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A difficult case study: My wife-seizures with Parkinsonism, installment #11

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Forgive the delay, but here is the update from the last session with Dr.

Zhang, Thursday, March 17. Dr. Zhang is in Nan Jing now and we are again

scheduled to meet with him on Monday evening Mar 28. No seizures during

this week. Chana has continued to respond very positively to the FSR Yin

Tui Na: it appears that the level of " fight or flight " anxiety and

temper are all improved. Again, she almost always falls asleep after a

treatment. Sleep is slightly better, but she is still waking up very

early (between 4:30 and 6:00am, unable to fall asleep again, and with

lots of spasms in the forearms and wrists. Urination a little more

frequently: around every 2-3 hours. Stools large and very soft, reducing

Da Huang to 2.5g/day. Spasms and tremors better when resting or

unstimulated, but slightest stimulation provokes increased spasms.

Phlegm is less, but still coughing, which wakens her when asleep.

Choking on food better. Balance not great when walking, unsure of

herself, not much stamina. Walking seems to provoke lower left lumbar

pain, which improves with rest. Clarity of speech improved, much less

stuttering, however voice is soft and lacks strength. Hearing is better,

but still has high pitched soft ringing in the ears. Cheeks and lips no

longer red. Irritable, a little depressed and very afraid.

 

Tongue: light red body, white coat, quivering, cracks tip slightly red

 

Pulse: (both sides) wiry, slightly choppy

 

Formula strategy: transform phlegm and nourish yin

 

Formula: ye jiao teng 15, gua lou pi 15, huang qin 9, yuan zhi 9,

fu shen 12, sheng di huang 15, xi yang shen 6, dan nan xing 9,

shi chang pu 9, bai he 15, gui ban 15, Bie Jia 15, bai shao yao

15,

gou teng 15, E Jiao 9, di long 9, zhu ru 9, ji zi huang, (egg

yolk) 2 yolks, long gu 15.

 

taken separately in capsule form: Da huang powder 2.5, hu po powder 3

(at bedtime)

 

_____

last week:

> It has now been a week since we returned from Santa Cruz, and the

> one

> rather dramatic change I can report is that consistantly, as if

> Chana has

> taken a tranquilizer, when I give her a Yin Tui Na treatment, the

> spasms

> and tremors gradually stop, and within 15 minutes she is asleep,

> whether

> the treatment is day or night. We met with Dr. Zhang tonight,

> Thursday

> March 10, again back to our regular time. No seizures during the

> past

> week. However, though she has been falling asleep quite easily, this

> week

> she has awoken frequently, and it becomes increasingly difficult for

> her

> to fall asleep as the night progresses. Urination and Bowel movement

> no

> change. Spasms and tremors again increasing, and seeming to be

> related

> to lack of sound restful sleep. Phlegm noticeable in her throat,

> which

> she clears frequently. Still occasional choking on food. Walking

> well,

> and stamina good, however, balance worse, and pain on lower left

> lumbar

> area after walking a short distance. Speech still good, still some

> stuttering. Hearing and comprehension, compromised. Tends to tip

toward

> right side when sitting. Lips and cheeks a little red. Hand hot to

> the

> touch.

>

>

> Tongue: red tip with cracks

>

> Pulse: right: wiry, slightly choppy, 3rd position (Kd yang) weak

> Left: wiry and slightly choppy.

>

>

> Formula: ye jiao teng 15, huang lian 6, huang qin 9, yuan zhi 9,

> fu

> shen 12, sheng di huang 30, xi yang shen 6, ci shi 9, shi chang pu

> 6,

> bai he 12, gui ban 15, Bie Jia 15, bai shao yao 30, gou teng

> 15, E

> Jiao 9, di long 9, ji zi huang, (egg yolk) 2 yolks, long gu 15.

>

> taken separately in capsule form: Da huang powder 3, hu po powder 3

> (at

> bedtime)

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