《千金》论曰∶小儿新生无疾，慎不可逆针灸之。如逆针灸，则忍痛动其五脉，因喜成痫。河洛关中土地
多寒，儿喜病痉。其生儿三日，多逆灸以防之。又灸颊以防噤。有噤者，舌下脉急，牙车筋急。其土地寒，
皆决舌下去血，灸颊以防噤也。吴蜀地温，无此疾也。古方既传之，今人不详南北之殊，便按方而用之，
是以多害于小儿也。所以田舍小儿，任其自然皆得，无有夭横也。小儿惊啼，眠中四肢掣动，变蒸未解，慎不
可针灸爪之，动其百脉，仍因惊成痫也。惟阴痫噤痉，可针灸爪之。凡灸痫当先下儿使虚，乃乘虚灸之。未下
有实而灸者，气逼前后不通，杀人。痫发平旦者，在足少阳；晨朝发者，在足厥阴；日中发者，在足太阳；黄
昏发者，在足太阴；人定发者，在足阳明；夜半发者，在足少阴。
上痫发时，病所在是。视其发早晚灸其所也。
又痫有五脏之痫，六畜之痫。或在四肢，或在腹内，审其候，随病所在灸之。虽少必瘥。若失其要，则为
害也。
《千金》五脏痫灸法∶肝脏痫，灸足少阳、厥阴各三壮。心痫，灸心下第一肋端宛宛中，此为巨阙。又灸手
心主及少阴各三壮。脾痫，灸胃管三壮，侠胃管旁灸二壮，足阳明、太阴各二壮。肺痫，灸肺俞三壮。又灸手
阳明、太阳各二壮。肾痫，灸心下二寸二分三壮。又灸肘中动脉各二壮。又灸足太阳、少阴各二壮。膈痫，灸
风府。又灸顶上、鼻人中、下唇承浆，皆随年壮。肠痫，灸两承山。又灸足心、两手、劳宫。又灸两耳后
完骨，各随年壮。又灸脐中三十壮。
上灸五脏之痫。
《千金》六畜痫灸法∶马痫，灸项风府、脐中三壮，病在腹中，烧马蹄末服之，良。（《圣惠》灸仆参各三壮，在足
跟骨下白肉际陷中，拱足取之。）牛痫，灸鸠尾骨及大椎各三壮。（《婴孺方》云∶一土烧牛蹄末服之。《圣惠》只灸鸠尾
一穴三壮。）羊痫，灸大椎上三壮。（《圣惠》炙第九椎下节间三壮。）猪痫，灸耳后完骨两旁各一寸七壮。（《圣惠》灸巨
阙三壮，在鸠尾下一寸陷中。）犬痫，灸两手心一壮，灸足太阳一壮，灸肋户一壮。（《婴孺方》云∶犬痫，灸手心一壮，
灸足阳明各一壮，肋户一壮，灸脚头两室各一壮。）鸡痫，灸足诸阳各三壮。（《圣惠》灸手少阴三壮，在掌后去腕半寸
阴穴陷者中。）
上灸六畜之痫。
《千金》暴痫灸法∶小儿暴痫，灸两乳头，女儿灸乳下二分。治小儿暴痫者，身躯正直如死人及腹中雷鸣。
灸太仓及脐中上下两旁各一寸，凡六处。又灸当腹度取背，以绳绕头下至脐中竭，便转绳向背顺脊下行尽绳头，
灸两旁各一寸五壮。若面白，啼声色不变，灸足阳明、太阴。
上灸暴痫。
《千金》头部灸痫法∶若目反上视，眸子动，当灸囟中。取之法∶横度口尽两吻际，又横度鼻下亦尽两边，折去鼻
度半，都合口为度；从额上发际上行度之。灸度头一处，正在囟上未合骨中，随手动者是，此最要处也。次灸当额上入
发际二分许，直望鼻为正。（《婴孺方》云∶次灸额上发际五壮，不言入发二分。）次灸其两边，当目瞳子直上入发际二
分许。（《婴孺方》同止言直上入发际，不言二分。）次灸顶上回毛中。次灸客主人穴，在两眉后际动脉是。（《婴孺方》
云∶客主人在眉后发际动脉是。）次灸两耳门，当耳开口则骨解开张陷是也。次灸两耳上，卷耳取之，当卷耳上头是也。
一法∶大人当耳上横三指，小儿各自取其指也。次灸两耳后完骨上青脉，亦可以针刺令血出。（《婴孺方》云∶至此又有
次灸鼻人中口上，灸当令近鼻。又云∶次灸承浆。次灸玉枕，玉枕在项上高骨是也。）次灸玉枕。次灸两风池，在项后
两辕动筋外发际陷中是也。次灸风府，当项中央发际，亦可与风池三处高下相等。次灸头两角，两角当回毛两边起骨是
也。（《婴孺方》至此又有太极者，可灸两眉头也。）
上头部凡十九处，（《婴孺方》云∶二十三处。儿生十日可灸三壮，三十日可灸五壮，五十日可灸七壮。病重者，
具灸之；轻者，惟灸囟中、风池、玉枕也。艾使熟，炷令平正着肉，火势乃至病所也。艾若生，炷不平正，不着
肉，徒灸多炷，故无益也。（《婴孺方》云∶去头部凡二十三处，此亦不可一时下灸，待诸处无效即续次灸之。轻者，囟
中、额中、发际、鼻人中、耳门、风池、玉枕可也。凡灸头风，大人多者不过三十壮。此则沉者，不可顿灸，可日日灸
之也。又灸口吻各二七壮。）
《千金》腹部灸痫法∶若腹满短气转鸣，灸肺募，在两乳上第二肋间宛宛中，悬绳取之，当瞳子是。次灸膻
中；次灸胸堂；次灸脐中；（《婴孺方》于脐中字下独有百壮字。）次灸薜息，薜息在两乳下第一肋间宛宛中是也；次灸
巨阙，大人去鸠尾下一寸，小儿去脐作六分分之，去鸠尾下一寸是也，并灸两边；（《婴孺方》又于此注云∶鸠尾在臆前
蔽骨下五分是也。）次灸胃管；次灸金门，金门在谷道前囊之后，当中央是也。从阴囊下度至大孔前中分之。
上腹部十二处，（《婴孺方》云∶腹部十四处。）胸堂、巨阙、胃管，十日儿可灸三壮，儿一月以上可五壮，阴下缝
中可三壮。或云随年壮。
《千金》背部灸痫法∶若脊强反张，灸大椎，并灸诸脏俞及督脊上当中，从大椎度至穷骨中屈，更从大椎度
之，灸度下头是督脊也。
上背部十二处，十日儿可灸三壮，一月以上可灸五壮。
《千金》手部灸痫法∶若手足掣 惊者，灸尺泽。（《婴孺方》云∶肘中约中动脉。）次灸阳明；次灸少商；次灸劳
宫；（《婴孺方》云∶掌中央动脉。）次灸心主；次灸合谷；（《婴孺方》云∶手大指歧骨间。）次灸三间；（《婴孺方》云∶
大指次指本节后内侧臼中。）次灸少阳。
右手部十六处。其要者，阳明、少商、心主、尺泽、合谷、少阳也。壮数如上。
《千金》足部灸痫法∶又灸伏兔。（《婴孺方》云∶膝上六寸。）次灸三里；次灸腓肠；次灸鹿溪；次灸阳明；次灸少
阳；次灸然谷。（《婴孺方》云∶在足二踝前骨下臼中。）
上足部十四处，皆要可灸，壮数如上。手足阳明，谓人四指，凡小儿惊痫皆灸之。若风病大动，手足掣
者，尽灸手足十指端，又灸本节后。（《婴孺方》云∶诸穴不可悉灸，候诸处无效方灸之。《千金翼》云∶灸第二椎及下
穷骨两处，以绳度，中折绳端一处，是脊骨中也。凡三处，复断此绳作三折，令各等，参合如 字，以一角主中央，灸
下二角。夹脊两边便灸之，凡五处也。以丹注所灸五处各百壮，削行为度膀绳。《婴孺方》又云∶凡灸痫得啼为轻，易
治；不得啼为重，难治。小儿生十数日，便得痫者，皆可灸也，可灸一壮。其要极者，三五壮。）
诸家灸痫法∶
《外台》∶《甲乙经》灸本神，在曲差旁一寸半，在发际。一云∶直耳上入发际四分，足少阳阳维之会，灸五
壮。主头目眩痛，颈项强急，胸胁相引，不得倾侧，癫疾不呕沫，小儿惊痫。
《外台》∶《甲乙经》灸临泣，当目上 直入发际五分陷者中，是少阳太阳之会，灸三壮。主颊青不得视，
口沫泣出，两目眉头痛，小儿惊痫反视。
《外台》∶《甲乙经》灸筋缩在第九椎节下间，督脉气所发，俯而取之，灸三壮。主小儿惊痫螈 ，狂走疾，
脊急强，目转上插。
《圣惠》灸长强一穴，在腰俞下，脊体骸端陷者中。灸五壮。主腰脊急强，不可俯仰，癫狂病，大小便难，
洞泄不禁，五淋久痔，小儿惊痫病。
《圣惠》灸螈脉二穴，一名资脉，在耳内鸡足青脉。是穴主头风、耳后痛，小儿惊痫螈 ，呕吐，泄注，惊恐
失精，视瞻不明，眵梦。灸三壮，针入一分。
《圣惠》小儿惊痫，灸鬼禄穴一壮，在唇内中央 上，炷如小麦大，用钢刀决断更佳。
《圣惠》秦承祖灸小儿胎痫、奶痫、惊痫、狐魅神邪及癫狂病，诸般医治不瘥者，以并两手大姆指，用软丝
绳子缚之，灸三壮。艾炷着四处，半在甲上，半在肉上，四处尽烧。一处不烧，其疾不愈。神效不可量也。诸
痫灸一壮，炷如小麦大。
《婴孺方》审是痫候，急灸顶上旋发中。若眼直视，灸两目直瞳子发际各一处，心下一寸宛宛中，脊当兑骨
上一处，大颧一处，各灸二七壮。顶上多灸益良。更见有痫候，灸两乳内各一寸七壮，累试大效。
《万全方》∶小儿惊痫者，先惊怖啼叫，后乃发也。灸顶上旋毛中三壮及耳后青络脉，炷如小麦大。（一法∶灸鬼
禄穴，在上唇内中央 上。）
小儿风痫者，先屈手指如数物乃发。灸鼻柱上发际宛宛中三壮，炷如麦大。
小儿食痫者，先寒热洒淅乃发也。灸鸠尾上五分三壮。
《千金方》论述说：新生儿如果没有疾病，千万不要预先进行针灸治疗。如果预先进行针灸，就会让孩子忍受疼痛并扰动五脏经脉，从而容易诱发癫痫。河洛和关中地区土地气候多寒冷，小儿容易患痉挛病。所以在孩子出生三天后，常采用预先灸治的方法来预防。另外还通过灸颊部来预防牙关紧闭症。出现牙关紧闭时，舌下脉络拘急，下颌关节筋脉紧张。因为这些地方气候寒冷，所以都切开舌下放出血液，并灸颊部以预防牙关紧闭。吴地和蜀地气候温暖，没有这种疾病。古代医方既然流传下来，现在的人不清楚南北地域的差异，就按照古方使用，因此往往对小儿造成伤害。所以乡野间的婴儿，顺应自然生长都能健康成长，没有早夭或横死的。小儿惊哭啼叫，睡眠中四肢抽搐抖动，这是变蒸（婴幼儿生长发育过程中的生理现象）尚未解除的表现，千万不要针灸或抓挠指甲，以免扰动全身经脉，进而因惊恐而引发癫痫。只有阴痫、牙关紧闭和痉挛，才可以进行针灸或抓挠指甲。凡是灸治癫痫，应当先让小儿排泄使体内空虚，然后趁着虚损之时施灸。如果在体内有实邪未通泄时就施灸，会导致气机阻滞，前后不通，甚至危及生命。癫痫在平旦（清晨3-5点）发作的，病位在足少阳经；早晨发作的，病位在足厥阴经；中午发作的，病位在足太阳经；黄昏发作的，病位在足太阴经；入定（晚上9-11点）发作的，病位在足阳明经；半夜发作的，病位在足少阴经。以上是根据癫痫发作的时间，判断病变所在的经络。观察发作的早晚，就灸治相应的经络穴位。
另外，癫痫分为五脏之痫和六畜之痫。有的在四肢，有的在腹内，仔细审察其证候，根据病变所在部位进行灸治。即使病情轻微也能痊愈。如果失去了治疗的要领，就会造成危害。
《千金方》五脏之痫的灸法：肝脏之痫，灸足少阳胆经、足厥阴肝经各三壮。心脏之痫，灸心窝下方第一肋骨端凹陷处，这个穴位是巨阙穴。又灸手厥阴心包经和手少阴心经各三壮。脾脏之痫，灸胃脘穴（即中脘穴）三壮，在胃脘穴旁侧各灸二壮，足阳明胃经、足太阴脾经各二壮。肺脏之痫，灸肺俞穴三壮。又灸手阳明大肠经、手太阳小肠经各二壮。肾脏之痫，灸心窝下方二寸二分处三壮。又灸肘窝动脉处各二壮。又灸足太阳膀胱经、足少阴肾经各二壮。膈膜之痫，灸风府穴。又灸头顶百会穴、鼻唇沟人中穴、下唇承浆穴，均随患儿年龄决定壮数。肠道之痫，灸两小腿肚下方的承山穴。又灸足心涌泉穴、两手劳宫穴。又灸两耳后完骨穴，各随年龄决定壮数。又灸脐中穴三十壮。以上为灸治五脏之痫的方法。
《千金方》六畜之痫的灸法：马痫，灸项后风府穴、脐中穴各三壮，病在腹中的，烧马蹄末服用，效果良好。（《太平圣惠方》灸仆参穴各三壮，位于脚跟骨下白肉际凹陷中，拱起脚取穴。）牛痫，灸鸠尾骨及大椎穴各三壮。（《婴孺方》说：烧一个土牛蹄末服用。《太平圣惠方》只灸鸠尾一穴三壮。）羊痫，灸大椎上三壮。（《太平圣惠方》灸第九椎节间三壮。）猪痫，灸耳后完骨两旁各一寸处三壮。（《太平圣惠方》灸巨阙穴三壮，位于鸠尾下一寸凹陷中。）犬痫，灸两手心各一壮，灸足太阳经一壮，灸肋户穴一壮。（《婴孺方》说：犬痫，灸手心一壮，灸足阳明经各一壮，肋户一壮，灸脚头两室各一壮。）鸡痫，灸足部诸阳经各三壮。（《太平圣惠方》灸手少阴经三壮，位于掌后去腕半寸阴穴凹陷中。）以上为灸治六畜之痫的方法。
《千金方》暴痫的灸法：小儿突发癫痫，灸两乳头，女婴灸乳下二分处。治疗小儿暴痫，表现为身体正直如死人及腹中雷鸣者。灸太仓穴（即中脘穴）及脐中上下两旁各一寸处，共六处。又灸腹部正中线，用绳子从头部绕至脐中截断，然后将绳子转向背部顺着脊柱向下，绳头尽头处，灸两旁各一寸五壮。如果面色苍白，啼哭声音不变，灸足阳明经、足太阴经。以上为灸治暴痫的方法。
《千金方》头部灸痫法：如果眼睛向上翻视，眼球转动，应当灸囟门中。取穴方法：横向测量口角到两口吻际的距离，再横向测量鼻下至两边鼻翼的距离，去掉鼻宽的一半，合并口宽作为度量标准；从额上发际向上量取。灸度量的终点一处，正好在囟门未合骨的中间，随着手动的是正确位置，这是最关键的地方。其次灸当额头进入发际二分许处，直视鼻子为正位。（《婴孺方》说：其次灸额上发际五壮，没说进入发际二分。）其次灸其两边，当瞳孔直上进入发际二分许处。（《婴孺方》相同，只说直上进入发际，没说二分。）其次灸头顶旋毛中。其次灸客主人穴（即上关穴），在两眉后际动脉跳动处。（《婴孺方》说：客主人在眉后发际动脉处。）其次灸两耳门穴，当张口时耳前骨头解开张开的凹陷处。其次灸两耳上方，卷起耳朵取穴，正当卷耳上方的头部。另一种方法：成人当耳上横放三指，小儿各自用自己的手指测量。其次灸两耳后完骨上的青筋，也可以用针刺令出血。（《婴孺方》说：至此还有其次灸鼻人中口上，灸时应靠近鼻子。又说：其次灸承浆穴。其次灸玉枕穴，玉枕在项上高骨处。）其次灸玉枕穴。其次灸两风池穴，在项后两侧大筋外发际凹陷中。其次灸风府穴，正当项中央发际处，也可以与风池三处高低相等。其次灸头两角，两角正当旋毛两边隆起的骨头处。（《婴孺方》到这里还有太极穴，可以灸两眉头之间。）以上头部共有十九处穴位，《婴孺方》说是二十三处。婴儿出生十天可灸三壮，三十天可灸五壮，五十天可灸七壮。病情重的，全部灸治；病情轻的，只灸囟中、风池、玉枕。艾绒要陈熟，艾炷要平整端正地贴在皮肤上，火势才能到达病所。如果艾绒生新，艾炷不平正，不贴肉，徒然灸很多艾炷，也没有益处。（《婴孺方》说：除去头部共二十三处，这些也不可一次性同时灸，等待各处无效后再依次灸之。病情轻的，囟中、额中、发际、鼻人中、耳门、风池、玉枕即可。凡灸头风，成人多的不超过三十壮。此病属沉疴，不可一次性灸完，可每天灸治。又灸口吻各十四壮。）
《千金方》腹部灸痫法：如果腹胀满、短气、肠鸣，灸肺募穴，在两乳上第二肋间凹陷处，用悬绳法取穴，正对瞳孔即是。其次灸膻中穴；其次灸胸堂穴；其次灸脐中穴；（《婴孺方》在脐中字下独有“百壮”二字。）其次灸薛息穴，薛息在两乳下第一肋间凹陷处；其次灸巨阙穴，成人距鸠尾下一寸，小儿距脐作六分计算，距鸠尾下一寸处，并灸两边；（《婴孺方》又在此注云：鸠尾在臆前蔽骨下五分处。）其次灸胃管穴（即中脘穴）；其次灸金门穴，金门在肛门前阴囊之后，正当中央。从阴囊下量至大孔前正中分开。以上腹部十二处穴位，《婴孺方》说是腹部十四处。胸堂、巨阙、胃管，十日大的婴儿可灸三壮，一个月以上的婴儿可灸五壮，阴下缝中可灸三壮。有人说随年龄决定壮数。
《千金方》背部灸痫法：如果脊背强直反张，灸大椎穴，并灸各脏腑俞穴及督脉脊正中，从大椎量至尾骨中间弯曲处，再从大椎量取，灸度量的起点即为督脊穴。以上背部十二处穴位，十日大的婴儿可灸三壮，一个月以上的可灸五壮。
《千金方》手部灸痫法：如果手足抽搐惊动，灸尺泽穴。（《婴孺方》说：肘窝中间动脉处。）其次灸阳明经；其次灸少商穴；其次灸劳宫穴；（《婴孺方》说：掌中央动脉处。）其次灸心主穴（即内关或手厥阴经穴）；其次灸合谷穴；（《婴孺方》说：手大拇指与食指歧骨间。）其次灸三间穴；（《婴孺方》说：大拇指次指本节后内侧臼中。）其次灸少阳经。右手部十六处穴位。其中重要的，是阳明、少商、心主、尺泽、合谷、少阳。壮数如上所述。
《千金方》足部灸痫法：又灸伏兔穴。（《婴孺方》说：膝上六寸处。）其次灸三里穴；其次灸腓肠穴；其次灸鹿溪穴；其次灸阳明经；其次灸少阳经；其次灸然谷穴。（《婴孺方》说：在足两踝前骨下臼中。）以上足部十四处穴位，都是重要可灸的穴位，壮数如上所述。手足阳明经，指人四指宽度，凡小儿惊痫都灸治。如果风病大动，手足抽搐者，尽灸手足十指端，又灸本节后。（《婴孺方》说：诸穴不可全部灸，等候各处无效才灸之。《千金翼方》说：灸第二椎及下穷骨两处，用绳子度量，中间折断绳端一处，是脊骨中部。共三处，再将此绳断开作三折，令各等长，拼合如“川”字，以一个角主中央，灸下两角。夹脊两边便灸之，共五处。用丹砂标记所灸五处各百壮，削木为标杆量绳。《婴孺方》又说：凡灸痫得到啼哭的为轻症，易治；不得啼哭的为重症，难治。小儿出生十几天，就得癫痫的，都可以灸，可灸一壮。其中最严重的，三五壮。）
各家灸痫法：
《外台秘要》引《甲乙经》：灸本神穴，在曲差旁一寸半，在发际。一说：直耳上入发际四分，是足少阳胆经与阳维脉交会处，灸五壮。主治头目眩晕痛，颈项强急，胸胁牵引，不能倾斜侧身，癫疾不吐沫，小儿惊痫。
《外台秘要》引《甲乙经》：灸临泣穴，当目上直入发际五分凹陷处，是少阳胆经与太阳膀胱经交会处，灸三壮。主治面颊青紫不能视物，口流涎泪出，两目眉头痛，小儿惊痫反视。
《外台秘要》引《甲乙经》：灸筋缩穴，在第九椎节下间，督脉气所发，俯身取穴，灸三壮。主治小儿惊痫抽搐，狂走疾跑，脊背急强，眼球上插。
《太平圣惠方》灸长强穴一穴，在腰俞下，脊体骸端凹陷处。灸五壮。主治腰脊急强，不可俯仰，癫狂病，大小便难，洞泄不禁，五淋久痔，小儿惊痫病。
《太平圣惠方》灸螈脉二穴，一名资脉，在耳内鸡足状青筋处。此穴主治头风、耳后痛，小儿惊痫抽搐，呕吐，泄泻，惊恐失精，视瞻不明，眼屎多梦。灸三壮，针入一分。
《太平圣惠方》小儿惊痫，灸鬼禄穴一壮，在唇内中央上，艾炷如小麦大，用钢刀决断更佳。
《太平圣惠方》秦承祖灸小儿胎痫、奶痫、惊痫、狐魅神邪及癫狂病，各种医治无效的，将两手大拇指并拢，用软丝绳子缚住，灸三壮。艾炷着四处，一半在指甲上，一半在肉上，四处都烧尽。一处不烧，疾病不愈。神效不可估量。诸痫灸一壮，艾炷如小麦大。
《婴孺方》确认为癫痫证候，急灸头顶旋发中。如果眼睛直视，灸两眼直对瞳孔的发际各一处，心下一寸凹陷处，脊当兑骨上一处，大颧一处，各灸十四壮。顶上多灸更好。如果再见到癫痫证候，灸两乳内各一寸七壮，屡试大效。
《万全方》：小儿惊痫者，先惊怖啼叫，然后发病。灸头顶旋毛中三壮及耳后青络脉，艾炷如小麦大。（一种方法：灸鬼禄穴，在上唇内中央上。）
小儿风痫者，先屈手指如数物然后发病。灸鼻柱上发际凹陷处三壮，艾炷如麦粒大。
小儿食痫者，先寒热洒淅然后发病。灸鸠尾上五分三壮。
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) states: For newborn infants without disease, one must be cautious and not perform acupuncture or moxibustion preemptively. If preemptive acupuncture or moxibustion is performed, it causes the infant to endure pain and disturbs the five meridians, potentially leading to epilepsy. The regions of Heluo and Guanzhong have cold land and climate; infants there are prone to spasms. Therefore, three days after birth, moxibustion is often performed preemptively for prevention. Additionally, moxibustion on the cheek is used to prevent trismus (lockjaw). When trismus occurs, the vessels under the tongue are tense, and the tendons of the mandible are tight. Due to the cold climate in these areas, blood is let from under the tongue, and moxibustion is applied to the cheeks to prevent trismus. In the Wu and Shu regions, the climate is warm, and this disease does not occur. Although ancient prescriptions have been transmitted, modern practitioners fail to understand the differences between northern and southern regions and apply them blindly, thereby often harming infants. Thus, rural children who are allowed to grow naturally generally thrive without premature death or violent demise. When infants cry with fright, twitch their limbs during sleep, or undergo "bianzheng" (a physiological developmental process in infancy), one must be cautious not to use acupuncture or scratch the nails, as this may disturb the hundred meridians and induce epilepsy due to fright. Only in cases of Yin epilepsy, trismus, and spasms should acupuncture or nail scratching be performed. Generally, when treating epilepsy with moxibustion, one should first allow the infant to empty the bowels to create a state of deficiency, then apply moxibustion while the body is deficient. If moxibustion is applied when there is excess pathogenic qi that has not been purged, the qi becomes obstructed, blocking the front and back, which can be fatal. Epilepsy occurring at dawn (Pingdan) involves the Foot Shaoyang Gallbladder Meridian; occurring in the morning involves the Foot Jueyin Liver Meridian; occurring at noon involves the Foot Taiyang Bladder Meridian; occurring at dusk involves the Foot Taiyin Spleen Meridian; occurring at nightfall (Rending) involves the Foot Yangming Stomach Meridian; occurring at midnight involves the Foot Shaoyin Kidney Meridian. These indicate the meridian where the pathology resides based on the time of onset. Observe the timing of the attack and moxa the corresponding meridians.
Furthermore, epilepsy is categorized into Five Zang Epilepsy and Six Livestock Epilepsy. It may manifest in the limbs or within the abdomen. Carefully examine the signs and moxa according to the location of the disease. Even if mild, it will heal. If the key principles are missed, harm will result.
*Moxibustion Methods for Five Zang Epilepsy from Qianjin Fang*:
Liver Epilepsy: Moxa three cones on the Foot Shaoyang and Foot Jueyin meridians. Heart Epilepsy: Moxa three cones at the depression at the end of the first rib below the heart area, known as Juque (CV14). Also moxa three cones each on the Hand Jueyin Pericardium and Hand Shaoyin Heart meridians. Spleen Epilepsy: Moxa three cones on Weiguan (Zhongwan, CV12), two cones on each side of Weiguan, and two cones each on the Foot Yangming Stomach and Foot Taiyin Spleen meridians. Lung Epilepsy: Moxa three cones on Feishu (BL13). Also moxa two cones each on the Hand Yangming Large Intestine and Hand Taiyang Small Intestine meridians. Kidney Epilepsy: Moxa three cones two cun two fen below the heart area. Also moxa two cones each on the arterial pulse in the elbow crease. Also moxa two cones each on the Foot Taiyang Bladder and Foot Shaoyin Kidney meridians. Diaphragm Epilepsy: Moxa Fengfu (GV16). Also moxa Baihui (GV20) on the crown, Renzhong (GV26) in the philtrum, and Chengjiang (CV24) on the lower lip, with the number of cones determined by age. Intestinal Epilepsy: Moxa Chengshan (BL57) on both calves. Also moxa Yongquan (KI1) on the sole of the foot, Laogong (PC8) in both hands, and Wanggu (GB12) behind both ears, with cones determined by age. Also moxa thirty cones on Shenque (CV8) in the umbilicus. These are the methods for moxaing Five Zang Epilepsy.
*Moxibustion Methods for Six Livestock Epilepsy from Qianjin Fang*:
Horse Epilepsy: Moxa three cones each on Fengfu (GV16) in the neck and Shenque (CV8) in the umbilicus. If the disease is in the abdomen, burn horse hoof powder and administer orally for good effect. (*Taiping Shenghui Fang* suggests moxaing Puxan (BL60) three cones each, located in the depression at the white flesh boundary below the calcaneus, taken with the foot arched.) Ox Epilepsy: Moxa three cones each on Jiawei bone and Dazhui (GV14). (*Yingru Fang* states: Burn one earthen ox hoof powder and administer. *Taiping Shenghui Fang* only moxaes Jiwei (CV15) one point three cones.) Sheep Epilepsy: Moxa three cones above Dazhui (GV14). (*Taiping Shenghui Fang* moxae three cones between the segments of the ninth vertebra.) Pig Epilepsy: Moxa three cones each one cun lateral to Wanggu (GB12) behind both ears. (*Taiping Shenghui Fang* moxae Juque (CV14) three cones, located one cun below Jiwei in the depression.) Dog Epilepsy: Moxa one cone each on both palms, one cone on the Foot Taiyang meridian, and one cone on Lihu. (*Yingru Fang* states: For dog epilepsy, moxa one cone on the palm, one cone each on the Foot Yangming meridian, one cone on Lihu, and one cone each on the two chambers of the foot head.) Chicken Epilepsy: Moxa three cones each on all Yang meridians of the foot. (*Taiping Shenghui Fang* moxae Hand Shaoyin meridian three cones, located in the depression half cun distal to the wrist on the Yin aspect.) These are the methods for moxaing Six Livestock Epilepsy.
*Moxibustion Methods for Sudden Epilepsy from Qianjin Fang*:
For sudden infantile epilepsy, moxa both nipples; for female infants, moxa two fen below the nipple. To treat sudden infantile epilepsy characterized by a rigid body like a corpse and borborygmi in the abdomen: Moxa Taicang (Zhongwan, CV12) and points one cun above and below Shenque (CV8) on both sides, totaling six locations. Also, measure the abdomen using a string: wrap the string from the head down to the umbilicus, cut it, then turn the string towards the back along the spine to the end of the string. Moxa five cones one cun lateral to this point on both sides. If the face is pale and the cry voice remains unchanged, moxa the Foot Yangming and Foot Taiyin meridians. These are the methods for moxaing sudden epilepsy.
*Moxibustion Methods for Head Epilepsy from Qianjin Fang*:
If the eyes roll upward and the pupils move, moxa the center of the fontanelle. The method for locating it: Measure horizontally across the mouth from corner to corner, and horizontally across the nose from side to side. Remove half the width of the nose, combine with the mouth width as the standard measure. From the hairline on the forehead, measure upwards. Moxa one cone at the end of the measurement, exactly in the middle of the unossified fontanelle bone; the spot that moves with the hand is correct, which is the most critical point. Next, moxa approximately two fen entering the hairline on the forehead, aligned straight with the nose. (*Yingru Fang* states: Next moxa five cones at the hairline on the forehead, without specifying entering two fen.) Next, moxa both sides, approximately two fen entering the hairline directly above the pupil centers. (*Yingru Fang* is similar, stating only entering the hairline directly above, without specifying two fen.) Next, moxa the center of the whorl of hair on the crown. Next, moxa Kechuzhuren (Shangguan, GB7), located at the arterial pulse behind the eyebrows. (*Yingru Fang* states: Kechuzhuren is at the arterial pulse behind the eyebrow hairline.) Next, moxa Ermen (TE21) on both ears, located in the depression when the jaw opens. Next, moxa above both ears, taking the point by rolling up the ear, located at the top of the rolled ear. Another method: For adults, place three fingers horizontally above the ear; for children, use their own fingers. Next, moxa the blue veins above Wanggu (GB12) behind both ears; these can also be pricked with a needle to bleed. (*Yingru Fang* adds: Next moxa Renzhong (GV26) near the nose. Also: Next moxa Chengjiang (CV24). Next moxa Yuzhen (GV17), which is on the high bone of the neck.) Next, moxa Yuzhen (GV17). Next, moxa Fengchi (GB20) on both sides, located in the depression outside the large tendons at the back of the neck and hairline. Next, moxa Fengfu (GV16), located at the central hairline of the neck, which can be level with the three points of Fengchi. Next, moxa the two corners of the head, which are the raised bones on both sides of the hair whorl. (*Yingru Fang* mentions Taiji point here, which can be moxaed at the inner ends of the eyebrows.) There are nineteen points on the head in total (*Yingru Fang* lists twenty-three). Infants ten days old can receive three cones; thirty days old, five cones; fifty days old, seven cones. For severe cases, moxa all points; for mild cases, only moxa Xizhong (fontanelle), Fengchi (GB20), and Yuzhen (GV17). Use well-aged mugwort; ensure the moxa cone is flat and makes full contact with the skin so the heat reaches the pathology. Fresh mugwort or uneven cones that do not touch the skin render many cones useless. (*Yingru Fang* states: Excluding the head, there are twenty-three points. Do not moxa all at once; wait until other points are ineffective before proceeding sequentially. For mild cases, Xizhong, Ezhong (forehead), Fazhi (hairline), Birenzhong (nose philtrum), Ermen (ear gate), Fengchi (GB20), and Yuzhen (GV17) suffice. For head wind, adults rarely exceed thirty cones. This condition is deep-seated and should not be moxaed all at once; daily moxibustion is better. Also moxa fourteen cones on each corner of the mouth.)
*Moxibustion Methods for Abdominal Epilepsy from Qianjin Fang*:
If there is abdominal fullness, shortness of breath, and borborygmi, moxa Feimu (Lung Mu point), located in the depression of the second intercostal space above both nipples, measured by suspending a string aligned with the pupil. Next, moxa Danzhong (CV17); next, moxa Xiong tang; next, moxa Shenque (CV8) in the umbilicus. (*Yingru Fang* adds "one hundred cones" after Shenque.) Next, moxa Bixi, located in the depression of the first intercostal space below both nipples; next, moxa Juque (CV14). For adults, it is one cun below Jiwei (CV15); for infants, calculate six fen from the umbilicus, which corresponds to one cun below Jiwei, moxaing both sides. (*Yingru Fang* notes: Jiwei is five fen below the xiphoid process.) Next, moxa Weiguan (Zhongwan, CV12); next, moxa Jinmen, located posterior to the scrotum anterior to the anus, in the center. Measure from below the scrotum to the midpoint anterior to the anus. There are twelve points on the abdomen (*Yingru Fang* lists fourteen). For Xiong tang, Juque, and Weiguan, infants ten days old can receive three cones; those over one month, five cones; the seam below the yin, three cones. Some say determine cones by age.
*Moxibustion Methods for Back Epilepsy from Qianjin Fang*:
If there is rigidity and opisthotonos of the spine, moxa Dazhui (GV14), and moxa all Zang-Shu points and the midline of the Du Meridian. Measure from Dazhui to the coccyx, bend at the curve, then measure again from Dazhui; the starting point of the measurement on the Du Meridian is the target. There are twelve points on the back. Infants ten days old can receive three cones; those over one month, five cones.
*Moxibustion Methods for Hand Epilepsy from Qianjin Fang*:
If there are convulsions and tremors of the hands and feet, moxa Chize (LU5). (*Yingru Fang* states: Arterial pulse in the middle of the elbow crease.) Next, moxa the Yangming meridian; next, moxa Shaoshang (LU11); next, moxa Laogong (PC8). (*Yingru Fang* states: Arterial pulse in the center of the palm.) Next, moxa Xin Zhu (Pericardium); next, moxa Hegu (LI4). (*Yingru Fang* states: Between the metacarpal bones of the thumb and index finger.) Next, moxa Sanjian (LI3). (*Yingru Fang* states: In the hollow medial to the base of the joint between the thumb and index finger.) Next, moxa the Shaoyang meridian. There are sixteen points on the right hand. The key ones are Yangming, Shaoshang, Xin Zhu, Chize, Hegu, and Shaoyang. The number of cones is as stated above.
*Moxibustion Methods for Foot Epilepsy from Qianjin Fang*:
Also moxa Futu (ST32). (*Yingru Fang* states: Six cun above the knee.) Next, moxa Sanli (ST36); next, moxa Feichang; next, moxa Luxi; next, moxa the Yangming meridian; next, moxa the Shaoyang meridian; next, moxa Ran gu (KI2). (*Yingru Fang* states: In the hollow below the anterior malleoli.) There are fourteen points on the foot, all important for moxibustion, with the number of cones as stated above. The Hand and Foot Yangming meridians correspond to four fingers' width; for all infantile convulsive epilepsy, these are moxaed. If wind pathology causes severe movement and convulsions of the hands and feet, moxa the tips of all ten fingers and the joints proximal to them. (*Yingru Fang* states: Do not moxa all points; wait until other points are ineffective. *Qianjin Yi Fang* states: Moxa the second vertebra and the lower coccyx, measuring with a string, folding it in half to find the spinal center. Total three points. Fold this string into three equal parts, arranging them like the character 'Chuan', with one angle controlling the center and moxaing the lower two angles. Moxa the two sides of the spine, totaling five points. Mark these five points with cinnabar, prescribing one hundred cones each, using a削行 (wooden ruler/measure) as a guide. *Yingru Fang* adds: Crying after moxibustication indicates mild epilepsy, easy to treat; no crying indicates severe epilepsy, difficult to treat. Infants getting epilepsy within ten days of birth can be moxaed, one cone. For the most critical cases, three to five cones.)
*Moxibustion Methods from Various Schools*:
*Waitai Mi Yao* citing *Jia Yi Jing*: Moxa Benshen (GB13), one and a half cun lateral to Qucha, at the hairline. Another view: Four fen entering the hairline directly above the ear, intersection of Foot Shaoyang and Yang Wei meridians, moxa five cones. Mainly treats dizziness and headache, neck stiffness, chest and hypochondriac pulling, inability to tilt the head, mania without foaming, infantile convulsive epilepsy.
*Waitai Mi Yao* citing *Jia Yi Jing*: Moxa Linqi (GB15), five fen entering the hairline directly above the eye in the depression, intersection of Shaoyang and Taiyang meridians, moxa three cones. Mainly treats cyanosis of the cheek, inability to look, drooling and tearing, headache around eyes and brows, infantile convulsive epilepsy with upward gaze.
*Waitai Mi Yao* citing *Jia Yi Jing*: Moxa Jinsuo (GV9), between the segments of the ninth vertebra, where Qi of the Du Meridian emerges, taken in flexion, moxa three cones. Mainly treats infantile convulsive epilepsy with spasms, manic running, spinal rigidity, upward deviation of the eyes.
*Taiping Shenghui Fang*: Moxa Changqiang (GV1) one point, below Yaoshu, in the depression at the tip of the sacrum. Moxa five cones. Mainly treats spinal rigidity, inability to bend or extend, mania, difficulty in urination and defecation, incontinence, chronic hemorrhoids, infantile convulsive epilepsy.
*Taiping Shenghui Fang*: Moxa Yuanyang Mai (Zi Mai) two points, the blue vein shaped like a chicken's foot inside the ear. Treats head wind, post-auricular pain, infantile convulsive epilepsy with spasms, vomiting, diarrhea, fright and loss of essence, blurred vision, ocular discharge and dreams. Moxa three cones, needle insert one fen.
*Taiping Shenghui Fang*: For infantile convulsive epilepsy, moxa Guilu (CV23) one cone, in the center of the upper lip mucosa, cone size like a wheat grain; cutting with a steel knife is better.
*Taiping Shenghui Fang*: Qin Chengzu treated infantile fetal epilepsy, milk epilepsy, convulsive epilepsy, spirit possession, and mania with various ineffective treatments by binding both thumbs together with soft silk rope and moxaing three cones. Place the cone covering half the nail and half the flesh, burning all four quadrants. If one quadrant is not burned, the disease will not cure. The efficacy is immeasurable. For all epilepsies, moxa one cone, size like a wheat grain.
*Yingru Fang*: Confirming epilepsy signs, urgently moxa the center of the hair whorl on the crown. If eyes are fixed, moxa one point at the hairline directly opposite each pupil, one point one cun below the heart in the depression, one point above the兑骨 (xiphoid/costal cartilage junction) on the spine, and one point on the large zygoma, moxaing fourteen cones each. More moxaing on the crown is beneficial. If epilepsy signs persist, moxa seven cones one cun inside both nipples, tested with great effect.
*Wan Quan Fang*: Infantile convulsive epilepsy begins with fright and crying, then manifests. Moxa three cones in the hair whorl on the crown and the blue collateral behind the ear, cone size like a wheat grain. (Another method: Moxa Guilu (CV23) in the center of the upper lip mucosa.)
Infantile wind epilepsy begins with curling fingers as if counting, then manifests. Moxa three cones in the depression at the hairline above the nasal bridge, cone size like a wheat grain.
Infantile food epilepsy begins with chills and shivering, then manifests. Moxa three cones five fen above Jiwei (CV15).