竹沥饮之。余欲往他处，且与脉之，闻其作声，余自知谬拙，不教以粥与药间服，急令作稀粥与之，止咽得
三四匙，牙禁不受。余遂以木楔斡开，以稀粥入药汤，又与竹沥同灌一大钟，盖是粥多而药居三之一。予遂出门，
教令粥药相间与之。予在二十里外，未申间，天大风作。予料此妇痫必作，特往视之，痫不作而痛作，脉去来
急无次，急为灸然谷、太冲、巨阙。灸罢痛定，问其要粥否？答曰∶我正饥。其夫饮之以粥，咽两钟。予乃往
他处，仍教以药汤调参术膏、竹沥，与粥间与之如前。第二夜半时，召予甚急。往视之，痫病大作，夺手不能
诊脉，令人扶定两肘，予捉其中指，强而脉之，四至半，粗大有力，左右同，而右少缓。口妄言而无次，又怒
骂人，眼上视，不瞬而呕。又欲起走，其状若有所凭。然予捉定两手，为灸两大指背半甲半肉际，各三壮。怒
壮稍杀，求免。索烛视之，耳目仍未有闻见。昏寐至夜半，狂怒大作，且言鬼怪之事。而师巫至，大骂巫者。
予静思之，气因血虚，亦从而虚邪因入，理或有之，且与补药，血气若充，邪当自退。仍与前药，又恐痰顽，
佐以荆沥，又以秦承祖灸鬼法灸之，哀告我自去。昏睡一昼夜，忽自起坐索粥。其夫与之，方问夫，你面垢如许，
怪床上有香气。继又无所知识，惟开眼不睡，手足虽能运动，却作寻摸态。如此又二昼夜，粥食稍加，又溺床
多如前。予益喜，仍守前药。予又往他处，次日晚，忽来召予。急往视之，病患自言浑身皆痛，脉之皆五至，
左右均而和，曰参术膏俱尽，遂教令就与前药中加参术煎，去荆沥，加香附末。与一服，觉甚快。余且令守此
药，至次夜半，又来告急曰∶前痛大作。往视之，坐桶上。叫声甚高。予思之，此虚病亦多汗，肠燥而粪难耳。
痛当在小腹与腰，急烘琥珀膏大者贴小腹，仍教以热手摩腰肾间，连得下气而痛减，就睡少时，又起，如是者
五六次。一医者劝令用通利药，予曰∶痛与死，孰为轻重，且坚忍至夜半，后当自通。又往他处，至四更，来
告急，往视之，痛大作。予令坐以温汤中，当自下。换汤痛定，觉甚快，第二桶汤，下结粪二块，就睡。天明
予又往他处，至晚又告急。予视痛大作，连及两胁，手不可近。予思之，此痛无因，若结粪未尽，痛当在下；
今痛在上，必因食多，问之果然。医者欲用感应丸，予教勿与粥药。病力索药，遂以香附末，令舐之。至夜
半痛渐减，天明觉略饥索粥。予曰∶非饥也，乃嘈耳。勿与，而自安。其家又自与粥，至辰巳间，予往他处，
至晚痛又作，而病者索香附末不已，遂以汤调半碗与之，探令吐，犹有宿食，痛遂止。予又往他处，至夜半，
又告痛复作，询之，以醋拌萝卜苗吃粥。又以香附末探吐之，痛定，教令一昼夜勿与食。至次日，少与淡粥，
觉饥时以陈皮汤下白术丸，如此调理自安。
痰癫痫治法，并见上虚条。
〔洁〕治风痫病久不能愈者，从浓朴丸。春秋加添外，又于每一料中加人参、菖蒲、茯苓各一两五钱，和
剂服之。（浓朴丸方见翻胃。）
〔垣〕升阳汤 治阳跷痫，足太阳下行，宜升阳气。
麻黄（八钱，不去节） 羌活（一两半） 防风根（八钱） 炙甘草（五钱）
上 咀，每服三钱，水五大盏，煎至一盏，去渣，稍热服，宿食消尽，腹中空服之。后避风寒一二时辰，乃效。
〔洁〕昼发，治阳跷、申脉二穴，在足外踝下陷中，容爪甲白肉际是也。夜发，治阴跷、照海二穴，在足
内踝下陷中是也。先灸两跷各二七壮，然后服前药。
〔《千》〕治百病风癫。用麻仁四升，水六升，猛火煮令茅生，去渣，煎取七合，旦空心服。或发，或不发，
或多狂语，勿怪之。但令人摩手足，须臾即定。凡进三剂，无不愈。
〔罗〕神应丹 治诸风心痫病。
狐肝（一具） 乌鸦（一只） 鸱枭（一个） 白矾（一两） 野狸（一个，去肚肠，不用皮毛，用新瓦
罐盛肉，以炭火煮烂） 生犀角末（一两）
上为末，用酒打面糊为丸，如皂子大，朱砂为衣。每服一丸，酒送下，不拘时候。
〔杨氏〕蝎虎治痫法，见小儿惊痫门，妙。
〔《灵》〕暴挛痫眩，足不任身，取天柱。
气乱于头，则为厥逆，头重眩仆，取之天柱。天柱不知，取太阳荥输，于此义同。
癫疾始生，先不乐，头重痛，视举目赤，甚作极，已而烦心，候之于颜。取手太阳、阳明、太阴，血变
而止。癫疾始作，而引口啼呼喘悸者，候之手阳明、太阳。左强者攻其右，右强者攻其左，血变而止。癫疾始
作，先反僵，因而脊痛，候之足太阳、阳明、太阴，手太阴，血变而止。（俱出癫狂篇。）
〔《玉》〕痫（凡灸痫，必先下之，乃可灸。不然则气不通，能杀人。针不拘。） 鸠尾（必高
手乃可下针，但宜灸亦不可多壮，多则令人健忘。）
〔《通》〕后溪
〔《集》〕鸠尾 涌泉 心
〔桑〕阳交 三里 后溪 太冲 间使
〔《摘》〕风痫热病，心风惊痫∶上脘 三里
〔桑〕天吊∶巨阙（三寸。） 百会 囟门
〔东〕痫∶平旦发者，足少阳。晨朝发者，足厥阴。日中发者，足太阳。黄昏发者，足太阴。人定发者，
足阳明。半夜发者，足少阴。心痫面赤，心下热，短气喘息∶巨缺（灸三壮。）肝痫面青反视，手足摇动∶
丘墟（三壮。）中封（三壮。）脾痫面黄，腹大善利∶胃脘并脘傍一寸各三壮 冲阳 隐白 肺痫面白，
口吐沫∶肺 少商 少阳（各三壮）。肾痫面黑，正直视，身不摇，如尸厥∶金户 少海 至阴 涌
泉（各三壮，刺一分。） 膈痫，四肢不举∶风府（一七壮，刺一分。） 百会 人中 承浆（各随年灸。）
肠痫，都无动静，如尸厥状∶承山 涌泉 劳宫 翳风（各随年壮，刺入一分。）
马痫，目张摇头，马鸣欲反折∶风府（三壮，刺一分。） 神关 牛痫，目直视腹满∶鸠尾尖（三壮。）
大椎（三壮。） 羊痫，扬目吐舌∶大椎（三壮，刺一分。） 猪痫，吐浊沫，口动摇∶浮白（三壮，
刺一分。） 犬痫，手屈拳挛∶劳宫（一壮，刺一分。）丝竹空 肋户（各一壮。） 鸡痫，摇头反折，
善惊目摇∶至阴 窍阴 厉兑（各灸三壮，刺一分。）
〔《甲》〕癫疾多言，耳鸣，目僻，颊肿，实则聋龋，喉痹不能言，齿痛，鼻鼽衄，虚则痹，膈俞、偏
历主之。癫疾吐舌鼓颔，狂言见鬼，温溜主之。（腕后五寸。）癫疾吐舌，曲池主之。癫疾互引僵仆，申
脉主之，先取阴跷，后取京骨。癫疾狂，妄行，振寒，京骨主之。癫疾身痛，狂，善行，束骨主之。癫疾僵
仆，转筋，仆参主之。癫疾目KT KT 鼽衄，昆仑主之。狂癫疾体痛，飞扬主之。癫疾反折，委中主之。癫
疾憎风而振寒，不得言，得寒益甚，身热狂走，欲自杀，目反妄见，螈 泣出，死不知人，肺 主之。
癫狂，膈 及肝 主之。癫疾僵仆，目
妄见，恍惚不乐，狂走，螈 ，络却主之。癫疾互引反折，戴眼及眩，狂走不得卧，心中烦，攒竹主之。癫疾
发寒热，大烦满，悲泣出，解溪主之。癫疾互引，口 喘悸者，大迎主之，取手阳明、太阴，变血而止。癫疾
狂，多食，喜笑不发于外，烦心渴，商丘主之。癫疾呕沫，神庭及兑端、承浆主之。其不呕沫，本神及百会、
后顶、玉枕、天冲、大杼、曲骨、尺泽、阳溪、外丘当上脘傍五分通谷、金门、承筋、合阳主之。（委中下二寸
为合阳。）癫疾互引，水沟及龈交主之。癫疾，上星主之，先取 ，后取天牖、风池。癫疾呕沫，暂起僵仆，恶见
风寒，面赤肿，囱会主之。癫疾螈 ，狂走，颈项痛，后顶主之。（后顶在百会后一寸五分。）癫疾狂走，
螈，摇头，口 戾颈强，强间主之。癫疾骨酸，眩，狂，螈 ，口噤，羊鸣，刺脑户。狂易言不休，及狂
走欲自杀，目反妄见，刺风府。癫疾怒欲杀人，身柱主之。狂走癫疾，脊急强，目转上插，筋输主之。癫
疾发，如狂走者，面皮浓敦敦不治，虚则头重，洞泄淋癃，大小便难，腰尻重，难起居，长强主之。寒厥癫
疾，噤呵，螈 惊狂，阳交主之。癫疾大瘦，脑空主之。癫疾僵仆，狂虚，腕骨及风池主之。癫疾狂，螈
眩仆，喑不能言，羊鸣沫出，听宫主之。癫狂烦满，刺丝竹空。癫疾吐舌沫出，羊鸣戾颈，天井主之。（
天井在肘后。）癫疾气短，呕血，胸背痛，行间主之。痿厥癫疾洞泄，然谷主之。癫狂互引，天柱主之。
上针灸癫法，《内经》但取手足太阳、阳明、太阴六经而已。今《甲乙经》等书，又多取督经、手足太
阳、足少阴、厥阴，盖随症取之，然学人当以《内经》为主也。
〔《灵》〕骨癫疾者， 齿诸 分肉皆满而骨居汗出，烦 ，呕多沃沫，气下泄不治。（ ，苦感切。
骨居汗出，《千金》作骨倨强直汗出。）筋癫疾者，身倦挛急大，刺项大经之大杼。呕多沃沫，气下泄不治。
脉癫疾者，暴仆，四肢之脉皆胀而纵，脉满尽刺之出血。不满，灸之挟项太阳，灸带脉于腰相去三寸，诸分肉
本输。呕多沃沫，气下泄，不治。癫疾者，疾发如狂者，死不治。治癫疾者，尝与之居，察其所当取之处。
病至视之有过者泻之，置其血于瓠壶之中，至其发时，血独动矣。不动，灸穷骨二十壮。穷骨者， 骨也。
（俱出癫疾篇。）
来疾去徐，上实下虚，为厥癫疾。（全文见治虚实法。）
〔《素》〕癫疾，脉搏大滑，久自已；脉小坚急，死不治。（通评虚实论）癫疾脉虚，则可治，实则死。（同上）
〔《脉》〕癫疾脉实坚者生，脉沉细小者死。（此见与《内经》相反，更详之，当以《内经》为正。）
给患者灌服竹沥。我正准备前往别处，便为其诊脉，听到患者发出异常声响，我自知判断有误、医术拙劣，没有教导家属在喝粥和服药之间交替进行，而是急忙命令熬制稀粥喂给患者，但患者只能咽下三四匙，牙关紧闭无法进食。我便用木楔撬开患者的嘴巴，将稀粥与药汤混合，又与竹沥一同灌下一大钟（容器），其中粥占大部分，药物占三分之一。随后我出门，嘱咐家属让患者粥药交替服用。
我在二十里外，大约在下午三点到五点之间，突然刮起大风。我推测这位妇女的癫痫一定会发作，特意赶去探望，结果癫痫未发而疼痛发作，脉搏来去急促且无规律，我急忙为她艾灸然谷穴、太冲穴、巨阙穴。灸完后疼痛平息，我问她是否想吃粥？她回答说：“我正饿着。”她的丈夫给她喝了粥，她喝了两钟。于是我前往别处，仍嘱咐用参术膏（人参、白术制成的膏剂）调制药汤，配合竹沥，像之前一样与粥交替服用。
半夜时分，家属紧急召我去。我去查看时，癫痫大发作，夺走我的手无法诊脉，让人扶住固定她的两肘，我握住她的中指，强行诊脉，脉搏跳动四至半次，脉象粗大有力，左右手相同，但右手稍缓。患者胡言乱语且无条理，又愤怒骂人，眼睛向上翻，不眨眼并呕吐。又想起身走动，神态好像有所凭借。但我固定住她的双手，为她的两大指背侧指甲与皮肤交界处各艾灸三壮。愤怒稍微减轻，请求解脱。我点蜡烛查看，发现她的耳目仍未恢复视听功能。昏睡直到半夜，狂怒大作，且谈论鬼怪之事。此时巫师到来，患者大骂巫师。我静心思考，认为气因血虚而虚，邪气随之侵入，道理上或许如此，于是给予补益药物，若气血充盈，邪气应当自行消退。仍使用之前的药物，但又担心痰浊顽固，便佐以荆沥，并用秦承祖的“灸鬼法”进行艾灸，哀告患者自行离去。患者昏睡了一昼夜，忽然自己坐起索要粥食。丈夫给她粥食，她刚问丈夫：“你脸上污垢这么多，奇怪床上怎么有香气？”接着又失去知觉，只是睁眼不睡，手足虽然能运动，却做出摸索的姿态。这样又过了两昼夜，粥食稍微增加，但尿床情况如前。我更加高兴，仍坚持使用之前的药物。我又前往别处，第二天晚上，突然有人来召我。急忙赶去查看，病患自述浑身皆痛，诊脉均为五至，左右均匀和缓，说参术膏已经用完，于是教令就在之前的药中加入人参、白术煎煮，去掉荆沥，加入香附末。服用一剂后，感觉非常舒适。我暂且让她守此药方，到了第二天半夜，又来告急说：“之前的疼痛大作。”我去查看时，她坐在桶上。叫声很高。我思考，这是虚证病，也多汗，肠道干燥导致粪便难排。疼痛应该在小腹和腰部，急忙烘热大的琥珀膏贴在小腹上，仍教令用热手按摩腰肾之间，连续排气后疼痛减轻，就睡了片刻，又起来，像这样反复五六次。一位医生劝她使用通利大便的药物，我说：“疼痛与死亡，哪个更严重？暂且忍耐到半夜，之后自然会通畅。”我又前往别处，到了四更天，来人告急，我去查看时，疼痛大作。我让她坐在温水中，自然会排便。换水后疼痛停止，感觉非常舒适，第二桶水时，排出两块干结粪便，然后睡觉。天亮后我又前往别处，到了晚上又告急。我去查看时，疼痛大作，连及两胁，手不可触碰。我思考，这种疼痛没有原因，如果是干结粪便未尽，疼痛应该在下方；现在疼痛在上方，一定是因为吃得太多，询问后果然如此。医生想用感应丸，我教令不要给粥药。病人极力索要药物，于是给她香附末，让她舔食。到了半夜疼痛逐渐减轻，天亮时觉得略饿索要粥食。我说：“这不是饿，是嘈杂感。”不要给，她自己会安宁。家人又给她粥食，到了辰巳时（上午7-11点），我前往别处，到了晚上疼痛又发作，而病人不断索要香附末，于是用汤药调半碗给她，探喉催吐，吐出宿食，疼痛于是停止。我又前往别处，到了半夜，又告疼痛复发，询问得知，是因为吃了醋拌萝卜苗配粥。再次用香附末探喉催吐，疼痛平息，教令一昼夜不要进食。到了第二天，少量给予淡粥，觉得饿时用陈皮汤送服白术丸，如此调理自然安宁。
〔李东垣〕治疗风痫病日久不能痊愈者，从浓朴丸入手。春秋季节添加药物外，又在每一料药中加入人参、石菖蒲、茯苓各一两五钱，调和制剂服用。（浓朴丸方见翻胃篇。）
〔张元素〕升阳汤 治疗阳跷痫，足太阳经气下行，宜升发阳气。
麻黄（八钱，不去节） 羌活（一两半） 防风根（八钱） 炙甘草（五钱）
以上药材切碎，每次服用三钱，用水五大盏，煎至一盏，去渣，稍热服用，待宿食消尽，空腹服用。之后避风寒一二时辰，才见效。
〔李东垣〕白天发作，治疗阳跷、申脉二穴，位于足外踝下凹陷中，容纳爪甲与白肉交界处的是。夜间发作，治疗阴跷、照海二穴，位于足内踝下凹陷中的是。先灸两跷穴各十四壮，然后服用前面的药物。
〔《千金方》〕治疗各种风癫。用麻仁四升，水六升，猛火煮至产生泡沫，去渣，煎取七合，早晨空腹服用。或者发作，或者不发作，或者多狂语，不要奇怪。只需让人按摩手足，一会儿就能安定。凡进服三剂，无不痊愈。
〔罗天益〕神应丹 治疗各种风心痫病。
狐肝（一个） 乌鸦（一只） 鸱枭（一个） 白矾（一两） 野狸（一个，去掉肚肠，不用皮毛，用新瓦罐盛肉，以炭火煮烂） 生犀角末（一两）
以上研为细末，用酒打面糊做成丸，如皂子大小，朱砂为衣。每次服用一丸，酒送下，不拘时候。
〔《灵枢》〕暴挛痫眩，足不能支撑身体，取天柱穴。
气乱于头部，则为厥逆，头重眩晕仆倒，取天柱穴。天柱穴无效，取太阳经的荥穴和输穴，于此义理相同。
癫疾刚开始，先感到不快乐，头重痛，观察目睛发红，严重时极度痛苦，随后心烦，候诊于颜面部。取手太阳、阳明、太阴经，血色改变即止。癫疾刚开始发作，牵引口角啼呼喘息心悸的，候诊于手阳明、太阳经。左侧强直攻右侧，右侧强直攻左侧，血色改变即止。癫疾刚开始发作，先反折僵硬，因而脊痛，候诊于足太阳、阳明、太阴经，手太阴经，血色改变即止。（均出自癫狂篇。）
〔《玉机真脏论》〕痫（凡是灸痫，必须先通便，才可以灸。不然则气不通，能杀人。针刺不拘泥。）鸠尾穴（必须由高手下针，只宜灸也不可不多加壮数，多了令人健忘。）
〔《通玄指要赋》〕后溪穴
〔东垣〕痫：平旦（清晨）发者，属足少阳经。晨朝发者，属足厥阴经。日中发者，属足太阳经。黄昏发者，属足太阴经。人定（夜晚9-11点）发者，属足阳明经。半夜发者，属足少阴经。心痫面赤，心下热，短气喘息：巨阙穴（灸三壮。）肝痫面青反视，手足摇动：丘墟穴（三壮。）中封穴（三壮。）脾痫面黄，腹大善利：胃脘穴及脘旁一寸各三壮 冲阳穴 隐白穴 肺痫面白，口吐沫：肺俞穴 少商穴 少阳经穴（各三壮）。肾痫面黑，正直视，身不摇，如尸厥：金户穴 少海穴 至阴穴 涌泉穴（各三壮，刺一分。）膈痫，四肢不举：风府穴（一七壮，刺一分。） 百会穴 人中穴 承浆穴（各随年龄灸。）肠痫，都无动静，如尸厥状：承山穴 涌泉穴 劳宫穴 翳风穴（各随年龄壮，刺入一分。）
马痫，目张摇头，马鸣欲反折：风府穴（三壮，刺一分。） 神关穴 牛痫，目直视腹满：鸠尾尖穴（三壮。） 大椎穴（三壮。） 羊痫，扬目吐舌：大椎穴（三壮，刺一分。） 猪痫，吐浊沫，口动摇：浮白穴（三壮，刺一分。） 犬痫，手屈拳挛：劳宫穴（一壮，刺一分。）丝竹空穴 肋户穴（各一壮。） 鸡痫，摇头反折，善惊目摇：至阴穴 窍阴穴 厉兑穴（各灸三壮，刺一分。）
〔《甲乙经》〕癫疾多言，耳鸣，目偏斜，颊肿，实证则聋龋，喉痹不能言，齿痛，鼻鼽衄，虚则痹，膈俞穴、偏历穴主治。癫疾吐舌鼓颔，狂言见鬼，温溜穴主治。（腕后五寸。）癫疾吐舌，曲池穴主治。癫疾互引僵仆，申脉穴主治，先取阴跷，后取京骨穴。癫疾狂，妄行，振寒，京骨穴主治。癫疾身痛，狂，善行，束骨穴主治。癫疾僵仆，转筋，仆参穴主治。癫疾目KT KT（形容目光呆滞或惊恐貌）鼻衄，昆仑穴主治。狂癫疾体痛，飞扬穴主治。癫疾反折，委中穴主治。癫疾憎风而振寒，不得言，得寒益甚，身热狂走，欲自杀，目反妄见，螈（抽搐）泣出，死不知人，肺俞穴主治。
癫狂，膈俞穴及肝俞穴主治。癫疾僵仆，目妄见，恍惚不乐，狂走，螈（抽搐），络却穴主治。癫疾互引反折，戴眼及眩，狂走不得卧，心中烦，攒竹穴主治。癫疾发寒热，大烦满，悲泣出，解溪穴主治。癫疾互引，口噤喘悸者，大迎穴主治，取手阳明、太阴经，变血而止。癫疾狂，多食，喜笑不发于外，烦心渴，商丘穴主治。癫疾呕沫，神庭穴及兑端穴、承浆穴主治。其不呕沫，本神穴及百会穴、后顶穴、玉枕穴、天冲穴、大杼穴、曲骨穴、尺泽穴、阳溪穴、外丘穴当上脘傍五分通谷穴、金门穴、承筋穴、合阳穴主治。（委中下二寸为合阳。）癫疾互引，水沟穴及龈交穴主治。癫疾，上星穴主治，先取某穴，后取天牖穴、风池穴。癫疾呕沫，暂起僵仆，恶见风寒，面赤肿，囱会穴主治。癫疾螈（抽搐），狂走，颈项痛，后顶穴主治。（后顶在百会后一寸五分。）癫疾狂走，螈（抽搐），摇头，口噤戾颈强，强间穴主治。癫疾骨酸，眩，狂，螈（抽搐），口噤，羊鸣，刺脑户穴。狂易言不休，及狂走欲自杀，目反妄见，刺风府穴。癫疾怒欲杀人，身柱穴主治。狂走癫疾，脊急强，目转上插，筋输穴主治。癫疾发，如狂走者，面皮浓敦敦（肿胀厚实）不治，虚则头重，洞泄淋癃，大小便难，腰尻重，难起居，长强穴主治。寒厥癫疾，噤呵，螈（抽搐）惊狂，阳交穴主治。癫疾大瘦，脑空穴主治。癫疾僵仆，狂虚，腕骨穴及风池穴主治。癫疾狂，螈（抽搐）眩仆，喑不能言，羊鸣沫出，听宫穴主治。癫狂烦满，刺丝竹空穴。癫疾吐舌沫出，羊鸣戾颈，天井穴主治。（天井在肘后。）癫疾气短，呕血，胸背痛，行间穴主治。痿厥癫疾洞泄，然谷穴主治。癫狂互引，天柱穴主治。
以上针灸癫法，《内经》只取手足太阳、阳明、太阴六经而已。今《甲乙经》等书，又多取督经、手足太阳、足少阴、厥阴，大概是随症取之，然而学人应当以《内经》为主。
〔《灵枢》〕骨癫疾者，牙齿诸分肉皆满而骨居汗出，烦闷，呕多沃沫，气下泄不治。（“”，苦感切。骨居汗出，《千金方》作骨倨强直汗出。）筋癫疾者，身倦挛急大，刺项大经之大杼穴。呕多沃沫，气下泄不治。脉癫疾者，暴仆，四肢之脉皆胀而纵，脉满尽刺之出血。不满，灸之挟项太阳，灸带脉于腰相去三寸，诸分肉本输。呕多沃沫，气下泄，不治。癫疾者，疾发如狂者，死不治。治癫疾者，尝与之居，察其所当取之处。病至视之有过者泻之，置其血于瓠壶之中，至其发时，血独动矣。不动，灸穷骨二十壮。穷骨者，骶骨也。（均出自癫疾篇。）
Administer Zhuli (Bamboo Sap). I was about to leave for another place, so I took her pulse. Hearing the patient make abnormal sounds, I realized my judgment was wrong and my skills were clumsy. I had not instructed the family to alternate between porridge and medicine. Instead, I urgently ordered them to make thin porridge and feed it to the patient. However, she could only swallow three or four spoonfuls; her teeth were clenched shut, preventing ingestion. I then used a wooden wedge to pry open her mouth, mixed the thin porridge with the herbal decoction, and forced down a large cup of it together with Zhuli (Bamboo Sap), where the porridge constituted the majority and the medicine one-third. I then left home, instructing the family to administer the porridge and medicine alternately.
I was twenty li away. Around the time of Shen (3 PM - 5 PM), a strong wind suddenly arose. I speculated that this woman's epilepsy would definitely manifest, so I specially went to visit her. The epilepsy did not occur, but pain appeared. Her pulse was rapid and irregular. I urgently moxa her Ran Gu (KI2), Tai Chong (LR3), and Ju Que (CV14) acupoints. After moxibustion, the pain subsided. I asked if she wanted porridge. She replied, "I am hungry." Her husband gave her porridge, which she drank two cups of. I then went to another place, still instructing to use Shen Shu Gao (Ginseng and Atractylodes Macrocephala Paste) to mix the herbal decoction with Zhuli (Bamboo Sap), administering it alternately with porridge as before.
At midnight, the family summoned me urgently. Upon inspection, the epilepsy was severe. They snatched my hand, preventing pulse diagnosis. I had someone hold her elbows steady while I grasped her middle finger to take her pulse forcibly. The pulse beat four and a half times per breath, coarse, large, and forceful, identical on both sides, though slightly slower on the right. She spoke nonsense incoherently, cursed angrily, looked upward without blinking, and vomited. She tried to get up and walk, appearing as if supported by something invisible. But holding her hands fixed, I moxa the junction of the nail and flesh on the dorsal side of both big toes, three moxa cones each. Her anger slightly decreased, and she begged to be released. I lit a candle to examine her; her eyes and ears still showed no sign of vision or hearing. She slept until midnight, when her mania and rage erupted again, and she talked about ghosts and monsters. A shaman arrived, and she cursed the shaman loudly. I thought calmly: Qi is deficient due to Blood deficiency, allowing pathogenic factors to enter easily. This reasoning might be correct. Therefore, I administered tonifying medicines. If Qi and Blood are replenished, pathogens should recede naturally. I continued using the previous prescription but worried about stubborn phlegm, so I added Jing Li (Arisaema Sap) as an adjuvant. I also applied Qin Chengzu's "Moxa Ghost Method" and prayed for her recovery. She slept for a day and night, then suddenly sat up demanding porridge. Her husband fed her. She asked her husband, "Why is your face so dirty? Strange, why is there a fragrant smell on the bed?" Then she lost consciousness again, keeping her eyes open but not sleeping. Although her limbs could move, she made groping gestures. This lasted another two days and nights. Porridge intake increased slightly, but bed-wetting remained as before. I was pleased and maintained the previous prescription. I went to another place. The next evening, I was summoned urgently. Rushing to inspect, the patient complained of whole-body pain. Her pulse was five beats per breath, uniform and harmonious on both sides. She said the Shen Shu Gao was finished. I instructed adding Ginseng and Atractylodes Macrocephala to the previous decoction, removing Jing Li, and adding Cyperi Rhizoma powder. After one dose, she felt very comfortable. I told her to stick to this prescription. At midnight the next night, she reported urgent distress: "The previous pain has returned severely." I found her sitting on a bucket, crying out loudly. I reasoned: This is a deficiency disease with excessive sweating, leading to dry intestines and difficult defecation. The pain should be in the lower abdomen and waist. I urgently heated a large Amber Plaster and applied it to the lower abdomen. I instructed rubbing the waist-kidney area with warm hands. After gas passed, the pain decreased, and she slept briefly, then got up again. This happened five or six times. A physician advised using purgatives. I said, "Which is heavier, pain or death? Endure until midnight, and it will pass naturally." I left again. At the fourth watch (1 AM - 3 AM), I was summoned urgently. The pain was severe. I had her sit in warm water, expecting natural defecation. After changing the water, the pain stopped, and she felt relieved. In the second bucket of water, she passed two hard stools and slept. At dawn, I went elsewhere. By evening, I was summoned again. The pain was severe, radiating to both hypochondria, intolerable to touch. I reasoned: This pain has no obvious cause. If fecal impaction remains, pain should be lower; now it is upper, likely due to overeating. Inquiry confirmed this. A doctor wanted to use Ying Gan Wan (Induction Pill). I instructed against giving porridge or medicine. The patient desperately demanded medicine, so I gave her Cyperi Rhizoma powder to lick. By midnight, pain gradually subsided. At dawn, she felt slightly hungry and asked for porridge. I said, "This is not hunger, but heartburn (Cao E)." Do not give it; she will settle herself. The family gave her porridge anyway. By Chen-Si hours (7 AM - 11 AM), I went elsewhere. By evening, pain returned, and the patient kept asking for Cyperi Rhizoma powder. I prepared half a bowl with decoction, induced vomiting, and expelled retained food. Pain ceased. I went elsewhere. At midnight, pain recurred. Inquiry revealed she had eaten vinegar-dressed radish sprouts with porridge. I used Cyperi Rhizoma powder to induce vomiting again. Pain subsided. I instructed fasting for a day and night. The next day, small amounts of light porridge were given. When hungry, Baizhu Wan (Atractylodes Macrocephala Pills) were taken with Tangerine Peel Decoction. With such regulation, she recovered.
Treatment methods for Phlegm-Epilepsy and Epilepsy are seen in the "Deficiency Section" above.
[Li Dongyuan] For Wind-Epilepsy that persists for a long time and cannot be cured, start with Houpo Wan (Magnolia Bark Pill). Besides seasonal adjustments, add one tael and five qian each of Renshen (Ginseng), Shichangpu (Acorus Tatarinowii Rhizome), and Fuling (Poria) to each dosage, and administer as a formulated pill. (Houpo Wan formula is seen in Fan Wei section.)
[Zhang Yuansu] Shengyang Tang (Ascending Yang Decoction) treats Yang Qiao Epilepsy. Foot Taiyang Qi descends; it is suitable to ascend Yang Qi.
Mahuang (Ephedrae Herba, 8 qian, nodes not removed) Qianghuo (Notopterygii Rhizoma et Radix, 1.5 taels) Fangfeng Gen (Saposhnikoviae Radix, 8 qian) Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 5 qian)
Chop the ingredients. Take 3 qian per dose, boil in 5 large bowls of water until reduced to 1 bowl. Strain and drink slightly warm. Administer on an empty stomach after residual food is digested. Avoid wind and cold for 1-2 hours afterwards for efficacy.
[Li Dongyuan] Daytime onset: Treat Yang Qiao and Shen Mai (BL62) acupoints, located in the depression below the lateral malleolus, at the junction of the nail and white flesh. Nighttime onset: Treat Yin Qiao and Zhao Hai (KI6) acupoints, located in the depression below the medial malleolus. Moxa both Qiao points 14 cones each, then administer the previous medicine.
[Qian Jin Fang] Treat various Wind-Epilepsy. Use Hiren (Cannabis Fructus) 4 sheng, boil in 6 sheng of water over high heat until foam appears. Strain and simmer to obtain 7 he. Take on an empty stomach in the morning. Whether it manifests or not, or causes excessive manic speech, do not be surprised. Simply have someone massage the hands and feet; it will settle shortly. Three doses invariably cure.
[Luo Tianyi] Shenying Dan (Divine Response Pill) treats various Wind-Heart Epilepsy.
Hu Gan (Fox Liver, 1 piece) Wuya (Crow, 1 bird) Chixiao (Barn Owl, 1 bird) Bai Fan (Alumen, 1 tael) Yeli (Wild Cat, 1 piece, remove entrails, do not use skin/fur, boil meat in a new clay pot over charcoal fire until soft) Sheng Xijiao (Unprocessed Rhinoceros Horn Powder, 1 tael)
Grind into powder. Make pills with flour paste soaked in wine, size of soap beans. Coat with Cinnabar. Take one pill per dose, washed down with wine, at any time.
[Yang Shi] Xiehu (Gecko) method for treating epilepsy, see Pediatric Convulsive Epilepsy section, excellent.
[Ling Shu] Sudden spasms, epilepsy, and vertigo, where legs cannot support the body, select Tian Zhu (GB10).
Qi chaos in the head leads to Jue Ni (Reversal Cold/Heat), heavy head, vertigo, and collapse. Select Tian Zhu (GB10). If Tian Zhu (GB10) is ineffective, select the Ying and Shu points of the Taiyang channel; the principle is the same here.
Epilepsy begins with initial unhappiness, heavy head pain, red eyes. Severe cases reach extremity, followed by vexation. Observe the face. Select Hand Taiyang, Yangming, and Taiyin channels. Stop when blood color changes. When epilepsy starts, drawing the mouth, crying, panting, and palpitations, observe Hand Yangming and Taiyang. Attack the opposite side if strength is unilateral. Stop when blood color changes. When epilepsy starts, first stiffening and falling, causing back pain, observe Foot Taiyang, Yangming, Taiyin, and Hand Taiyin. Stop when blood color changes. (All from Dian Kuang Pian.)
[Yu Ji Zhen Zang Lun] Epilepsy (Before moxa treating epilepsy, one must purge the bowels first, otherwise Qi blockage can kill. Acupuncture is flexible.) Jiu Wei (CV15) (Must be needled by skilled practitioners. Moxibustion is safer but avoid excessive cones, as too many cause amnesia.)
[Tong Xuan Zhi Yao Fu] Hou Xi (SI3)
[Ji Zhen Da Quan] Jiu Wei (CV15), Yong Quan (KI1), Heart Channel
[Sang] Yang Jiao (GB35), Zu San Li (ST36), Hou Xi (SI3), Tai Chong (LR3), Jian Shi (PC5)
[Zhen Jiu Zhai Ying] Wind-Epilepsy with Heat Disease, Wind-Heart Convulsive Epilepsy: Shang Wan (CV13), Zu San Li (ST36)
[Sang] Tian Diao: Ju Que (CV15) (depth 3 cun), Bai Hui (GV20), Xin Men (EX-HN1)
[Dong Yuan] Epilepsy: Onset at dawn (Ping Dan) relates to Foot Shaoyang. Onset at morning relates to Foot Jueyin. Onset at noon relates to Foot Taiyang. Onset at dusk relates to Foot Taiyin. Onset at night (Ren Ding) relates to Foot Yangming. Onset at midnight relates to Foot Shaoyin.
Heart Epilepsy: Red face, heat under heart, shortness of breath, panting: Ju Que (CV15) (Moxa 3 cones).
Liver Epilepsy: Green face, eyes rolling back, shaking limbs: Qiu Xu (GB40) (3 cones), Zhong Feng (LR4) (3 cones).
Spleen Epilepsy: Yellow face, distended abdomen, frequent diarrhea: Wei Wan (CV12) and 1 cun beside it (3 cones each), Chong Yang (ST42), Yin Bai (SP1).
Lung Epilepsy: White face, foaming at mouth: Fei Shu (BL13), Shao Shang (LU11), Shaoyang channel (3 cones each).
Kidney Epilepsy: Black face, staring straight, body immobile like corpse-syncope: Jin Hu (EX-B2), Shao Hai (HT3), Zhi Yin (BL67), Yong Quan (KI1) (3 cones each, needle 1 fen).
Diaphragm Epilepsy: Limbs unable to move: Feng Fu (GV16) (17 cones, needle 1 fen), Bai Hui (GV20), Ren Zhong (GV26), Cheng Jiang (CV24) (Moxa according to age).
Intestine Epilepsy: No movement, like corpse-syncope: Cheng Shan (BL57), Yong Quan (KI1), Lao Gong (PC8), Yi Feng (TE17) (Moxa/Acupuncture according to age, needle 1 fen).
Horse Epilepsy: Eyes wide, head shaking, neighing, opisthotonos: Feng Fu (GV16) (3 cones, needle 1 fen), Shen Guan (EX-HN15).
Ox Epilepsy: Staring straight, abdominal fullness: Jiu Wei tip (CV15) (3 cones), Da Zhui (GV14) (3 cones).
Sheep Epilepsy: Eyes raised, tongue protruding: Da Zhui (GV14) (3 cones, needle 1 fen).
Pig Epilepsy: Vomiting turbid foam, mouth trembling: Fu Bai (GB12) (3 cones, needle 1 fen).
Dog Epilepsy: Hands curled and contracted: Lao Gong (PC8) (1 cone, needle 1 fen), Si Zhu Kong (TE23), Lei Hu (EX-HN16) (1 cone each).
Chicken Epilepsy: Head shaking, opisthotonos, easily frightened, eye shaking: Zhi Yin (BL67), Qiao Yin (GB44), Li Dui (ST45) (Moxa 3 cones, needle 1 fen each).
[Jia Yi Jing] Epilepsy with excessive talking, tinnitus, facial deviation, cheek swelling. Excess type: Deafness, toothache, throat obstruction, inability to speak, tooth pain, nasal bleeding. Deficiency type: Bi syndrome. Ge Shu (BL17) and Pian Li (TE5) govern.
Epilepsy with tongue protrusion, jaw clenching, manic speech, seeing ghosts: Wen Liu (SI3) (5 cun behind wrist).
Epilepsy with tongue protrusion: Qu Chi (LI11).
Epilepsy with alternating stiffness and collapse: Shen Mai (BL62). First select Yin Qiao, then Jing Gu (BL64).
Epilepsy with mania, wandering, chills: Jing Gu (BL64).
Epilepsy with body pain, mania, restlessness: Shu Gu (BL65).
Epilepsy with stiffness, collapse, muscle cramps: Pu Can (BL67).
Epilepsy with staring eyes, nasal bleeding: Kun Lun (BL60).
Manic-Epilepsy with body pain: Fei Yang (BL57).
Epilepsy with opisthotonos: Wei Zhong (BL40).
Epilepsy fearing wind, chills, inability to speak, worsening with cold, fever, running wildly, suicidal ideation, hallucinations, convulsions, weeping, unconsciousness: Fei Shu (BL13).
Mania/Epilepsy: Ge Shu (BL17) and Gan Shu (BL18) govern.
Epilepsy with stiffness, collapse, visual hallucinations, confusion, unhappiness, running wildly, convulsions: Luo Que (BL8).
Epilepsy with alternating twisting, opisthotonos, upward gaze, vertigo, inability to sleep, chest vexation: Zan Zhu (BL2).
Epilepsy with chills/fever, severe fullness, weeping: Jie Xi (ST41).
Epilepsy with alternating twisting, locked jaw, panting/palpitations: Da Ying (ST5). Select Hand Yangming and Taiyin. Stop when blood changes.
Epilepsy with mania, polyphagia, suppressed laughter, chest vexation, thirst: Shang Qiu (SP5).
Epilepsy with vomiting foam: Shen Ting (GV24), Duan Duan (CV23), Cheng Jiang (CV24).
If no vomiting foam: Ben Shen (GB13), Bai Hui (GV20), Hou Ding (GV19), Yu Zhen (GB9), Tian Chong (GB17), Da Zhu (BL11), Qu Gu (CV2), Chi Ze (LU5), Yang Xi (LI5), Wai Qiu (GB36), Tong Gu (ST44) 0.5 cun beside Shang Wan, Jin Men (BL63), Cheng Jin (BL56), He Yang (BL55) govern. (He Yang is 2 cun below Wei Zhong).
Epilepsy with alternating twisting: Shui Gou (GV26), Yin Jiao (CV24).
Epilepsy: Shang Xing (GV23). First select [missing character], then Tian You (TE10), Feng Chi (GB20).
Epilepsy with vomiting foam, sudden stiffness/collapse, aversion to wind/cold, red/swollen face: Cong Hui (EX-HN17).
Epilepsy with convulsions, running wildly, neck pain: Hou Ding (GV19) (1.5 cun behind Bai Hui).
Epilepsy with running wildly, convulsions, head shaking, locked jaw, neck stiffness: Qiang Jian (GV18).
Epilepsy with bone ache, vertigo, mania, convulsions, locked jaw, bleating: Nao Hu (GV16).
Mania with incessant speech, running wildly, suicidal ideation, hallucinations: Feng Fu (GV16).
Epilepsy with rage, desire to kill: Shen Zhu (GV12).
Manic-Epilepsy with spinal rigidity, upward eye deviation: Jin Shu (EX-HN1).
Epilepsy resembling mania/wandering: Thick facial skin indicates untreatability. Deficiency type: Heavy head, profuse diarrhea, stranguria, difficulty urinating/defecating, heavy sacrum, difficulty rising: Chang Qiang (GV1).
Cold-Jue Epilepsy with locked jaw, yawning, convulsions, mania: Yang Jiao (GB35).
Epilepsy with emaciation: Nao Kong (GB13).
Epilepsy with stiffness/collapse, mania/deficiency: Wan Gu (SI4), Feng Chi (GB20).
Epilepsy with mania, convulsions, vertigo/collapse, aphasia, bleating/foaming: Ting Gong (SI19).
Mania/Epilepsy with chest fullness: Si Zhu Kong (TE23).
Epilepsy with tongue protrusion, foaming, bleating, neck twisting: Tian Jing (TE10) (Behind elbow).
Epilepsy with shortness of breath, hematemesis, chest/back pain: Xing Jian (LR2).
Wei-Jue Epilepsy with profuse diarrhea: Ran Gu (KI2).
Mania/Epilepsy with alternating twisting: Tian Zhu (GB10).
Above acupuncture methods for Epilepsy: Nei Jing only selects Hand/Foot Taiyang, Yangming, Taiyin (six channels). Later texts like Jia Yi Jing add Du Meridian, Hand/Foot Taiyang, Foot Shaoyin, Jueyin. This is symptom-based selection. Students should prioritize Nei Jing.
[Ling Shu] Bone Epilepsy: Teeth and muscles are full, bones protrude, sweating occurs, vexation, vomiting much foam, Qi sinking downward—untreatable. ("", pronounced ku gan. Bone sweating described in Qian Jin as rigid spine with sweating.)
Sinew Epilepsy: Body fatigue, spasms, large tendons. Puncture Da Shu (BL11) of the major neck meridians. Vomiting much foam, Qi sinking downward—untreatable.
Vessel Epilepsy: Sudden collapse, vessels of four limbs swollen and flaccid. If vessels are full, puncture all to bleed. If not full, moxa Taiyang along the neck, moxa Dai Mai 3 cun from waist, and Mu-Fu points of muscles. Vomiting much foam, Qi sinking downward—untreatable.
Epilepsy manifesting as mania—death, untreatable. To treat epilepsy, live with the patient to observe where to select points. When illness arrives, observe excesses and drain them. Place their blood in a gourd gourd; at the time of attack, the blood moves alone. If it does not move, moxa Qiong Gu (Sacrum/Coccyx) 20 cones. Qiong Gu is the Xi Gu (Sacrum). (All from Dian Ji Pian.)
Rapid onset, slow offset, Upper Excess Lower Deficiency—Jue Epilepsy. (Full text in Zhi Xu Shi Fa.)
[Su Wen] Epilepsy with large, slippery pulse: Will heal itself over time. Small, firm, rapid pulse: Death, untreatable. (Tong Ping Xu Shi Lun)
Epilepsy with deficient pulse: Treatable. Excess pulse: Death. (Same source)
[Mai Jing] Epilepsy with solid, firm pulse: Survival. Deep, fine, small pulse: Death. (Contradicts Nei Jing; upon detailed examination, Nei Jing is correct.)