Convulsions - Chou Chu

Chu Nuo - Tugging and Slackenining

Convulsion in Traditional Chinese Medicine involves the following - Limb spasms, spinal rigor, facial paralysis/twitch etc.

Western medicine  epilepsy, tetanus, infant convulsion, brain tumor, meningitis, and more.  

TCM Liver Wind Etiology (causes) for Convulsions:

1. Excess Heat in Ying and Xue level induces Liver Wind

2. Deficiency of blood/fluids leads to tendons/muscles lack of nourishment induces Wind  

Chinese Medicine Differentiation and Treatment of Convulsions 

Extreme Heat injures body fluids and induces Wind high fever, retention of urine, convulsive symptoms with scanty urine, lockjaw

Principle of Treatment  clear Heat, promote body fluid production to extinguish Wind and relieve convulsions.

Acupuncture points for Convulsions - Du, foot jueyin, Du 14 (heat), 16 (wind), Large Intestine 4 (heat, wind), Liver 2, 3 (calm Liver wind), Gall bladder 34 (tendon influential) - lockjaw  Stomach 6, 7 - thirsTongue - jin jin and yu ye, Ren 23 - limb spasm  Small Intestine 3, Du 8, Bladder 57Ying

Herbal Formula for Convulsions: Yin Qiao San + Shi Jue Ming, Gou Teng, Jiang Can

Xue level Heat high fever at night, scanty urine, irritable, insomnia, convulsions, lockjaw, heat in Pericardium, T- deep red , yellow dry coat

Principle of Treatment  clear Heat, cool blood, calm mind, relieve convulsions

Acupuncture points for Convulsions - jueyin, Pericardium 7, 8, Liver 2, 3, and Du 14 (heat), Gall bladder 34 (tendon spasm)

Herbal Formula for Convulsions: Qing Wen Bai Du YinLing Jiao Gou Teng Tang + Zi Xue Dan An Gong Jiu Huang Wan - injected Convulsion Due To Shock - Hu Po Bao Long

Blood/fluid deficiency late stage, fatigue, dizziness, blurred vision, spontaneous sweat, ematiated, limb spasms, facial spasms, dry symptoms, T- dry, P- thin

Principle of Treatment  nourish blood and fluids to relieve convulsions

Acupuncture points for Convulsions - hand and foot yangming, taiyin, back shu, Large Intestine 4, 10, and Stomach 36 (contain most Qi and blood), Spleen 6 (Yin, blood), Spleen 10 (blood), Bladder 18 and 20 (tonify), *neutral stimulation

Herbal Formula for Convulsions: Ke Bao Li Su Tang

Liver Wind With Spleen Deficiency - late stage febrile disease with liver and kidney yin deficiency and wind symptoms.

Herbal Formula for Convulsion: Da Ding Feng Zhu

Kidney Essence Deficiency - malnutrition before convulsions start

Herbal Formula for Convulsions: Di Huang Yin Zi

Alternative Treatment Methods

Ear Acupuncture Treatment for Convulsions  Liver, subcortex, brainstem, Shenmen, sympathetic, *strong stimulation, 30-60 min.

electro stimulation  Large Intestine 4, 10, 11, si bai, Gall bladder 34, Liver 3, consistent rapid frequency.

External Application: Fresh Di Long mixed with Feng Mi applied to Du20

Acute Infantile Convulsions

External Pathogenic invasion usually Wind-Heat, Flu-like attacks lead to convulsions, T- red with thin yellow coat, P- floating rapid

Principle of Treatment  expel Wind-Heat, open orifices, relieve convulsions

Acupuncture points  Du, hand Yangming, foot Jueyin, Du 14, Large Intestine 11, 12 Jing-well points (bleed), 4 gates - headaches- taiyang - vomit- Ren 12, Pericardium 6 - lock law- Stomach 6, 7

Shock complexion changes to pale-blue, then convulsions start

Principle of Treatment  calm spirit and mind

Acupuncture points  hand Shaoyin, Du 21, *Yintang, Heart 7, *KI - severe- Du 26 (if unconscious)

Phlegm-Heat poor diet, nausea, constipation, leads to Phlegm-Heat and further to convulsions.

Principle of Treatment  clear Heat, resolve Phlegm, open orifices

Acupuncture points  Du, foot Yangming, Du 26, Ren 12, Stomach 40, Heart 7, Liver 3, Si Feng (3 edged needle)

Alternative Treatment Methods

auricular- sympathetic, Shenmen, brain, HT, subcortex. Stimulate every 10 minutes. Treatments should be long in duration. injection- vit B1, in Gan Shu, Bladder 11, Gall bladder 2, Small Intestine 19, SJ 2 Tapping (child needle)- Hua Tou Jia Ji, Bai Hui, Yintang