How does TCM explain the relationship between heart and lung?

Zheng Yang and Linlin discussed the related theories of heart and lung from the following aspects: heart and lung, one is the monarch and the other is the phase, each of which is mainly qi and blood, and the two are closely related. And from the heart and lung position, meridians, yin and yang, physiological and pathological functions, five elements and so on. Modern research has found that the whole blood viscosity (high shear and low shear), plasma viscosity, hematocrit, erythrocyte aggregation index and fibrinogen of rats with lung-qi deficiency syndrome are all increased, suggesting that there are "blood stasis" phenomena such as concentration, viscosity, aggregation and coagulation in lung-qi deficiency syndrome. Zhang Li and other studies show that the left heart (contraction, relaxation and blood pumping) function of patients with heart-qi deficiency syndrome is abnormal. Pulmonary ventilation function, vital capacity, 65438 0 s vital capacity and maximum expiratory flow rate all decreased, which was significantly different from that of healthy control group. The relationship between heart and lung is as follows.

(1) are adjacent, the meridians are connected, and Yin and Yang correspond.

Heart and lung live together in the chest, located in the upper jiao. The heart is the head of the five internal organs, closest to the lungs. The heart meridian and lung meridian are partially distributed in the chest and the inner side of the upper arm. Heart meridian starts from the heart and belongs to the heart system. Straight people go back up from the heart system and bypass the lungs. Heart and lung belong to yang, and yin and yang correspond. Jin Kuiyun: "The back is yang, the yang in the yang, the heart is also yang, and the yin in the yang is also lung. It is also said in the analogy classics that "the heart and lungs live on the diaphragm, and the two yang also participate. The heart is the yang in the yang, and the lung is the yin in the yang". Heart yin and lung yang are interrelated. Heart yin leads to lung yang and blood, and qi is beneficial. Lung yang is used by heart yin, which leads to heart yin and calms the lung.

(2) Functional relevance

All blood belongs to the heart, and all qi belongs to the lungs. The physiological and pathological relationship between heart and lung is mainly embodied in that the heart governs blood and the lung governs qi. Relationship between heart governing blood vessels and lung governing breathing. Heart and lung are closely related to blood, qi, breathing and the mutual nourishment of yin and yang of heart and lung.

In the operation of hematopoiesis, hematopoiesis is mainly composed of invigorating qi and body fluid, and the transport function of spleen and stomach plays an important role in blood metaplasia, but hematopoiesis can only be transformed into blood through the functions of dispersing lung and pulse-cutting. Blood transport: Qi is the handsome of blood, and blood is the mother of Qi. Heart governs blood vessels, and blood circulation must rely on the promotion of heart qi. However, the lung dominates the hair and the lung faces the pulse. Only when lung qi is declared normal and healthy can it help the heart promote blood circulation. Qi can produce blood, can do blood and suck blood. Qi can produce blood: the spleen and stomach are full of qi and have strong hematopoietic capacity, so qi and blood are sufficient. Qi can promote blood circulation: the movement of blood depends on the promotion of qi. Qi can suck blood: the control of spleen-qi on blood makes it run normally in the pulse, rather than bleeding due to overflowing pulse. Blood is the carrier of qi, and qi exists in blood, so it will not disperse when attached to blood, and will be brought to the whole body with blood. Blood can also continuously provide nutrition for the operation of qi and achieve the function of nourishing qi.

Breathe "difficult?" "Four Difficulties" clearly stated: "Breathe your heart and lungs".

It shows that normal respiratory function is closely related to the function of lung governing qi and heart governing blood, which is the embodiment of the common function of heart and lung. Normal cardiopulmonary function is the fundamental guarantee to maintain the operation of human blood.

In terms of ethnic gas, ethnic gas is also called ethos, which refers to the gas accumulated in the chest. The ancestral qi consists of the clear qi inhaled by the lungs from nature and the essence of Shui Gu transported by the spleen and stomach. Because the heart and lung function is normal, Zongqi has the function of activating qi and blood through the heart pulse to achieve the purpose of breathing, so that blood circulation and respiratory movement are coordinated and balanced.

Heart, lung and yin and yang nourish each other, and heart yin relies on the nourishment of lung yin to prevent excessive heart fire. Deficiency of heart yang, loss of lung gold and lung qi can lead to diseases such as wheezing and expectoration, such as yang deficiency and lung flaccidity.

(3) Five elements correlation

Heart belongs to fire, ambition belongs to happiness, lung belongs to gold, ambition belongs to sadness. Because fire can win gold, joy can win sorrow, so the heart and lungs are each other's dirty parts, that is, fire can win gold. Under normal circumstances, lung gold is restricted by heart fire to maintain the physiological balance between the two viscera, but if this balance is destroyed, the qi of the two viscera will be biased, which often shows the following symptoms: excessive fire will hurt gold, dry gold will insult fire, and weak fire will be weak.

When the heart fire overflows for various reasons, and the fire burns lung gold, symptoms such as palpitation, upset, dry throat, insomnia and dreaminess may appear, or symptoms such as epistaxis, cough, hemoptysis and constipation may appear. Clinical treatment is mainly to purge the heart fire, and when the heart fire is extinguished, the lung heat will disappear by itself. Qing? Feng "Feng Secret"? Volume 9 says: "If the heart is too strong, it will kill the lungs."

Dry body fluid and dryness against fire refer to excessive lung qi, which is not restricted by heart fire, but by sad fire. Heart belongs to fire, heart disease is easy to produce fiery heat, and excessive lung qi leads to fire. The heart is also burning for it. Clinically, there are symptoms of lung heat, such as cough, expectoration with yellow phlegm, shortness of breath, dry stool and so on. At the same time, there are symptoms of heart meridian fever, such as irritability, blushing or aphtha.

Weakness of golden fire and exuberance of golden fire refer to weakness of lung, gold and viscera, which is manifested as pathological changes of relative excess of heart-qi or heart-evil. Such as lung yin deficiency syndrome, cough and asthma with little or no phlegm, dry skin of mouth and nose, fever of five senses, night sweats and other symptoms. Visible in the consumption and injury of lung yin fluid. At the same time, internal heat due to yin deficiency, heat polarized fire and deficiency fire disturb the mind and make it uneasy, and there are also symptoms such as palpitation, dizziness, upset, insomnia, red tongue, lack of body fluid and rapid pulse.

There are also cardiopulmonary interactions in other aspects, such as Ming? Zhang Jingyue's The Complete Book of the Pure Moon? Miscellaneous evidence of the desert "Yue" husband, the god of the five internal organs, are all in the heart. Therefore, I am worried that my heart and my lungs will react. ""Qing? Fei Xiongbo said in "Medical Wine Remains Righteousness" that "the lungs are sad, and the lungs do not know the initial worries. I know I can worry, but I worry too much. My lungs are sad and hurt. "Our common clinical lung infection in patients with heart failure is that the heart hurts the lungs; Heart failure caused by lung infection aggravates heart load is the damage of lung to heart.

(4) The ancient official culture in China is related to the heart and lung of traditional Chinese medicine.

According to Neijing, the theory of zang-fu organs is based on the combination of monarch and minister, that is, the social relationship model is used to explain the physiological functions of zang-fu organs and their mutual relations. The relationship between heart and lung is defined as: the heart is the official of monarch, the lung is the official of mutual assistance, the heart is the king of pictures, the Lord is God, the Lord is the five zang-fu organs, and the lung is the auxiliary of the heart, which is closely related to the regulation of yin and yang in the whole body. The official of the monarch means that the heart governs the zang-fu organs and is the master of the twelve officials. Just like the king of a country, he plays a command and coordination role in all the functional activities of viscera, thus maintaining the normal physiological state of the human body. The relationship between heart and lung is monarch and minister, and their functions are closely related. Volume 18: "Qi is the master of the viscera, so all the five zang-organs enter the heart, and the heart returns to the lungs and throat, from which qi comes out"; The lung is the official of the prime minister. Professor Qu Limin of Beijing University of Chinese Medicine believes that Xiang is the prime minister and Fu is the master. Although the heart is the tallest in the human body and in the south, from the perspective of human anatomy, the lung is higher than the heart, so the lung can be the king. The treatment of lung means the management and regulation of lung. If the lungs function well, normal qi can be displayed. The lung not only regulates normal qi, but also regulates the distribution of qi and blood in the whole body.

Chinese medicine believes that qi is the most basic and subtle substance to maintain human life activities. Qi of human body is a subtle substance, which has strong vitality and is constantly moving. It is popular in all organs of the whole body, meridians and other tissues and organs, and it is everywhere, promoting and stimulating various physiological functions of the human body at all times.

The movement of qi is called the movement of qi. Although there are various forms of qi movement, it can be theoretically summarized into four basic forms: ascending, descending, exiting and entering. The rise and fall of Qi is a contradictory movement of unity of opposites. From a local point of view, not every physiological activity necessarily has ascending and descending pathways, but each has its own emphasis, such as liver and spleen governing ascending, lung and stomach governing descending and so on. Judging from the physiological activities of the whole body, to maintain normal physiological activities, it is necessary to coordinate and balance between ascending and descending, going out and entering. Therefore, the ascending and descending movement of qi is an important link to coordinate and balance various physiological functions. Both the heart and lung are places where qi moves up and down, which is the basis of human life activities. The coordination and balance between the movements of qi is called "promoting qi", and if the balance of qi is out of balance, it is the pathological state of "promoting qi disorder".

There are many forms of qi disorder. For example, qi stagnation in coronary heart disease and excessive or premature decline in asthma are called qi inversion; Patients with heart failure do not rise or fall too much, which is called air trap; When a person dies, the qi can't be hidden inside and escapes outside. This is called qi detachment. The pathological state of these qi will cause certain reactions in the human body, leading to disorder and loss of corresponding balance in the body. Therefore, Qigong, Baduanjin and Tai Ji Chuan are all very good exercise methods to improve cardiopulmonary function.