A difficult case study: My wife-Seizures with parkinsonism installment #4

[Guest guest]

We saw Dr. Zhang again Thursday night, Jan 27, 2005. Still no word back

from Santa Cruz. Two more seizures this week, Friday evening Jan 21, and

Tues morning, but both quite mild. Sleep has been fair: much worse until

2am then she settles into restful sleep until about 7am (still too early-

as when she is in a healthy sleep pattern, she sleeps until 8am). Last

night (Wed) lost bladder control twice, 12:00 and 2:00am. Also poor

bladder control during the day. Bowel movements starting to get small and

hard, so we again increased the powdered Da Huang to 3.5 g. Spasms

worse last two days. Phlegm is bronchi still not resolved, though

better, causing coughing attacks, day and night, and also interupting

sleep. Walking endurance worse. Left side of low back tender.

Thinking very slowly, tired all the time, Jaw and tongue in constant

motion, mouth constantly open.

 

Tongue: pale and dry, very slight thin white coating

 

Pulses: left -wiry, right -thready and slightly rapid

 

Formula: Sheng di huang 15, Bai shao yao 12, Huang qi 18, Chuan bei mu

9, mai men dong 12, nan sha shen 12, huang qin 12, gua lou pi 12,

Jie geng 9, Dan Nan Xing 9, gui ban 15, bie jia 15, long gu 15, mu li

15, , suan zao ren 15, yuan zhi 6.

 

taken separately in capsule form: quan xie and wu gong 3 each, da huang

3.5, and hu po 3(at bedtime only).

 

One interesting observation that Dr. Zhang made was that despite the

bronchial congestion, all the seizures in this cycle have been mild.

And indeed this is new.

 

Until next week!

 

Y

_________

Last week:

 

We saw Dr. Zhang this evening Jan 20, 2005. Following five consecutive

restless nights, getting no more than 3-4 hours in total each night, Wed.

2:00am Chana had a seizure after 20 days. Two more followed Thursday am,

one during sleep, and one at 10:00am. Yet none of the three seizure were

grande mal. All three relatively mild. This whole week she has been

very irrititable and high strung. She still has a lot of thick bronchial

phlegm causing her to cough when she lies down and further interfering

with sleep. Yet despite her irritability, the polyuria has not returned.

Muscle spasms this week responded very well to tuina, CST and massage,

however, within 1/2 hour they would return. Bowel movements daily, well

formed and soft. Cheeks are now red. Finally received Email from Chris

Cruzio of Parkinson's recovery project. He felt that Chana's condition

is not ideopathic PD (He's right it's not!) but rather parkinsonism. I

appealed to them to consider the unusual " bio-electrical " nature of her

disorder, and how, from what I had read, applying their ideas, and

thinking " outside the box " their approach could be a major link helping

her get well. As of yet, no response.

 

Anyway, tonight her tongue was dry with a red tip, little coating, and

cracks

her pulses: left -wiry, right -thready, third position weak.

 

Last week the strategy was to transform phlegm, and Dr. Zhang felt that

that is why the seizures were relatively minor--less phlegm=less severe

seizures. Now she's showing more yin deficient heat. Therefore the

treatment principle is nourish yin and subdue fire.

 

Here is this week's formula: Sheng di huang 24, Bai shao yao 15, xi yang

shen 6, mu dan pi 9, di gu pi 9, mai men dong 12, tian men dong 12,

 

huang qin 9, huang lian3, e jiao 9, gui ban 15, bie jia 15, zhen zhu mu

15, ye jiao teng 15, suan zao ren 15, dan nan xing 9

 

taken separately in capsule form: quan xie and wu gong 3 each, da huang

3, and hu po 3(at bedtime only).