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c) Classic Chinese herbal formula for seizures:
· Di Tan Tang (aka herbal ‘Phenobarbital’) from Ji Sheng Fang by Yan Yong-He, 1253
· It is functioning to transform phlegm, clear Internal Wind and stop seizure
· I usually always start with this formula and then add others if needed. Give 0.5 gram every 10 pounds of body weight, two to three times a day
III. Pattern Differentiation & Treatment
1) Obstruction by WindPhlegm
a) Signs: Sudden onset of seizures, loss of conscious, foaming at the mouth, possible U/D incontinence, depression or change of behavior right before seizures, often due to vascular event. Tongue is pale or purple with a white greasy. Pulses are wiry and slippery
b) Treatment principles: Expel Phlegm, extinguish Wind, open the orifices, calm the Shen
c) Acupoints: General acupoint above; add ST40, BL12, ST6 to clear Phlegm and Wind
d) Herbal formula: Ding Xian Wan, 0.5 g per 1020 lb body weight BID-TID
2) Internal Profusion of PhlegmFire
a) Signs: Sudden onset of seizure without warning, Wood personalities prone, sudden loss of conscious, foaming at the mouth and sometimes screaming, easily agitated and irritability, constipation, coughing, insomnia/barking or other abnormal behavior, clinical signs worse at night, increased panting, coolseeking. Tongue is red or purple, with a yellow greasy coating. Pulses are rapid, wiry and slippery
b) Treatment principles: Clear the Liver, drain fire, transform phlegm, open the orifices
c) Acupoints: General acupoint above; ST44, LI-4, LI-11, GV-14, Er-jian, Wei-jian to clear Heat/Fire
d) Herbal formula: Long Dan Xie Gan Tang + Di Tan Tang, 0.5 g per 1020 lb body weight of each BID-TID
3) Blood Stagnation
a) Signs: Usually trauma associated (i.e. history of injuries to the head), sudden onset of seizure without warning, loss of consciousness, foaming at the mouth and screaming, loss of continence of bowels and/or urine, temporary disorder of consciousness with or without seizure. Tongue is pale or purple, often with a white greasy coating. Pulses are wiry and slippery
b) Treatment principles: Expel Phlegm, extinguish Wind, and invigorate Blood
c) Acupoints: General acupoints above; add LI-4, ST-
30/36, BL-21 to clear stagnation
d) Herbal formula: Ding Xian Wan + Tao Hong Si Wu San, 0.5 g per 1020 lb body weight of each BID-TID
4) Liver Blood Deficiency:
a) Signs: Chronic seizures (epileptics), anemia, weight loss, dry or brittle hair, cracked nails, muscle rigidity, especially of the neck and jaw, generalized weakness, cool ears and nose, warm seeking. Tongue is pale and dry. Pulses are weak, deep and thready
b) Treatment principles: Nourish Blood, expel Wind and Phlegm
c) Acupoints: General acupoints above; add: LIV-8, ST- 36, SP-6, CV-12, BL-20, ST44 to support Qi and Blood
d) Herbal formula: Bu Xue Xi Feng San or Tian Ma Gou Teng Yin, 0.5 g per 1020 lb body weight BID-TID. Add
Di Tan Tang if there is also Phlegm pattern
5) Liver/Kidney Yin Deficiency
a) Signs: Chronic seizures (epileptics), dry nose and mouth, seizure occurred at late afternoon or night, increased panting, coolseeking, nose and body feel warm to the touch. Tongue is red and dry with thin or no coating. Pulses are deep, fast and thready
b) Treatment principles: Nourish Yin, extinguish Wind, harmonize KID and LIV=
c) Acupoints: General acupoints above; add BL23, KID3/7, SP6/9, LI11, Er-jian to nourish Yin and clear Heat
d) Herbal formula: Yang Yin Xi Feng San or Tian Ma Gou Teng Yin, 0.5 g per 1020 lb body weight BID-TID. Add
Di Tan Tang if there is also Phlegm pattern
6) Kidney Jing Deficiency
a) Signs: Multiple seizures at a very young age (1 year old or younger), often in combination with other congenital problems, inactive, dry nose and mouth. Tongue is pale or red but can be normal. Pulses are weak and thready but can be normal.
b) Treatment principles: Nourish Kidney Jing, expel Wind, strengthen Spleen
c) Acupoints: General acupoints above; add KID3/7, BL20/23, ST36, SP6, Bai-hui, GV-4 to support Qi, Yin and Yang
d) Herbal formula: Epimedium Powder + Di Tan Tang, 0.5 g per 1020 lb body weight of each BID-TID
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