Epilepsy Flashcards
Etiologies, pathogenesis, S/sx, Patterns, Treatment Points + Supplementary Points
What is epilepsy also called?
Seizures are also called seizures.
The following are main symptoms of _______?
Falling down suddenly, loss of consciousness, foaming at the lips, convulsion, or screaming with eyes turned upward.
Epilepsy
How long can a seizure last?
A seizure can last from a few seconds to more than five minutes.
What does Western medicine say about seizures?
Western medicine states that seizures are symptoms of a brain problem caused by sudden, abnormal electrical activity in the brain.
What are the 2 types of seizures?
Primary (congenital) and Secondary epileptic seizures.
The Seven Emotions are an etiology of Epilespsy. What is the pathogenesis?
Sudden fear, fright, and anger damage the KI + LR which causes hyperactivity of liver-yang and stirring wind —> adverse flow of Qi or wind misting (maybe hidden) phlegm up to the HT/Shen/clear orifices
Overthinking damages the SP + ST producing internal turbid phlegm —> adverse flow of Qi or wind misting Phlegm up to the HT/Shen/clear orifices
What is the pathogenesis of Congenital factors as an etiology of Epilepsy?
Injury of Essence + KI Xu —> abnormal development of fetus
What is the pathogenesis of brain trauma as an etiology of epilepsy?
Brain trauma causes Qi Xu, Blood Stasis or malnourishment of the clear orifices
What can damage the Kidney Essence
Terror attacking fetus cuasing injury to KI Essence
What are the consequences of adverse flow of Qi?
Wind carrying phlegm and mist to the heart-mind.
What can lead to blood stasis and malnutrition of the brain?
Qi deficiency and trauma.
What injury can result from vital essence damage?
Kidney deficiency
What condition is associated with internal turbid-phlegm?
Epilepsy.
What is the location associated with the heart-mind?
Brain or clear orifice; heart-mind-shen
Which organs are related to Epilepsy?
HT, LR, SP + KI
What is the TCM pathogenesis center link for the heart-mind?
Qi disorder and loss of control of heart-mind
What causes the TCM pathogenesis issues related to the heart-mind?
Yin-Yang imbalance resulting from wind, fire, phlegm, and stasis obstructing the brain and meridians.
What are the signs and symptoms of seizures?
The signs and symptoms of seizures vary depending on the type.
What is the most common type of seizure?
The most common type of seizure is convulsive (60%).
The following are symptoms of a ________ seizure?
uncontrolled jerking movement, contraction of the limbs followed by extension, arching of the back for 10–30 seconds, and a cry due to contraction of the chest muscles
Convulsion Seizure
What happens after the shaking in a convulsive seizure?
After the shaking has stopped, it may take 10–30 minutes for the person to return to normal.
What is an absence seizure?
An absence seizure can be as subtle as a momentary loss of awareness.
The following are patterns of _________?
Spirit Disturbance by Phlegm-Fire
Wind-Phlegm
HT + SP Xu
LR + KI Yin Xu
Blood Stasis Blocking Brain Collaterals
Epilepsy
The following S/sx are manifestations of Epilepsy due to __________?
Irritability, anger, difficulty expectorating sputum, restlessness, insomnia, bitter taste in mouth, dry throat, red eyes, seen during remission stage
T: Red w/ yellow-greasy coating
P: Wiry + Slippery
Spirit Disturbance by Phlegm-Fire
The following S/sx are manifestations of Epilepsy due to __________?
Dizziness, oppression in chest, profuse sputum, contraction, arching of the back
T: Red w/ white-greasy coating
P: Forceful, Wiry + Slippery
Wind-Phlegm Blockage
The following S/sx are manifestations of Epilepsy due to __________?
Listlessness, fatigue, pale complexion, thin body, loose stools, anorexia, seen in prolonged course of disease- causing malnutrition to brain
T: Pale w/ white coating
P: Weak + Deep
HT + SP Xu
The following S/sx are manifestations of Epilepsy due to __________?
Lassitude, dim or dark complexion, dizziness, blurred vision, poor memory, insomnia, weakness/soreness in lumbar, seen in prolonged course of disease
T: Red w/ scanty or no coating
P: Rapid + Thready
LR + KI Yin Xu
The following S/sx are manifestations of Epilepsy due to __________?
Followed by injury or wind-stroke history, dark complexion
T: Purple
P: Choppy
Blood Stasis Blocking Brain Collaterals
Main treatment points during an active seizure attack
Do not retain needle-
PC-6: Luo-connecting + Regulates Shen
DU-14: Awakens Shen
DU-20: Awakens Shen
SI-3: Confluent pt of DU + Relaxes DU channel + Relieves back pain
Yao Qi: Opens chest + Empiric pt for Epilepsy
What extraordinary point is also an Empricic point for Epiliepsy?
Yao Qi
2 cun directly above tip of coccyx
Main treatment points during remission or between seizures
Yintang: Restores consciousness
REN-15: Luo-connecting + ‘Sea of Yin’ + Regulates Yin/Yang balance + calms Wind
PC-5: Jing-River + Calm HT + Transforms phlegm in upper jiao/HT
LR-3: Spreads LR Qi + Wind
ST-40: Dissolves phlegm
KI-3: Strengthen lumbar
BL-23: Back-shu of KI
Combo for treating phlegm disorders espeically those that affect the Shen?
ST-40 + PC-5
Main treatment points for Epilepsy due to Phlegm Fire
LI-11: Clears whole body’s heat
HT-7: Yuan + Regulates
+ tonifys HT
ST-44: Clears ST Heat
Main treatment points for Epilepsy due to Wind-Phlegm Blockage
LI-4: Move Qi + Releases Exterior + Expels Wind
SP-9: Resolves dampness
GB-20: Expels Internal or External Wind
Main treatment points for Epilepsy due to HT + SP Xu
BL-15: Back-shu of HT
BL-20: Back-shu of SP
ST-36: Tonifys Qi + Blood
Main treatment points for Epilepsy due to LR + KI Yin Xu
BL-18: Back-shu of LR
BL-23: Back-shu of KI
KI-3: Tonifys Yin + clear deficient heat
SP-6: Harmonizes LR + KI
Main treatment points for Epilepsy due to Blood Stasis
BL-17: Hui-meeting of Blood + Nourishes Blood
PC-6: Luo-connecting + Calms HT + unbinds chest
Supplementary points for Epilepsy
Coma-
DU-26: Emergency point
ShiXuan: Clears excess
KI-1: Anchores Yang + Qi
Night seizures-
KI-6: Yin MV + closes eyes
Day seizures-
BL-62: Yang MV + opens eyes
Severe fatigue after seizure-
REN-6: Boost Qi (Moxa)
Ear points for Epilepsy
ST
Subcortex
ShenMen
HT
Occiput
