《周易》既济、未济理论在月经调周法中的运用*

作者：陈 媛1，胡荣魁2

单位：1.南京中医药大学第一临床医学院，江苏 南京 210023； 2.南京中医药大学附属医院，江苏 南京 210029

引用：引用：陈媛，胡荣魁.《周易》既济、未济理论在月经调周法中的运用[J].中医药导报,2025,31(10):230-233.

DOI：10.13862/j.cn43-1446/r.2025.10.043

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摘要：

《周易》既济、未济二卦阴阳转化、终成复始之卦象，与月经周期阴阳消长、重盛转化之特点相呼应，与女性月经周期的节律变化深刻联系。本文通过对心肾坎离既济的生理机制与病理变化分析，认为月经周期的调节以心肾坎离交济为代表，肝脾则发挥重要中介作用，心肾不交，水火失济，肝脾失和，乃月经病病机之要。由此提出经后期、经间期、经前期、行经期4个阶段的调治分别以济坎填离、运化坎离、补坎益离、温坎降离为主要策略。通过燮理阴阳、调和脏腑，确保月经周期调顺，转化如常，“预调阴阳”以达到“调于未病之时，防于未发之际”的未病论治目标，彰显既济、未济理论在妇科调周法中的深远指导价值与实际应用成效。

关键词：《周易》；既济卦；未济卦；调整月经周期节律；预调阴阳

Abstract：

The Jiji (Completion) and Weiji (Incompletion) hexagrams in The Book of Changes feature the images of Yin-Yang transformation and cyclic renewal. These images correspond to the characteristics of Yin-Yang waxing and waning as well as periodic ebb and flow in the menstrual cycle, and are deeply linked to the rhythmic changes of the female menstrual cycle. By analyzing the physiological mechanisms and pathological changes of the harmonious interaction between heart-kidney (Kan-Li), this paper holds that the regulation of the menstrual cycle is represented by the harmonious exchange between the heart and kidney (Kan and Li), and the liver and spleen play important mediating roles. The key pathogenesis of menstrual disorders lies in the disharmony between the heart and kidney , the imbalance of water and fire, and the disharmony between the liver and spleen. Based on this, four treatment strategies corresponding to the four phases of the menstrual cycle are proposed: "Ji Kan Tian Li" (reconciling and supplementing the kidney and heart) for the post-menstrual phase, "Yun Hua Kan Li" (promoting the transformation of water and fire]) for the intermenstrual phase, "Bu Kan Yi Li" (nourishing water and fire) for the premenstrual phase, and "Wen Kan Jiang Li" (warming water and descending excessive fire) during menstruation. Through regulating Yin and Yang and harmonizing the zang-fu organs, the menstrual cycle can be maintained smooth and its transformation normal. This practice of "pre-adjusting Yin and Yang" aims to achieve the goal of preventive treatment of disease, which is to "regulate the body before illness occurs and prevent disease before it manifests". This highlights the profound guiding significance and practical effectiveness of the Jiji (Completion) and Weiji (Incompletion) theories in the gynecological method of menstrual cycle regulation.

Key words：The Book of Changes; Jiji (Completion) hexagram; Weiji (Incompletion) hexagram; regulating menstrual cycle rhythm; pre-regulating Yin-Yang

发布时间：2026-01-08

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