A difficult case study: My wife-seizures with Parkinsonism, installment #7

[Guest guest]

Met with Dr. Zhang, Thursday evening Feb 17, 2005. Quite rainy all week,

and unable to walk outside. No seizure activity in past week. Phlegm

seems to have increased and settled in the throat, but no longer in the

chest. This week had difficulty swallowing; frequently choked on food

and capsules. Sleep has been very broken. Very sleepy in the

evenings, falls asleep easily, but wakes up after 3am frequently with

irritability and muscle spasms. Finally 6am unable to sleep (two hours

premature). Urination stable, stools stable again soft well formed but

very foul smelling. Constant painful muscle spasms in arms and fingers.

Easily angered and emotionally volatile. Because not sleeping well,

tired day and night, balance and coordination worse. However speech is

improved.

 

Tongue: slightly red tip cracks in body, normal body color and coat.

Pulse: right: 2nd position wiry, first and 3rd weak

left: wiry and slippery

 

 

Formula: dan nan xing 9,huang qi 21, yuan zhi 9, fu shen 12

ren shen 4, he huan pi 15, gui ban 15, Bie Jia 15, Zhen Zhu mu 30,

bai shao yao 15, Huang lian 3, Huang qin 9, E Jiao 9,

suan zao ren 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).

 

_

Last week:

 

Met with Dr. Zhang Thursday evening, Feb 10, 2005. No seizure activity

in the past week. Still some chest congestion and raspiness, but

coughing now a little less. Sleep has continued to improve, still

waking up at 6 am, but now able to go back to sleep. Bladder control

good. Stools soft, fairly firm and a bit foul smelling at 3g. Da Huang.

Spasms in arms still painful and pronounced, but tongue/ chin shaking

slightly better. Interesting to note that significant heat can be felt on

the lateral aspect of the lower arm along the 3 hand yin channels when

spasms occur. Walking is better, but still very little endurance and

stamina. Speech clarity continues to improve, however, hearing is

definitely worsened by seizures, causing tinnitus and pounding sensation

in the ears, along with diminished hearing. Very emotional, tends to be

defensive, and cries and angers very easily. Bad breath gone.

 

Tongue: Red tip, cracks in body, normal body color and coat

Pulse: wiry and strong

 

Formula: dan nan xing 9, xi yang shen 6, mai men dong 12, tian men dong

12, chuan bei mu 9, gui ban 15, Bie Jia 15, Zhen Zhu mu 15,

bai shao yao 15, Huang lian 3, Huang qin 9, E Jiao 9, Ye jiao teng 12,

Suan Zao Ren 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).