薛己曰。面赤目瞪。吐舌啮舌。心烦气短。其声如羊。曰心痫。面青唇青。两眼上窜。手足挛掣。反折。其声如犬。
曰肝痫。面黑目振。吐沫。形如尸。其声如猪。曰肾痫。面如枯骨。目白反视。惊跳反折。摇头吐沫。其声如鸡。曰肺
痫。面痿黄。目直腹满。四肢不收。自利。其声如牛。曰脾痫。五痫通用五色丸为主。参以各经之药。
王肯堂曰。按千金叙六畜痫。无五脏之分。钱氏始分之。而无马痫。曾氏谓初发作羊犬声者。咽喉为风痰所梗。声
自如此。其理甚明。言六畜者。强名之耳。故丹溪谓于经既无所据。而治法亦未有五者之分。所以不必分五也。
刘完素曰。大抵血滞心窍。邪气在心。积惊成痫。通行心经。调平血脉。顺气豁痰。乃其要也。假如小儿有热有痰。
不欲乳哺。眠睡不安。常常惊悸。此皆发痫之渐。即以紫霜丸导之。时间量与此丸。减其盛气。则无惊风痫钓之患。诸
痫发不能言者。盖咽喉为气之道路。风伤其气。以掩声音道路之门。抑亦血滞于心。心窍不通所致耳。南星炮为末。猪
胆汁调和少许啖之。极效。若钱氏五痫丸、南星散。以菖蒲汤调下。治痫之要药也。
钱乙曰。五痫甚者死。病后甚者亦死。
娄全善曰。小儿痫病。目直无声。目睹不转。眼生白障。唇黑眼慢。瞳人瞬动。目间青黑。面青指黑。口出涎沫如
白脓。口噤肚胀不乳。喉如牵锯之声。多睡不乳。身热下血不乳。身体痿软不醒。腹内虚鸣。痞逆而痛。吐利不止。汗
出壮热不休。卧久不寝。身体反张。大人脊下容一手。小儿脊下容一指。并不治。
薛己说：面色红赤，两眼直视，吐舌或咬舌，心烦意乱，气短，叫声像羊，这叫做心痫。面色青紫，嘴唇发青，两眼向上翻，手足抽搐拘挛，身体角弓反张，叫声像狗，这叫做肝痫。面色黑，眼睛震颤，口吐白沫，形体僵硬如死尸，叫声像猪，这叫做肾痫。面色枯槁如死骨，眼白外露且眼球上视，惊跳并身体反折，摇头吐沫，叫声像鸡，这叫做肺痫。面色萎黄，两眼呆滞，腹部胀满，四肢无力不能收持，自发性腹泻，叫声像牛，这叫做脾痫。五种痫证通用五色丸作为主方，再根据各经病变配合相应的药物。
王肯堂说：查阅《千金方》叙述六畜痫（马、牛、羊、鸡、犬、猪），没有五脏的区分。钱乙开始进行区分，但没有包括马痫。曾氏认为，初发作时发出羊、犬叫声的，是因为咽喉被风痰阻塞，声音自然如此，这个原理非常明白。所谓“六畜”，不过是强行命名的罢了。所以朱丹溪认为，既然在经典中找不到依据，而且治疗方法也没有五种的严格区分，所以不必强行分为五类。
刘完素说：大体上是血液阻滞在心窍，邪气在心，积聚惊恐而成痫证。治疗的关键在于通行心经，调平血脉，顺气豁痰。假如小儿有热有痰，不想吃奶，睡眠不安，常常惊悸，这些都是即将发生痫证的征兆。应立即用紫霜丸来导泻积滞。适时适量给予这种药丸，减弱其亢盛的病势，就不会有惊风和痫证发作的祸患。各种痫证发作时不能说话的，是因为咽喉是气息通行的道路，风邪损伤了气机，掩盖了声音通行的门户，这也是血液阻滞于心、心窍不通所致。将天南星炮制后研成粉末，用猪胆汁调和少许喂服，效果极佳。如果采用钱乙的五痫丸、南星散，用石菖蒲汤送服，这是治疗痫证的重要药物。
娄全善说：小儿痫病，如果眼神呆滞无声，目光凝视不转动，眼睛生白翳，嘴唇黑，眼睑松弛，瞳孔瞬动，眼角呈现青黑色，面色青，手指黑，口吐白沫如白脓，牙关紧闭，腹胀不吃奶，喉间发出拉锯般的声音，嗜睡不吃奶，身体发热伴下血不吃奶，身体痿软不醒人事，腹内虚鸣，痞逆疼痛，呕吐腹泻不止，出汗且高热不退，卧床很久无法入睡，身体角弓反张，大人脊下能容纳一只手，小儿脊下能容纳一个手指，这些都属于不治之症。
Xue Ji stated: If the face is red, eyes are fixed, the tongue is protruded or bitten, there is mental restlessness and shortness of breath, and the cry resembles that of a sheep, it is called Xin Xian (Heart Epilepsy). If the face and lips are cyanotic, the eyes roll upward, the limbs are spasmodic and convulsed, the body arches backward (opisthotonos), and the cry resembles that of a dog, it is called Gan Xian (Liver Epilepsy). If the face is black, the eyes tremble, saliva is frothed from the mouth, the body is stiff like a corpse, and the cry resembles that of a pig, it is called Shen Xian (Kidney Epilepsy). If the face is withered like dry bone, the whites of the eyes are exposed and the gaze is reversed, there are startles and opisthotonos, head shaking with frothing at the mouth, and the cry resembles that of a chicken, it is called Fei Xian (Lung Epilepsy). If the face is sallow, the eyes are straight and unresponsive, the abdomen is distended, the four limbs are flaccid and cannot be controlled, there is spontaneous diarrhea, and the cry resembles that of an ox, it is called Pi Xian (Spleen Epilepsy). For all five types of Xian, Wu Se Wan (Five-Color Pill) is used as the main formula, supplemented by herbs corresponding to the affected meridians.
Wang Kentang stated: According to *Qianjin Fang*, the six livestock epilepsies (horse, ox, sheep, chicken, dog, pig) are described without distinction among the five Zang organs. Qian Yi began to distinguish them but excluded the horse epilepsy. Zeng Shi argued that when the initial attack produces sounds resembling a sheep or dog, it is because the throat is obstructed by wind-phlegm, causing the sound naturally; this reasoning is very clear. The term "six livestock" is merely a forced naming convention. Therefore, Zhu Danxi asserted that since there is no basis in the classics and treatment methods do not strictly differentiate into five categories, it is unnecessary to divide them into five.
Liu Wansu stated: Generally, blood stasis obstructs the heart orifices, pathogenic factors reside in the Heart, and accumulated fright leads to epilepsy. The key to treatment lies in promoting circulation in the Heart meridian, regulating the blood vessels, smoothing Qi, and resolving phlegm. If a child has heat and phlegm, refuses milk, sleeps restlessly, and suffers from frequent palpitations and fright, these are precursors to an impending epileptic seizure. One should immediately administer Zi Shuang Wan (Purple Frost Pill) to guide out stagnation. Administering this pill appropriately and in measured doses will reduce the excessive pathogenic qi, thereby preventing complications such as wind convulsions and epilepsy. In cases where various forms of epilepsy result in the inability to speak during an attack, it is because the throat is the pathway for Qi; wind damages the Qi, blocking the gate of the voice pathway, which is also caused by blood stasis in the Heart and obstruction of the Heart orifices. Prepared Nan Xing (Pinelliae Rhizoma Praeparatum) ground into powder, mixed with a small amount of Zhu Dan Huang (Porcine Bile) and fed, yields excellent results. Alternatively, Qian Yi's Wu Xian Wan (Five-Epilepsy Pill) or Nan Xing San (Pinellia Powder), taken down with Shi Chang Pu Tang (Acorus Decoction), are essential medicines for treating epilepsy.
Qian Yi stated: Severe cases of the five types of epilepsy result in death; severe recurrences after illness also result in death.
Lou Quanshan stated: In pediatric epilepsy, if the eyes are fixed and silent, gazing without turning, white nebulae form on the eyes, the lips are black, the eyelids are lax, the pupils move intermittently, the corners of the eyes appear greenish-black, the face is green, and the fingers are black; if there is frothing at the mouth like white pus, lockjaw, abdominal distension, refusal to nurse, a sawing sound in the throat, lethargy with refusal to nurse, fever accompanied by bloody stool and refusal to nurse, bodily flaccidity with unconsciousness, borborygmus in the abdomen, epigastric fullness with pain, incessant vomiting and diarrhea, sweating with high fever that does not subside, prolonged lying awake, opisthotonos, and if one can fit a hand under the spine of an adult or a finger under the spine of a child, these are all signs of untreatable conditions.