Epilepsy is a temporary paroxysmal brain dysfunction caused by abnormal discharge of cranial nerve cells, which can be divided into primary and secondary according to the etiology. Primary epilepsy refers to epilepsy whose cause cannot be found except genetic factors. Secondary epilepsy, also known as symptomatic epilepsy, refers to epilepsy caused by other diseases, which can occur at any age and begin after young adults.

Traditional Chinese medicine believes that epilepsy is a paroxysmal disease with mental abnormality, which means that the zang-fu organs are damaged and the yuan-Shen is out of control. Mainly manifested as sudden loss of consciousness, collapse, unconsciousness, eyes looking up, spitting, limb twitching, pig-like cry in the mouth and other symptoms, also known as "epilepsy wind."

Light people only wake up dizzy, headache or fatigue, eating and living as usual; If the attack is frequent and the illness lasts for a long time, symptoms such as fatigue, forgetfulness, mental dementia and fatigue will appear after the attack.

The course of epilepsy is positively correlated with the severity of the disease and negatively correlated with one's own health. If it is not treated in time and reasonably, the condition will be aggravated progressively. Traditional Chinese medicine (TCM) adheres to the principle of treating both symptoms and root causes of epilepsy, and takes emergency measures to treat both symptoms and root causes; The scheme of treating both the symptoms and root causes can achieve the effects of eliminating phlegm, inducing resuscitation, waking up to quit smoking, relieving epilepsy and consolidating the foundation, and controlling recurrence.

The following is the medical record of Dr. Pan Guangyu from Jiuweitang Internal Medicine Department in treating secondary epilepsy.

Pan Guangyu's experience in treating secondary epilepsy and cerebral cysticercosis 1 rule

Kang is a 55-year-old man

Chief complaint: limb and facial spasm for 2 years.

Current medical history: Two years ago, when he was emotional, his limbs and face twitched, but he lost consciousness, incontinence and foaming at the mouth. The attack is irregular, and there are premonitions before the attack. The initial attack lasted a few minutes, but now the attack time tends to be prolonged, accompanied by drowsiness. The results of brain CT examination in Korea consider cerebral cysticercosis epilepsy. After taking western medicine antiepileptic drugs (the details are unknown) for nearly one year, the symptoms did not relieve, and then stopped using western medicine. Symptoms: dizziness, headache, bitter taste and dry mouth, dysuria, lethargy, fatigue and poor sleep. Check: red tongue, yellow greasy fur and slippery pulse.

Diagnosis: epilepsy

Prescription: Chaihu plus Gulong Muli Decoction plus or minus 7 doses.

At the second visit, the patient reported that the daily frequency of convulsions decreased, each episode lasted about 65438 0 minutes, and dizziness and headache were relieved. The effect is not good, then take 15 dose of Bupleurum and Gulong oyster soup.

At the third visit, the patient's condition changed little and his body sleep improved. He took 15 dose of Chaihu plus Gulong oyster soup.

When I visited the doctor for the fourth time, I twitched once a day, only my face twitched and my limbs were asymptomatic. Each attack lasts for a few seconds, and the patient summarizes the rules. Every time I amuse my little grandson, he obviously twitches. On the basis of the front, Ganmai Jujube Decoction for nourishing the heart and calming the nerves was added, and the treatment lasted 1 month, with intermittent treatment in the later period.

The patient has been treated with pure Chinese medicine for nearly four months. From now half a month to a month, there will be a short skin beat on the left face (less than 1 second), and defecation, sleep and physical strength have been obviously improved, so I am full of confidence and have a stable mentality.

Dr. Pan said:

Treatise on Febrile Diseases (107): "On the eighth or ninth day of typhoid fever, the next day, my chest is full of troubles, my urine is unfavorable, my speech is delirious, and my body is too heavy to be sideways. Mainly Bupleurum and Gulong oyster soup. " Chaihu plus Gulong Muli Decoction can treat mental and nervous system disorders symptomatically, which are manifested as behavioral, emotional, conscious, memory, sleep and other disorders, such as epilepsy, tremor, insomnia, headache, tinnitus and other diseases. Modern famous doctor Yue Meizhong and many Japanese classics have used this prescription to cure epilepsy cases. Patients are prone to attack when they are happy, and they are happy in their hearts, suggesting that they need to nourish their hearts and soothe their nerves. The classic prescription "Ganmai Jujube Decoction" is the icing on the cake, and the later effect is more obvious. As the saying goes, "the heart governs the spirit", the author often uses Ganmai Jujube Decoction to nourish the heart and soothe the nerves when treating TIC disorder in children.

The treatment of epilepsy caused by "mental disorder" with Ganmai Jujube Decoction for nourishing the heart and calming the nerves is the highlight of this case. Although epilepsy can be controlled by drugs, if the patient is emotionally unstable for a long time, too nervous and anxious, or excited and angry, it will cause the recurrence of epilepsy. Therefore, it is also very helpful to maintain a good attitude and stable mood in daily life.