DOC

1 - rotem-center.co.il

By Rick Moore,2014-09-03 14:50
15 views 0
1 - rotem-center.co.il1 -

    Epilepsy page 1 1. Epilepsy: A Case Study Comparing Western and

    Traditional Chinese Treatment Procedures

    2. by Hila Ravid, Shai Ravid and Reuven Ravid

3. Abstract

    4. Epilepsy is the world’s most common neurological

    1disease. Western medicine treats epilepsy primarily

    with medication and, infrequently, surgery.

    Traditional Chinese medicine uses a combination of

    acupuncture and herbal formulas. A case study

    describes the successful treatment of a 24-year-old

    woman by traditional Chinese medicine (TCM).

5. Keywords

    6. Epilepsy, Dian Xian, traditional Chinese medicine,

    Western medicine, Acupuncture, Phlegm, Wind, Fire,

    Yin deficiency, Liver, Spleen, Heart, Kidney.

7. Introduction

    8. Throughout the centuries, in different cultures,

    certain superstitions grew up regarding epilepsy.

    The ancient Greeks for example, called epilepsy the

    sacred disease, and even in Martin Luther’s time

    epilepsy was referred to as a demonic illness. In

    the Middle Ages and into the modern era, the common

    belief was that devils and ghosts were responsible

    for epilepsy. According to the Talmud, one of the

    holy books of Judaism, epilepsy was regarded as a

    disease of (demonic) possession. It was only at the

    thend of the 19 century, when western medicine began

    to provide neurological clues as to the disease

    process, that the prejudices against epilepsy

    gradually begin to recede.

    Epilepsy page 2

    art One: Epilepsy as understood by Western 9. P

    medicine

    210. Definition of epilepsy

    11. Epilepsy is a brain disorder marked by electrical disturbances in brain wave frequency, which results in a seizure.

     312. Varieties of epilepsy

    13. Seizures are classified as either generalised or partial and may be primary (idiopathic) or secondary. Where the electrical disturbances are spread throughout the entire brain the disease is called general epilepsy; when they are restricted to a particular area of the brain it is called partial or focal epilepsy.

14. Primary (idiopathic) epilepsy

    15. In this case the cause of the seizures is unknown and there is no indication of previous brain damage. In about five to ten percent of cases there is a genetic basis. Even an electro encephalogram (EEG) may not provide a clear-cut indication that a

    4problem exists.

    16. There are two major types of idiopathic epilepsy:

    517. Tonic-clonic (grand mal)

    i. In the tonic phase of the seizure,

    breathing stops due to contractions of the

    air passages, and in the clonic phase

    there are convulsions. The patient may

    vomit, and after regaining consciousness

    can experience such symptoms as headache,

    Epilepsy page 3

    muscle pains and a desire to sleep. These

    seizures can vary as to frequency and

    length. This type of epilepsy usually

    begins between the ages of four and 20

    years and often ceases naturally as the

    patient gets older. Seizures, which begin

    after 25 years of age, are generally of

    the secondary variety.

    618. Absence (petit mal)

    a. These seizures are very brief, lasting only

    five to ten seconds. During this time the

    patient is unresponsive and immobile although

    there may be tremors of the eyelids or

    shoulders. This particular seizure returns

    several times daily, and after the seizure the

    patient has no conscious recollection of what

    happened. This type of epilepsy usually ceases

    naturally.

    719. Secondary epilepsy

    20. This type of epilepsy results from damage to the brain cortex and may be due to viral infections, tumours, foreign objects, metabolic disease such as hypoglycaemia, anorexia nervosa, calcium deficiency, genetic diseases, vascular accidents etc. Seizures can appear either days or years after the injury to the brain.

    821. Treatment

    22. Management of the symptoms is aimed at improving the patient’s quality of life by reducing or eliminating seizures. Treatment can be drug based or involve a surgical procedure.

    Epilepsy page 4 Antiepileptics/anticonvulsants are generally efficient in treating most seizures, however side effects and toxicity can be a problem. Surgical procedures can be used for the prevention of seizures but this is only undertaken where the patient has not responded to conventional treatment and is considered to be at high risk.

    923. Drug Treatment

    24. Name of 25. Type 26. Us27. Opti28. Selected

    drug of ual mal side effects

    seizures adult (Therapeut

    daily ic) level

    dose of drug in

    (mg/kg) the blood

    (μg/ml)

    29. Phenytoin 30. Toni31. 4-32. 10-33. Nystagmu

    c-clonic, 8 20 s, ataxia,

    focal dysarthria,

    sedation,

    confusion,

    etc.

    34. Carbamazep35. Toni36. 5-37. 4-8 38. Nystagmu

    ine c-clonic, 25 s, dysarthria,

    focal diplopia,

    ataxia,

    drowsiness,

    etc.

    39. Valproic 40. Toni41. 1042. 50-43. Nausea,

    acid c-clonic, -60 100 vomiting,

    focal, diarrhea,

    absence drowsiness,

    alopecia, etc.

    44. Phenobarbi45. Toni46. 2-47. 10-48. Drowsine

    tal c-clonic, 5 40 ss, nystagmus,

    focal ataxia, skin

    rushes,

    learning

    Epilepsy page 5

    difficulties,

    etc. 49. Primidone 50. Toni51. 5-52. 5-15 53. Sedation

    c-clonic, 20 , nystagmus,

    focal ataxia,

    vertigo,

    nausea, etc. 54. Ethosuximi55. abse56. 2057. 40-58. Nausea,

    de nce -35 100 vomiting,

    anorexia,

    headache,

    lethargy, etc. 59. Clonazepam 60. abse61. 0.62.