Narcolepsy


 * ~ Details || last edit by [[image:http://www.wikispaces.com/user/pic/1202793136/dwingate23-sm.jpg width="16" height="16" caption="dwingate23" link="http://www.wikispaces.com/user/view/dwingate23"]] [|dwingate23] just now - 1 revision || [[image:http://www.wikispaces.com/i/w/W_close.gif caption="hide details" link="Motion Sickness#"]] ||
 * ~ Tags || edit

SaveCancel ||
 * IBIS:**

Definition:
a rare syndrome of recurrent attacks of sleep, sudden loss of muscle tone (catalepsy) sleep paralysis, and hypnagogic phenomena, with a characteristic initial REM sleep pattern. Idiopathic, and four times more common in men than in women.

Nutrition:
therapeutic foods: • foods rich in Vitamin B-complex

Chinese Formulae
• Tai Wu Sheng Zhu San: Spleen Damp: patient feel foggy, wants to sleep, feels whole body heavy, edema in feet (Dr. Lihua Wang, Portland, OR; ingredients: red atractylodes (cang zhu), citrus (chen pi), magnolia bark (hou po) fresh ginger (sheng jiang), red jujube (da zao, agastache (huo xiang), acorus (shi chang pu). • Bamboo and Hoelen F. (Wen Dan Tang): Damp Phlegm: always wants to sleep, chest and hypochondriac bloating, excess mucus or saliva, obesity (Bensky and Barolet, p. 435; Yeung, p. 241; Hsu, p. 114). • Six Major Herbs C. (Liu Jun Zi Tang): Spleen Qi Xu (Deficiency): fatigue, somnolence, worse after eating, sallow complexion, poor appetite (Bensky and Barolet, p. 138; Yeung, p. 150; Hsu, p. 242). • Rehmannia Eight F. (Shen Qi Wan): Yang Xu (Deficiency): hypersomnia, aversion to cold, lassitude (Bensky and Barolet, p. 275; Yeung, p. 138; Hsu, p. 250).

Acupuncture
after assessing the person and palpating, consider these patterns: Spleen Damp; Damp Phlegm; Spleen Qi Xu (Deficiency); Yang Xu (Deficiency); Xu (Deficiency) of the Yang Qiao Mai (Yang Motility Vessel) and/or Shi (Excess) of the Yin Qiao Mai (Yin Motility Vessel)

» illustrative combinations: • UB-1, Kd-6 and UB-62: regulate wake-sleep cycle (Finkelstein, p. 37) • St-36, Sp-6, UB-62, Kd-6 and GV-20 for narcolepsy due to Spleen Yang Xu (Deficiency), Yang Qiao Mai (Yang Motility Vessel) Qi Xu (Deficiency) and Yin Qiao Mai (Yin Motility Vessel) Qi Shi (Excess) (Jirui and Wang, p. 124) • TW-2, St-36 and Sp-4 for "somnolence" (Ellis, et al, 1988, p. 430) • UB-62 and SI-3: open and regulate the Yang Qiao Mai (Yang Motility Vessel) which controls the opening and closing of the eyes and for which narcolepsy and the inability unable to keep the eyes open are signs of Xu (Deficiency) • Kd-6 and Lu-7: open and regulate the Yin Qiao Mai (Yin Motility Vessel) which controls the opening and closing of the eyes and for which narcolepsy and the inability unable to keep the eyes open are signs of Shi (Excess) • CV-4, CV-12, CV-22 and GV-9 are the Reunion Points of the Yin and Yang which are needled when there is conflict between Yin and Yang, according to Su Wen (Finkelstein, p. 78)

Homeopathy
• Cannabis indica: very sleepy but unable to do so; dreams of dead bodies; prophetic, nightmare; < a.m., coffee, liquor, tobacco, lying on right side; > fresh air, cold water, rest; exhausted after a short walk, disorientated of time and space • Crotalus horridus: yawning, dreams of the dead; starting in sleep, smothering sensation when awaking, < open air, evening and morning, jar, spring, coming of warm weather, yearly, on awaking, damp and wet • Curare: < dampness, cold weather, cold wind • Hydrocyanic acid: yawning with shivering; irresistible drowsiness; vivid, incoherent dreams; sinking sensation at pit of stomach; hysterical; < full moon, suppression, storms • Morphinum: yawning, drowsy, prolonged deep sleep; profound depression; hysterical condition; dream like state; sleepy but cannot sleep • Moschus: < cold, open air feels very, very cold • Opium: heavy stupid sleep, stertorous breathing, great drowsiness

Mind/Body
• Selective IgA deficiency is one endogenous abnormality reported to increase the risk of systemic entry of foreign materials such as food (i.e. milk, gluten) and infectious agents. Patient with selective IgA deficiency with hypersomnia and GI manifestations, was found to respond to comprehensive management of dietary and other environmental exposures. Symptoms yielded to treatment for exposure to common foods, chemicals, and natural inhalants. (Locke, 1983, p. 162) • Can't cope, extreme fear; wanting to get away from it all; don't want to be here. (Hay, 1984, p. 176) • Look at fears about what the day demands - activity and work, responsibility. As going to sleep is a little death, waking up is a little birth. (Dethlefsen, p. 236)

Chinese psychophysiology: • Spleen ~ Pi governs digestion and manifests in the muscle tissues; transforms food into Qi and Xue (Blood); resolves Dampness and Phlegm; governs the Xue (Blood); maintains upbearing; and relates to the ability to assimilate, stabilize, and feel centered and balanced. » Healthy expressions are fairness, openness, deep thinking, and reminiscence. » Spleen Xu (Deficiency) signs include slightness (deficient "form"); abundant elimination; morning fatigue; cold, wet feet (Seem, p. 28); abdomen taut and distended like a drum; craving for sweets; flatulence; nausea; mild edema; memory failure; heavy feeling in legs; pale lips; loose stools; and muscular weakness. Unresolved Spleen Xu (Deficiency) predisposes to Spleen Shi (Excess), particularly accumulation of Dampness and Phlegm, as the Spleen's functioning declines. » The excessive use of the mind in thinking, studying, concentrating, and memorizing over a long period of time tends to weaken the Spleen. This also includes excessive pensiveness and constant brooding. (Maciocia, p. 241) Likewise, inadequate physical exercise and excess consumption of sweet and Cold foods will also deplete the Spleen. Environmentally, the Spleen is highly susceptible to attack from external Dampness and Cold.

• Kidney ~ Shen stores Jing (Essence) and governs birth, growth, reproduction, development, and aging; houses the Zhi (Will); expresses ambition and focus; produces the Marrow which generates the spinal cord and "fills up" the brain; nourishes the brain to sustain concentration, clear thinking, and memory; carries the constitutional endowment from the parents; and displays the effects of sexual dissipation, overwork, chronic debilitation, and extreme stress. » Healthy expressions are gentleness, groundedness, and endurance. » Kidney Xu (Deficiency) signs include indecisiveness; confused speech; dreams of trees submerged under water; cold feet and legs; abundant sweating (Seem, p. 28); fearfulness; apathy; chronic fatigue; discouragement; scatteredness; lack of will; negativity; impatience; difficult inhalation; low sex drive; lumbago; sciatica; and musculoskeletal irritation and inflammation, especially when worse from touch. Depletion of the Kidney Fire makes it difficult to remain awake and active. » Intense or prolonged fear depletes the Kidney. Overwork, parenting, simple aging, and a sedentary or excessively indulgent lifestyle all contribute significantly to Kidney Xu (Deficiency).