Epilepsy- Xian Zheng

Question 0

Mild case epilepsy

Answer 0

-doesn’t fall
-blinks, rolls eyes
-head, arm may jerk
-a few seconds/minutes, person may not know if happened
petit mal seizure

Question 1

Epilepsy: E & P

Answer 1

1. Mental and emotional factors
2. Constitutional and hereditary factors
3. Traumatic injury
4. Improper diet
5. Others

Question 2

severe case epilepsy

Answer 2

• cry out, falls to the ground
• loose consciousness, foam at mouth
• stiff body, twitches or uncontrollable spasmodic jerking of limbs
• incontinence of urine/bowels
• several minutes
• deep sleep, confusion, or fatigue afterwards

Question 3

Mental emotional factors: Epilepsy

Answer 3

• excessive emotions (fear, anxiety, fright or shock) and mental states can disturb normal qi movement, inuring viscera and bowels
• LV and KD injured->generate heat->deplete yin->induce internal wind movemnt
• SP injured->weak function of transforming fluids-> phlegm accumulation->phlegm, heat and wind -> rebellious qi attacking HT Shen, obscure orifices-> seizures

Question 4

Constitutional and hereditary factors- epilepsy

Answer 4

severe fright or shock to mom during pregnancy ->impairs fetus-> epilepsy

Question 5

Traumatic injury- epilepsy

Answer 5

Brain damage at birth, or a severe head injury may cause qi stagnation and blood stasis

Question 6

Improper diet: Epilepsy

Answer 6

aggravates seizure, not clear- wake flare up worse or better
SP and ST impairment->disturbed T & T of nutrients, causing of turbin phlegm that can easily obstruct brain orifices

Question 7

Others: epilepsy

Answer 7

trigger seizure- flashing lights, stroke, brain surgery, infarction, drug or alcohol use, lack of sleep, physical exhaustion, fever

Question 8

Epilepsy-Attacking Phases: Yang Seizures-

Answer 8

Grand Mal: Heat- phlegm accumulation in Int. organ obstructing brain orifices start up internal movm’t of wind
Tx: Open seizures, restore consiousness, clear heat, transform phlegm, and extinguish wind, stop seizures
Fx: DING XIAN WAN (Arrest Seizure Pill)

Question 9

Epilepsy-Remitting Phases: Obstruction by Wind-Phlegm

Answer 9

Tx: Expel phlegm, extinguish wind, open orifices, and stabilize epilepsy
Fx: DING XIAN WAN

Question 10

Epilepsy-Remitting Phases: LV Fire w/ Internal Profusion of Phlegm Fire

Answer 10

Tx: Clear the LV, drain fire, transform phlegm, open orifices
Fx: LONG DAN XIE GAN TANG + DI TAN TANG

Question 11

Epilepsy-Remitting Phases: SP and ST Qi Xu

Answer 11

Tx: Strengthen the SP qi, and transform turbid phlegm
Fx: LIU JUN ZI TANG + Shi Chang Pu, Yuan Zhi, Dan Nan Xing

Question 12

Epilepsy-Remitting Phases: LV and KD Yin Xu

Answer 12

Tx: Nourish and tonify the LV and KD Yin
Fx: DA BU YUAN JIAN (Great Tonify the Primal Decoction) or ZUO GUI WAN

Question 13

Epilepsy-Remitting Phases: Blood Stasis

Answer 13

Tx: XUE FU ZHU YU TANG or TONG QIAO HUO XUE TANG