癫疾者，始生先不乐，头重头痛，视举目赤，甚作极已而烦心，候之于颜，取手太阳阳
明太
阴，血变而止。癫疾始作而引口啼呼喘悸者，候之手阳明太阳，左强者攻其右，右强者攻其
左，血变而止。癫疾始作，先反僵，因而脊痛，候之足太阳阳明、手太阳，血变而止。治癫
疾常与之居，察其所当取之处，病至视之，有过者泻之，置其血于瓢壶之中。至其发时，血
独动矣。不动灸穷骨二十壮，穷骨者 骨也。骨癫疾者，HT 齿诸俞分肉皆满，而骨居，汗出
烦，呕，多沃沫，气下泄不治。脉癫疾者暴仆，四肢之脉皆胀而纵，脉满，尽刺之出血，
不满灸之。挟项太阳灸带脉于腰相去三寸，诸分肉本输，呕多沃沫，气下泄不治。癫疾者，
疾发如狂者死不治，狂始生，先自悲也，喜忘苦怒，善恐者，得之忧饥，治之取手太阴阳明
，血变而止，及取足太阴阳明。狂始发少卧不饥，自高贤也，自辩智也，自尊贵也，善骂詈
，日夜不休，治之取手阳明太阳太阴舌下少阴，视之盛者皆取之，不盛释之也。狂言惊善笑
，好歌妄行不休者，得之大恐，治之取手阳明太阳太阴。狂目妄见，耳妄闻，善呼者，少气
之所生也，治之取手太阳太阴阳明，足太阴，头两HT ，狂者多食，善见鬼神，善笑而不发于
外者，得之有所大喜，治之取足太阴太阳阳明，后取手太阴太阳阳明。狂而新发，未应如此
者，先取曲泉左右动脉，及盛者见血，有顷已，不已以法取之，灸骨 二十壮。大热偏身，
狂而妄见妄闻妄言，视足阳明及大络取之，虚者补之，血而实者泻之。因其偃卧，居其头前
，以两手四指夹按颈动脉，久持之，卷而切推，下至缺盆中而复止，如前热去乃止，此所谓
推而散之也。病在诸阳脉，且寒且热，诸分且寒且热，名曰狂。刺之虚脉视分尽，热病已止
。病初发岁一发不治，月一发不治，月四五发名曰癫，刺诸分诸脉，其无寒者，以针调之。
癫病发作前，患者往往先感到心情不悦，随后出现头部沉重、头痛，眼睛上视且眼白发红，病情严重时极度疲惫，继而心中烦闷。观察面部色泽变化，选取手太阳经、手阳明经和手太阴经的穴位进行针刺，直到血液颜色由暗红变为鲜红即可停止。
癫病刚开始发作时，若伴有口角牵引、啼哭呼叫、气喘心悸等症状，应观察手阳明经和手太阳经的脉象，左侧经脉强急则针刺右侧，右侧经脉强急则针刺左侧，同样以血色变红为度。
癫病初发时，若先出现身体反张僵硬，进而导致脊背疼痛，应观察足太阳经、足阳明经和手太阳经，选取相应穴位针刺，至血色变红为止。
治疗癫病患者，医者应常与其相处，观察并确定应当取穴的部位。当病发时观察患者，若有邪气盛实的部位就予以泻法，将放出的血收集在瓢壶之中。等到疾病发作时，只有病变部位的血液才会跳动活跃。如果血液不跳动，则在穷骨（尾骶骨）处施灸二十壮。所谓穷骨，即尾骶骨。
若是骨癫疾，患者牙齿及全身各俞穴所在的分肉部位都显得饱满坚硬，骨骼突出，出汗且心烦，呕吐，口中多流涎沫，伴有气虚下泄症状者，属于难治之症。
若是脉癫疾，患者突然仆倒，四肢的脉络都胀大且弛缓无力，若脉象满实，应将所有满实的脉络全部刺破出血；若脉象不满实，则施以艾灸。可在项部旁开太阳经处，以及腰部带脉穴上下相距三寸处施灸，并针刺各分肉处的本输穴。若呕吐多涎沫，伴气虚下泄者，亦属难治。
癫病患者，若发病时表现为狂躁状态，属于死证，难以治愈。
狂病初起时，患者首先表现为悲伤，健忘，容易苦恼愤怒，且多恐惧，这多因忧愁和饥饿所致。治疗时选取手太阴经和手阳明经的穴位，直至血色变红为止，并可加取足太阴经和足阳明经的穴位。
狂病刚发作时，表现为睡眠少、不知饥饿，自认为贤能、聪明、尊贵，喜欢骂人，日夜不停。治疗时选取手阳明经、手太阳经、手太阴经以及舌下少阴经的穴位，观察脉象，盛实的就针刺，不盛实的就放松不刺。
若患者胡言乱语、易惊、喜笑、唱歌、行为狂妄且不停止，这是由大惊吓引起的。治疗时选取手阳明经、手太阳经和手太阴经。
若患者双眼妄见幻象，双耳妄闻幻声，喜欢呼喊，这是由于元气不足所生。治疗时选取手太阳经、手太阴经、手阳明经和足太阴经，以及头两侧的穴位。
狂病患者多食，看见鬼神，喜欢笑但不发泄于外，这是因大喜过望所致。治疗时选取足太阴经、足太阳经和足阳明经，之后再选取手太阴经、手太阳经和手阳明经。
若是新发的狂病，尚未表现出上述严重症状的，先选取左右曲泉穴附近的动脉，以及脉象盛实者刺络出血。片刻后若病未愈，再按常规方法治疗，并在骨缝处施灸二十壮。
若全身大热，狂躁且妄见、妄闻、妄言，应观察足阳明经及其大络进行治疗，脉虚者用补法，血脉充实者用泻法。让患者仰卧，在其头部前方，医者用双手四指夹按颈动脉，长时间按住，然后卷曲手指切推，向下至缺盆穴处再停止，如此反复，待热退后再停止，这叫做“推而散之”的治疗方法。
病在诸阳脉，既怕冷又发热，各个分肉部位也忽冷忽热，这种病症称为狂。针刺时应使脉象虚弱，观察分肉部位，热退病止。
若病初发时一年发作一次，或一个月发作一次，均不予特殊治疗；若一个月发作四五次，则称为癫病。此时应针刺各分肉和各条经脉，其中没有寒象的，用针调理即可。
Dian disease (epilepsy/mental disorder) begins with initial dissatisfaction. The patient experiences heaviness and pain in the head, upward gaze with redness of the eyes, and upon severe exhaustion, becomes irritable and distressed. Observe the facial complexion; needle the Hand Taiyang (Small Intestine), Hand Yangming (Large Intestine), and Hand Taiyin (Lung) meridians. Stop when the blood color changes from dark to bright red.
When Dian disease first manifests with mouth deviation, crying, calling, panting, and palpitations, observe the Hand Yangming and Hand Taiyang meridians. If the left side is tense, treat the right; if the right is tense, treat the left. Stop when the blood color changes.
When Dian disease first starts with body rigidity and backward arching, followed by spinal pain, observe the Foot Taiyang (Bladder), Foot Yangming (Stomach), and Hand Taiyang meridians. Needle the relevant points until the blood color changes.
In treating Dian disease, the physician should reside with the patient to observe and determine the appropriate acupoints. When an attack occurs, observe the patient; if there are areas of excess pathogenic qi, apply reducing methods. Collect the discharged blood in a gourd or vessel. At the time of the attack, only the blood at the diseased site will pulsate vigorously. If it does not pulsate, moxa the Qionggu (Coccyx) for 20 moxa cones. Qionggu refers to the coccygeal bone.
In cases of Bone Dian disease, the teeth and all muscle spaces around the Shu points are full and hard, bones protrude, sweating occurs accompanied by irritability, vomiting, excessive salivation, and downward leakage of Qi. These are difficult to treat.
In cases of Pulse Dian disease, the patient suddenly collapses, and the pulses of the four limbs are distended and flaccid. If the pulses are full, needle all full vessels to bleed them; if not full, apply moxibustion. Moxa the Dai Mai (Girdle Vessel) on the waist, three cun away from the point adjacent to the neck Taiyang channel, and needle the Ben Shu (Source Points) of the various muscle spaces. If there is excessive vomiting and salivation with downward leakage of Qi, it is difficult to treat.
If Dian disease manifests as mania during attacks, it is a fatal condition and difficult to treat.
Kuang disease (mania) begins with initial sadness, forgetfulness, distress, anger, and frequent fear, often caused by worry and hunger. Treat by selecting points on the Hand Taiyin and Hand Yangming meridians until the blood color changes, and additionally select points on the Foot Taiyin and Foot Yangming meridians.
When Kuang disease first erupts, symptoms include little sleep, lack of appetite, self-perception of being virtuous, wise, and noble, cursing day and night without cessation. Treat by selecting points on the Hand Yangming, Hand Taiyang, Hand Taiyin, and the Lesser Yin (Heart) channel under the tongue. Observe the vessels: needle those that are full/excess, and leave those that are not full/deficient alone.
If the patient speaks nonsense, is easily startled, laughs excessively, sings, and acts wildly without stopping, this results from great fright. Treat by selecting points on the Hand Yangming, Hand Taiyang, and Hand Taiyin meridians.
If the patient sees hallucinations with the eyes, hears hallucinations with the ears, and frequently calls out, this is generated by deficiency of Qi. Treat by selecting points on the Hand Taiyang, Hand Taiyin, Hand Yangming, and Foot Taiyin meridians, as well as the two sides of the head.
Manic patients who eat much, see spirits and ghosts, and laugh inwardly without outward expression result from excessive joy. Treat by selecting points on the Foot Taiyin, Foot Taiyang, and Foot Yangming meridians, and subsequently select points on the Hand Taiyin, Hand Taiyang, and Hand Yangming meridians.
For newly onset Kuang disease that has not yet progressed to these severe stages, first select the arterial pulse near the Ququan (LR8) point on both sides, and bleed those with excess pulses. After a while, if the condition persists, treat according to standard methods, and moxa the bone crevices for 20 moxa cones.
If there is high fever over the whole body, with mania involving hallucinations and delirious speech, observe the Foot Yangming (Stomach) channel and its large collaterals. Apply tonification for deficiency, and reduction for blood excess. Have the patient lie supine. Position yourself in front of their head. Use the four fingers of both hands to clamp and press the carotid artery. Hold firmly for a long time, then curl the fingers and push downwards towards the Quepen (ST12) area, then stop. Repeat this process until the heat dissipates. This is called "pushing and dispersing."
When disease affects the Yang meridians, characterized by alternating chills and fever, and alternating chills and fever in the muscle spaces, it is named Kuang. Acupuncture should reduce the pulse; observe the muscle spaces, and stop when the heat illness resolves.
If the disease initially recurs once a year or once a month, do not treat specifically. If it recurs four or five times a month, it is named Dian. In such cases, needle the various muscle spaces and meridians. For those without cold signs, regulate with acupuncture needles.