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Int.Med-Epilepsy

QuestionAnswer
What are the 5 etiological factors that induce epilepsy? 1. Mental & emotional, 2. Constitutional & hereditary, 3. Traumatic injury, 4. Improper diet, 5.Other
How can fear, anxiety, sudden fright or shock lead to epilepsy? They cause Lv & Kd injury ->heat -> yin def -> internal movement of wind
How can overthinking lead to epilepsy? It injures the Sp -> Sp cannot transform fluids -> phlegm accumulation. Phlegm, heat, wind cause rebellious Qi that attacks the Ht Shen, obscures orifices ->epilepsy.
How can constitutional factors cause epilepsy? 1. family hx, 2. severe fright or shock to mother during pregnanct may affect fetus
How can traumatic injury cause epilepsy? brain damage at birth or severe head injury may cause stagnation of qi & blood
How can improper diet cause epilepsy? Impairment of Sp & St can disturb transportation/transformation of nutrientsm causing accum of turbid phlegm.
What are the "other" factors that may cause epilepsy? stroke, brain infection, brain tumor, brain surgery, infarction, lack of sleep, physical exhaustion, drugs or alcohol, fever, flickering lights
What are the crucial points in making a dx for epilepsy? 1. know hx & manifestations, 2. identify severity, 3. excess vs deficiency, 4. identify type of abnormal qi mechanism (qi stag, qi def)
During periods of freq seizures, whata is the general tx strategy? Tx the manifestation: exple phlegm, extinguish wind, open orifices, regulate qi flow.
During remitting phases of seizures, what is the general tx strategy? Treat the roots: strenthen Sp, transform phlegm, invig blood, tonify Lv & Kd, nourish Ht, calm spirit
When treating the attacking phase of Yang type seizures, what is the tx principle? Open orifices, restore consciousness, clear heat, transform phlegm, extinguish wind
When treating the attacking phase of Yang type seizures, what is the primary formula? Ding Xian wan
When treating the attacking phase of Yin type seizures, what is the tx principle? Open orifices, restore consciousness, warm the yang, transform phlegm
What is the etiology & pathology of the attacking phase of a Yang-type seizure? Excess heat evil qi, heat phlegm obstructing the orifices causing internal wind
What is the etiology & pathology of the attacking phase of a Yin-type seizure? Excess Cold evil qi, cold-phlegm obstructin orifices leading to internal wind
When treating the attacking phase of Yin type seizures, what are the preferred formulas? Wu Sheng Yin PLUS Er Chen Tang
When treating the remitting phase of epilepsy caused by Wind-Phlegm obstruction, what is the treatment principle? expel phlegm, extinguish wind, open orifices, stabilize epilepsy
When treating the remitting phase of epilepsy caused by Wind-Phlegm obstruction, what is the preferred formula? Ding Xian Wan
When treating the remitting phase of epilepsy caused by Lv Fire with Internal profusion of Phlegm-Fire, what is the treatment principle? clear the Lv, drain fire, transform phlegm, open orifices
When treating the remitting phase of epilepsy caused by Lv Fire with Internal profusion of Phlegm-Fire, what are the preferred formulas? Long Dan Xie Gan Tang PLUS Di Tan Tang; OR/// Dang Gui Long Hui Wan
When treating the remitting phase of epilepsy caused by Vacuity of Sp & St Qi, what is the treatment principle? Strengthen Sp Qi, Transform turbid phlegm
When treating the remitting phase of epilepsy caused by Vacuity of Sp & St Qi, what is the preferred formula? Liu Jun Zi Tang
When treating the remitting phase of epilepsy caused by Vacuity of Lv & Kd Yin, what is the treatment principle? Noursih & tonify the Lv & Kd
When treating the remitting phase of epilepsy caused by Vacuity of Lv & Kd Yin, what are the preferred formulas? Da Bu Yuan Jian OR/ Zuo Gui Yin
When treating the remitting phase of epilepsy caused by Blood Stasis, what is the treatment principle? Invig bood, Dispel blood stasis, Regulate the qi
When treating the remitting phase of epilepsy caused by Blood Stasis, what are the preferred formulas? Xue Fu Zhu Yu Tang OR/ Tong Qiao Huo Xue Tang
When treating severe cases of epilepsy, add what to the formula to more strongly treat internal wind? Quan Xie Fen and Wu Gong Fen
Created by: sralph