方邦江治疗继发性癫痫验案1则
A Clinical Case of FANG Bangjiang Treating Secondary Epilepsy
收稿日期:2024-10-23,
录用日期:2025-06-24,
网络出版日期:2025-08-09
移动端阅览
1.三峡大学健康医学院,宜昌 443000
2.三峡大学附属宜昌市中医医院,宜昌 443000
3.上海中医药大学附属龙华医院,上海200032
收稿日期:2024-10-23,
录用日期:2025-06-24,
网络出版日期:2025-08-09,
移动端阅览
向卢梅,向剑英,张甜甜,等.方邦江治疗继发性癫痫验案1则[DB/OL].(2022-01-01)[2022-03-10].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19879/j.cnki.1005-5304.202002478&lang=zh
XIANG Lumei,XIANG Jianying,ZHANG Tiantian,et al.A Clinical Case of FANG Bangjiang Treating Secondary Epilepsy[J].,
向卢梅,向剑英,张甜甜,等.方邦江治疗继发性癫痫验案1则[DB/OL].(2022-01-01)[2022-03-10].http://cccl-tcm.cacm.org.cn/thesisDetails#10.19879/j.cnki.1005-5304.202002478&lang=zh DOI:
XIANG Lumei,XIANG Jianying,ZHANG Tiantian,et al.A Clinical Case of FANG Bangjiang Treating Secondary Epilepsy[J]., DOI:.
病史摘要
2
甘某,女,61岁,主因“左侧肢体乏力伴运动障碍20年余,加重伴癫痫3年”前来就诊,20年余前因“右侧顶部脑膜瘤”行脑膜瘤切除术,术后遗留有左侧肢体无力、运动障碍,于外院行康复治疗后,症状稍缓解。2021年不慎摔倒,摔倒时头枕部着地,当即出现左上肢肌张力升高,于当地医院行颅脑计算机断层扫描(CT)检查未见颅内出血,行保守治疗后遗留有左侧肢体乏力,运动障碍,继发性癫痫,平均每半月癫痫小发作1次,以左上肢及左侧面部抽动为主,脑电图提示大脑半球阵发性尖慢波发放,长期口服抗癫痫药,但疗效欠佳,深受其扰。适逢方邦江教授前来宜昌市中医医院义诊,遂前来就诊。刻下症:面白体瘦,气短声低,畏寒肢冷,纳谷不香,眠浅易醒,大便干结,小便尚可。中医诊断 痫病(脾肾两亏,虚风内动兼痰瘀阻络证)。西医诊断 1.继发性癫痫;2.偏瘫;3.肌张力障碍。干预措施 中药处方以方邦江教授独创方“复元醒脑汤”加减而成:人参15 g、胆南星30 g、益母草60 g、黄芪120 g、陈皮9 g、酒大黄5 g、水蛭6 g、三七4 g、熟地黄60 g、石菖蒲18 g、全蝎6 g、青礞石30 g、白芍60 g、蜈蚣2条。14剂,每日1剂,水煎2次,早中晚餐后半小时温服。疗效转归 经治疗后,现已2月余,患者癫痫未再发作,畏寒、眠差、纳谷不香、大便干结等症明显改善。
Summary of case history
Patient GAN
female
61 years old
primarily came for consultation due to "left-sided limb weakness accompanied by motor dysfunction for over 20 years
with exacerbation and epilepsy for 3 years." Over 20 years ago
she underwent a meningioma resection for a "right parietal meningioma
" which left her with left-sided limb weakness and motor dysfunction. After rehabilitation treatment at a hospital
her symptoms slightly improved. In 2021
she accidentally fell
landing on the occipital part of her head
which immediately led to increased muscle tone in her left upper limb. A cranial CT scan at a local hospital showed no intracranial bleeding
and conservative treatment was administered
leaving her with left-sided limb weakness
motor dysfunction
and secondary epilepsy
with minor epileptic seizures occurring on average once every half month
mainly characterized by twitching of the left upper limb and left facial area. An EEG indicated paroxysmal sharp and slow wave discharges in the cerebral hemisphere. She has been taking anti-epileptic drugs orally for a long time
but the effect is not satisfactory
causing her much distress. Professor FANG Bangjiang came to
Yichang Traditional Chinese Medicine Hospital
for a charity clinic
so she came for consultation. Current symptoms: pale complexion and thin body
shortness of breath and low voice
cold intolerance and cold limbs
poor appetite
light sleep with easy awakening
dry stools
and normal urination.
TCM diagnosis
Deficiency of both spleen and kidney
internal stirring of deficient wind complicated by phlegm and blood stasis blocking collaterals.
Western medicine diagnosis
1. Secondary epilepsy; 2. Hemiplegia; 3. Dystonia.
Therapeutic methods
The patient was administered Professor FANG Bangjiang's self-formulated prescription
Fu Yuan Xing Nao Tang
with modifications
taken orally for 14 doses
with each dose prepared by boiling the ingredients twice and taken warm in three divided doses
30 minutes after meals.
Clinical outcomes
After the treatment
more than two months have passed
and the patient has not experienced any further epileptic seizures. Symptoms such as cold intolerance
poor sleep
lack of appetite
and constipation have significantly improved.
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