EPILEPSY, CONVULSIONS, SEIZURES

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Cold extremities.
  • Body hot and feverish due to lack of harmony of the Liver Qi
  • Thirst
  • Abdominal distention
  • Fever
  • Dark yellow urine
  • T:  Red
  • C: Yellow or white
  • P:  Rapid and slippery.
Treatment Principle
  • Clear Heat
  • Reverse reversals
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Chills
  • Anhidrosis or
  • Mild sweating
  • Pain and stiffness of the head, back and neck
  • Aching and heaviness in the limbs
  • Trismus or
  • Contractures and spasms of the limbs
  • Stuffy nose
  • Blood shot eyes
  • Sores that are red, swollen and painful
  • Generalized body aches and pain
  • Headache
  • Swollen eyes
  • Thirst or no thirst
  • T: Normal
  • C: Thin white
  • P: Floating or Floating and rapid
Treatment Principle
  • Induce sweat
  • Release the Exterior
  • Dispel Wind
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • A history of Wei Stage invasion (fever and chills for the first few days)
  • High fever
  • Delirium
  • Maybe coma
  • Maybe convulsions
  • Maybe hemorrhage anywhere
  • T: Dark red
  • P: Rapid maybe forceful
Treatment Principle
  • Expel Heat from the Pericardium
  • Resuscitate
Herb Formulas
Points
Clinical Manifestations
  • Hot tears appear on exposure to Wind
  • Red eyes
  • Eyes feel gritty
  • Dry mouth
  • Dry nose
  • Dizziness
  • Vertigo
  • Epilepsy
  • Tinnitus
  • T: Red
  • C: Thin white
  • P: Wiry or Thready and rapid
Treatment Principle
  • Mild cases:
    Cool the Liver
    Expel Wind
  • Severe cases:
    Expel Wind-Heat
    Nourish Yin
    Clear Fire
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Red eyes
  • Sore throat
  • Mouth, tongue and lip ulcerations
  • Urinary difficulty
  • Diarrhea
  • Papules
  • Sores
  • Prickly Heat
  • Ocular pain
  • Dark urine
  • Chest pain
  • Hemoptysis
  • Epistaxis
  • Hematemesis
  • Oliguria with dark urine
  • Scanty urine
  • Swelling of the throat
  • Fever
  • Thirst
  • Irritability
  • Nausea
  • Vomiting
  • Lassitude due to Summerheat
  • T: Normal
  • C: Yellow and greasy
  • P; Soggy and rapid
Treatment Principle
  • Clear Heat
  • Relieve toxicity
  • Promote urination
  • Eliminate Summerheat
  • TonifY Qi
  • Cool the Blood
  • Stop convulsions
Herb Formulas
Points
Clinical Manifestations
  • Childhood convulsions
  • Alternating chills and fever
  • Bitter taste in mouth
  • Thirst
  • Dry throat
  • Rib pain (doesn't like touch)
  • Hypochondriac pain
  • Nausea
  • Vomiting
  • Hypogastric pain and distension
  • T: Red
  • C: Yellow
  • P: Rapid and wiry
Treatment Principle
  • Relieve Gall Bladder Heat
  • Pacify the Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • High fever, worse at night
  • Insomnia.
  • Irritability
  • Mild thirst - no desire to drink
  • Mental disturbance
  • Speech disturbance
  • Maybe convulsions
  • Rashes (red, dry, painful)
  • T: Deep red
  • P: Thready and rapid
Treatment Principle
  • Reduce Heat in the Ying
  • Detoxify
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Hypertension
  • Dizziness
  • Headache
  • Confusion of mind
  • Delirium (mania)
  • Dark yellow urine
  • Excessive skin rashes all over body
  • Hemorrhage
    Hematemesis
    Hemoptysis
    Epistaxis
    Hemafecia
    Hematuria
  • Stiffness
  • Convulsions
    Clenched jaws
    Clenched fists
    Shaking
  • Opisthotonis
  • Stiff neck
  • Semi-consciousness
  • T: Deep red and dry
  • C: Yellow and dry
  • P: Wiry and rapid.
Treatment Principle
  • Subdue Wind
  • Cleanse Heat
  • Nourish Yin
  • Stop convulsion
Herb Formulas
Points
Clinical Manifestations
  • Constipation
  • Flatulence
  • Abdominal pain that is not worse with pressure
  • Hemorrhoids
  • Tidal fevers
  • Delirious speech
  • Profuse perspiration from the palms and soles
  • Aversion to Heat
  • Mania
  • Abdominal masses
  • Dry mouth
  • Tenesmus
  • Epigastric and abdominal distention and pain
  • Irritability
  • Heavy body
  • Fever
  • Dysuria
  • Diarrhea
  • Abdominal and chest distention
  • Abdominal fullness
  • T: Dry with prickles
  • C: Dark yellow and dry or Black and dry
  • P: Deep, Shi and rapid or Tenesmus Slippery and rapid
Treatment Principle
  • purge Heat accumulation
  • Purge the Gall Bladder
  • Normalize the flow of Qi at the center
  • Eliminate Dampness
Herb Formulas
Points
Clinical Manifestations
  • Mental agitation
  • Confused thinking
  • Sudden fainting
  • Convulsions
  • May happen several times per day for weeks
  • Noise from the larynx
  • Tired after the seizure
  • Restlessness
  • Vertigo
  • Headache
  • Red eyes
  • Insomnia
  • Depression
  • Fullness in the chest
  • Epistaxis
  • Bleeding gums
  • Mouth ulcers
  • Mania
  • Irritability
  • Palpitations
  • Bitter taste in mouth
  • Much dreaming
  • Easily startled
  • Scanty urination
  • Constipation
  • T: Red or Red tip
  • C: Greasy and yellow
  • P: Slippery, rapid and full and maybe wiry or Wiry and rapid
Treatment Principle
  • Clear the Heart
  • Break through Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Mental confusion
  • Clouding of consciousness
  • Talking to oneself
  • Acting as if no one else is present
  • Dull expression with blank stare
  • Odd behavior
  • Maybe depression
  • Maybe loss of consciousness
  • Maybe falling to the ground
  • Sound of phlegm in throat with gurgling
  • T Pink
  • C: White and greasy
  • P: Deep and slippery; maybe wiry
Treatment Principle
  • Clear Phlegm
  • Open the Orifices.
Herb Formulas
Points
Clinical Manifestations
  • Sudden collapse with loss of consciousness
  • Lockjaw (trismus)
  • Eyes open
  • Both fists clenched
  • Convulsions
  • Retention of urine
  • Constipation
  • Stiffness and spasm of limbs
  • Red face
  • Body feels hot
  • Coarse breathing
  • Bad breath
  • Restlessness
  • Involuntary movements
  • T: Pink
  • C: Yellow and greasy
  • P: Slippery, wiry and rapid
Treatment Principle
  • Clear Phlegm
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Sudden collapse with loss of consciousness
  • Lockjaw (trismus)
  • Eyes open
  • Both fists clenched
  • Retention of urine
  • Constipation
  • Stiffness and spasm of limbs
  • Pale face with bluish lips
  • Limbs cold, pale and still
  • Lying peacefully
  • Usual sequelae of C.V.A. such as:
    Hemiplegia
    Aphasia
    Facial paralysis
  • T: Pink
  • C: White and greasy
  • P: Deep, slippery and even
Treatment Principle
  • Open the Heart Orifices with Pungent Warming Herbs
  • Eliminate Phlegm
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Manic behavior with sudden onset
  • Emotional upset
  • Shouting
  • Scolding or hitting people
  • Exceptional physical strength
  • Not eating or sleeping
  • Agitation
  • An angry look in the eyes
  • Shouting abuse
  • Desire to climb to high places
  • Irritability
  • Inability to rest
  • Breaking things
  • Rash/impulsive behavior
  • Rash movements
  • Constipation
  • Headache
  • Insomnia
  • Red face and eyes
  • Anger
  • T: Red
  • C: Sticky and yellow - Stomach-Heart crack with a sticky, yellow coating inside it
  • P: Rapid, wiry, Overflowing and Slippery
Treatment Principle
  • Sedate the Heart
  • Eliminate Phlegm
  • Clear Fire
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Palpitations
  • Dry eyes
  • Blurred vision
  • Acute:
    Fainting
    Convulsions
    Women may be acute before or after their periods
  • Pale lips and nails
  • T: Pale
  • C: Thin and white
  • P: Thready
Treatment Principle
  • Tonify Blood
  • Eliminate Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Restless sleep
  • Occasional palpitations
  • Anxiety
  • Dizziness
  • Fright
  • Insomnia
  • Vertigo
  • T: Red or Pale or Pink
  • C: Little or None
  • P: Thready and wiry
Treatment Principle
  • Enrich Yin
  • Nourish the blood
  • Sedate the Heart
  • Calm the Shen
  • Calm the Liver
  • Anchor Yang
Herb Formulas
Points
Clinical Manifestations
  • Insomnia or frequent waking, often early in the morning
  • Unable to fall back to sleep
  • Easily frightened or startled
  • Easily unsettled by seeming trivial events
  • Anxiety
  • Palpitations
  • Shortness of breath
  • Lethargy
  • Fatigue
  • Depression
  • Spontaneous sweating
  • T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip
  • C: Thin and white
  • P: wiry and thready
Treatment Principle
  • Strengthen Qi
  • Calm the Shen
  • Alleviate fearfulness
Herb Formulas
Points
Clinical Manifestations
  • Epilepsy
  • Amenorrhea
  • Insomnia with much dreaming
  • Irritability
  • Easily startled
  • Palpitations
  • Poor memory
  • Dizziness
  • Tinnitus
  • Low back soreness
  • Legs weak
  • Tidal fever
  • Night sweats
  • Dry mouth
  • Red cheeks
  • Urine short and red
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Reduce Fire
  • Make the Hear and Kidneys communicate.
Herb Formulas
Points
Clinical Manifestations
  • Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down.
  • This sensation becomes more prominent during emotional upset and subsides when relaxed
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest and hypochondrium
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Hypochondriac pain
  • Coughing with profuse phlegm
  • Vomiting
  • Difficulty swallowing
  • A delicate constitution
  • A tendency towards fatigue
  • Palpitations
  • Abdominal distention
  • Muscular and skin flaccidity
  • Fear
  • Edema
  • Asthma
  • Insomnia
  • Maybe convulsions
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle
  • Spread Qi
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Dizziness and vertigo to the point of falling over
  • Headache with a drawing sensation
  • Numbness and tremor of limbs
  • Tics
  • Twitching and involuntary writhing of hands and feet
  • Dysphagia
  • Unsteady gait
  • Sudden loss of consciousness
  • Tongue stiffness with aphasia
  • Facial paralysis
  • Hemiplegia
  • Easily angered
  • T: Red
  • P: Thready and wiry
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Contractures
  • Clenched fists
  • Extremities clenched and shaking
  • Agitation with contractures of the limbs
  • Spasms
  • Tics
  • Neck stiffness
  • Convulsions
  • Oculogyric crises
  • Opisthotonos
  • Easily angered
  • Dizziness
  • Vertigo
  • Teeth grinding
  • T: Red or Deep red
  • C: None
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat,
  • Cool the Liver
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before eyes
  • Dizziness
  • Headache
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of limbs
  • Tremor, spasms or involuntary movements (chorea)
  • Involuntary shaking of head
  • Light menses or amenorrhea
  • Late menses
  • Tic or tremor of hands and feet
  • Maybe trismus
  • T: Pale
  • C: Little
  • P: Thready and wiry
Treatment Principle
  • Tonify and Regulate Blood
  • Nourishes Liver Yin
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain
  • Irritability
  • Slight chills
  • Spasms of the calf muscles
  • Convulsions
  • Cramps in the hands
  • Weak legs
  • Hypertonicity of the extremities characterized by difficult flexion and extension
  • Wheezing
  • Coughing
  • Vomiting
  • Diarrhea
  • Sciatic pain
  • Severe and painful muscle spasms in the Stomach, bronchi, Gallbladder and uterus. Intestines
  • Shoulder pain
  • Pain in the head, body or limbs due to arterial spasms characterized by a severe pulling pain
  • T: Normal or Reddish
  • C: None or Yellowish
  • P: Wiry and rapid or Thready and rapid
Treatment Principle
  • Soften the Liver
  • Nourish the Blood
  • Nourish Yin
  • Moderate painful spasms
  • Relieve pain
  • Harmonize the Middle Jiao
  • Replenish Body Fluids
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Epilepsy, recurrent for many years
  • Weakness
  • Facial pallor
  • Cold sweat
  • Low back pain
  • Heel pain
  • Impotence
  • Premature ejaculation
  • White vaginal discharge
  • Convulsions with loss of control of urine and stool
  • T: Pale
  • C: Thin and white
  • P: Deep and thready
Treatment Principle
  • Tonify the Kidneys
  • Tonify Qi
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Epilepsy
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • No thirst
  • Swollen and painful joints
  • Wasting of the muscles of the thigh and calf
  • Dizziness
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm Yang
  • Tonify the Blood
  • Disperse Cold
  • Eliminate Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Muscle spasms with alternating flexion and extension of the extremities
  • Prostration
  • Clonic convulsions
  • Dizziness - worse with stress or anger
  • Insomnia
  • Dream-disturbed sleep
  • Sore low back and knees
  • Nocturnal emissions
  • Often the patient is on the verge of shock
  • T: Deep red
  • C: Thin or Peeled
  • P: Weak and faint
Treatment Principle
  • Nourish Yin
  • Extinguish Endogenous Wind
Herb Formulas
Points
  • General points
Etiology
  • This condition is caused by Excess emotion (fright, anger, worry) causing Qi and Blood Deficiency, Yin Deficiency and Heat in the Heart channel
Clinical Manifestations
  • Unhappiness
  • Head heavy and painful
  • Red eyes
  • Weeping
  • Incoherent speech
  • Severe loss of balance
  • Collapse
  • Muscle spasms and rigidity
  • Bone Dian:
    Teeth and jaw diseases
    The space between the skin and flesh is full
    Sweating
    Depression
  • Sinew Dian:
    Severe loss of balance
    The Blood vessels in the limbs are swollen and full
    Maybe vomiting of Phlegm
  • P: If Large and slippery, there is a return to normal Qi. If Small, floating and anxious the disease is difficult to cure
Treatment Principle
Herb Formulas
  • Rest
  • No smoking
  • No drinking alcohol
  • No meat (beef, lamb, chicken)
  • More vegetables
  • Less sex
Points
Etiology
  • Phlegm blocks the Heart Orifices, the Upper Jiao is full, the Large Intestine and Stomach channels are Hot and there is Heat in the Chong channel with Excess Fire due to fright, sorrow or Excess pleasure.
Clinical Manifestations
  • Madness
  • Recklessness
  • Forgetfulness
  • Prone to rage and fear
  • Sleeps little
  • Anorexia
  • Previously capable of rational thought and possessing knowledge and moral values
  • Prone to abusive language
  • Does not rest day or night
  • Fond of sing and music
  • Moves about wildly and without pause
  • Eats a lot
  • Prone to see ghosts
  • Wild speech
  • Does not avoid vulgarity
  • Severe:
    May remove clothes and walk about naked
    May climb to high places and sing
Treatment Principle
Herb Formulas
  • Rest
  • No smoking
  • No drinking alcohol
  • No meat (beef, lamb, chicken)
  • More vegetables
  • Less sex
Points
Etiology
  • Kidney channel disease where the Yin becomes Deficient leading to Kidney and Liver Yin Deficiency Fire generating Wind.
Clinical Manifestations
  • Spits saliva
  • Confused Shen
  • Suddenly does not know or recognize anything
  • Trismus
  • Convulsions may last any length of time
  • After the attack, returns to normal behavior
  • Horse Xian: (Heart)
    The patient neighs like a horse
  • Ox Xian: (Spleen)
    Stares straight ahead
    Abdominal swelling
    Makes noise like an ox
    The attacks occur in the early evening
  • Pig Xian: (Kidney)
    Spits saliva
    Grunts like a pig
    he attacks occur at night
  • Chicken Xian: (Liver)
    Shakes head to and fro
    Clucks like a chicken
    The attacks occur in the morning
  • Sheep Xian: (Lung)
    Raises the eyes and sticks out the tongue
    Bleats like a sheep
  • Hot Phlegm lodged in the Heart and Stomach:
    The attack occurs when the patient is startled
  • Yin Xian: (Hot Phlegm)
    Excess Cold herbs lead to Yin Excess in the Spleen and Stomach
  • Gall Bladder:
    The attack occurs at dawn
  • Urinary Bladder:
    The attack occurs in mid-day
  • Stomach Bladder:
    The attack occurs in the evening
Treatment Principle
Herb Formulas
  • Rest
  • No smoking
  • No drinking alcohol
  • No meat (beef, lamb, chicken)
  • More vegetables
  • Less sex
Points
Clinical Manifestations
  • Dizziness and vertigo to the point of falling over
  • Headache with a drawing sensation
  • Numbness and tremor of limbs
  • Twitching and involuntary writhing of hands and feet
  • Dysphagia
  • Tongue stiffness with aphasia
  • Sudden loss of consciousness
  • Maybe convulsions
  • Facial paralysis
  • Hemiplegia
  • Unsteady gait
  • T: Red
  • C: Normal
  • P: Thready and wiry
Treatment Principle
  • Warm the channels
  • Unblock Yang
  • Dispel Wind
  • Resolve Phlegm
  • Relax spasms
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Chest fullness and oppression
  • General malaise
  • Maybe nausea
  • Sudden fall and loss of consciousness
  • Convulsions
  • Incontinence of urine and stool
  • Maybe a transient loss of consciousness or falling into a trance without convulsions
  • Spitting up frothy saliva
  • Worsens with cold weather or when the patient has a cold
  • T: Pink
  • C: Thick, sticky and white or White and slimy
  • P: Slippery or Taut and slippery
Treatment Principle
  • Tonify Spleen Yang
  • Eliminate Phlegm
  • Extinguish Wind
  • Stop convulsions
Herb Formulas
Points
Clinical Manifestations
  • Headache
  • When the headache is severe, it leads to convulsions
  • Face and lips are purplish
  • A history of injury
  • T: Purplish or Purple spots
  • C: Sticky and white
  • P: Choppy
Treatment Principle
  • Eliminate Phlegm
  • Relieves Stagnation
  • Invigorates the Blood
  • Relieves convulsions
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Sudden falling and loss of consciousness
  • Convulsions
  • Spitting saliva
  • Screaming
  • A hot temper
  • Dysphoria
  • Insomnia
  • A bitter taste in the mouth
  • Dryness of the pharynx
  • Cough with sputum
  • Scanty, dark urine
  • Constipation
Treatment Principle
  • Clear and purge Liver Fire
  • Resolve Phlegm
  • Resuscitate
Herb Formulas
  • Di Tan Tangmodified
  • Chinese patent medicines:
    Long Dan Xie Gan Tang
    Yang Jiao Feng Wan
    With constipation
    : Zhi Li Da Tan Wan
Points
Clinical Manifestations
  • Mild or severe tremors of the head and extremities
  • Sometimes the tremors can be stopped by conscious effort
  • Fullness and stiffness of the chest and epigastrium
  • A dry mouth
  • Dizziness
  • Vertigo
  • Sweating
  • Yellow Phlegm
  • A tendency toward obesity
  • T: Normal or Red
  • C: Greasy and yellow
  • P: Wiry, slippery and rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Extinguish Wind
Herb Formulas
  • Dao Tan Tangmodified
  • With severe Phlegm, Heat and tremors: Cui Gan Wan
  • Chinese Patent Medicines:
    An Gong Niu Huang Wan
    Wan Shi Niu Huang Qing Xin Wan

    Hu Po Bao Long Wan
Points
Clinical Manifestations
  • Firmness and distention in the lower abdomen which is painful and gives resistance on pressure
  • Smooth urination
  • Manic behavior
  • Forgetfulness
  • Black stools that are easy to expel
  • Delayed menstruation
  • Amenorrhea
  • Irregular menstruation
  • Coagulated blood
  • Thirst
  • Dry mouth
  • Polyuria
  • Liver spots indicating stagnant blood found on the face, lips, tongue, limbs and finger nails
  • T: Purplish
  • C: Normal
  • P: Deep, slow and irregular
Treatment Principle
  • Breaks up and dispels Blood Stasis
  • Clear Heat
Herb Formulas
Points
  • General points
Clinical Manifestations
Treatment Principle
Herb Formulas
Points