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Epilepsy
is defined as paroxysmal and temporary disturbance of brain characterized by
loss of consciousness and muscle tic or abnormal sensation, emotion and
behavior. In TCM, this disease is categorized as "xian zheng"
(epilepsy syndrome) and "dian xian" (epilepsy).
Main Points of
Diagnosis
1.
The histories of family, epileptic attack and encephalopathia should be inquired
carefully.
2.
Clinical manifestations of the disease vary greatly. There may be grand mal,
petit mal, rolandic mal and infantile spasms. The grand mal is characterized by
sudden loss of consciousness, general totanic spasm with apnea, cyanosis and
foam in the mouth, which usually last for 1¡ª5 minutes. The patients may then
fall into sleep and become conscious a few hours later. The petit mal is
characterized by sudden, short loss of consciousness without aurae and muscle
tic, accompanied with interruptions of speech and action which usually persist
for 2¡ª10 seconds. The patient usually comes to consciousness rapidly.
3.
Electroencephalogram examination and tomography may be useful for the diagnosis
of epilepsy.
Differentiation and
Treatment of Common Syndromes
1.
Epilepsy Induced by Terror
Main
Symptoms and Signs: Sudden panic resulting in confusion and loss of
self-control, sometimes fright and sometimes alarm and restlessness, crying with
fear during sleep, tendency to remain in the mother's arms, alternative flush
and pallow on the face, red tongue with white fur, taut and rapid or taut and
slippery pulse.
Therapeutic
Principle: Tranquilizing the mind and resolving phlegm to arrest epilepsy.
Recipe:
Modified Polygala Bolus.
polygala
root
codonopsis
root
poria
grassleaved
sweetflag rhizome
dragon's
teeth (To be decocted prior to others)
curcuma
root
arisaema
with pig's bile
wile
jujuba seed
arborvitae
seed
cicada
slough
lucid
asparagus
All
the above herbs are to be decocted in water for oral administration.
2.
Epilepsy due to Accumulation of Phlegm
Main
Symptoms and Signs: Convulsion of extremities during a fit of epilepsy,
unconsciousness or vertigo, headache and abdominal pain, accompanied with
stridor produced by phlegm in the throat, salivation, yellow face, thick fur of
the tongue, and slippery and rapid pulse.
Therapeutic
Principle: Removing phlegm and inducing resuscitation.
Recipe:
Modified Phlegm-Removing Decoction.
pinellia
tuber
tangerine
peel
poria
bamboo
shavings
bitter
orange
gastrodia
tuber
arisaema
with bile
grassleaved
sweetflag rhizome
scorpion
licorice
root
All
the above herbs are to be decocted in water for oral administration.
3.
Epilepsy due to Blood Stasis
Main
Symptoms and Signs: With a history of birth injury or trauma often manifested as
paroxysmal localized headache, occasional vomiting, paroxysmal convulsion of the
whole body or half body or local region upon attack, dark purple tongue with
ecchymoses, thready and unsmooth pulse and dark purple superficial venule of the
index finger.
Therapeutic
Principle: Promoting blood circulation to remove blood stasis, waking up
the patient from unconscious ness and arresting epilepsy.
Recipe:
Modified Decoction for Activating Blood Circulation.
ligusticum
root
red
peony root
peach
kernel
safflower
bulb
and root of Chinese green onion
fresh
ginger
Chinese
date
red
sage root
musk
(Ground into powder to be taken after being infused in the finished decoction)
All
the above ingredients except musk are to be decocted in water for oral
administration.
In
case of deficiency of qi, add 30 grams of astragalus root and 12 grams of
codonopsis root into the above mentioned recipe.
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