That is, convulsion-symptom description: There are many reasons for convulsion, and there are many manifestations of convulsion, mainly including fever, constipation, phlegm in the throat, yellow and greasy phlegm, hot and thirsty, constipation, abdominal distension, macula, red tongue, irritability, red eyes, bitter taste, insomnia, blood deficiency, frequent convulsions, frequent convulsions. Convulsion-Category: Tonic convulsion: It is a common voluntary movement, and it is a tonic clonus of whole body or local muscle groups. Systemic, such as grand mal, localized, such as localized epilepsy. Seizures may or may not be accompanied by disturbance of consciousness. Tonic spasm: refers to the tonic contraction of muscles, such as the tonic phase of large-scale attack, the twitching of hand-foot muscle spasm, the clenching of tetanus fist and the varus arch of foot. Myoclonus: refers to a short, rapid and repetitive muscle contraction similar to electric shock, which can affect several groups of muscles or some muscles. Myoclonus may be mild and will not cause movement of a certain part of the body, or it may be severe enough to make the patient fall. Tremor: it is the rhythmic alternating movement of the active muscles and antagonistic muscles of the joints, and the amplitude can be large or small, and the speed can be fast or slow, which varies with different diseases. The common parts of tremor are fingers, chin, lips and head. Dance-like movement: it is a sudden, rapid, amorphous, aimless and bulky muscle group beating, which is most common in the head, especially in the upper limbs of the face. Hand and foot peristalsis: refers to the slow twisting movement of fingers or toes, which is characterized by various strange shapes, and its speed is between dance movement and torsion spasm. Torsional spasm: it is a slow twisting action of the proximal limb and spinal cord muscles, and it is also caused by basal ganglia diseases. Fibrillation of muscle bundle is an extremely rapid and short-term contraction confined to some muscle bundles, and there is no joint activity, which can be induced by stimulating the affected part with hands. Habitual convulsion: It is a quick, short, repeated, purposeful and stiff involuntary action, which is commonly seen as blinking, pouting, frowning and shrugging. Generalized tonic convulsion: muscle rigidity, wave-like convulsion, kyphosis (head backward, whole body backward), eyes upturned or staring, and unconsciousness. Spinal cord muscle twitching: only local muscle twitching, such as only one limb twitching, or facial muscle twitching, or finger and toe twitching, or eye movement, nystagmus, blinking movement, gaze, etc. Most of them are insane. The above convulsions can last for several seconds or minutes, and in severe cases, they can last for several minutes or recur. Those who have convulsions for more than 30 minutes are called convulsions. Febrile convulsion: it is mainly seen in children aged 6 months to 4 years, and convulsions occur when there is high fever. The onset of febrile convulsion is short, and consciousness recovers quickly after convulsion, which mostly occurs in the early stage of fever. In a fever, there is often only one convulsion, which can rule out brain diseases and other serious diseases, and the EEG is normal after a week of fever. Traditional Chinese medicine points out that the main causes of convulsion are exogenous and internal injuries, and its symptoms are mostly liver meridian lesions, which are closely related to disease and brain and spirit. Clinical syndrome differentiation can be divided into deficiency and excess. Exogenous wind, cold and dampness lead to poor qi and blood, and pathogenic factors block meridians; Or the invasion of pathogenic toxin, wind and toxin passing through the collaterals, disturbing the brain and mind, and burning the liver meridian; Or the heat pathogen overflows, burns body fluids, or the wind and yang are disturbed, which causes the wind to move, which is mostly empirical. Yin deficiency and blood deficiency, tendon and vein dystrophy, or viscera deficiency, liver and kidney yin deficiency, leading to deficiency wind moving inside, mostly belong to deficiency syndrome. Tic-diagnosis When the striated muscle contracts involuntarily, the frog can be diagnosed as twitch. But to distinguish which type needs to be judged according to the specific clinical manifestations. The peristalsis and trembling of hands and feet are obvious in limbs, which is different from convulsions. In addition to detailed medical history, symptoms and physical examination, routine examination of blood, urine and stool is mostly necessary. Other laboratory tests, such as cerebrospinal fluid, blood sugar, urea nitrogen and carbon dioxide binding force, as well as X-ray, B-ultrasound, electrocardiogram and CT, are selectively performed according to the condition to help establish the diagnosis. Tic-disease differentiation: rhabdomyosarcoma.

Hysterical spasm

Psychotic tremor

Myopathic muscular atrophy.

Traditional Chinese medicine combined with the diagnosis of concomitant diseases, such as:

Sudden high fever should consider spring temperature [plague], summer temperature [plague] and epidemic dysentery.

Accompanied by headache, vomiting, etc. In addition to diseases such as spring fever, summer fever and dysentery, brain tuberculosis and brain parasitic diseases should also be considered.

Patients with liver fever and liver plague often have deep jaundice, brain symptoms and convulsions, mostly hepatic syncope.

Infantile febrile convulsion is acute convulsion; The child is weak and convulses after a long illness, which is a slow convulsion. Diagnostic thinking combined with medical history, such as:

Patients with chronic or acute kidney disease have convulsions, and renal syncope should be considered.

Diabetic patients have convulsions, so quenching thirst and syncope should be considered.

Patients with wind vertigo have convulsions, so bleeding, stroke, syncope and headache should be considered.

In other words, those who have a similar medical history, are delirious, foaming at the mouth and stopping at once during the attack, mostly epilepsy.

Summer occurs in a high temperature environment, mostly Xia Feng's [spasm].

Caused by emotional stimulation, etc. This is a common syncope.

Tetanus and rabies should be considered for those who have a history of trauma or have been bitten by rabies.

Women and women have convulsions at the end of pregnancy, which is called eclampsia; The new postpartum convulsion is called postpartum spasm. Epileptic wind-a traditional Chinese medicine for treating infantile convulsion: Notopterygium incisum and meridians.

Symptoms: fever, aversion to cold, headache, stiff neck and inability to speak, limb twitching, or tight muscles and bones, chest tightness, thirst, white greasy fur and tight pulse.

Treatment: dispel wind and cold, nourish dryness and dampness.

Main prescription: Notopterygium Shi Sheng decoction.

Usage: Take orally.

Plus or minus: children's dosage is halved. Syndrome of wind-phlegm obstructing spirit

Symptoms: sudden fainting, limb twitching or paralysis, phlegm in the pharynx, foaming at the mouth, white and greasy fur and slippery pulse.

Treatment: searching for wind, resolving phlegm and inducing resuscitation.

Main prescription: Ditan decoction

Usage: Take Suhexiang Pills.

Addition and subtraction: generally, ginseng should be removed; Phlegm with yellow fur is greasy, ginger and jujube are removed, and bamboo juice, scutellaria baicalensis and coptis chinensis are added. Heat stagnation Yangming

Symptoms: excessive heat, chest tightness, slurred speech, stiff neck and back, convulsions of limbs and even inversion of horns and arches, aversion to cold drinks, irritability, dizziness, abdominal distension, constipation, yellow and greasy fur, and rapid pulse.

Treatment: clearing heat and nourishing yin.

Main prescription: Zengye Chengqi decoction

Usage: Take orally.

Addition and subtraction: If excessive heat injures body fluid and there is no excess of viscera, Baihushen decoction can be added to clear away heat and promote fluid production. Thermal active wind certificate

Symptoms: excessive heat, sweating, thirst, restlessness, even dizziness, limb twitching, stiff neck, upturned eyes, red face, red tongue with yellow coating and rapid pulse.

Treatment: clearing away heat and toxic materials, inducing resuscitation and calming wind.

Main prescription: Jiao Ling Uncaria Decoction

Usage: Take Zixuedan.

Addition and subtraction: Earthworms and scorpions are often added; Clearing away heat and quenching thirst, adding gypsum and Rhizoma Anemarrhenae; Constipation and abdominal distension, jaundice aggravation, mirabilite and immature bitter orange; Mylabris, crimson tongue, Cortex Moutan, Radix Arnebiae. Heat-driven nourishing blood

Symptoms: body heat at night, fainting, convulsions in the mouth, stiff neck, upturned horn arch, or macula, red tongue, yellow and dry fur, and thin or thin pulse.

Treatment: calming the liver and calming the wind, clearing away heat and relieving spasm.

Main prescription: antelope Uncaria soup

Usage: Take orally.

Addition and subtraction: For coma patients, Angong Niuhuang Pill can be added. Syndrome of liver yang turning to wind

Symptoms: headache, dizziness, stiff neck, numbness of limbs, tremor or convulsion, impatience, irritability or coma, bitter taste, flushed face and eyes, red tongue with yellow fur and thready pulse.

Treatment: calming liver and suppressing yang, calming wind and relieving spasm.

Main prescription: Zhengan Xifeng decoction

Usage: Take orally.

Addition and subtraction: dysphoria, red eyes and bitter taste, plus Salvia Miltiorrhiza Radix and Cortex Moutan; Constipation, increase yellow, mirabilite and aloe. Therapeutic drug for convulsion: Spatholobus suberectus yin deficiency and wind-moving syndrome

Symptoms: headache, dizziness, backache and tinnitus, vexation and insomnia, numbness of limbs, tremor and even convulsions, short and yellow urine, dry stool, red tongue, little fur and rapid pulse.

Treatment: nourishing yin and calming wind.

Main prescription: Sanjia Fumai Decoction

Usage: Take orally.

Addition and subtraction: for insomnia, Fructus Gardeniae and Polygoni Multiflori Radix are added; Combined with blood deficiency, Radix Polygoni Multiflori and Caulis Spatholobi are added. Syndrome of wind-toxin entering collaterals

Symptoms: limb twitching, clenched teeth, strong tongue, or muscle tremor, or wry smile, or hemiplegia, or mouth and eyes askew, headache, dizziness, red tongue, greasy fur and thready pulse.

Treatment: expelling wind and relieving spasm.

Main party: Yu Zhensan, or Five Tigers Zhuifeng San.

Usage: Take orally.

Addition and subtraction: fever, adding Scutellariae Radix, Coptidis Rhizoma, Flos Lonicerae and Fructus Forsythiae; Frequent convulsions, adding earthworm and red castor root; Syndrome of excessive phlegm and saliva, fire and poison in bamboo juice entering collaterals

Symptoms: weakness of limbs, smooth muscle movement, numbness of limbs, no appetite, abdominal distension and loose stool, listlessness, cold limbs, dizziness, emaciation, sallow complexion, pale tongue, thin and white fur, and slow and weak pulse.

Treatment: Warming yang, benefiting qi and extinguishing wind.

Person in charge: Bao Li Susan.

Usage: Take orally.

Addition and subtraction: anorexia and abdominal distension, plus Amomum villosum, Endothelium Corneum Gigeriae Galli and Pericarpium Citri Tangerinae; Limb cold, loose stool, Ramulus Cinnamomi, Zingiberis Rhizoma, Radix Aconiti Lateralis. TIC- Niuhuang pill, commonly used medicine, absolutely quiet, bed rest, fasting.

Commonly used Chinese patent medicines: Qingkailing injection, Xingnaojing injection, Qingqi Jiedu injection and compound Houttuynia cordata injection. Add 10% glucose injection for intravenous drip. Zixuedan, Niuhuang Liangfeng Tablet [Niuhuang Baolong Pill], Amber Jingfeng Tablet [Amber Baolong Pill], Niuhuang Zhen Jing Pill, Zhijing Powder, Houzao Powder, Guashuangtuire Pill, Annao Pill, etc. It's all oral. Acupuncture therapy:

Body acupuncture therapy: Renzhong, Suzhuan and Baihui points are preferred for purging excess and tonifying deficiency.

Acupoint injection therapy: Lumbricus injection, Dazhui, Hegu and Quchi point injection, each point is 0.5- 1.0ml.

Ear acupuncture therapy: take Shenmen and subcortical, and use strong stimulation.

Immersion lamp therapy: soak the rush in clear oil and light it. Aim the open flame at Tang Yin, Renzhong, Buche, Jiaosun, Shenque and Dazhui. You can hear the sound of "pa" when you touch it, which can quickly stop spasms. Common antispasmodic Chinese medicines: antelope horn (goat horn), scorpion, Uncaria rhynchophylla, earthworm, centipede, Bombyx batryticatus, Zaocys dhumnades, Rhizoma Typhonii, Rhizoma Arisaematis, cicada slough, etc. Basically, it can be selected as syndrome differentiation. Prevention of epilepsy with cod liver oil 1. Actively treat the primary disease and give priority to prevention. For example, patients with epilepsy need to take medicine according to the doctor's advice. If they stop taking drugs suddenly, even if it is 1 ~2 days, it will also lead to seizures. For another example, children with high fever are prone to cramps, and timely fever reduction can prevent cramps; Tetanus can cause cramps, and tetanus vaccine is needed to prevent tetanus; Rabies can cause cramps, so it is very important to prevent being bitten by dogs. If you are bitten by a dog, you should go to the hospital at once. Animals suffering from rabies should be killed immediately; Calcium deficiency can cause cramps, so give your child calcium supplements (eat more calcium-containing foods, calcium gluconate and calcium tablets if necessary), and at the same time, bask in the sun and eat more cod liver oil. 2. In order to prevent gastrocnemius spasm, you should do enough warm-up exercises and warm-up exercises before strenuous exercise or swimming. In order to prevent sleeping cramps at night, don't be too tired during the day and don't let your legs catch cold at night. Convulsion Rescue Convulsion Rescue If you suddenly have a cramp all over your body, you should stop the cramp and call a doctor immediately. Generally speaking, cramps are not immediately life-threatening, so there is no need to be overly alarmed. (a) Emergency measures taken before the doctor arrives:

1. Immediately put the child flat on the bed, with his head leaning to one side, leaning back slightly and his neck slightly raised. Loosen the patient's tie, belt and belt, and be careful not to fall to the ground than the patient.

2. Quickly remove secretions and vomit from the mouth, nose and throat to ensure the smooth respiratory tract and prevent the tongue root from falling backwards. To prevent teeth from biting the tongue, a tongue depressor or chopsticks wrapped in gauze or cloth should be placed between the upper and lower teeth. Pinch the points of Renhe Hegu with your fingers. The above requirements must be completed quickly in a few seconds.

3. Prevent the patient from colliding with the surrounding hard objects during violent collision, but never press the convulsive limbs hard to avoid fracture.

4. Treatment of gastrocnemius spasm:

(1) When the gastrocnemius suddenly feels pain or cramp during strenuous exercise, you should immediately grasp your thumb and slowly straighten your legs, and then massage after the pain disappears.

(2) Handling of cramps during swimming: Finger and palm cramps: Hold your hand into a fist, then open it forcibly, make a fist quickly, and repeat this action, swinging your palm in the direction of the back of your hand. Upper arm cramp: hold your hand in a fist and bend your elbow as much as possible, then straighten it hard, and so on. Leg or toe cramp: Hold the toe of the cramped leg with the hand opposite to the cramped leg, and pull it up hard. At the same time, press the knee of the cramped leg with the palm of the same side to help straighten the calf. Leg cramp: bend the cramped thigh at right angles to the body and bend the knee joint, then hold the calf with both hands, make it stick to the thigh with force, make a vibration action, then straighten forward, and so on.

(3) If gastrocnemius spasm occurs in the middle of the night, you can press your toes with the wall and straighten your legs until the pain and spasm are relieved, and then massage. (2) the doctor's emergency rescue measures:

1. Immediately use any of the following drugs to stop convulsion: intravenous diazepam, or intramuscular injection of phenobarbital sodium, or retention enema with 10% chloral hydrate and normal saline, or intramuscular injection of 5% paraformaldehyde. If the above drugs are ineffective, amitriptyline sodium can be used.

2, must be targeted at the cause of treatment, infectious convulsions should be treated with antibiotics.

3, accompanied by high fever should cooperate with cooling treatment.

4. Oxygen inhalation. Note: Neonatal convulsions should be stopped according to the cause. If it is difficult to find out the cause for a while, we should first inject 20 ~ 30ml of 25% ~ 50% glucose intravenously (because hypoglycemia is common in newborns), and no effect is found within 15 minutes, and then slowly inject 5ml 10% calcium gluconate and 2ml 10% glucose intravenously (because newborns are prone to hypocalcemia). For example,