The experience of Dr. Jianhua Hu in treating epilepsy

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Epilepsy is a chronic paroxysmal disease in nervous system. Clinical syndrome is characterized by sudden transient cerebral dysfunction resulting from repeated abnormal electric discharge of neuron. Main manifestations are motorial, sensory, mental and behavioral disorders and vegetative nerve functional disturbance. The incidence is about 0.5%.
Epilepsy belongs to “dian xian” or “xian zheng” in TCM, “yang xian feng” is the common name in China. The factors are emotional disorder, congenital defect, and drastic fright. The pathogeneses are dysfunction of zang-fu, up and down of yin yang, inducing wind, phlegm, fire, Qi confused, phlegm accumulation, adverse flow of qi and wind-phlegm obstruction. Epilepsy mainly involves liver, spleen, heart and kidney. Whether epilepsy is severe or not, depending on phlegm and zheng qi. At the primary stage, Zheng qi is not impaired and phlegm is not accumulated much, paroxysmal time is short and intervals are long. While at the chronic stage, zheng qi can be impaired, insufficient of heart and kidney，and it is recurrent frequently.

The experience of Dr. Jianhua Hu in treating epilepsy,
Dr. Hu thinks that phlegm is the main factor of epilepsy. So to eliminate phlegm, suppress wind, cause resuscitation and arrest convulsion is key. He is characteristic in using Sheng nan xing to treat chronic and recurrent epilepsy. The basic prescription includes Sheng nan xing, Sheng ban xia, Sheng tie luo, Jiang can, Gou teng, Shi chang pu, Yuan zhi, Wu gong and Quan chong, in which the dose of Sheng nan xing is 12-15g. Sheng nan xing is bitter taste, warm with toxin. Through mix-fried procedure, the toxin can be reduced, while accompanied by effective ingredient reduced. So modifying doses according to differentiation of syndrome is important.
Dr. Hu divides epilepsy into 3 types, wind-phlegm type uses Sheng tie luo, Sheng nan xing, Yuan zhi, Shi chang pu, Zhi di long, Dan shen, Bai shao, Zhi gan cao, etc. Internal blockage of blood stasis type uses above formula adds Chuan xiong, Hong hua. Wind-phlegm mixed with qi insufficient type adds Dang shen, Huang qi. Dr. Hu treated 148 cases of epilepsy using this treating method, the effective rate reached 75.9%. They also did pharmacological test, the result shows the above formula can control repeated abnormal electric discharge of cerebral neuron. Toxin and side-effect are less than western medicine obviously.

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