痫不必分五等，专主在痰，多用吐法。有惊、有痰、有火，大率行痰为主。入方∶黄连、南星、半夏、栝蒌。寻
痰、寻火，分多少治，无有不愈者。分痰与热，有热者，以凉药清其心；有痰者，必用吐药，后用东垣朱砂安神丸。
大概此证必用吐，吐后用平肝之药，青黛、柴胡、川芎之类，一本或龙荟丸。假如痫因惊而得，惊则神出其舍，舍
空则痰聚也。钱氏泻青丸、牛黄清心丸俱治痫。
主心脾，宜归脾汤、定志丸。精神短少者，多用安神丸之类，亦有痰迷心窍者。戴云∶健忘者，为事有始无
终，言谈不知首尾，此为病之名，非比生成愚顽不知世事者也。
大概属血虚，有忧虑便动。属虚血少者，多时作时止者，痰因火动。瘦人多因是血少；肥人属痰。寻常者多是
痰；真觉心跳者，是血少。四物汤、安神丸之类。怔忡者，心不安，惕惕然如人将捕者。
血虚，用朱砂安神丸治之。一方治惊悸，定志丸加琥珀、郁金。痰迷心膈，治痰药皆可。
大率血少不能润泽，理宜养阴为最，治烦躁不得眠者，六一散加牛黄服之。内伤病似真伤寒，至五七日汗后复
热，入夜烦躁唤水者，补中益气汤加附子。内伤病似伤寒，三战后，劳乏烦躁昏倦，四君子汤加当归、黄 、知
母、麦门冬、五味子。如甚者，脉细数无序，三更后吃水直至天明，此元气虚，用竹叶汤，煎此药，大剂服之。内伤
似伤寒，烦躁不绝声，汗后复热，脉细数，五七日不睡，补中益气加人参一两，用竹叶同煎。甚加麦门冬、五味子、知
母。火入肺为烦，入肾为躁，俱在于上，皆心火为之。火旺，则金烁水亏，惟火独在，故肺肾合而为烦躁。
痫证（癫痫）不必分为五种类型，其病机主要在于痰浊，治疗上多采用涌吐法。病因包括惊、痰、火，大体以行化痰浊为主。常用药物包括：黄连、天南星、半夏、瓜蒌。需辨别痰与火的多少进行分治，没有不愈的。若区分痰与热，有热者，用凉药清心；有痰者，必须用吐药，之后服用李东垣的朱砂安神丸。
大概此证必用吐法，吐后使用平肝药物，如青黛、柴胡、川芎等，或龙胆泻肝丸。假如痫证因惊吓而得，惊则神气外越脱离其舍，神舍空虚则痰浊聚集。钱乙的泻青丸、牛黄清心丸均能治疗痫证。
病位主在心脾，宜用归脾汤、定志丸。精神短少者，多用安神丸之类，也有因痰迷心窍者。戴元礼说：健忘者，做事有始无终，言谈不知首尾，这是病的名称，不同于天生愚笨不懂世事的人。
大概属于血虚，有忧虑就会发作。属于血虚量少者，多时发时止，痰因火动。瘦人多因血少；肥人属痰。寻常情况多是痰；真正感到心跳剧烈者，是血少。可用四物汤、安神丸之类。怔忡者，心神不安，惊恐的样子好像被人追捕一样。
血虚，用朱砂安神丸治疗。一方治疗惊悸，定志丸加琥珀、郁金。痰迷心膈，任何治痰药均可。
大体因血少不能润泽，理应以养阴为最，治疗烦躁不得眠者，用六一散加牛黄服用。内伤病似真伤寒，至五七日汗后复热，入夜烦躁唤水者，用补中益气汤加附子。内伤病似伤寒，三战之后，劳乏烦躁昏倦，用四君子汤加当归、黄芪、知母、麦门冬、五味子。如果严重者，脉细数无序，三更后喝水直至天明，此为元气虚，用竹叶汤，煎此药，大剂服用。内伤似伤寒，烦躁不绝声，汗后复热，脉细数，五七日不睡，补中益气汤加人参一两，用竹叶同煎。甚者加麦门冬、五味子、知母。火入肺为烦，入肾为躁，都位于上部，皆由心火引起。火旺，则金烁水亏，惟火独在，故肺肾合而为烦躁。
Epilepsy (Xian) need not be divided into five categories; its pathogenesis is primarily due to phlegm, and the treatment mostly employs emetic methods. The etiology involves fright, phlegm, and fire, generally focusing on resolving phlegm. Herbs included in formulas: Huanglian (Coptidis Rhizoma), Nanting (Arisaematis Tuber), Banxia (Pinelliae Rhizoma), Gualou (Trichosanthis Fructus). One must seek out the extent of phlegm and fire, treating them according to their proportions; there will be no case that does not heal. Differentiate between phlegm and heat: for those with heat, use cooling herbs to clear the Heart; for those with phlegm, emetic drugs are mandatory, followed by Li Dongyuan's Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill).
Generally, this condition requires emesis; after emesis, liver-calming herbs such as Qingdai (Indigo Naturalis), Chaihu (Bupleuri Radix), and Chuanxiong (Ligustici Chuanxiong Rhizoma) should be used, or alternatively, Longdan Xiegan Wan (Gentian Liver-Draining Pill). If epilepsy arises from fright, fright causes the Shen (Spirit) to leave its residence; when the residence is empty, phlegm accumulates. Qian Yi's Xieqing Wan (Liver-Draining Pill) and Niuhuang Qingxin Wan (Calving Horn Clearing the Heart Pill) both treat epilepsy.
The disease location is primarily in the Heart and Spleen; Guipi Tang (Restore the Spleen Decoction) and Dingzhi Wan (Stabilize the Will Pill) are appropriate. Those with shortness of spirit mostly use Anshen Wan (Calming the Spirit Pill); some cases involve phlegm confusing the Heart orifice. Dai Yun said: Amnesia refers to having a beginning but no end in actions, and speaking without knowing the start or finish; this is the name of the disease, distinct from congenital stupidity who do not understand worldly affairs.
Generally, it belongs to Blood deficiency, triggered by worry. In cases of deficient and scant Blood, symptoms come and go frequently, with phlegm stirred by fire. Thin people often suffer from scant Blood; fat people are associated with phlegm. Common cases are mostly due to phlegm; true palpitations indicate scant Blood. Siwu Tang (Four Substances Decoction) and Anshen Wan (Calming the Spirit Pill) may be used. Zhengchong (Palpitations/Startle) refers to an unsettled Heart, feeling terrified as if someone were about to capture them.
For Blood deficiency, Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill) is used. Another formula treats fright and palpitations: Dingzhi Wan (Stabilize the Will Pill) added with Hupo (Amber) and Yujin (Curcumae Radix). For phlegm confusing the Heart and Diaphragm, any phlegm-resolving drug is suitable.
Generally, scant Blood fails to moisten and nourish; thus, nourishing Yin is the best approach. To treat restlessness and insomnia, Liu Yi San (Six-to-One Powder) added with Niuhuang (Calculus Bovis) is taken. Internal injury diseases resembling True Shanghan (Cold Damage), where fever returns after sweating on the fifth or seventh day, accompanied by night-time restlessness and calling for water, are treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Fuzi (Aconiti Lateralis Radix Praeparata). Internal injury resembling Shanghan, after three battles, presenting with fatigue, restlessness, dizziness, and lassitude, is treated with Sijunzi Tang (Four Gentlemen Decoction) added with Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix), Zhimu (Anemarrhenae Rhizoma), Maidong (Ophiopogonis Radix), and Wuweizi (Schisandrae Fructus). If severe, with a fine, rapid, and disordered pulse, drinking water from the third watch until dawn, this indicates Yuanqi (Original Qi) deficiency; Zhuye Tang (Bamboo Leaf Decoction) is used, decocted with large doses. Internal injury resembling Shanghan, with incessant restlessness, fever returning after sweating, fine and rapid pulse, and inability to sleep for five to seven days, is treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with one liang of Renshen (Ginseng Radix et Rhizoma), decocted together with Zhuye (Phyllostachris Folium). If severe, add Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), and Zhimu (Anemarrhenae Rhizoma). Fire entering the Lung constitutes Fan (Restlessness); entering the Kidney constitutes Zao (Irritability). Both reside in the upper jiao and are caused by Heart Fire. When Fire is excessive, Metal is scorched and Water is depleted, leaving only Fire alone; thus, the Lung and Kidney combine to produce Fan and Zao.