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Concussion Syndrome

Ba Zhen Tang & Post-concussion Syndrome


12/07/10
abstracted & translated by
Bob Flaws, L.Ac.
On page 1011 of issue #6, 2010 of Guang Ming Zhong Yi (Guangming
Chinese Medicine), Zhang Hong-qing et al. published an article titled The
Treatment of 90 Cases of Post-concussion Syndrome with Ba Zhen Tang. A
summary of this article is presented below.
Cohort description:
Of the 90 cases enrolled in this cohort study, 55 were male and 35 were
female. The youngest was 10 and the oldest was 78 years old. The shortest
course of disease was a half month, and the longest was two years.
Diagnostic criteria included the presence of the following signs and symptoms
three or more months after sustaining a concussion and in the absence any
other neurological or organic disease: headache, dizziness, heart
palpitations, tinnitus, insomnia, profuse dreams, decreased memory power,
and decreased concentration power. In addition to these main symptoms,
there were also a pessismistic outlook, vexation and agitation, and easy
anger. If very severe, there was also hysteria.
Treatment method:
Ba Zhen Tang (Eight Pearls Decoction) with added flavors consisted of:
Dang Gui (Radix Angelicae Sinensis), 12g
Bai Shao (Radix Alba Paeoniae)
Dang Shen (Radix Codonopsis)
Shu Di Huang (cooked Radix Rehmanniae), 10g each
Chuan Xiong (Rhizoma Chuanxiong)
Bai Zhu (Rhizoma Atractylodis Macrocephalae)
Fu Ling (Poria), 9g each
Gan Cao (Radix Glycyrrhizae), 6g
If there was phlegm turbidity blocking the center with marked dizziness, Ju
Hong (Pericarpium Citri Erythrocarpae), Ban Xia (Rhizoma Pinelliae), and
Tian Ma (Rhizoma Gastrodiae) were added.
If there was heart-spleen dual vacuity with impaired memory and poor sleep,
Suan Zao Ren (Semen Zizyphi Spinosae), Yuan Zhi (Radix Polygalae), and
Lian Zi (Semen Nelumbinis) were added.
If there was liver fire tending to effulgence with a red facial complexion and
scratchy eyes, Shi Jue Ming (Concha Haliotidis), Mu Dan Pi (Cortex Moutan),
and Gou Teng (Ramulus Uncariae Cum Uncis) were added.
If there was kidney essence insufficiency with low back soreness and tinnitus,
He Shou Wu (Radix Polygoni Multiflori), Tu Si Zi (Semen Cuscutae), and stirfried Du Zhong (Cortex Eucommiae) were added.
If there was food stagnation with abdominal distention and torpid intake, Lai
Fu Zi (Semen Raphani), Su Geng (Caulis Perillae), and Shen Qu (Massa
Medica Fermentata) were added.

One packet of these medicinals was decocted in water per day and
administered warm in two divided doses. One months administration equaled
one course of treatment.
Study outcomes:
Cure was defined as complete disappearance of clinical symptoms and no
recurrence on follow-up after three months. Marked effect was defined as a
70% reduction in clinical symptoms. Improvement was defined as a 30%
reduction in clinical symptoms, while no effect was defined as basically no
change in clinical symptoms. Based on these criteria, 56 cases were
considered cured, 16 cases got a marked effect, 10 cases improved, and
eight cases got no effect. Therefore, the total effectiveness rate was
published as 91.11%.
Discussion:
According to the Chinese authors, post-concussion syndrome primarily
corresponds to the traditional Chinese disease categories of headache and
dizziness. Traumatic injury to the head results in qi and blood stasis
obstruction with non-free flow of the vessels and network vessels. If this
endures, it leads to qi depletion and blood scantiness with loss of
nourishment of the vessels and network vessels. This then results in
headache. If the sea of marrow loses its nourishment and the essence
brightness loses its moistening, this leads to dizziness, insomnia, and
impaired memory. If the emotions are depressed and livers body loses its
nourishment, loss of coursing of the livers function results in vexation and
agitation and easy anger or irritability. If severe, there may even be hysteria.
Because the main symptom of post-concussion syndrome is headache and Ba
Zhen Tang is indicated by Wu Kun in his Yi Fang Kao (Examination of Medical
Formulas) for the treatment of vacuity headache, Ba Zhen Tang was selected
as the base formula for this study. Using this formula for the treatment of
post-concussion syndrome is a new use of an ancient formula. Because this
formula heavily supplements the qi and blood, it can also supplement the
liver body in order to out-thrust liver function. Hence the effect is that the
vessels and network vessels are full and exuberant, the blood is freely
flowing, and the qi is regulated.
Copyright Blue Poppy Press, 2010. All rights reserved.