A difficult case study: My wife-seizures with Parkinsonism, installment #12

[Guest guest]

We met with Dr. Zhang Monday, Mar 28. After 23 days without a seizure,

Chana had 5 seizures this week with the last being Saturday morning, Mar

26. In addition to last week's formula, I made three changes as of last

Friday which appear to be benefiting her: I increased the dosage of Da

Huang to 5g, and I added the patents qing qi hua tan wan, (8 TID) and

tian ma mi huan su (3 TID). The benefit has seemed to be immediate, and

Dr. Zhang supported my decision, based upon Chana's recovery and

symptoms. 'Have also continued FSR twice daily, which continues to

sedate her. Now for her symptoms: Sleep has been erratic, but even when

she has slept well, she has been having a lot of dreams with a lot of

talking in her sleep. Urination has been very frequent . Stools before

seizures were large and soft, but markedly smaller, less frequent and

with mucus. No stool Thursday prompted the increase in dosage of Da

Huang. Since then, a little larger, but still soft and well formed.

Spasms, particularly in chin and jaw much more pronounced the days that

seizures occur. Tremor and spasm in wrists and hands better since

addition of tian ma mi huan su. Balance, walking and speech are also

improved. A lot of phlegmy coughing, but without expectoration.

Irritable, demanding and at times irrational temperament.

 

Tongue: light red body, red tip with cracks

> Pulse: (both sides)thready and choppy

>

> Formula strategy: transform phlegm fire, extinguish wind, calm the

shen, and nourish the heart and the yin.

>

> Formula:ban xia 9, chen pi 6, zhi shi 9 , yuan zhi 9,

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

> shi chang pu 9, tian ma 9, bai shao yao 30, ci shi 9,

> gou teng 15, zhu ru 9, long gu 15, mu li 15, zhi zi 9, long dan

cao 6

>

> taken separately in capsule form: Da huang powder 5, hu po

> powder 3

> (at bedtime)

>

_______

 

Last session:

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)

>

>

>