Epilepsy is a sudden, transient brain dysfunction disorder. The incidence is high and can occur at any age, with adolescents being particularly common. The first thing you need to do is to get a good idea of what you are getting into.
Analysis of epilepsy from Western medicine.
Western medicine believes that epilepsy is a one-time, recurrent brain dysfunction caused by abnormal over-discharge of neuronal cells in the brain. This abnormal discharge is not felt by the patient and not visible to others, but can be recorded by EEG. Epileptic seizures are characterized by sudden and repeated seizures, with a one-time convulsion (commonly known as jerking) or impaired consciousness as the main manifestation, and the clinical seizures can be varied. Epilepsy has been recognized in ancient China for a long time: the word “epilepsy” is defined in the Yellow Emperor’s Classic of Internal Medicine as “epilepsy” or “madness”, which means disorders of consciousness during seizures, and “epilepsy” or “convulsions”, which means a spastic state during seizures.
The etiology of epilepsy is typed.
There are primary, secondary and cryptogenic epilepsy.
Primary epilepsy is also called idiopathic epilepsy; epilepsy without organic lesions and with a genetic predisposition. It is a specific group of epilepsy syndromes that, in children, are often closely related to age, some are related to genetic factors, and have a good prognosis. For example, when the fetus is in the mother’s womb, the pregnant mother is suddenly frightened, causing disturbances in the elevation of Qi, resulting in a deficit of liver and kidney essence and blood, causing abnormal fetal development and the symptoms of this disease after birth.
Secondary epilepsy or symptomatic epilepsy; also called epilepsy with a clear cause and organic brain lesions. There are many disorders that cause this type of epilepsy, mainly divided into the following two categories: first, intracerebral disorders, a variety of brain diseases, such as cerebrovascular disease, craniocerebral injury, encephalitis, meningitis, hydrocephalus, brain abscess, inflammatory granuloma, intracranial tumors, brain parasites, craniocerebral trauma, demyelinating disease, brain developmental abnormalities, brain atrophy craniosurgery sequelae, brain local scars, brain degenerative diseases, etc. can cause epilepsy; second, extracerebral disorders The second is extracerebral disorders: such as: hypoglycemia, hypocalcemia, asphyxia, shock, eclampsia, uremia, diabetes mellitus, cardiogenic convulsions and metal, drug poisoning, etc. Many central nervous system or systemic diseases can cause epilepsy. Common causes of secondary epilepsy are birth injuries, intracranial infections, and abnormalities of cerebral circulation, such as the sequelae of encephalitis and pediatric febrile convulsions, which can cause epilepsy.
Cryptogenic epilepsy: That is, although the cause cannot be found even after the current examination by various methods, epileptic seizures are the only symptom of the disorder. However, with the advancement of science and technology, more cryptogenic epilepsy will be able to identify its cause.
Epilepsy is a clinical syndrome of chronic brain dysfunction caused by multiple causes, and is a seizure, sudden, recurrent, transient disorder of the brain nervous system caused by repeated hyper-synchronous discharges in groups of nerve cells in the brain. Depending on the location and extent of abnormal brain discharges, the clinical manifestations of the disorder may vary. The clinical symptoms may include transient motor, sensory, consciousness, behavioral, and vegetative nervous system disorders, or both. The EEG shows epileptiform discharges and laboratory tests are unusual. Epilepsy is characterized by seizures, recurrence, and spontaneous remission, and is a chronic, recurrent disorder of brain function. In the interictal period, the patient is normal. A single seizure caused by temporary impairment of brain function due to certain factors such as hypoxia, hypoglycemia, or drug intoxication is not considered epilepsy. In Chinese medicine, epilepsy is called “epilepsy”. It has been recorded as early as the 4th century B.C., for example, in the 59th Difficulty in the Classic of Difficulties by Bian Ji: “How can the disease of madness and epilepsy be distinguished? However, madness begins ……. The epilepsy begins with unhappiness, stiffness, and direct vision.” The heart is full of large, epileptic tendons and contractures, and the liver pulse is small and urgent, epileptic tendons and contractures.” “The two yin shortnesses are epileptic convulsions.” In the Sui dynasty’s “Treatise on the Origin of the Diseases”: “…… seizures fall to the ground, vomit and froth unconsciously, if the stiffness is like, starting for outside, cerebrovascular disease epilepsy is mostly seen in the middle and elderly. Both hemorrhagic and ischemic cerebrovascular diseases can cause epilepsy. About 5% of epilepsy starts about 1 year after the disease.
The characteristics of pediatric epilepsy are
1. Diversity: That is, the same child can have several different types of seizures.
2. Variability: In some children, epilepsy is variable, with different types of seizures at different times.
3. staccato: often complete seizures, that is, they do not show the whole course of the seizure, but terminate at a certain stage of the seizure.
4. Atypicality: children with epilepsy often have variants, such as periodic vomiting, manic laughter, and unusual sudden changes in personality. All can be done as a special manifestation of childhood epilepsy.
5. Adverse factors are easily induced: children are prone to seizures under the influence of adverse factors (such as fever, irregular life, overeating, etc.).
6, periodicity: children’s seizures often have more regular periodicity, that is, every certain period of time and repeated seizures.
7, intelligent character and change: pediatric epilepsy without systematic and regular treatment or frequent seizures (especially after grand mal seizures or the emergence of a persistent state), long-term can not be controlled, the change of intelligence and character is more obvious, such as the performance of low intelligence, dumb, slow, childish,, slurred speech, silent, withdrawn or irritable, etc..
8, generally 4 — 8 years old children are mostly petit mal seizures: can also be accompanied by grand mal seizures. Ventral epilepsy is more common in children than in adults.
Blood chemistry tests for epilepsy.
Such as blood glucose, blood calcium, blood magnesium, and drug composition. The level of blood glucose, blood calcium and blood magnesium concentrations are important conditions that cause seizures. On the one hand, abnormalities in these factors may be important factors in causing seizures, and on the other hand, they can provide a basis for the diagnosis of some diseases with seizures, such as hypoparathyroid epilepsy and diabetic epilepsy.
The main purpose of drug composition determination is to guide the clinical use of drugs, including the selection of drugs that work well and the determination of accurate doses.
How does TCM recognize epilepsy?
Epilepsy is also known as epilepsy and epileptic evidence in Chinese medicine. The name epilepsy began in the Nei Jing. In the Su Wen (Su Wen) and Qi Qi (Qi Disease Theory), it is said, “When a person is born with epilepsy, …… the mother is frightened, and the gas goes up and down, and the essence lives together, so that the child develops epilepsy.” This clearly points out the important role of congenital factors in the occurrence of this disease. The clinical characteristics of this disease are described in detail in the Treatise on the Origin of Diseases (Epilepsy): “Epilepsy is a sudden onset of the disease, with vomiting of froth at the mouth, vortex of the mouth and eyes, dazzling of the hands and feet, no awareness, and a long time to recover.” The “Jisheng Fang・Epilepsy Treatise” classifies epilepsy according to the five organs, stating, “These five epilepsy should be related to the five animals, and the five animals should be related to the five organs.” Zhu Danxi in “Danxi Xinfa・Epilepsy” states, “There are five epileptic evidence, …… none other than phlegm and saliva congestion, baffling orifices.” The relationship between phlegm and the pathogenesis of the disease was discussed. The main symptoms, pathogenesis, and sudden onset and recurrence of epilepsy canker sores are explained in some detail by Wang Kentang in his “Zhizhi Zhizhi Zhizhi”. Cheng Guopeng, in his “Medical Heart Enlightenment・Epileptic Cripples”, pointed out that “The scriptures cloud heavy yin as pain, heavy yang as madness, and the crippling evidence is phlegm and saliva gathered in the meridians.” Yu Tuan in (Medical Zhengzhuan・Epilepsy Cripples) pointed out, “Epilepsy is dominated by phlegm, solid fire moving of the made also, the treatment, epilepsy is appropriate to spit …….” Li Yongcui combined his clinical experience in the “Evidence and Treatment of Epilepsy” pointed out the division of Yin and Yang epilepsy, and proposed the treatment: “Yang canker is caused by phlegm and heat in the heart and stomach, and is made by hearing the alarm, if the phlegm and heat is very much, even if you do not hear the alarm, it is appropriate to use cold. Yin epilepsy is based on phlegm-heat, because of the use of cold too much, damage to the spleen and stomach into Yin, the method should be dry dampness, warm tonic dispel phlegm.”
Wang Qingren further elucidated the disease in the Medical Lin Correction, recognizing that the disease is related to Qi deficiency and blood stasis.
Epileptic patients should pay more attention to.
1, several factors that trigger epilepsy in daily life: excessive physical labor, overstressed mental labor, strenuous sports. Mental tension, sadness, sorrow, anger, overexcitement, lack of sleep. Over-starvation or over-feeding, drinking large amounts of water at a time, etc. Drinking alcohol, drinking strong tea, consuming food containing a lot of caffeine (such as chocolate), etc. Colds and fevers can trigger epilepsy and should be avoided as much as possible.
2, epilepsy patients should pay attention to the following aspects when going out: it is best to go out in pairs and try to avoid acting alone. The actual fact is that you will be able to get a lot more than just a few of the most popular and most popular items. Patients with seizures avoid cycling on roads with many people and cars. Patients with seizures in the waking state are strictly prohibited from driving. Patients with epilepsy should carry enough antiepileptic drugs with them when traveling and keep taking them. For epileptic patients who have seizures due to little sleep, it is not advisable to make long-distance travel.
Life precautions for epileptic patients.
Optimistic emotions
It has been proven that mental tension, pessimism and disappointment can prompt seizures. The majority of epileptic patients are pessimistic and disappointed due to long-term recurrent seizures and discrimination by some people in the society. Epileptic patients should establish confidence to overcome the disease, maintain optimism and treat the disease correctly. With a good psychological state, active cooperation with the doctor, adhere to long-term treatment, most patients can be basically cured and live the same life as normal people.
Combine work and rest
The most important thing is that you will be able to get the most out of your life. Therefore, epileptic patients must pay attention to the combination of work and rest. The school and society should not be too demanding for children with epilepsy. Adult patients should also not be overly stressed and fatigued in their studies to avoid making seizures.
Adequate sleep
The most important thing to remember is that you should not stay up too late, especially for children with epilepsy.
Eat well
The epilepsy can be triggered by full meals or starvation, or by drinking large amounts of water at once. The most important thing to do is to make sure that you have a good diet and avoid being too full or too hungry or drinking a lot of water at once. In addition, drinking strong tea and eating foods containing large amounts of caffeine, such as chocolate, can cause seizures and should be avoided.
Stop smoking and drinking
Chronic alcoholism can cause changes in the structure and function of the cerebral cortex, which can lead to seizures. Chronic alcoholism can cause changes in the structure and function of the cerebral cortex, which can lead to seizures. Sudden withdrawal from alcohol can also cause seizures in long-term alcohol addicts. The first thing you need to do is to take a look at the list of the most common drugs that are available. Therefore, epileptic patients should abstain from drinking all alcohol and alcoholic beverages.
Regular follow-up appointments
The entire process of antiepileptic treatment should be carried out under the guidance of a physician, and patients should not seek treatment indiscriminately. In order to observe the effect of drug treatment and adverse reactions, and to guide the patient to use the medication reasonably, regular follow-up examinations should be conducted for physical examination and necessary laboratory tests. The patient should be seen once a week for 1-2 months after the start of antiepileptic treatment, and once a month after 3 months. Each follow-up visit should be accompanied by a medical card or medical record for the doctor’s reference.
Keeping medication on hand
Patients with epilepsy should have a full supply of common medications at home. They should also have antiepileptic agents that work quickly and are easy to use in case of a sudden seizure. For example, Valium injections and enemas, epileptic suppositories, and phenobarbital injections.
Marriage
Marriage of epileptic patients should be treated differently. It is now believed that patients with fully controlled seizures or basically controlled seizures can enjoy love and family happiness exactly as normal people do. However, patients with epilepsy who have not yet been well controlled are better off not getting married for the time being, and for those patients who are severely mentally or intellectually impaired due to delayed treatment or serious illness, it is better not to get married. This is because they are incapable of bearing and raising children and cannot afford the responsibility of a family.
Fertility
When to have children in epilepsy is also an issue that deserves serious attention. It is generally accepted that it is better to have children after the seizures have been fully controlled for several years and the antiepileptic drugs have been gradually reduced. This is because antiepileptic drugs can cause fetal malformations in both men and women, regardless of which side is taking them. On the other hand, if a female patient has uncontrolled seizures and becomes pregnant, the frequent seizures can cause generalized hypoxia, which also causes fetal hypoxia, affecting fetal development and even leading to miscarriage. Therefore, patients with epilepsy should not have children until their seizures are effectively controlled.
Breastfeeding
Women with epilepsy whose seizures have been effectively controlled and who are no longer taking antiepileptic drugs can breastfeed. However, women who are taking antiepileptic drugs should stop breastfeeding and switch to artificial feeding because their breast milk can contain antiepileptic drugs that can interfere with fetal brain development.
Readings
Children with epilepsy have a disease that has little effect on medications, so children with epilepsy can read while they are being treated. The child with epilepsy should receive early education and be upgraded to school like normal healthy children because of the important factors that affect the development of intelligence such as education, intellectual development and psychosocial factors.