经言∶二阴急为痫厥。谓少阴气逆于经而上行，则喉塞音喑而痫发矣。证由心肾虚怯，
肝风
胆火 逆，痰诞上壅，心包经脉闭阻，猝然晕仆，口眼牵掣，腰背反张，手足抽搐，喊作畜
声。因其相似，分为五痫，以内应五脏也。痫证幼小为多，大人亦有之。经久失调，遂成痼
疾，一触厥气鼓风，涎沫升逆无制，痰在膈间，则眩微不仆，痰溢膈上，则眩甚而倒。必待
其气反、吐去惊涎宿沫而后苏。内治以清痰火主之。
分阴阳，(二百遍。)推三关，(一百遍。)退六腑，(一百遍。)推肺经，(一百遍。)推补
脾土
，(二百遍。)天门入虎口，(八十遍。)运八卦，(一百遍。)赤凤摇头，(五十遍。)按弦搓摩
，(二十四遍。)掐威灵穴，(二十四遍。)揉中指，(一百遍。)掐总筋，(二十四遍。)灸昆仑
七壮，汗吐法先之。凡推用葱姜汤，用引痰法，(见卷二，四十页。)通脉法，(见卷二，四
十三页。)开闭法，(见卷二，三十九页。)灸法。昼发灸阳跷，夜发灸阴跷。(见卷二，二十
六页。)
按∶石顽谓痫以补肾为本，豁痰为标，其由来不外肝肾龙雷上冲所致。丹溪以痫主痰热
，治
以星、半、芩、连主之。热多者凉膈散加川连、麦冬之属。痰多者以戴人三圣散吐之。由惊
而病者，东垣安神丸平之。总之，痫有阴阳，以先体热螈 惊啼而后发，脉浮洪者为阳痫，
病在腑则易治。以先身冷不惊掣啼叫而病发，脉沉微者为阴痫，病在脏为难治。目瞪如呆者
不治，脉沉实弦急及虚散者皆不治，皆医者所宜深悉也。(惕厉子)
医经中说：足少阴肾经和足厥阴肝经的经脉拘急，就会引发痫证和厥逆。这是指少阴经的气机逆乱向上冲行，导致咽喉阻塞、声音嘶哑而诱发痫证。此病证是由于心肾两脏虚损怯弱，肝风内动、胆火亢逆，痰涎上涌壅塞，致使心包络的经脉闭阻不通，患者突然晕倒仆地，口眼歪斜牵引抽搐，腰背向后反折僵硬，手足剧烈抽搐，发出类似牲畜的叫声。因为症状相似，将其分为五类痫证，分别对应体内的五脏。
痫证多见于儿童，成人也有患病者。若长期调理不当，就会形成顽固难愈的疾病。一旦受到惊厥之气触动，引动肝风，痰涎上逆无法控制，若痰浊停留在膈膜之间，则头晕轻微不会仆倒；若痰浊溢于膈膜之上，则头晕严重而仆倒。必须等到气机恢复平稳，吐出惊恐之涎和积存的痰沫后，患者才能苏醒。内治法以清除痰火为主。
推拿操作如下：分阴阳（二百遍），推三关（一百遍），退六腑（一百遍），推肺经（一百遍），推补脾土（二百遍），天门入虎口（八十遍），运八卦（一百遍），赤凤摇头（五十遍），按弦搓摩（二十四遍），掐威灵穴（二十四遍），揉中指（一百遍），掐总筋（二十四遍）。此外还有灸法：灸昆仑穴七壮。治疗时应先采用发汗法和吐法。凡推拿均使用葱姜汤作为介质，运用引痰法（见卷二第四十页）、通脉法（见卷二第四十三页）、开闭法（见卷二第三十九页）以及灸法。白天发作的灸阳跷脉，夜间发作的灸阴跷脉（见卷二第二十六页）。
按语：石顽认为，治疗痫证应以补肾为根本，豁痰为标治，其病因不外乎是肝肾之“龙雷之火”上冲所致。丹溪认为痫证主因是痰热，治疗以天南星、半夏、黄芩、黄连为主药。热邪偏盛者，用凉膈散加川黄连、麦冬等药物。痰湿偏盛者，用戴人（张从正）的三圣散进行催吐。由惊吓致病者，用东垣（李杲）的安神丸来平复。总之，痫证有阴证和阳证之分。如果发病前先有身体发热、抽搐、惊啼等症状，且脉象浮洪有力的，属于阳痫，病位在腑，容易治疗。如果发病前先有身体发冷、无惊搐啼叫等症状，且脉象沉微无力的，属于阴痫，病位在脏，难以治疗。眼睛瞪大呆滞不动的，属于不治之症；脉象沉实弦急或虚散无根的，也都属于不治之症，这些都是医生应当深入了解的。（惕厉子）
The medical classics state: "Tightness of the two Yin meridians leads to epilepsy and syncope." This refers to the counterflow of Shaoyin (Kidney) Qi ascending through the meridians, causing throat obstruction and aphonia, thereby triggering an epileptic seizure. The syndrome arises from deficiency and timidity of the Heart and Kidney, with Liver Wind stirring internally and Gallbladder Fire rebelling upwards. Phlegm-saliva surges and obstructs, blocking the meridians and collaterals of the Pericardium. The patient suddenly faints and falls, with twitching and pulling of the mouth and eyes, opisthotonos (backward arching of the back), convulsions of the hands and feet, and cries resembling animal sounds. Due to their similarities, they are classified into five types of epilepsy, corresponding internally to the Five Zang organs. Epilepsy is more common in children, though adults may also suffer from it. If left unregulated for a long time, it becomes a chronic, stubborn disease. Once triggered by rebellious Qi stirring wind, phlegm-saliva surges uncontrollably. If phlegm remains between the diaphragm, dizziness is mild and the patient does not fall; if phlegm overflows above the diaphragm, dizziness is severe and the patient collapses. One must wait for the Qi to return to normal and for the patient to vomit out frightful saliva and accumulated phlegm before recovery occurs. Internal treatment primarily focuses on clearing phlegm and fire.
Manual therapy procedures include: Dividing Yin and Yang (200 repetitions), pushing San Guan (Three Passages) (100 repetitions), retreating Liu Fu (Six Bowels) (100 repetitions), pushing Lung Meridian (100 repetitions), pushing and tonifying Pi Tu (Spleen Earth) (200 repetitions), Tian Men Ru Hu Kou (Heaven's Gate entering Tiger's Mouth) (80 repetitions), moving Ba Gua (Eight Trigrams) (100 repetitions), Chi Feng Yao Tou (Red Phoenix Shaking Head) (50 repetitions), An Xian Cuo Mo (Pressing Strings and Rubbing) (24 repetitions), pinching Wei Ling acupoint (24 repetitions), kneading Zhong Zhi (Middle Finger) (100 repetitions), pinching Zong Jin (General Tendon) (24 repetitions). Additionally, moxibustion is applied: seven moxa cones at Kunlun (BL60). Sweating and vomiting methods should be employed first. All pushing techniques use Ginger and Scallion Decoction as a medium. Use the method of guiding phlegm (see Volume 2, page 40), the method of unblocking meridians (see Volume 2, page 43), the method of opening closure (see Volume 2, page 39), and moxibustion. For daytime onset, moxa the Yang Qiao Mai (Yang Heel Vessel); for nighttime onset, moxa the Yin Qiao Mai (Yin Heel Vessel) (see Volume 2, page 26).
Commentary: Shi Wan stated that treating epilepsy should take tonifying the Kidney as the root and resolving phlegm as the branch. Its origin lies not outside the upward rushing of Long Lei (Dragon Thunder/Fire) from the Liver and Kidney. Dan Xi held that epilepsy is primarily caused by phlegm-heat, treated with Nan Xing (Arisaematis Rhizoma Preparatum), Ban Xia (Pinelliae Rhizoma), Huang Qin (Scutellariae Radix), and Lian Zi (Coptidis Rhizoma). For those with excess heat, Liang Ge San (Cool the Diaphragm Powder) is used with added Chuan Lian Zi (Coptidis Rhizoma) and Mai Dong (Ophiopogonis Radix). For those with excess phlegm, Dai Ren's San Sheng San (Three Holy Powders) is used to induce vomiting. For cases caused by fright, Dong Yuan's An Shen Wan (Calming the Spirit Pill) is used to pacify. In summary, epilepsy has Yin and Yang types. If preceded by body heat, convulsions, and frightful crying, with a floating and surging pulse, it is Yang Epilepsy; the disease is in the Fu organs and is easy to treat. If preceded by cold body, absence of convulsions or crying, with a deep and minute pulse, it is Yin Epilepsy; the disease is in the Zang organs and is difficult to treat. Staring blankly without blinking indicates an untreatable condition. Pulses that are deep, solid, wiry, rapid, or deficient and scattered are also untreatable. These are matters physicians must deeply understand. (Ti Li Zi)