Infantile+Convulsions

A. Epilepsy P 227 Flaws B. Infantile convulsions C. Tourette’s

Convulsions
Loss of consciousness with sudden uncontrolled muscle contractions. In TCM convulsions is broken into two groups Ji Jing Fang (rapid) or Man Jing Fang (slow). We must distinguish between exterior wind or interior wind, superficial heat or internal heat and weather it is phlegm heat, phlegm fire or turbid phlegm. A. Epilepsy will have episodes of sudden collapse, loss of consciousness, eyes staring upward. Tremors and spasms of the four limbs

Fright Epilepsy
Characterized by spasms, tremors, excess timidity, sudden crying, white or red facial coloring. Zhen Jing Wan: Fu Shen, Zhu Sha -Cinnabar, Jiang Can -Bombyx, Zhi Ke - Aurantium, Quan Xie - Scorpio GB Xu (timid and insomnia) Wen Dong Tang Heart blood Xu (chronic, with insomnia, palpitations, and weak pulse): Huang qi, Dang Gui -Angelica, Fu Ling, Chuan Xiong, Ban Xia - Pinellia, Bai Zi Ren –Platycladi seed, Suan Zao Ren, Yuan Zhi – Polygala, Wu Wei Zi, Ren Shen, Rou Gui, Zhi Gan Cao, Fu Shen

Convulsion Due To Shock - Hu Po, Bao Long GV26, Li4, PC6, or PC7 Shi Xuan, KD1 and PC9 GV14, H7, Bl15, GV20 –moxa, St36

Wind Epilepsy
Sudden episodes of spirit-will clouding, clenched teeth, eyes staring upward, spasms and contractions of the hands and feet that are particularly severe, arched back rigidity and crying and shouting. Ding Xian Wan: Tian Ma, Shi Chang Pu, Quan Xie, Jiang Can, Hu Po, Zhu Sha, Fu Shen, Yuan Zhi, Chuan Bei Mu – Fritilaria, Dan Nan Xing – Bile processed Arisametis, Ban Xia - pinellia, Zhu Li – Bamboo succus
 * Tongue:** white and greasy coat
 * Pulse:** wiry and slippery

Phlegm Epilepsy:
During seizures there is crying and shouting, clouding and loss of consciousness, Frothy saliva, or vomiting phlegm fluids, and the sound of phlegm in the throat. Spasm and contractions are not marked, The facial color is yellow and lusterless Phlegm fire, constipation: Zhu Li Da Tan Wan [Da Huang, Huang Qi, Ban Xia, Mai Men Dong, Ren Shen, Gan Cao] Spleen Xu: Liu Jin Zi Tang + Tian Ma and Gou Teng
 * Tongue:** white and greasy coat
 * Pulse:** wiry and slippery
 * Herbal Treatment:** Di Tan Tang: [Ju Hong, Ban Xia, Dan Nan Xing, Shi Chang Pu, Zhi Shi, Zhu Ru]

B. Infantile Convulsions – Xiao Er Jing Feng
Infantile convulsions occur primarily in children under five years old. Acute convulsions are characterized by high fever, profuse phlegm, opisthotonus, convulsions of limb, eyes staring upward, clenched jaws.. Involving primarily liver and heart, Treatment principles are to: clear heat, resolve phlegm, calm shen, eliminate wind,

Wind Cold Attacking
Sudden onset fever, headache, cough, running nose, red throat, restless, convulsions, Wind Invasion - catch a cold with superficial wind heat syndrome and irritability Or Ge Gen Tang [Ge Gen, Ma Huang, Bai Shao, Gan Cao, Fang Feng, Gou Teng, Tian Ma, Jiang Can, Shi Chang Pu]
 * Tongue:** thin yellow coat
 * Pulse:** floating and rapid
 * Herbal Treatment:** Yin Qiao San –Flaws uses for Wind Heat + Shi Jue Ming, Gou Teng, Jiang Can

Or Gua Lou Gui Zhi Tang – Cinnamon Twig Decoction: Bai Shao, Gan Cao, Jiang Can, Gou Teng, Tian Ma Rapid Convulsion - Ji Jing Fang

Summer Heat Attacking
High fever profuse sweating, headache, arched neck, nausea, restlessness, convulsion Severe Convulsions – Ling Yang jiao – antelope horn, Gou Teng, Jiang Can + Zi Xue Dan An Gong Jiu Huang Wan - injected
 * Tongue:** Yellow greasy coat
 * Pulse:** Flooding and rapid
 * Herbal Treatment:** Qing Wen Bai Du Yin : Huang Lian, Shan Zhi Zi, Shi Gao, Zhi Mu - anemarrhena, Sheng Di, Lian Qiao, Xi jiao –Rhino horn (use Shui Niu Jiao!), Huang Qin, Chi Shao Yao, Xuan Shen, Mu Dan Pi, Zhu Ye,

Epidemic Pestilence
Aversion to high fever, thirst, sweating, severe headache, agitation, stirring and restlessness, secondary nausea and vomiting, heart vexation. Restlessness, arched neck, fright inversion, spirit cloudy, confusion, staring, spasms and tremors, Finger vein blue green and purple to the qi level or above [Shi Gao, Zhi Mu, Zhi Zi, Huang Lian, Jin Yin Hua, Lian Qiao, Shui Niu Jiao, Sheng Di, Mu Dan Pi, Gou Teng]
 * Tongue:** dry and scarlet with yellow coarse fur
 * Pulse:** Wiry and rapid
 * Herbal Treatment:** Qing Wen Bai Du Yin Jia Jian

Phlegm Food Combination
No appetite, vomiting, abdominal pain, constipation, then fever, and spirit affect torpor,  spasms tremors, spirit clouding, dyspnea, phlegm in throat sounds Or Xiao Er Hui Chan Dan
 * Tongue:** Greasy yellow coat,
 * Pulse:** Wiry and slippery
 * Herbal Treatment:** Yu Shu Dan (Patent - Jade Axis Elixir)+ Bao He Wan – Shen Qu - Massa, Shan Zha –cratagus, Zhi Shi – Aurantium, Da Huang, Chen Pi, Ban Xia –Pinellia, Lian Qiao, Gou Teng, Lai Fu Zi

Acupuncture Points for Seizure GV26, Li4, PC6, Liver 3, K1, GV20, Yin Tang

Chronic Convulsion
Slow onset, head shaking and facial spasms, or convulsions of limbs. Lusterless complexion, listlessness, cold limbs,… Sp. Liv, K

Spleen Xu and Liver excess
Indistinct spasms and tremors, listlessness, lusterless complexion, whites of eyes show during sleep, loose stool, lack of warmth in limbs [Dang Shen, Bai Zhu-Atractylodes, Zhi Gan Cao, Bai Shao Yao, Gou Teng] Cold and Xu: Fu Zi Li Zhong Tang
 * Tongue:** Pale w/ white coat
 * Pulse:** deep and weak
 * Herbal Treatment:** Huan Gan Li Pi Tang

Spleen and Kidney Xu
Extreme listlessness squirming movements of the hands and feet, deep sleep, ice chill of four limbs, sweating from forehead, watery stools [Ren Shen, Bai Zhu, Fu Ling, Zhi Gan Cao, Huang Qi, Zhi Fu Zi, Rou Gui, Shan Yao]
 * Tongue:** pale whit coat
 * Pulse:** deep faint pulse
 * Herbal Treatment:** Gu Zhen Tang

Liver- Kidney Yin Vacuity
Spasms and tremors occasionally acute and occasionally relaxed. Emaciation, listlessness, restlessness, low-grade fever, five heat sensation, dry stools [Bai Shao Yao, Er Jiao, Gui Ban, Huo Ma Ren, Sheng Di Huang, Wu Wei Zi, Mu Li, Mai Men Dong, Zhi Gan Cao, Bai Shao Yao, Ji Zi Huang (egg yolk)] Huang Lian Er Jiao Tang [Huang Lian, Huang Qin, Bai Shao Yao, Er Jiao, Ji Zi Huang]
 * Tongue:** red without coat
 * Pulse:** rapid and thread
 * Herbal Treatment:** Du Ding Feng Zhu

Acupuncture for chronic convulsions
PC6, Li11, Li4, Bl57, Liv3. Moxa: GV14, Bl20, GV4, CV6, CV4, St36, GV20 External Application: Fresh Di Long mixed with Feng Mi – Honey, applied to Du20

Wind Phlegm Evil lingering in lungs
squeezing eyes, stuffy nose, shrugging shoulders, blinking eyebrow, itchy throat, strange noises, can have cursing, twitching of body
 * Herbal Treatment:** [Xin Yi, Cang Er Zi, Xanthium, Xuan Shen, Ban Lan Gen, Shan Dou Gen, Ban Xia, Gou Teng]
 * Modifications:** Twitching, can add Quan Xie, & Wu Gong

Phlegm Heat internally harassing, liver wind internally stirring
Twitching, blinking shrugging, drooling, irritable, easy fright and jumpy, strange throat noises And other liver and wind formulas More phlegm – add Chen Pi, and Fu Ling with added Ban Xia - This responds well to acupuncture
 * Herbal Treatment:** [Shi Chang Pu, Yu Jin, Dan Shen, Meng Shi, Huang Qin, Ban Xia, Da Huang, Shi Hu, Gou Teng, Quan Xie, Shan Zha, Shen Qu, Mai Ye]i
 * Modifications:**

Spleen Xu, Liver hyperactivity, Vacuity Wind stirring internally
twitching, cursing, blinking of eyes, sometime mild. Sometimes severe spasms, tremors of the limbs, deviated mouth, weak feeble voice, yellowish hew. Appetite decreased or increased
 * Herbal Treatment:** Ba Zhen Wan plus, Fu Ling, Shan Zha, Shen qu, herbs for liver wind, - Gou Teng, Quan Xie ….

Yin vacuity
Twitching and cursing, strange noises, blinking, muscle twitches and jumping, tension, agitation, night sweating, 5 hearts hot
 * Herbal Treatment:** Mai Men Dong, Bai Shao, Sheng Di, E Jiao, Mu Li, Bie Jia, Gui Ban

Points: GV20, GB20, PC6 or PC7, St40, Liver3, H7 or H3/ PC3, St36, Bl20, St44, St21, Sp6, Li4, Lu7