I met her in April 2021 and her stools at that time were WNL, she had had only one seizure last Han 2021. Her tongue was dk pink-purple, dry. Her pulses were slightly narrow, rapid, and seemed of decent tone. She is a sweet nervous girl who trembles most of her visit. She was slightly overweight. She has bilateral patellar luxation Gr 2-3/4. At that time I was more concerned about her bowels and thought she was more of an irritable bowel girl over IBD so I oput her on Aventi probiotcs and Xiao Yao San.
In June we talked by phone, had had one bad seizure May 31 = very different from previous seizures (out in yard and collapsed, yellow froth from mouth, lat recumbent, eyes rolling, legs paddling, and took a few days to recover and smelled bad/putrid for 2 days). Stools are still off and on loose. Through June had 1 more seizure, both seem to start first thing in am where she starts with grass-eating and gagging, goes into a "stance", seizes and vomits. Both long recovery times, very subdued.
July 2 I got to examine Starr again. Seizure events Jan 19, May 30 5am, June 12 3:30pm, July 5 6am. She'd been stung by a wasp on Canada Day and had a severe rxn with ++ hives all over her belly, gave Benedryl. I saw her July 9 and the hives were just started to receed but O thought they were getting worse? Her tongue was now pale purple and slightly swollen, pulses toned. At this point I felt I was seeing more Dampness with Wind so I started her on Ban Xia Bai Zhu Tian Ma Tang. Phone call today and o very upset with cost of herbs (argh) and doesn't feel she's seen any changes in GIT. No seizures to date but stools still loose, still eating grass and compulsively eats things off the ground, and gaggling a lot after (coughing/gagging mostly in the evening). I still think this is Dampness but pica makes me think more Damp Heat. I'm wondering about Wei Ling Tang and Tian Ma Gou Teng Yin together? Or even San Ren Tang with respiratory issues?