A difficult case study: My wife-seizures with Parkinsonism, installment #13

[Guest guest]

Met with Dr. Zhang Tues evening Apr 5, 2005. One final seizure

Wednesday, Mar 30. Very difficult week, as it usually is for the first

two weeks after multiple seizures. Sleep has continued to be erratic,

with some nights sleeping well whereas other nights she may wake up as

early as 4:30 and not fall back asleep, with her jaw shaking and her

hands spasming. Urination very frequent-every 1-2 hours. Stools has

gotten harder less frequent and foul smelling, and so the dose of Da

Huang powder has remained at 5 g daily. The spasms have been very

debilitating, particularly her chin and forearms and only stop when she

is asleep. Any improvement was undermined by the final seizure. Her

balance has not been good and she has tended to bend forward. Walking

starts poorly, but the longer she walks, the more balance and strength

she has. Swallowing has been difficult. She has been drooling thick

clear saliva, and has tended to have bad breath. She has been quite

depressed and angry.

 

Tongue: red tip with cracks and burnt yellow coating

Pulse: right: wiry, slightly rapid

left: wiry, slightly rapid and choppy

> Formula strategy: transform phlegm fire,clear the liver fire and

extinguish wind, calm the shen, and nourish the heart and the yin.

>

> Formula: ban xia 9, che qian zi 15, huang qin 9, yuan zhi 9,

> fu shen 9, sheng di huang 18, dan nan xing 9,

> dang gui 9, gou teng 15 , bai shao yao 12, bai zi li

9,

gua lou pi 12, l15, mu li 15, zhi zi 9, long dan cao

6

gui ban 15, bie jia 15

 

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

> powder 3

> (at bedtime)

 

_______

 

Last session:

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)

 

" 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