目 外决于面者为锐 。在内近鼻者为内 。上为外 。下为内 。（经中凡叙癫狂皆关于目故特提唱之第嫌篇中少
连缀少发明耳）癫疾始生。先不乐。头重痛。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。
（作极盖言身之躁动不安非有所作为而令疲极也）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。候之足太阳阳明太阴手太阴。血变而止。治癫疾者。常与之
居。察其所当取之处。病至。视之。有过者。泻之。置其血于瓠壶之中。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。 齿诸 分肉皆满。而骨居。汗出。烦 。呕多沃沫。气下泄。不治。筋癫疾者。身倦挛急。
大刺项大经之大杼脉。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。好歌乐妄行不休者得之。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 。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。巳不已。以法取之。灸骨
二十壮。风逆HT 。四肢肿。身漯漯。唏然时寒。饥则烦。饱则善变。取手太阴表里。足少阴阳明之经。肉清取荥骨清
取井经也。厥逆为病也。足HT 清。胸若将裂。肠若将以刀切之。烦而不能食。脉大小皆涩。暖取足少阴。清取足阳明。
清则补之。温则泻之。厥逆腹胀满。肠鸣。胸满不得息。取之下胸二肋咳而动手者。与背 以手按之立快者。是也。内
闭不得溲。刺足少阴太阳与 上。以长针。气逆。则取其太阴阳明厥阴。甚取少阴阳明动者之经也。少气。身漯漯也。
言吸吸也。骨 体重。懈惰不能动。补足少阴。短气。息短不属。动作气索。补足少阴。去血络也。
后半带叙厥逆。亦如前篇之带叙痈疽也。二篇乃纪事文中之极有声色有气焰者。
The part of the eye extending outward to the cheek is called the *lateral canthus* (Ruì). The part inside, near the nose, is called the *medial canthus*. The upper part is lateral, and the lower part is medial. (Since all descriptions of epilepsy and mania in the classics relate to the eyes, this is specifically highlighted; it is only regretted that the chapter lacks coherence and further elaboration.)
When epilepsy first begins, the patient initially feels unhappy, experiences heavy head pain, upward deviation of the eyes, severe redness of the eyes reaching an extreme, followed by mental restlessness. Observation should be conducted on the face. Treatment involves selecting points from the Hand Taiyang, Hand Yangming, and Hand Taiyin meridians. Bleeding should cease when the blood color changes [from dark to bright].
("Reaching an extreme" here likely refers to physical restlessness and agitation, not fatigue caused by excessive effort.)
When epilepsy first manifests with pulling of the mouth, crying out, panting, and palpitations, observe the Hand Yangming and Hand Taiyang meridians. If the left side is stiff, treat the right; if the right is stiff, treat the left. Bleeding should cease when the blood color changes.
When epilepsy first manifests with initial backward rigidity of the body followed by spinal pain, observe the Foot Taiyang, Foot Yangming, Foot Taiyin, and Hand Taiyin meridians. Perform bleeding therapy until the blood color changes.
Those treating epilepsy should reside frequently with the patient to observe where points should be selected. When the disease strikes, observe the patient; for areas with excess pathogenic factors, apply draining methods. Place the extracted blood in a gourd vessel. At the time of recurrence, the blood in the vessel will move independently. If it does not move, moxa twenty doses at the Qionggu (sacral bone).
Qionggu refers to the sacrum.
In cases of Bone Epilepsy, the flesh around the teeth is full and swollen, bones are prominent, sweating occurs, mental restlessness ensues, vomiting of copious saliva happens, and Qi leaks downward. This is difficult to treat.
In cases of Tendon Epilepsy, the body is fatigued with spasms and cramps. Use large needles to deeply puncture the Dazhu (BL11) pulse in the neck. If there is vomiting of copious saliva and Qi leaking downward, this is difficult to treat.
In cases of Vessel Epilepsy, sudden collapse occurs, and the pulses of the four limbs are distended and flaccid. If the pulses are full, prick all of them to bleed. If not full, apply moxibustion. Moxa the Taiyang meridians flanking the neck, the Dai Mai (Girdle Vessel) on the waist (three cun apart), and the Ben Shu points of various muscle compartments. If there is vomiting of copious saliva and Qi leaking downward, this is difficult to treat.
If epilepsy manifests like mania during attacks, it is a death syndrome and difficult to treat.
When Mania first begins, the patient initially feels sad, prone to forgetfulness, bitter anger, and fear, caused by worry and hunger. Treatment involves selecting points from the Hand Taiyin and Hand Yangming meridians until the blood color changes. Also select points from the Foot Taiyin and Foot Yangming meridians.
When Mania first erupts, the patient sleeps little, feels no hunger, considers themselves noble and virtuous, claims wisdom and eloquence, considers themselves prestigious, curses constantly, day and night without rest. Treatment involves selecting points from the Hand Yangming, Hand Taiyang, Hand Taiyin, and the Shaoyin meridian under the tongue. Observe these points; if full, treat all; if not full, release them [do not treat aggressively].
Patients speaking wildly, frightened, laughing excessively, enjoying singing and music, and acting recklessly without stopping are caused by great fright. Treatment involves selecting the Hand Yangming, Hand Taiyang, and Hand Taiyin meridians.
Manic patients who see hallucinations, hear voices, and call out frequently suffer from deficiency of Qi. Treatment involves selecting the Hand Taiyang, Hand Taiyin, Hand Yangming, and Foot Taiyin meridians, as well as two specific locations on the head.
Manic patients who eat much, see spirits and ghosts, laugh, but do not express emotions externally are caused by great joy. Treatment involves selecting the Foot Taiyin, Foot Taiyang, and Foot Yangming meridians, followed by the Hand Taiyin, Hand Taiyang, and Hand Yangming meridians.
For newly onset mania that has not yet reached the aforementioned severity, first select the Ququan (KI35) artery on both sides and any full vessels until bleeding occurs. After a while, if the condition persists, treat according to standard methods. Apply moxibustion twenty doses at the sacral bone.
Wind-Ni syndrome presents with swelling of the four limbs, damp coldness of the body, occasional sighing and aversion to cold, irritability when hungry, and mood instability when full. Treatment involves selecting the Hand Taiyin meridian and its exterior-interior pair (Hand Yangming), and the Foot Shaoyin meridian and its exterior-interior pair (Foot Yangming). For superficial muscles, select Ying-Spring points; for superficial bones, select Jing-Well points; for deep meridians, select Jing-River points.
Jue-Ni (Reversal Cold/Heat) presents with cold feet, chest feeling as if splitting, intestines feeling as if cut by a knife, irritability without ability to eat, and pulses that are small or large yet choppy. For warm conditions, select the Foot Shaoyin meridian; for cold conditions, select the Foot Yangming meridian. Apply tonification for cold syndromes and sedation for heat syndromes.
Jue-Ni causing abdominal fullness, borborygmus, chest fullness, and dyspnea requires selecting points below the second rib on the chest where coughing induces hand movement, and points on the back that feel comfortable upon manual pressure.
Internal blockage preventing urination requires needling the Foot Shaoyin and Foot Taiyang meridians and the area above the thigh using long needles. For Qi rebellion, select the Hand Taiyin, Hand Yangming, and Foot Jueyin meridians; for severe cases, select the Foot Shaoyin and Foot Yangming meridians, specifically those with pulsating vessels.
Deficiency of Qi presents with damp coldness of the body, weak breathing sounds, heavy bones, lethargy, and inability to move. Tonify the Foot Shaoyin meridian.
Shortness of breath with discontinuous respiration and exhaustion upon movement requires tonifying the Foot Shaoyin meridian and removing blood from collateral vessels.
The latter half briefly discusses Jue-Ni, similar to how the previous chapter briefly discussed Carbuncles and Ulcers. These two chapters are among the most vivid and vigorous narrative texts in the records.