《千金》论五脏之痫（灸法并在后篇也。）肝痫之为病，面青，目反视，手足摇。（《婴童宝鉴》云∶手足螈 。）心
痫之为病，面赤，心下有热，短气息微数。（《婴音宝鉴》云∶短气微喘。）脾痫之为病，面黄腹大，喜痢。肺痫之为病，
面目白，口沫出。（《婴童宝鉴》云∶肺痫，面目反视，如枯骨，口吐涎沫。）肾痫之为病，面黑，目正直视不摇，如尸状。
膈痫之为病，目反，四肢不举。肠痫之为病，不动摇。（《婴童宝鉴》云∶肠痫，身体手足并不动摇，但直而不至痉。）
上五脏痫证候。
《婴童宝鉴》∶五脏痫外，又有异痫，面白啼呼，色有变易。
钱乙论∶凡治五痫，皆随脏治之。每脏各有一兽，并五色丸治其病也。犬痫，反折上窜，犬叫，肝也。
羊痫，目瞪吐舌，羊叫，心也。牛痫，目直视，腹满，牛叫，脾也。鸡痫，惊跳反折，手 ，鸡叫，肺也。猪
痫，如尸，吐沫，猪叫，肾也。五痫重者死，病后甚者亦死。
钱乙论五色丸方
朱砂（半两，研） 水银（一分） 雄黄（二两，熬） 真珠（末一两，研） 铅（三两，同水银熬）
上炼蜜丸麻子大。每服三四丸，煎金银薄荷汤下。
《千金》论六畜之痫（灸法并在后篇。）马痫之为病，张口摇头，马鸣，欲反折。牛痫之为病，目正直视，腹胀。
羊痫之为病，喜扬目吐舌。猪痫之为病，喜吐沫。（《婴童宝鉴》云∶猪痫口吐涎沫，根据目视人）。犬痫之为病，手屈拳挛。
（《婴童宝鉴》云∶手屈两足拳挛。）鸡痫之为病，摇头反折，喜惊自摇。
上六畜痫证候。
《婴童宝鉴》六畜痫外，又有乌痫，唇口撮，聚目，手俱摇。蛇痫，身软，头举吐舌视人。
《博济方》治小儿五般痫∶牛痫，即牛声；马痫，即马声；狗痫，即狗吠；羊痫，即羊鸣；鸡痫，即鸡鸣。
五痫病者，腑脏相引，邪气盈起，寒厥，各识手顾，口吐沫，须臾如苏，复作。神效雄黄丸方与钱氏五色丸同，
但《博济》水银用八分耳。（钱氏五色丸方见前篇。）
《千金方》论述五脏之痫（灸法详见后篇）。肝痫的症状是：面色发青，两眼上翻直视，手足抽搐摇动。（《婴童宝鉴》记载说：手足抽搐掣动。）心痫的症状是：面色发红，心下部有热感，呼吸短促且气息微弱、脉数快。（《婴音宝鉴》记载说：呼吸短促且微喘。）脾痫的症状是：面色发黄，腹部胀大，容易腹泻痢疾。肺痫的症状是：面目苍白，口吐白沫。（《婴童宝鉴》记载说：肺痫，面目僵硬如枯骨般直视，口吐涎沫。）肾痫的症状是：面色发黑，双眼正直凝视不摇动，身体像尸体一样僵直。膈痫的症状是：两眼上翻，四肢无法抬起。肠痫的症状是：身体不动摇。（《婴童宝鉴》记载说：肠痫，身体和手足都不动摇，只是身体挺直但不会发生痉挛。）以上为五脏痫的证候表现。
《婴童宝鉴》记载：除了五脏痫之外，还有异痫，表现为面色苍白、啼哭呼叫，面色会有变化改变。
钱乙论述：凡是治疗五痫，都要根据所属脏腑进行治疗。每一脏对应一种动物，并用五色丸来治疗疾病。犬痫，表现为角弓反张向上窜动，发出狗叫声，病位在肝。羊痫，表现为瞪眼吐舌，发出羊叫声，病位在心。牛痫，表现为两眼直视，腹部胀满，发出牛叫声，病位在脾。鸡痫，表现为惊跳、角弓反张，手部拘挛，发出鸡叫声，病位在肺。猪痫，表现为像尸体一样僵直，口吐白沫，发出猪叫声，病位在肾。五种痫病严重的会死亡，病后症状加重的也会死亡。
钱乙论述五色丸的处方：朱砂（半两，研磨），水银（一分），雄黄（二两，熬制），真珠（末一两，研磨），铅（三两，与水银一同熬制）。将上述药物炼蜜制成梧桐子大小的丸药。每次服用三四丸，用煎好的金银薄荷汤送服。
《千金方》论述六畜之痫（灸法详见后篇）。马痫的症状是：张口摇头，发出马叫声，想要角弓反张。牛痫的症状是：两眼正直凝视，腹部胀满。羊痫的症状是：喜欢瞪眼吐舌。猪痫的症状是：喜欢口吐白沫。（《婴童宝鉴》记载说：猪痫口吐涎沫，依据眼睛注视人的情况判断。）犬痫的症状是：手指弯曲成拳，筋脉拘挛。（《婴童宝鉴》记载说：手指弯曲，两足也呈拳状拘挛。）鸡痫的症状是：摇头、角弓反张，容易受惊且身体自发动摇。以上为六畜痫的证候表现。
《婴童宝鉴》记载：除了六畜痫之外，还有乌痫，表现为嘴唇口角撮聚，眯起眼睛，双手都摇动。蛇痫，表现为身体柔软，头部抬起吐舌并注视人。
《博济方》治疗小儿五种痫病：牛痫，即模仿牛叫声；马痫，即模仿马叫声；狗痫，即模仿狗吠叫；羊痫，即模仿羊鸣叫；鸡痫，即模仿鸡鸣叫。
患五痫病的人，是由于脏腑相互牵引，邪气充盈而起，出现寒厥，各自识别手势顾盼，口吐白沫，片刻之后如同苏醒，随后再次发作。神效雄黄丸的方剂与钱氏五色丸相同，只是《博济方》中水银用量为八分罢了。（钱氏五色丸方见前篇。）
The *Qianjin Fang* (Thousand Gold Formulas) discusses epilepsy of the five Zang organs (moxibustion methods are detailed in the following chapter). The symptoms of Liver Epilepsy include: a bluish complexion, eyes rolling upward and staring straight ahead, and convulsive trembling of the hands and feet. (*Yingtong Baojian* [Treasure Mirror for Infants and Children] states: convulsive twitching of the hands and feet.) The symptoms of Heart Epilepsy include: a reddish complexion, heat sensation below the heart, shortness of breath with weak and rapid respiration. (*Yinyin Baojian* states: shortness of breath with slight panting.) The symptoms of Spleen Epilepsy include: a sallow complexion, abdominal distension, and a tendency toward dysentery or diarrhea. The symptoms of Lung Epilepsy include: a pale face and eyes, and foaming at the mouth. (*Yingtong Baojian* states: in Lung Epilepsy, the face and eyes stare rigidly like dry bones, and saliva is vomited from the mouth.) The symptoms of Kidney Epilepsy include: a dark complexion, eyes staring straight without movement, and a body stiff as a corpse. The symptoms of Diaphragm Epilepsy include: eyes rolling upward and inability to raise the four limbs. The symptoms of Intestinal Epilepsy include: lack of bodily movement. (*Yingtong Baojian* states: in Intestinal Epilepsy, the body and limbs do not move, remaining straight but without developing spasms.) These are the clinical manifestations of epilepsy of the five Zang organs.
*Yingtong Baojian* records: besides epilepsy of the five Zang organs, there is also "Abnormal Epilepsy," characterized by a pale complexion, crying and calling out, and changes in facial color.
Qian Yi discussed: In treating all types of Five Epilepsies, treatment must follow the affected Zang organ. Each Zang corresponds to an animal, and the Five-Color Pills are used to treat the disease. Canine Epilepsy involves opisthotonos with upward jerking and barking sounds; it relates to the Liver. Ovine Epilepsy involves staring eyes, protruding tongue, and bleating sounds; it relates to the Heart. Bovine Epilepsy involves fixed gaze, abdominal fullness, and mooing sounds; it relates to the Spleen. Gallus Epilepsy involves startle jumps, opisthotonos, hand contractures, and crowing sounds; it relates to the Lung. Porcine Epilepsy resembles a corpse, with foaming at the mouth and grunting sounds; it relates to the Kidney. Severe cases of any of the five epilepsies result in death; those who survive but have worsening symptoms afterward also die.
Qian Yi’s prescription for the Five-Color Pills: Cinnabar (Ban Liang, ground), Mercury (Yi Fen), Realgar (Liang Liang, calcined), Pearl (Mo Yi Liang, ground), Lead (San Liang, boiled together with mercury). Process these with refined honey to form pills the size of hemp seeds. Administer three to four pills per dose, taken down with decocted Silver-Mint Decoction.
The *Qianjin Fang* discusses epilepsy of the six domestic animals (moxibustion methods are detailed in the following chapter). Equine Epilepsy involves opening the mouth, shaking the head, neighing, and a desire for opisthotonos. Bovine Epilepsy involves fixed gaze and abdominal distension. Ovine Epilepsy involves a tendency to stare and protrude the tongue. Porcine Epilepsy involves a tendency to foam at the mouth. (*Yingtong Baojian* states: in Porcine Epilepsy, saliva is vomited from the mouth; diagnosis relies on observing eye contact with people.) Canine Epilepsy involves flexion of the fingers into fists and tendon contractures. (*Yingtong Baojian* states: fingers flexed, both feet curled into fists.) Gallus Epilepsy involves head shaking, opisthotonos, susceptibility to fright, and spontaneous trembling. These are the clinical manifestations of epilepsy of the six domestic animals.
*Yingtong Baojian* records: besides epilepsy of the six domestic animals, there is also Crow Epilepsy, characterized by puckering of the lips and mouth, squinting eyes, and trembling of both hands. Snake Epilepsy involves a soft body, raised head, protruding tongue, and gazing at people.
The *Boji Fang* (Universal Relief Formulas) treats five types of pediatric epilepsy: Bovine Epilepsy mimics cow sounds; Equine Epilepsy mimics horse sounds; Canine Epilepsy mimics dog barking; Ovine Epilepsy mimics sheep bleating; Gallus Epilepsy mimics chicken crowing.
Patients suffering from the Five Epilepsies experience internal traction among the Fu and Zang organs, where pathogenic factors fill and surge up, leading to cold reversal. They exhibit specific gestures and glances, foam at the mouth, and after a moment recover consciousness as if revived, only for the attack to recur. The Formula for Divine-Efficacy Realgar Pills is identical to Qian’s Five-Color Pills, except that the *Boji Fang* uses eight Fen of Mercury. (Qian’s Five-Color Pills formula is seen in the previous chapter.)