(一名 病)
痉者。强也。千金云。太阳。中风。重感寒湿则变痉。盖太阳中风。身必多汗。或衣被
不更。
寒湿内袭。或重感天时之寒。地气之湿。因而变痉。风挟寒则血涩无汗为刚痉。风挟湿。则
液出有汗为柔痉。亦有血虚筋脉无所荣养而成痉者。筋急而缩为螈。筋弛而缓为纵。伸缩不
已为螈 。俗谓之搐搦是也。(有补遗)
百会 风池 曲池 合谷 复溜 昆仑 太冲
(有补遗)
羊痫 目上窜。作羊声。(即心痫也)
马痫 张口摇头。身体反折(按古五痫之名无马痫。别录有马痫而无犬痫。一云心痫目
瞪吐舌。仿佛马鸣马属火。亦属心也)。
鸡痫 张口前仆提住即醒(即肺痫也一云惊跳反折手 其声如鸡。又巽为鸡属木。金克
木也)。
犬痫 反折上窜。其声如犬(犬属木即肝痫也)
牛痫 直视腹满。声如牛吼(即脾痫也)。
猪痫 吐涎沫如绵。作猪声(即肾痫也○以上痫症。大率痰热惊三者所致)。
百会 神庭 上星 风府 风池 丝竹空 神门 肺俞(一本心俞。误) 巨阙 鸠尾
上脘 神阙 阳陵泉 阳辅
发于昼者阳跷 发于夜者阴跷
按痫病仆时身软或作六畜声。若中风中寒之类。则仆地无声醒时无涎沫。亦不复发。痉
病虽时发时止。必身体强直。反张如弓为辨。
（又名痫病）
痉病，即身体强直之意。《千金方》记载：太阳经受邪且伴有中风症状时，若再次感受寒湿之邪，就会转变为痉病。这是因为太阳中风证患者，身体必然多汗，如果此时不更换衣物被褥，寒湿之气就会从内部侵袭；或者再次感受天时之寒、地气之湿，从而导致痉病的发生。风邪挟带寒邪，导致血液运行涩滞而无汗，称为刚痉；风邪挟带湿邪，导致津液外泄而有汗，称为柔痉。也有因血虚导致筋脉失去濡养而引发痉病的。筋脉拘急收缩称为“瘛”（chì），筋脉弛缓松弛称为“纵”。收缩与弛缓交替不止，称为“瘛疭”（chì zòng），俗称搐搦。（此处有补遗内容）
（此处有补遗内容）
羊痫：眼睛向上翻，发出类似羊的叫声。（即心痫）
马痫：张口摇头，身体向后反折。（按：古代五痫之名中并无马痫，其他书籍收录了马痫但没有犬痫。一种说法认为心痫表现为瞪眼吐舌，声音像马鸣。马属火，亦归属于心。）
鸡痫：张口向前跌倒，提起即可苏醒（即肺痫。另一种说法是惊跳反折，手部动作及声音像鸡。又因巽卦对应鸡，属木，金克木，故归于肺）。
犬痫：身体反折向上窜动，发出类似狗的叫声（狗属木，即肝痫）。
牛痫：两眼直视，腹部胀满，发出类似牛吼的声音（即脾痫）。
猪痫：吐出如棉絮般的涎沫，发出类似猪的叫声（即肾痫○以上各种痫症，大率都是由痰、热、惊三种因素所致）。
百会穴、神庭穴、上星穴、风府穴、风池穴、丝竹空穴、神门穴、肺俞穴（另一版本作心俞，是错误的）、巨阙穴、鸠尾穴、上脘穴、神阙穴、阳陵泉穴、阳辅穴
按：痫病发作倒地时，身体柔软，有时会发出六种牲畜的叫声。如果是中风或中寒等疾病，倒地时没有声音，醒来时也没有涎沫，并且不会反复发作。痉病虽然也是时发时止，但必定伴有身体强直、角弓反张的症状，以此作为鉴别依据。
(Also known as Epilepsy)
Jing disease (Spasm), meaning stiffness. The *Qianjin Fang* records: When the Taiyang channel is affected by wind-cold and complicated by wind-stroke, if it is further exposed to cold-dampness, it transforms into Jing disease (Spasm). This is because patients with Taiyang wind-stroke typically sweat profusely; if they do not change their clothes or bedding, cold-dampness invades from within. Alternatively, exposure to seasonal cold or environmental dampness can lead to this transformation. When wind carries cold, blood flow becomes sluggish and there is no sweating, termed Gang Jing (Stiff Spasm). When wind carries dampness, fluids are exuded and there is sweating, termed Rou Jing (Flaccid Spasm). There are also cases where Jing disease arises from blood deficiency failing to nourish the sinews. Sinew tension and contraction are called "Chi" (Contraction); sinew relaxation and laxity are called "Zong" (Relaxation). Continuous alternating contraction and relaxation are called "Chi Zong" (Clonic-Convulsive movements), commonly known as convulsions. (Supplementary text follows)
Baihui (GV20), Fengchi (GB20), Quchi (LI11), Hegu (LI4), Fuliou (KI7), Kunlun (BL60), Taichong (LR3)
(Supplementary text follows)
Yang Epilepsy (Sheep-type): Eyes roll upward, making sounds like a sheep. (This corresponds to Heart Epilepsy).
Ma Epilepsy (Horse-type): Mouth opens, head shakes, body arches backward. (Note: Ancient classifications of the five epilepsies did not include Horse Epilepsy; other texts list Horse but not Dog. One theory states that Heart Epilepsy involves staring and sticking out the tongue, resembling a horse's neigh. Horses belong to Fire and correspond to the Heart.)
Ji Epilepsy (Rooster-type): Mouth opens, falls forward; regains consciousness when lifted. (This corresponds to Lung Epilepsy. Another view describes jumping and arching back with hand movements and sounds like a rooster. In I Ching, Xun represents the Rooster, belonging to Wood; Metal overcomes Wood, thus relating to the Lung.)
Quan Epilepsy (Dog-type): Body arches backward and moves upward, making sounds like a dog. (Dogs belong to Wood, corresponding to Liver Epilepsy).
Niu Epilepsy (Ox-type): Stares straight ahead, abdomen distended, making sounds like an ox bellowing. (This corresponds to Spleen Epilepsy).
Zhu Epilepsy (Pig-type): Spits saliva like cotton wool, making sounds like a pig. (This corresponds to Kidney Epilepsy. ○ Generally, the above types of epilepsy are caused by Phlegm, Heat, and Shock/Fright.)
Baihui (GV20), Shenting (GV24), Shangxing (GV23), Fengfu (GV16), Fengchi (GB20), Sizhukong (TE23), Shenmen (HT7), Feishu (BL13) (Some editions say Xinshu, which is incorrect), Juque (CV14), Jiawei (CV15), Shangwan (CV13), Shenque (CV8), Yanglingquan (GB34), Yangfu (GB38)
Episodes occurring during the day involve the Yang Qiao vessel; episodes occurring at night involve the Yin Qiao vessel.
Analysis: When an epilepsy patient collapses, the body is soft, and they may make sounds resembling six domestic animals. In contrast, conditions like Wind-Stroke or Cold-Strike involve collapse without sound, no salivation upon waking, and no recurrence. Although Jing disease (Spasm) also comes and goes, it is distinguished by persistent bodily stiffness and opisthotonos (arching of the back like a bow).