史演山曰。阳痫者。因感惊风三次发搐。不为去风下痰。则再发。曰三次者。或一月。或一季。一发惊搐。必经过
三度。故曰三次。非一日三次也。所谓惊风三发即为痫者是也。其候身热自汗目上视。嚼沫切牙。手足掣搐。面红紫。
脉皆浮数。以白解散加五和汤疏解。下痰用水晶丹、半夏丸。阴痫者。因慢惊后去痰不尽。痰入心包而得。四肢逆冷。
吐舌摇头。嚼沫。牙关紧闭。不甚惊搐。作啼。面色或白或青。脉沉微。治以固真汤。调宽气饮和解。
王汝言曰。痫。小儿之恶候也。盖小儿血脉不敛。气骨不聚。为风邪所触。为乳哺失节。停结癖积而得之。其候神
气怫郁。瞪目直视。面目牵引。口噤流涎。肚腹膨胀。手足掣搐。似死似生。或声或哑。或项背反张。或腰脊强直。但
四体柔弱。发而时醒者为痫。若一身强硬。终日不醒者。则为痉症。不可不辨。
王肯堂曰。全婴方云。风痫因将养失度。血气不和。或浓衣汗出。腠理开舒。风邪入之。其病在肝。肝主风。其症
目赤面青发搐。宜琥珀散、驱风膏、大青膏。有热。四顺饮。退后与利惊丸下其痰涎。惊痫因血气盛实。脏腑生热。或
惊怖大啼。精神伤动。外邪入之。其病在心。心主惊。其症忽然叫声发搐。宜琥珀散、镇心丸。有热。四顺饮。利惊丸
下之。不生别病。食痫其病在脾。脾纳食。其症嗳吐 气。即发搐。此症或大便酸臭。紫丸子下之。以上三症。大同小
异。并属阳也。各目睛翻斜。手足潮搐。或作猪声。发过即瘥。皆十生一死。
史演山说：阳痫，是因为感受惊风，三次发作抽搐后，如果没有祛除风邪、降下痰浊，就会再次发作。所谓“三次”，是指可能间隔一个月或一个季度，每次惊搐发作必然经过三个阶段，所以叫“三次”，并非指一天内发作三次。这就是所说的“惊风三次发作即成为痫病”的情况。其症状表现为身体发热、自然出汗、眼睛上翻、口嚼白沫、牙齿咬紧、手足抽搐、面色红紫，脉象都浮而数。治疗用白解散加五和汤来疏风解表；降痰用水晶丹、半夏丸。阴痫，是因为慢惊风之后痰浊未除尽，痰邪进入心包所致。症状为四肢逆冷、吐舌摇头、口嚼白沫、牙关紧闭、不太惊搐、发出啼哭、面色或白或青，脉象沉微。治疗用固真汤，配合宽气饮调和气机。
王汝言说：痫病，是小儿的危重证候。大概因为小儿血脉不收敛，气骨不凝聚，被风邪所触动，或因哺乳喂养不当，导致停积癖块积聚而得病。其症状表现为神气郁结、瞪眼直视、面部肌肉牵引、口噤流涎、肚腹膨胀、手足抽搐、似死似活、有时发声有时失声、有的项背反张、有的腰脊强直。但只要四肢柔弱，发作时能暂时清醒的，就是痫病。如果全身僵硬强硬，整天不醒的，则是痉症（痉挛性疾病），不可不加以辨别。
王肯堂说：《全婴方》记载：风痫是因为调养失当，血气不和，或者穿衣过厚导致出汗，腠理开泄，风邪侵入所致。病位在肝，肝主风。症状为目赤面青、头发竖起、抽搐，宜用琥珀散、驱风膏、大青膏。如果有热，用四顺饮。退热后用利惊丸攻下痰涎。惊痫是因为血气盛实，脏腑生热，或者因惊恐大哭，精神受到损伤，外邪乘虚而入。病位在心，心主惊。症状为突然叫声大作、抽搐，宜用琥珀散、镇心丸。如果有热，用四顺饮，再用利惊丸攻下。如果不产生其他病变，预后较好。食痫的病位在脾，脾主受纳食物。症状为嗳气呕吐，随即发生抽搐。此症大便多酸臭，可用紫丸子攻下。以上三种病症，大同小异，都属于阳痫。共同特点是眼球翻转斜视、手足阵发性抽搐、有时发出猪叫声，发作过后即可痊愈。总体预后都是十人中有九人生还，一人死亡。
Shi Yanshan stated: Yang epilepsy (Yang Epilepsy) arises from contracting wind-stroke (Wind-Stroke) and experiencing three episodes of convulsions. If the pathogenic wind is not dispelled and phlegm is not purged, it will recur. The term "three times" refers to intervals of either one month or one season; each episode of fright-convulsion necessarily passes through three stages, hence termed "three times," not three times in a single day. This corresponds to the saying that "fright-convulsion occurring three times becomes epilepsy." Its manifestations include fever, spontaneous sweating, upward deviation of the eyes, foaming at the mouth, teeth grinding, jerking of the limbs, red-purple complexion, and a floating and rapid pulse. Treatment involves using Baijie San (White Dispersal Powder) combined with Wuhe Tang (Five Harmonies Decoction) to disperse wind and resolve the exterior, and Shuijing Dan (Crystal Pill) or Banxia Wan (Pinellia Pill) to purge phlegm. Yin epilepsy (Yin Epilepsy) results from incomplete removal of phlegm after slow fright-convulsion, allowing phlegm to enter the Pericardium (Pericardium). Symptoms include cold extremities, protrusion of the tongue, head shaking, foaming at the mouth, locked jaw, minimal convulsions, crying sounds, a pale or bluish complexion, and a deep and faint pulse. Treatment employs Guzhen Tang (Solidify the True Decoction) and Kuanqi Yin (Broaden Qi Infusion) to harmonize qi.
Wang Ruyan stated: Epilepsy is a severe condition in children. Generally, because children's blood vessels are not consolidated and their qi and bones are not gathered, they are susceptible to wind pathogens. It can also result from irregular nursing or feeding, leading to stagnation, accumulation, and mass formation. Manifestations include depressed spirit and qi, staring fixedly, facial muscle traction, locked jaw with salivation, abdominal distension, limb jerking, a state resembling death yet life, occasional vocalization or aphonia, opisthotonos (neck and back arching), or rigidity of the waist and spine. However, if the four limbs remain soft and the child regains consciousness temporarily after an attack, it is epilepsy. If the entire body is rigid and stiff, with no awakening throughout the day, it is spasm (Jing Syndrome/Spasm Disorder), which must be distinguished carefully.
Weng Kentang stated: *Quan Ying Fang* records: Wind epilepsy arises from improper care, disharmony of blood and qi, or wearing heavy clothing causing sweating and opening of the pores (Cou Li/Pores), allowing wind pathogens to invade. The pathology lies in the Liver (Liver), which governs wind. Symptoms include red eyes, greenish complexion, hair standing on end, and convulsions. Suitable formulas include Hupo San (Amber Powder), Qufeng Gao (Wind-Dispelling Ointment), and Daqing Gao (Major Blue Ointment). If heat is present, Sishun Yin (Four Smooth Infusion) is used. After the heat subsides, Lijing Wan (Fright-Relieving Pill) is administered to purge phlegm and saliva. Fright epilepsy arises from excess blood and qi, internal heat in the zang-fu organs, or fright and loud crying damaging the spirit and moving the mind, allowing external pathogens to enter. The pathology lies in the Heart (Heart), which governs fright. Symptoms include sudden screaming followed by convulsions. Suitable formulas include Hupo San (Amber Powder) and Zhenxin Wan (Heart-Calming Pill). If heat is present, Sishun Yin (Four Smooth Infusion) is used, followed by Lijing Wan (Fright-Relieving Pill) to purge. If no other diseases arise, the prognosis is favorable. Food epilepsy lies in the Spleen (Spleen), which receives food. Symptoms include belching and vomiting, followed immediately by convulsions. In this condition, the stool is often sour and foul-smelling; Ziwu Wan (Purple Pill) is used to purge. These three conditions are largely similar with minor differences and all belong to Yang epilepsy. Common features include rolling or deviated eyeballs, periodic limb convulsions, and sometimes pig-like sounds. Recovery occurs after the attack subsides. The general prognosis is nine survivors for every one death.