lung qi; The spleen loses health, the metabolism of body fluid is disordered, and the body fluid stops gathering, which leads to phlegm becoming drink, which affects the declaration and descending of the lungs and leads to asthma, cough and excessive phlegm. Therefore, "the spleen is the source of phlegm and the lung is the storage of phlegm".

6. Lung and liver

The relationship between lung and liver is mainly manifested in the regulation of qi movement. The lung governs the descending and the liver governs the ascending, which is an important link for the smooth regulation of the whole body qi. If the liver rises too much, or the lung does not fall, it will lead to the upwelling of qi and fire, cough and even hemoptysis, which is called "liver fire invading the lung" On the other hand, lung dryness and heat will also affect the liver, which is not conducive to liver drainage. At the same time of coughing, chest pain, fullness, dizziness, headache, red face, red eyes and other symptoms appear.

7. lungs and kidneys

The relationship between lung and kidney is mainly manifested in two aspects: water-liquid metabolism and respiratory movement. The kidney is the dirty of the main water, and the lung is the "source of water". The declaration of the lungs and the dredging of waterways depend on the transpiration and gasification of the kidneys; The water control function of kidney also depends on the declaration of lung and the regulation of water channel. Therefore, lung failure, waterway dereliction of duty, involving the kidney, resulting in less urine, and even edema; There is something wrong with the qi of the kidney. If the door is not closed properly, the water will swell, and even there will be asthma and cough, so you can't lie down. Lung governs exhalation and kidney governs inhalation. The kidney is full of qi, and the clear air inhaled by the lungs can be absorbed into the kidney. In addition, the yin fluid between the lung and kidney is also mutually generated, and kidney yin deficiency and lung yin deficiency can also damage each other and coexist at the same time, resulting in symptoms such as cheekbone redness, bone steaming hot flashes, night sweats, dry cough and hoarseness, and soreness of the waist and knees.

8. Liver and spleen

The relationship between liver and spleen is mainly manifested in the influence of liver drainage on the transport and transformation function of spleen and the influence on the production, storage and operation of blood. When the excretion function of the liver is normal, the transportation and transformation function of the spleen is vigorous. If the liver is not well drained, it will affect the transport function of spleen, such as depression, fullness in chest and hypochondrium, abdominal distension and abdominal pain, diarrhea and loose stool. The spleen is healthy and powerful, the blood is active, and the blood does not fall off the pulse, so the liver hides something. Liver blood deficiency can be caused by spleen deficiency, passive qi and blood biochemistry, or spleen failing to control blood and excessive blood loss.

9. Liver and kidney

The relationship between liver and kidney is mainly manifested in the relationship between blood and essence, yin and fluid. There is a saying that liver and kidney are homologous. Liver stores blood and kidney stores essence. Liver blood metaplasia depends on essence in kidney; The filling of essence in the kidney also depends on the nourishment of liver blood. Because the liver and kidney are homologous, the yin and yang of the liver and kidney restrict and balance each other. For example, deficiency of kidney yin can cause deficiency of liver yin, and yin can't control yang, leading to hyperactivity of liver yang, which is called "water does not contain wood"; If the liver yin is insufficient, it can lead to the deficiency of kidney yin, leading to endogenous deficiency in fire. In addition, there is a mutually restrictive and complementary relationship between the liver governing the discharge and the kidney governing the storage, which is mainly manifested in the menstrual cramps of women and the physiological functions of ejaculation of men.

10. Spleen and kidney

The relationship between spleen and kidney is mainly reflected in the mutual promotion of the first and second foundations. Spleen is the foundation of acquired, and kidney is the foundation of congenital. The healthy movement of the spleen, imperceptibly, must rely on the warmth of kidney yang; The essence in the kidney also depends on the cultivation and nourishment of Shui Gu's subtlety, so that it can be continuously filled. Therefore, spleen and kidney support and promote each other physiologically. Deficiency of kidney yang, spleen yang can not be warmed, and symptoms such as abdominal cold pain, diarrhea and edema can be seen. If spleen yang is insufficient for a long time, it can also damage kidney yang, forming spleen and kidney yang deficiency syndrome.

1. Relationship between physiological functions of six fu organs

The six fu-organs are characterized by "transforming medicine", and the relationship between the six fu-organs is mainly reflected in the mutual connection and close cooperation in the process of digestion, absorption and excretion of diet.

Diet enters the stomach, passes through the decomposition and preliminary digestion of the stomach, and then passes down to the small intestine, which is further digested, so that it secretes turbid substances, while the turbid substances are subtle substances, which are transported by the spleen and nourish the whole body; The remaining water is absorbed and infiltrated into the bladder; Turbidity is scum, put it into the large intestine. The liquid seeping into the bladder is excreted in time through gasification; After conduction drying, the dregs entering the large intestine are discharged from the anus. In the process of digestion, absorption and excretion of diet, it is also necessary to rely on bile excretion to help digestion of food; Sanjiao is the way to spread Shui Gu. Because the spread of the six viscera to Shui Gu requires constant absorption, digestion, conduction and excretion, and the deficiency and the excess coexist, so it is better to communicate than to delay. There is a saying that "the six fu-organs should be unblocked for use" and "the diseases of fu-organs should be unblocked for supplement".

2. Interaction of diseases of six fu organs.

The six fu organs can also affect each other pathologically. If there is excess heat in the stomach, the elimination of body fluid will cause poor conduction in the large intestine and constipation; However, dry stool and constipation can not affect the harmony and health of the stomach, so that the stomach gas goes up and nausea and vomiting occur. For another example, excessive gallbladder fire often leads to gastrointestinal discomfort, vomiting, bitter water and other symptoms. Damp-heat of spleen and stomach fumigates the liver and gallbladder, which leads to bile leakage and jaundice syndrome.

(3) the relationship between zang-fu organs and fu-organs

1. the basis of exterior-interior coordination of viscera

Mainly related to meridians, physiological coordination and pathology.

2. Heart and small intestine

The meridian of hand shaoyin belongs to the heart and collaterals the small intestine, and the meridian of hand taiyang belongs to the small intestine and collaterals the heart, which constitutes an exterior-interior relationship. The reduction of heart fire contributes to the secretion of turbidity in the small intestine, and the smooth flow of qi in the small intestine also contributes to the reduction of heart fire. Pathologically, excessive heart fire can transfer heat to the small intestine, causing oliguria, hematuria and dysuria.

3. Lung and large intestine

The decrease of lung qi contributes to the conduction function of large intestine; The conduction function of large intestine is normal, which is helpful to the decline of lung qi. If the large intestine is really hot and the internal organs are blocked, it will affect the health of the lungs, leading to chest fullness, asthma and cough. For example, the lungs are unclear, the body fluid cannot be released, the intestines are dry, and dry stools or constipation can be seen.

4. Spleen and stomach

The stomach governs the decline, the spleen governs the transport and transformation, * * * completes the digestion and absorption of diet and its subtle distribution, thus nourishing the whole body, so the spleen and stomach are called "the foundation of the day after tomorrow". Spleen governs ascending, stomach governs descending, and temper rises, so Shui Gu's subtlety can be passed down; When the stomach qi drops, Shui Gu and its residue will also drop. Therefore, the Clinical Guide to Medical Records says: "Spleen ascending is healthy, while stomach descending is harmonious." Stomach belongs to yang for fu organs, and spleen belongs to yin for viscera. The stomach likes moistening and hates dryness, while the spleen likes dryness and hates dampness. The combination of dryness and dampness of the two viscera, and the combination of yin and Yang Can complete the process of diet transmission.

5. Liver and gallbladder

Bile is attached to the liver, and bile comes from the residual gas of the liver. Therefore, whether bile can be excreted normally and play a role depends on the function of soothing the liver.

6. Kidney and bladder

The relationship between kidney and bladder is mainly reflected in urine excretion.