LISHUITANG TCM  CLINIC

癫痫+甲亢：Epilepsy Seizure & Hyperthyroidism；

初诊：2013.12.6  某， 男，46岁，渔民，身高175cm ,体重130斤 。脉搏：88次/分

病 史：癫痫，因十几年前跟人在海上捕鱼时斗殴，致伤，从此每年发作。发作时，头痛甚、剧烈抽搐、口吐白沫、无羊猪叫声。半小时 一小时后复如常人。日大便3-4次，无味，发白。食量超大，比常人大3-4倍，难寐甚。小便有过红、白，自小小便勤，然并不多饮。无性欲。2010年11月，西医 诊断甲状腺亢进。

刻诊：脉硬浮数。舌质硬、尖红、苔薄黄。时有头汗，烦躁，双目突出，双眼布满血丝，甲状腺明显粗大，较软，有照。易怒烦躁，但比较克制有火不发出来。脖子粗大，有照。

诊为：肝肾阴阳两虚，久虚化火。西医：甲亢+痫证

病机：久虚化火，肾阴亏，阴火上窜居上焦不降，阴虚火旺，机能亢进、过耗，

治则：滋阴降虚火、疏肝软坚、温肾阳、提升阳气

第 一周针灸加温灸治疗后，食量、烦躁减。舌质变软，但舌尖红未变，舌苔仍黄。双侧瘿瘤变软，左侧可见变小。由原来每天4次大便，减为2次，大便白色变少，开 始有臭味。小便亦减。身上感到舒服。饭能闻到香味。前天觉口渴。自称脸上发润、发白，脑子清亮一些。脉变细数、不硬。舌苔变淡，舌尖发红稍减。称干活出汗 了，从头到脚，此前冬天干活从来不出汗。

一周后开始服中药汤剂，至12/13/2013  脉搏80次/分，体重128斤。称‘头清凉海了’（很多之意）。

2013/12/15脉搏76，日大便2次，饭量减半，近乎常人。大便已完全转黄，夜里一次可睡3小时。常常在针灸床上大睡。有时针还没有下完就睡着了。

2014/1/3青岛市立医院血象及甲亢三项均普遍好转，其中TSH 0.01→0.02；已无明显病证，嘱戒生气、寒凉、受风、房事，调养至明春。体重132斤。

2014/1/8 白天骑车出门，碰上冬季雨天，未戴帽子，头部淋雨受凉，半夜起夜晕倒。次日出诊。脉搏88，浮数，针血后，降至84。颈围较前明显变细过半。此次发作较之 以前：未吐白沫、未抽搐。苏醒快（大约10几分钟），头不痛，但头晕涨不适。舌体白润、舌前微红。不饥、夜饮勤。

2014/1/16 凌晨3点来电, 说又犯了。笔者从下午青岛3点赶到琅琊肖府。项围40cm。脉搏细数，84次/分。舌象已经完全正常：柔软，下伸，有白薄苔。

病发原因：昨晚渔船漏了。下班后老板要求加班，堵漏从5点干到至6点，心里懊恼郁闷。夜里起来喝水在床上昏厥。但仍未发生吐白沫、剧烈抽搐、头痛等症状。称以前冬天双脚冷，今年脚温（阳气得伸）。整个叙述过程神情自然，语言清晰，未见任何异常。

该病人从得病到就诊中医，夸时17年，耗资近二十万，在比较富裕的渔村，属于贫困户。中医治疗不到2个月，临床治愈，不过耗费数千元，两个病证均明显好转， 生活质量大幅提升，说明中医的整体治疗效果有显著优势。两次病发乃因触犯禁忌（生气、受寒凉），但症状较以前发病大为减轻：无吐白沫、无头痛、无抽搐、时间 短，苏醒快。无奈两次发病，病人即失去信心，听信流言，转投巫医，未能最后治愈，十分遗憾。

中医治疗不仅是控制不发作，生活质量可以大幅提高，因为从根本上改变了体质，不失为较好的选择。但治疗不是一劳永逸，需要适当地跟踪、养护，避免复发。



Clinic visit Dec6,2013.  46year old male, former fisherman

Weight: 65kgs (143lbs), Pulse: 88/minute

History: seventeen years ago, fought with other fishermen during fishing at sea and got injury on the head. When fit hit, sever headche, convulsion, foaming at the mouth, no grunting sound, after 30-60 minutes, back to normal. white color stool, totally stinkless, poo daily 3-4 times.  severe insomnia, once in a while  albuminuria;( leukursis), or pink. frequent pee since a child. Nov 2010, diagnosed Hyperthroidism. 

Clinic symptoms: pulse hard and fast, stiff tongue, red at tip, yellowish coating, fidget, head sweat, protruding eyeballs, obvious goiter on both sides (Thyromegaly). photo taken. eat too much, 3-4times than normal people but no appetite, couldn't smell for years,  Reserved personality. Libido zero. wife sopke most for him.

Impression: deficiency in both liver and kidney, long enough to transform into heat which caused excessive metabolism and even weaker Qi.

Principles: nurish Yin, soften nodules

After a week's accupuncutre, eat less and less fidget. tongue looks softer,goitors shrinked slightly, stools became yellowish, with odour. could smell when wife was cooking. began to sweat from head to feet at work, never did before in winter.

Herbal followed the next week,. Till Dec 12, pulse lower to 80 times/minute, weight slightly decreased. claimed feel head very clear.

Dec 15 2013, pulse 76, stinky poo twice daily, totally yellow. eat nearly as much as normal people. sleep three hours one time at night. Often fell asleep on accupuncture table. More than one fell asleep before I finished all the needles.

Till Jan 3,2014 lab test showed all index improved, TSH 0.01-0.02. showed no abvious symptoms. ordered him three forbiddens: anger, catching cold & wind, sex till Spring.

Jan8, a called came in and told me serizure hit him again. went to town by bike and on his way back caught a rain. Without a raincoat and wearing a cap that was totally soaked with rain, biking more than an hour in the rain. Winter rain was very rare and cold. The very night serzure hit him.

Early next morning I paid home visit, Symptoms:pulse 88/m, neck dramatically thinner than before. But acording to his wife, this time he didn't spit foam, no spansm, wake up in ten minutes. no headache. I ordered him to keep taking herbs and watch for the three forbiddens.

Jan 16, 2014.  3am a call came in. fit hit again. I rashed to his house.

The previous evening, just before getting off work, boss ordered him to fix a leak in a boat. it was an hour no-pay work. He felt frustrated and when getting up at night to drink water, fit hit. Still no foam at mouth, no headache, no conculsion.The patient stated by himself, camly and clearly, no sign of illness. Beside both feet feel warm, never like that before.

In spite of the abvious improvement, the patient feared that CM would not workoing on him. He turned to witch doctor later.

This patient spent thousands of hundreds of Yuan and lived a horrible life in seventeen years before turning to CM. In less than two months his life quality was greatly improved.

CM can greatly improve Epilepsy patient's life quanlity, not simply keep symptoms not to occur. Patient dont have to take life-long medication, that is definitely a better choice.