Patient's question:
Seizures caused by fever are prone to occur when the temperature is above 38 degrees Celsius.Doctor's answer:
Epilepsy manifests different pathological changes in different stages of the disease course, during both the attack phase and the remission phase, and varies among different patients. Therefore, Traditional Chinese Medicine (TCM) treats epilepsy based on syndrome differentiation and treatment. As Wang Kengtang, a dynasty scholar, stated, "The causes differ, and the treatments should also vary. For those with shock, calm the spirit; for those with phlegm, induce vomiting; for those with fire, clear the mind." Epilepsy is primarily caused by wind, phlegm, fire, blood stasis, and deficiency. In the initial stages of the disease and during attacks, the pathogenic factors are often excessive, predominantly manifesting as wind, phlegm, fire, and blood stasis symptoms, making the treatment of primary symptoms essential.When the disease has persisted for a long time and during remission, both primary and secondary symptoms should be addressed, with a combination of attacking and tonifying methods. Additionally, the severity and urgency of the pathogenic factors must be differentiated. Treatment may focus on calming wind, clearing heat, and resolving phlegm, or on invigorating blood circulation, calming the liver, and tonifying the liver and kidneys.
For cases where the disease has persisted for a long time and the body's healthy qi is deficient, with prominent deficiency signs, the priority should be to build the foundation and support the body's vital qi.