Ding Xian Wan - 定癇丸 - Arrest Seizures Pill

English:	Arrest Seizures Pill
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Gastrodiae	Tian Ma	6-30g	Extinguishes Wind, calms the Liver and stops spasms and tremors.
Bul. Fritillariae Cirrhosae	Chuan Bei Mu	6-30g	Clears Heat and transforms Phlegm.
Rz. Pinelliae Preparatum	Zhi Ban Xia	6-30g	Dries Dampness, transforms Phlegm and descends Rebellious Qi. With Chen Pi, for a stifling sensation in the chest due to Phlegm-Damp Obstruction or Spleen Qi Deficiency. With Fu Ling, for Phlegm, thin mucus and turbid Dampness.
Poria	Fu Ling	6-30g	Leaches out Dampness, Promotes urination, Strengthens the Spleen, Transforms Phlegm.
Scl. Poria Pararadicis	Fu Shen	6-30g	Quiets the Heart, calms the Spirit and soothes the nerves.
Arisaema cum Bile	Dan Nan Xing	3-15g	Calms Wind, Clears Heat, Dissolves Phlegm, Stops convulsions.
Rz. Acori Tatarinowii	Shi Chang Pu	3-15g	Opens the Orifices, vaporizes Phlegm, removes filth, calms the Spirit and disperses Wind. With Yuan Zhi and Fu Ling, for forgetfulness, tinnitus, and impaired hearing. With Fu Shen, for forgetfulness and dulled senses.
Scorpio	Quan Xie	3-15g	Extinguishes Wind and stops tremors and convulsions. With Jiang Can, for Wind-Dampness.
Bombyx Batryticatus	Jiang Can	3-15g	Extinguishes Wind and stops spasms and convulsions. With Tian Ma, Quan Xie, and Dan Nan Xing, for quickly developing convulsions with generalized twitching and wheezing and convulsions with Phlegm and Fire.
Succinum	Hu Po	3-15g	Stops tremors and palpitations and calms the Spirit. With Yuan Zhi, Fu Shen and Shi Chang Pu, for emotional distress, anxiety with palpitations, forgetfulness, and insomnia. With Zhu Sha, for childhood convulsions and insomnia.
Medulla Junci	Deng Xin Cao	3-15g	Promotes urination, leaches out Dampness, clears Heat from the Heart channel by directing Fire downward and calms the Spirit.
Per. Citri Reticulatae	Chen Pi	4-21g	Adjusts the Middle, Dries Dampness, Regulates Qi, Relieves the diaphragm, Transforms Phlegm and Descends Qi.
Rx. Polygalae	Yuan Zhi	4-21g	Calms the Spirit, sedates the Heart, clears the channel joining the Heart and Kidney, expels Phlegm, and opens the Orifices. With Gan cao, reduces the irritating effect of Yuan Zhi, to prevent nausea and vomiting. With Fu Shen and Zhu Sha, for insomnia, palpitations with anxiety, nocturnal emissions and spermatorrhea.
Rx. Salviae Miltiorrhizae	Dan Shen	6-60g	Clears Heat, Dispels Blood Stasis, Invigorates the Blood, Soothes irritability.
Rx. Ophiopogonis	Mai Men Dong	6-60g	Clears the Heart and eliminates irritability.
Cinnabaris	Zhu Sha	2-9g	Sedates the Heart, calms the Spirit, expels Phlegm and sedates jitteriness and convulsions while stopping tremors.
Succus Bambusae	Zhu Li	100ml	Clears Heat, transforms Phlegm and penetrates to the channels. (Add to the decoction.) With Jiang Zhi, for Wind-Stroke with Phlegm welling upward and Phlegm-Heat withdrawal mania.
Rx. Glycyrrhizae	Gan Cao	120g	Clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs. (Decoct separately and add to the decoction.)
Ginger Juice	Jiang Zhi	50ml	It is best for alleviating nausea, breaking up Phlegm and reducing coughing. (Add to the decoction.)

Formula Actions

• Scours out Phlegm
• Opens the sensory Orifices
• Clears Heat
• Extinguishes Wind

Syndromes

• Wind-Phlegm
• Seizure disorder arising from a combination of Wind and Phlegm (Secondary source)

Clinical Manifestations

Maybe recurrent vertigo Maybe weakness Maybe a stifling sensation in the chest Sudden loss of consciousness Falling down Opisthotonis Spitting up of mucus with a loud, raspy sound Semi-unconsciousness

Involuntary dripping of saliva Deviation of the mouth Severe cases: Tonic-clonic convulsions Sudden shrieking Incontinence of urine or stool T: Normal C: White and greasy P: Wiry and slippery

Treats

Epilepsy Convulsions Mania-depression

Seizures Multi-infarct dementia

Contraindications And Herb/Drug Interactions

Notes

• This condition most commonly occurs in children.

Modifications

For weak patients:		For long-term use, alternate with:
+ Rx. Ginseng	Ren Shen	Placenta Pill He Che Wan
For constipation:
+ Rx. et Rz. Rhei	Da Huang	For continuous twitching and spasms:
+ Natrii Sulfas	Mang Xiao	+ Ram. cum Uncis Uncariae	Gou Teng
For stroke with numbness of the limbs or hemiplegia:
- Poria Pararadicis	Fu Shen
- Medulla Junci	Deng Xin Cao
- Per. Citri Reticulatae	Chen Pi
+ 4g Exocarpium Citri Grandis	Hua Ju Hong
+ 6g Lignum Pini Nodi	Song Jie