| Question | Answer |
| 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. |
| 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 |
| How can improper diet cause epilepsy? | Impairment of Sp & St can disturb transportation/transformation of nutrientsm causing accum of turbid phlegm. |
| 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 remitting phase of epilepsy caused by Wind-Phlegm obstruction, what is the treatment principle? | expel phlegm, extinguish wind, open orifices, stabilize epilepsy |
| How can constitutional factors cause epilepsy? | 1. family hx, 2. severe fright or shock to mother during pregnanct may affect fetus |
| When treating the attacking phase of Yin type seizures, what are the preferred formulas? | Wu Sheng Yin PLUS Er Chen Tang |
| 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 |
| When treating the attacking phase of Yang type seizures, what is the primary formula? | Ding Xian wan |
| 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 remitting phase of epilepsy caused by Vacuity of Lv & Kd Yin, what are the preferred formulas? | Da Bu Yuan Jian OR/ Zuo Gui Yin |
| 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 |
| When treating the attacking phase of Yin type seizures, what is the tx principle? | Open orifices, restore consciousness, warm the yang, transform phlegm |
| 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) |
| 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 severe cases of epilepsy, add what to the formula to more strongly treat internal wind? | Quan Xie Fen and Wu Gong Fen |
| How can traumatic injury cause epilepsy? | brain damage at birth or severe head injury may cause stagnation of qi & blood |
| What are the 5 etiological factors that induce epilepsy? | 1. Mental & emotional, 2. Constitutional & hereditary, 3. Traumatic injury, 4. Improper diet, 5.Other |
| 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 Vacuity of Lv & Kd Yin, what is the treatment principle? | Noursih & tonify the Lv & Kd |
| 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 Vacuity of Sp & St Qi, what is the preferred formula? | Liu Jun Zi Tang |
| How can fear, anxiety, sudden fright or shock lead to epilepsy? | They cause Lv & Kd injury ->heat -> yin def -> internal movement of wind |
| 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 Wind-Phlegm obstruction, what is the preferred formula? | Ding Xian Wan |
| 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 |
| During periods of freq seizures, whata is the general tx strategy? | Tx the manifestation: exple phlegm, extinguish wind, open orifices, regulate qi flow. |
