Possible Stroke or Epilepsy Case

[Dominik Daling]

Case help needed for my special neighbor: a 70 year old lady who in the wild time of the 1970s discovered the matriarchy of Juchitán in Southern Mexico and is a very special lady and University professor who has worked hard all her life fighting for subsistence agriculture, feminism and traditional Mexican values. She has had a very healthy lifestyle all her life, but now I am afraid her yang deficiency is causing some potentially dangerous problems.I am wondering whether to give her a blood or a water tonifying formula. I have not attended the JG pulse seminar yet, and quite frankly do not know the best method to start with. In July and again 10 days ago, she suffered from blackouts, short episodes of amnesia and was hospitalized both times with suspected epilepsy/stroke. Yet, the lack of high cholesterol, high blood pressure or any other contributing factors has left the doctors clueless as to what to do with her. Pulse: L roll up, cun sup weak, guan deep faint, chi deep faint; R: sup tight, guan thin wiry, chi deep faint, no roll, not long. Hx of removed gallbladder, hepatitis A, knee problems and hypothyroidism. Important events: 10 days ago – blackout at night with convulsions (like an epileptic episode). In hospital they found a minor subacute stroke in the right Hippocampus (but no bleeding). Also, the heart has reduced in size, and there is a slight emphysema in the lungs and maybe some pleural effusion. Meds: Levetiracetam (for focal epilepsy); Aspirin 100mg; and a statin. July 2016 – after a long flight from Mexico to Germany, she had a blackout while lying in bed at night. No convulsions this time. In hospital they couldn’t find anything in the MRI and diagnosed hyponatremia, gave her NaCl and sent her home. April 2016 – persisting ear infection (otitis media). Refused antibiotics, but had to give in and take them to get rid of the infection. Suffered from two days of amnesia during the illness. 26 years ago, she had a major concussion with amnesia (only with regards to the head trauma). Some aphasia during recovery. She suspects it may have something to do with it, which doctors however rule out. Symptoms: this past year, several changes occurred. She appears to have difficulty finding words, has a moaning voice and is a bit slow and worn out. Her memory function has been decreasing as well. She reports lower energy and desire to lie in bed. BMs, which for years were on the constipation side, are now variably changing its quality (sometimes too soft, sometimes diarrhea, sometimes skipping a day when emotionally upset, changing color from clay to dark, no undigested food particles), and she feels better after a BM. She cannot take coffee or greasy foods. Bloating gradually increases during the day and disappears over night. Incomplete urination, which comes out when she actively relaxes. Nocturia twice per night. Lower back pain at the sacroilial joint. She used to have palpitations, but this symptom has not reoccurred in the past years. However, she sometimes has a feeling of pressure in the thorax. Says she needs to be constantly on the move to increase her low blood pressure. Thanks so much for your help!

[Dominik Daling]

I am going to give her 7 days worth of SQW + TXS due to the floating cun, the urinary retention, dizziness and cold. The BZ should dry the stool, and I will deal with the SYang symptoms (changing stools) once the yang has been restored to some extent. I suppose that by tonifying blood with SD, the brain should benefit as well (blackouts) and suffer less from wind attacks. This won’t be spot ,on but should do some good. Have a great weekend!

[Aaron]

Sudden loss of consciousness is wind. Maybe a wind strike formula? Houshi Heisan is a wind strike formula with a floating wiry right cun and weak left hand pulses

[Aaron]

If you did a FZ combo then TXS + QZT might be good (QZT is a head trauma formula)

[Dominik Daling]

Good advice, thanks alot Aaron. If I prescribe HSHS, but cannot get a hold of XX, can I substitute it with GJ? I know I can’t really, but currently I cannot change this situation. And what are the dosages of QZT?

[Author]

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