Epilepsy refers to the chronic brain dysfunction syndrome in which the same patient has at least two or more seizures for a long time without fever or other incentives. Modern medicine believes that seizures are paroxysmal brain dysfunction caused by abnormal discharge of brain neurons. As for the etiology, Western medicine believes that it is related to abnormal brain structure (brain developmental malformation, cerebrovascular disease, intracranial space-occupying lesions, degenerative diseases, brain injury, intracranial infection and intrauterine infection), genetic factors (monogenic inheritance, polygenic inheritance and mitochondrial encephalomyopathy) or inducing factors (hunger, fatigue, sleep, hyperventilation and vaccination).
Traditional Chinese medicine has a long history of understanding epilepsy, and there is a record of "epilepsy in children" in the book Fifty-two Diseases Prescriptions.
Traditional Chinese medicine believes that epilepsy is a recurrent disease, characterized by sudden collapse, unconsciousness, spitting, eyes looking up, limb twitching, abnormal throat sound, waking up in a moment and waking up normally. As for the cause, Su Wen's Theory of Strange Diseases said: "The Emperor said: People are born with diseases, what is the name of the disease? Is it clear? Qi Bo said: The disease is called fetal disease. When it is in the mother's womb, the mother is shocked, unable to breathe, and the essence and qi are born together, so the son is also terminally ill. Cheng Wuji further understood the etiology of epilepsy. In "On the Etiology of Epilepsy, Miscellaneous Diseases in Children and Epilepsy Symptoms", he said: ... All prescriptions say epilepsy, and the syndromes are different. Generally speaking, there are three sources of epilepsy: epilepsy due to wind, epilepsy due to fright and epilepsy due to eating. Later, Wang Kentang put forward the theory that "three convulsions are epilepsy" in the Standard of Syndrome Differentiation and Treatment and Pediatrics.
Jia Lao concluded that febrile convulsions at night and in the morning are epilepsy.
Epilepsy is a paroxysmal disease. As Su Wen's Explanations of Long Words said: The disease started at the beginning and started at one year old, but it didn't last for one month or four or five months, so it was called epilepsy. Therefore, the diagnosis of epilepsy mainly depends on the parents' detailed description of the symptoms during the attack, and the auxiliary means that can be used is mainly EEG examination. But you need to distinguish it from syncope, hysteria attack, breath-holding attack, infant leg rubbing syndrome and so on. The main difference is that epilepsy generally has four characteristics, namely paroxysmal, intermittent, tonic and transient.
Jia Lao said: epilepsy can be divided into two ends, which are more common in clinic. Therefore, Jia Lao generally adopts the methods of nourishing yin and calming the wind, softening the liver and setting epilepsy.
Xx, male, 1 year old, 20 14, first diagnosed on July 7th.
The mother complained that the child has been convulsing 20-30 times a day since he was eight months old, spitting, anorexia and normal defecation. Diagnosed as epilepsy by a foreign hospital. Mother thinks it may be related to lack of oxygen during childbirth. Physical examination: microcephaly with purple fingerprints.
Diagnosis: infantile spasm (brain dysplasia)
Treatment: nourishing yin and calming the wind, softening the liver and calming epilepsy.
Prescription:
Gastrodia elata 6g Uncaria 6g Bombyx Batryticatus 6g? Cicada 3g
Stir-fried radix paeoniae alba 6g? Osteoclast 6g? Stir-fried jujube kernel 6g? Fried atractylodes 6g
Angelica 6g Radix Pseudostellariae 6g? Astragalus 8g? Cornus officinalis 6g
Polygonatum 8g Glycyrrhiza 6g
6 doses, decocted in water.
Second diagnosis: 20 14 July 14
After taking the medicine, the convulsion is reduced from more than 20 times a day to 2-3 times a day, accompanied by frequent fever, anorexia and normal stool.
Prescription: the main prescription is unchanged, and 6g chrysanthemum is added. 6 doses, decocted in water.
Third diagnosis: 201July 2, 41.
I still have convulsions after taking the medicine, 1-2 times a day. Woke up with convulsions, accompanied by crying.
Prescription:
Gastrodia elata 6g Uncaria 6g Bombyx Batryticatus 6g? Cicada 3g
Stir-fried radix paeoniae alba 6g? Osteoclast 6g? Stir-fried jujube kernel 6g? Fried atractylodes 6g
Angelica 6g Radix Pseudostellariae 6g? Astragalus 8g? Cornus officinalis 6g
Polygonatum 8g licorice 6g tortoise shell 4g? Biejia 4g
Raw keel 6g? Schisandra 6g? Rehmannia 6g? Ejiao 6g.
6 doses, decocted in water.
The fourth diagnosis: 2065438+July 28th, 2004.
After taking the medicine, the convulsion is relieved, 65438+ 0-2 times a day, do not cry, eat less.
Prescription: Take more than 6 doses.
Five consultations: 2065438+August 4, 2004
After taking the medicine, I seldom twitch, sometimes I don't twitch for a day, the food is poor and my stool is normal.
Prescription: 6 grams of Radix Rehmanniae Preparata, 6 grams of Colla Corii Asini and 6 grams of Jiao Sanxian. 10 dosage, decoction.
Notes/comments/remarks (by editors or authors)
Neijing says that all kinds of sudden stiffness belong to the liver. Jia Lao believes that epilepsy, regardless of deficiency or excess, is always inseparable from the pathogenesis of liver softening and liver yang hyperactivity.
Jia Lao used Gastrodia elata, Uncaria rhynchophylla, Bombyx Batryticatus and Periostracum Cicadae to clear liver heat, calm liver yang, calm wind and stop spasm. It is mentioned in "Records of Famous Doctors" that "Uncaria is the main cause of cold, fever and epilepsy in children." ? With regard to Gastrodia elata, Herbal Yan Hui commented as follows: "Headache, dizziness, convulsion, limb spasm, language disorder, all strokes and wind phlegm." Gastrodia elata is sweet in taste, flat in nature, warm and moist, and its heat-clearing ability is not as good as that of Uncaria rhynchophylla. However, it can be used to treat liver-wind internal movement, convulsion and epilepsy regardless of cold and heat deficiency. Bombyx batryticatus is the most important drug to treat epilepsy in children. Shennong's Herbal Classic mentioned: Treating children's epilepsy, crying at night, eliminating three insects and eliminating black make people feel good, and men suffer from yin and yang diseases.
So is the experience of famous doctors. Jia Lao is good at treating children's fright and night cry with cicada slough. Coincidentally, there is such a famous doctor who makes good use of cicada slough. He is the teacher of Dr. Zhang Juyuan from Liu Mingsheng, an old Chinese medicine practitioner. He has been practicing medicine for 50 years. No matter what kind of convulsion he encountered in clinic, he added a large dose of Fang Yaozhong cicada slough, and the effect was very good. Zhang Xiao-Liu's method, clinically, all modern medical diseases such as tetanus, Japanese encephalitis, Japanese encephalitis, epilepsy, etc., such as limb twitching, angle arch inversion, mouth opening and mouth closing, etc., are treated with large dose of cicada slough, generally 50-100g, and are often used in combination with Bombyx Batryticatus, Gastrodia elata and Scorpio.
Without Yin, you can't live; without Yang, Yin can't be transformed. The hyperactivity of liver yang is mostly due to the fact that yin is not enough to converge yang, while yang is only flourishing. Therefore, Radix Paeoniae Alba, Semen Ziziphi Spinosae, Radix Angelicae Sinensis, and Fructus Corni are taken to nourish the liver yin, nourish the liver body, soften the liver, and nourish the yin to stop the wind, so as to cure the root cause. Radix Paeoniae Alba and Radix Angelicae Sinensis are the best products for nourishing blood and softening liver. Ziziphus jujuba seed is also an important medicinal material for nourishing heart yin and benefiting liver blood. Zhang Xichun used Cornus officinalis and Radix Rehmanniae Preparata to treat yin deficiency of liver and kidney. As the cloud says, it can dredge nine orifices, promote blood circulation and dredge collaterals, and treat spontaneous sweating due to liver deficiency, hypochondriac pain due to liver deficiency, and wind eruption due to liver deficiency.
Kidney is the home of Yuan Yin and Yuanyang. Liver yin deficiency will damage kidney yin and yang for a long time. Therefore, osteoclasts and Cornus officinalis are used to supplement the essence and blood in the kidney, and the liver and kidney are homologous, and the essence and blood are homologous. These two drugs can help Radix Paeoniae Alba, Radix Angelicae Sinensis and other medicinal materials to strengthen the function of nourishing yin and blood of the five internal organs, which is the embodiment of "treating diseases must be the root cause".
Strange diseases and chronic diseases must be found in the spleen and stomach. Atractylodes macrocephala, Pseudostellaria heterophylla, Polygonatum sibiricum, Glycyrrhiza uralensis Fisch, Astragalus membranaceus, etc. Prescription is also used to supplement acquired foundation, strengthen biochemical qi and blood function, and assist congenital essence and blood.
The third diagnosis of the child crying increased, Jia Lao thought it was yin deficiency and fever. That is, the power of nourishing blood and nourishing yin in front is very light, and the medicine for serious illness is very light and does not cure the disease. Therefore, Radix Rehmanniae Preparata and Colla Corii Asini are used to replenish yin and blood, while Carapax et Plastrum Testudinis, Carapax Trionycis and Os Draconis are used to nourish yin and subdue yang, so the yin and blood are full and the heat is weak, and the pool is deep and thunderous.
The children's convulsions were greatly reduced or even stopped at the fifth diagnosis, but their diet was poor. It shows that liver and kidney yin are full of blood, but liver yang is flat and spleen and stomach function is still not good. Therefore, Ejiao, the rehmannia glutinosa for nourishing yin and blood, has added Jiao Sanxian, which helps digestion, invigorate the spleen and regulate the stomach, to nourish the acquired qi and blood.
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