A difficult case study: My wife-seizures with Parkinsonism, installment #14

[Guest guest]

Met with Dr. Zhang Tues Apr. 12, 2005. No seizures this week. Sleep

pattern has been almost predictable, one good night's sleep followed by

one bad night's sleep. Common denominator on bad nights is evening

excitement or even moderate stimulation. Urination is settling down

again, now every 2-3 hours during the day, and twice during the night.

Now able to control bladder, even at night. Stools have been well formed

and soft, so dose back down to 4 g daily. Spasms better, though become

painful and intense with minimal stimulation. Balance has only improved

slightly, with very little stamina, easily winded when walking.

Swallowing better, though still can hear phlegm when she clears her

throat. A lot of right shoulder pain as she tends to favor that side.

Irritable, especially when unable to sleep and the day after.

 

> Tongue: red tip better, cracks and yellow coating.

> Pulse: right: wiry

> left: 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, Qiang huo 9, huang qin 9, zhi zi 9,

> > fu shen 12, sheng di huang 15, dan nan xing 9,

> > zhu ye 9, gou teng 15 , huang lian 6 ,chen pi 9,

> zhu ru 9, long dan cao 6, ci wu jia 9, suan zao

ren 15,

> long chi 15, mu li 15

>

> > taken separately in capsule form: qian xie 3, wu gong 3, Da huang

powder 5, hu po powder 3 (at bedtime)

 

 

____

last week:

> 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)