诸痫病发，卒倒抽掣，叫吼吐涎。因其声之似，而有猪痫、马痫、羊痫、牛痫、鸡痫之分。溯其源，卒倒无知者，
痰迷心窍也；搐搦抽掣者，风入肝经也。名虽不一，不外心肝二经。经曰∶“脉滑大，久自已；脉坚小，死
不治。”有得之胎前者，儿在母腹，其母猝然受惊，痰气逼入心肝，与本来气血搏见成窠，此不可治者也；有
得之怀抱者，小儿心肝有余，神气不足，偶有所触，风动于肝，火发于心，神不守舍，痰涎蔓衍，浸淫乘其隙
而入之，据以为主，此介于可治不可治者也；有得之成人者，外感风寒，内伤饮食，逆于脏气，
闭塞诸经，郁而生痰，胶固心肝，此无不可治者也。夫有桀骜不驯之虏，必恃斩关夺隘之才；有顽梗难化之
枭，必须执锐披坚之勇。盖负 劲敌，非诗书所能启牖，仁义所能渐摩，礼乐所能陶淑，不得不挽强弓，操毒
矢，以摧其锋而捣其窟。痰之凝结心肝，亦由是也。彼挟心肝以淬其锋，温之而余氛愈炽；据心肝以完其窟，
和之而固垒难降；且胁心肝以成其党而树其敌，补之而邪焰鸱张。求其剽悍之性，直抵巢穴而能杀伐者，其惟
礞石与麝香乎。可以拨乱而反正，能平肝下气，为治惊利痰之圣药。余于是症，胎病无论已，小儿未曾诊视，
稍得成人，但脉浮大，概以礞石滚痰丸、麝香丸攻之，日服六君子汤一帖，得愈者无数。有服至一月愈者，有
服至两月愈者，以痰尽为度。经曰∶“有故无殒”，不信然欤！《难经》训癫为僵仆直视，与痫无异，进阅《
内经》癫狂篇，亦大同小异。以为痫即癫者，非也，《内经》明有三条之论；以为痫不同于癫者，亦非也，所
言癫痫两相仿佛，故阙之以俟参考（麝香丸方∶法夏、胆星、陈皮、枳实、麝香、云苓、青皮、炙草、生姜汁
为丸。一方治小儿乳哮∶姜虫伴糯米，浸与浮沫，去米焙干，研细末，米汤调服）。
各种痫病发作时，突然昏倒、肢体抽搐掣动、大声吼叫并吐出涎沫。因为发作时的声音相似，所以分为猪痫、马痫、羊痫、牛痫、鸡痫等类型。追溯其病因，突然昏倒不知人事的，是痰浊迷蔽了心窍；出现抽搐掣动的，是风邪侵入肝经。名称虽然不同，但都不外乎心和肝两经的问题。医经中说：“脉象滑大，病程长久后能自行痊愈；脉象坚小，则属死证，难以治愈。”
有的痫病是在胎儿时期就获得的。婴儿在母腹中时，母亲突然受到惊吓，导致痰气逼迫进入心和肝二经，与原本的气血搏结形成病灶（窠臼），这种属于不可治疗的类型；有的痫病是在怀抱抚养过程中获得的。小儿的心肝之气有余，而神气不足，偶然受到外界触动，导致肝风内动，心火亢盛，神志不能守舍，痰涎蔓延扩散，趁机侵入体内，占据主导地位，这种属于介于可治与不可治之间的类型；有的痫病是在成年后获得的。由于外感风寒，内伤饮食，导致脏气逆乱，闭塞诸条经脉，郁滞而生痰，痰浊胶固于心和肝二经，这种属于没有不可治疗的类型。
这就好比有桀骜不驯的敌虏，必须倚仗能斩关夺隘的才能；有顽固难化的枭雄，必须拥有披坚执锐的勇气。面对强劲的敌人，仅靠诗书教化、仁义感化、礼乐熏陶是无法奏效的，不得不拉开强弓，使用毒箭，以摧毁敌人的锋芒并捣毁其巢穴。痰浊凝结在心肝二经，也是同样的道理。那些挟持心肝之气来淬炼其锋芒的（指温补法），用温补法会使残余的病势更加炽盛；占据心肝之地来巩固其巢穴的（指平和调理法），用调和法难以攻克坚固的堡垒；并且胁从心肝之气来结成党羽树立对手的（指滋补法），用滋补法会使邪气如火般嚣张。想要找到一种剽悍的性质，能直抵巢穴并能进行攻伐的药物，大概只有礞石和麝香吧。它们可以拨乱反正，能够平抑肝气、降泄肺气，是治疗惊悸、利化痰涎的圣药。
对于这种病症，胎传痫病暂且不论，小儿患者我未曾诊视过，稍微接触到成年患者，只要脉象浮大，一概使用礞石滚痰丸和麝香丸进行攻逐治疗，同时每天服用一帖六君子汤，治愈者无数。有的服药一个月痊愈的，有的服药两个月痊愈的，以痰浊排尽为度。医经说：“有病邪存在就不会造成伤害”，难道不是这样吗？《难经》将癫证解释为僵仆直视，与痫病没有区别，进而查阅《内经》中的癫狂篇，内容也大同小异。认为痫病就是癫病的观点，是不对的，《内经》明确有三条不同的论述；认为痫病不同于癫病的观点，也是不对的，文中所说的癫痫两者非常相似，所以我暂时存疑以等待参考。（麝香丸方：法半夏、胆南星、陈皮、枳实、麝香、云茯苓、青皮、炙甘草，用生姜汁泛丸。另一方治疗小儿乳哮：姜虫伴糯米浸泡至产生浮沫，去掉米粒焙干，研成细末，用米汤调服）。
When various types of Epilepsy (Xian Bing) attack, the patient suddenly falls into unconsciousness, experiences limb convulsions and jerking, cries out loudly, and spits saliva. Due to the similarity in their sounds during attacks, they are classified into Pig Epilepsy (Zhu Xian), Horse Epilepsy (Ma Xian), Sheep Epilepsy (Yang Xian), Ox Epilepsy (Niu Xian), and Chicken Epilepsy (Ji Xian). Tracing back to their origins, sudden collapse with loss of consciousness is caused by Phlegm turbidity confusing the Heart orifice (Tan Mi Xin Qiao); convulsions and jerking are caused by Wind pathogen invading the Liver channel (Feng Ru Gan Jing). Although the names differ, they all pertain to the Heart and Liver channels. The Classics state: "If the pulse is slippery and large, it will heal itself after a long time; if the pulse is firm and small, it is a death case, incurable."
Some epilepsy is acquired before birth. While the fetus is in the womb, if the mother suffers a sudden fright, Phlegm-Qi forces its way into the Heart and Liver, where it battles with the original Qi and Blood to form a pathological nest (Ke), which is considered incurable. Some epilepsy is acquired during childhood upbringing. Children have excess Heart and Liver Qi but insufficient Shen (Spirit) Qi. Upon occasional external stimulation, Liver Wind stirs internally, Heart Fire flares up, the Shen fails to reside in its abode, Phlegm-Saliva spreads, and takes advantage of the void to invade, establishing dominance. This type is between curable and incurable. Some epilepsy is acquired in adulthood. It results from external contraction of Wind-Cold and internal injury from diet, causing reversal of Zang organ Qi, blocking the meridians, leading to stagnation and generation of Phlegm, which becomes sticky and fixed in the Heart and Liver. This type is entirely curable.
Just as unruly rebels require talent capable of breaking through gates and passes, and stubborn owls require courage clad in armor and wielding sharp weapons, one cannot rely on poetry, books, benevolence, righteousness, rituals, or music to educate or mold a formidable enemy. One must draw a strong bow and wield toxic arrows to crush their vanguard and destroy their lair. Similarly, Phlegm coagulating in the Heart and Liver requires such an approach. Those who exploit the Heart and Liver to sharpen their edge—using warming methods—will find that residual pathogenic factors become more intense; those who occupy the Heart and Liver to fortify their lair—using harmonizing methods—will find it difficult to lower strong defenses; and those who ally with the Heart and Liver to form factions and create enemies—using tonifying methods—will see evil flames soaring like vultures. To seek a fierce nature that can reach the nest directly and perform eradication, there is nothing better than Mengshi (Lapis Calaminaris) and Shexiang (Musk). They can restore order from chaos, calm the Liver and descend Qi, and serve as holy medicines for treating fright and resolving Phlegm.
Regarding this condition, prenatal epilepsy is excluded. I have not examined pediatric cases, but for adult patients, provided the pulse is floating and large, I generally use Mengshi Guntan Wan (Calamine Rolling Phlegm Pill) and Shexiang Wan (Musk Pill) for attack, along with one dose of Liujunzi Tang (Six Gentlemen Decoction) daily. Countless patients were cured. Some recovered after one month of medication, others after two months, stopping when Phlegm was completely exhausted. The Classics say: "Where there is pathology, there is no harm," is this not true? The *Nan Jing* defines Dian (Mania/Depression) as stiff falling and staring straight ahead, which is no different from Xian (Epilepsy). Further reading of the *Nei Jing*'s chapter on Dian and Kuang reveals similar content. To claim that Xian is identical to Dian is incorrect, as the *Nei Jing* clearly presents three distinct discussions; to claim that Xian is different from Dian is also incorrect, as the descriptions of both are very similar. Therefore, I leave this question open for reference. (Formula for Shexiang Wan: Fa Banxia, Danningxing, Chenpi, Zhishi, Shexiang, Yunling, Qingpi, Zhigancao, processed into pills with fresh ginger juice. Another formula for treating infantile milk asthma: Jiangchong mixed with glutinous rice, soaked until foam appears, remove rice, dry over fire, grind into fine powder, take with rice water.)