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A difficult case study: My wife-seizures with Parkinsonism, installment #5

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We met with Dr. Zhang, Feb 3, 2005. Seizures occurred Jan 28, 29, 31,

Feb 2 and this evening, Feb 3, right before consultation. Yet though

there has been a dramatic increase in seizure activity, all have been

small, and recovery has been rapid. Sleep has been OK, very tired in

evenings and waking much earlier than usual: 6:00 AM as opposed to usual

8:30 am. Bladder control improved. Stools looser so back to 3g Da Huang

powder. Spasms in arms and chin quite pronounced. Generally very tired.

Comprehension difficult. Walking better and more relaxed, but very

limited stamina. Clarity of speech improved. Easily angered. Still

quite a bit of phlegm in chest with raspy cough. bad breath.

 

tongue: slightly red tip, cracks in body, thin white coating.

pulse: wiry and slightly choppy both sides

 

Formula: dan nan xing 9, shi chang pu 9, fu shen 9, chuan bei mu 9, gua

lou pi 12, jiang can 9, di long 9, long gu 15, mu li 15, bai shao yao 15,

 

suan zao ren 15, yuan zhi 6, gou teng 15, tian ma 9, sheng di huang 15

 

taken separately in capsule form: quan xie and wu gong 3 each, da huang3,

and hu po 3(at bedtime only).

 

I noted that for the first time in many months, gui ban and bie jia were

excluded. Dr. Zhang explained that their greasy character promoted

phlegm, which in turn was instigating the continued seizures.

Interesting to note that since then, no further seizures thus far.

____________

Last week:

 

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!

" When you see someone doing something wrong, realize that it was brought

before

you because you did something similar. Therefore, instead of judging

him, judge yourself. "

 

The Baal Shem Tov Hakodesh

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I'm curious about the use of Da Huang... is there a discussion that continual

use will lead

to adaptation/resistance (what's the word I'm looking for here?). What about

other herbs

such as Jie Geng/Zhi Ke combo or Jue Ming Zi? Why Da Huang in this case?

BTW... I applaud your courage in posting these, it is very instructional.

doug

 

 

, Yehuda L Frischman <@j...>

wrote:

>

> We met with Dr. Zhang, Feb 3, 2005. Seizures occurred Jan 28, 29, 31,

> Feb 2 and this evening, Feb 3, right before consultation. Yet though

> there has been a dramatic increase in seizure activity, all have been

> small, and recovery has been rapid. Sleep has been OK, very tired in

> evenings and waking much earlier than usual: 6:00 AM as opposed to usual

> 8:30 am. Bladder control improved. Stools looser so back to 3g Da Huang

> powder. Spasms in arms and chin quite pronounced. Generally very tired.

> Comprehension difficult. Walking better and more relaxed, but very

> limited stamina. Clarity of speech improved. Easily angered. Still

> quite a bit of phlegm in chest with raspy cough. bad breath.

>

> tongue: slightly red tip, cracks in body, thin white coating.

> pulse: wiry and slightly choppy both sides

>

> Formula: dan nan xing 9, shi chang pu 9, fu shen 9, chuan bei mu 9, gua

> lou pi 12, jiang can 9, di long 9, long gu 15, mu li 15, bai shao yao 15,

>

> suan zao ren 15, yuan zhi 6, gou teng 15, tian ma 9, sheng di huang 15

>

> taken separately in capsule form: quan xie and wu gong 3 each, da huang3,

> and hu po 3(at bedtime only).

>

> I noted that for the first time in many months, gui ban and bie jia were

> excluded. Dr. Zhang explained that their greasy character promoted

> phlegm, which in turn was instigating the continued seizures.

> Interesting to note that since then, no further seizures thus far.

> ____________

> Last week:

>

> 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!

> " When you see someone doing something wrong, realize that it was brought

> before

> you because you did something similar. Therefore, instead of judging

> him, judge yourself. "

>

> The Baal Shem Tov Hakodesh

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Hi Doug,

 

Good question, and one that I asked. I think that the word you are

looking for is habituation. Two points: over the previous two years,

under treatment with Dr. Zhang, and with another prominent professor who

I would rather not mention, so as not to belittle or discredit in that he

is well known and a teacher in a number of schools in LA, a major

stumbling block to tonifying yin and qi, and extinguishing phlegm fire

was constipation. The two suggestions that you have made were tried,

with little success. After endeavoring to resolve the chronic

constipation from a combination of phlegm heat accumulation, and excess

dryness manifesting as yin and blood deficiency and leading to qi and

blood stagnation, through conservative means with little success, our

next approach was to use very small dosages of the heroic cathartics: gan

sui, first and then da ji. Gan sui made her feel like she was on fire

and was very abrasive, so we quickly discontinued it. Da ji actually

worked well, but it's availability was limited in Chinatown, here in LA,

and we would have had to wait 2 weeks for the next shipment to come in.

In the meantime, Dr. Zhang suggested that we try the da huang, and it's

worked like a charm. For the first time in her life, she is regular, and

with finding the right dose, her stools are regular, moist and well

formed. In terms of your question about habituation, as we find with

Western laxatives, interestingly I am finding just the opposite. Chana's

dose when we started using da huang, about 10 months ago was 5 grams

daily. As she has improved we have been able to slowly lower the dose

and are now at 3 grams daily (spread over three doses). If it would be

acting as a Western laxative, she would need to take higher and higher

doses as her body would adapt to its dependency on the Da Huang, be the

phenomenon we are seeing, encouragingly, is just the opposite.

 

Hope I answered your question and thanks for the feedback and support.

 

Yehuda

 

 

I'm curious about the use of Da Huang... is there a discussion that

continual use will lead

to adaptation/resistance (what's the word I'm looking for here?). What

about other herbs

such as Jie Geng/Zhi Ke combo or Jue Ming Zi? Why Da Huang in this case?

BTW... I applaud your courage in posting these, it is very instructional.

doug

 

 

 

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