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The five types of epilepsy (Xian Bing, a pediatric convulsive disorder) are all caused by a deficiency of congenital primordial Qi. They must be treated with Heche Wan (Placenta Pill), Bawei Wan (Eight-Ingredient Pill), and Shiquan Tang (Ten-Ingredient Decoction) taken over a long period to achieve a cure. If indiscriminate use of purgative or attacking methods is employed, along with clearing heat and resolving phlegm, the primordial Qi will be further damaged. Consequently, the condition will recur intermittently, eventually becoming critical and often incurable. Therefore, these episodes invariably occur after physical exertion or anger, when Fire rises and causes sudden collapse. Although the Heart is the sovereign organ and inherently spiritual, at this moment pathogenic factors stagnate there, rendering its spiritual function ineffective. It can be seen that the rising Fire originates from Kidney pathology, while the stagnation lies in Heart pathology; this represents Fire rising and Water flooding, not an external invasion. Should practitioners not prioritize securing the Kidneys as the root, while assisting with regulating the Heart?

Epilepsy is a malignant disease. It generally results from the failure of Blood and Qi to consolidate, incomplete development of Shen (Spirit) and Zhi (Will), and injury by Wind pathogens; it may also be triggered by fright or strange objects; contaminated by environmental filth such as night dew during laundry or feathers from female-only birds; or caused by irregular breastfeeding leading to stagnation and mass formation in the meridians, obstructing Qi flow. Medical texts state: "Accumulated Qi induces spasms; knotted Qi forms epilepsy." There are five types of symptoms:
1. Jing Xian (Fright Epilepsy, commonly known as Sheep Epilepsy): This is a Heart disorder. Symptoms include trance-like states, loud screaming, red face, staring eyes, protruding tongue, bared teeth, subcardiac irritability, and a洪 (Surging) and Jin (Tight) pulse.
2. Feng Xian (Wind Epilepsy, commonly known as Dog Epilepsy): This is a Liver disorder. Symptoms include eyes rolling upward, clenched fists and limbs, spasms, fingers flexing as if counting, upper jiao congestion of Phlegm-Heat, cyanosis of lips and face, and a洪 (Surging) and Xian (Wiry) pulse.
3. Shi Xian (Food Epilepsy, commonly known as Year Epilepsy): This is a Spleen disorder. Symptoms include chest and diaphragmatic distension and stuffiness, sallow complexion, fixed gaze, flaccid limbs, and a Fu (Floating) and Huan (Slack) pulse.
4. Dian Xian (Manic Epilepsy, commonly known as Chicken Epilepsy): This is a Lung disorder. Symptoms include a corpse-like pale face, foaming at the mouth, upward-turned whites of the eyes, mental confusion, mania, and agitation, with a Wei (Fine) and Se (Choppy) pulse.
5. Shi Xian (Corpse Epilepsy, commonly known as Pig Epilepsy): This is a Kidney disorder. Symptoms include a dark and dull complexion, staring eyes, spitting clear foam, immobility resembling a corpse, and a Chen (Deep) pulse.

Thus, if infants exhibit Phlegm-Heat, chest discomfort, refusal to nurse, restless sleep, and frequent palpitations, these are precursors to epilepsy and require preemptive treatment. This section discusses the symptoms of Dian Xian. Further texts state: Vomiting-induced deficiency leads to Slow Convulsion (Man Jing); diarrhea-induced deficiency leads to Slow Spleen Disease (Man Pi); vomiting and diarrhea-induced deficiency leads to Yin Epilepsy (Yin Xian). High fever with convulsions is Yang Epilepsy (Yang Xian). In Slow Convulsion, eyes are open; in Slow Spleen Disease, eyes are closed; in Yin Epilepsy, eyes are half-open and half-closed; in Yang Epilepsy, eyes appear half-bright and half-blue with wandering eyeballs. Additionally: Supine position indicates Yang; prone position indicates Yin, marking the onset of illness. Fever, spasms, crying, lustrous complexion, and superficial pulses indicate Yang Epilepsy, involving the Six Fu Organs, which is easier to treat. Afebrile onset, no crying, dull complexion, cold blue extremities, absence of spasms, and deep internal pulses indicate Yin Epilepsy, involving the Five Zang Organs, which is difficult to treat. This section discusses Jing Xian. Variable facial expressions and fear of people indicate attachment to pathogenic and bizarre factors. Patients unable to speak due to any type of epilepsy suffer from Wind injuring Qi, obscuring voice, or Blood stagnation in the Heart blocking Qi transmission. Practitioners must differentiate Yin/Yang and Cold/Heat, and assess Zang/Fu excess/deficiency.
Jing Xian is a Yang syndrome caused by pathogenic factors in the Heart and Blood stagnation in orifices, accumulating Fright into Epilepsy. Treatment should first unblock the Heart Meridian, regulate Heart Blood, smooth Qi, and resolve Phlegm.
Feng Xian is a Yang syndrome, often caused by Wind entering through voids after sweating and undressing, leading to spasms. Treatment should first disperse Wind.
Shi Xian is also a Yang syndrome, caused by excessive eating or irregular feeding, leading to stagnation of retained waste, formation of Milk Masses in meridians, Spleen/Stomach damage, inability to digest grains, sour-smelling stool, initial chills followed by fever. Treatment should first digest food and nourish the Spleen, then administer anti-epileptic formulas. Delayed treatment allows transmission to the Five Zang Organs forming various epilepsies. Lung and Kidney epilepsies are Yin syndromes, harder to treat, and contraindicate cold-natured herbs. Signs of incurability include bluish-black glabella, intractable vomiting/diarrhea, sunken chest with absent voice, and subcardiac distension.
At the onset of epilepsy, observe the high bone behind the ear for blue veins resembling threads. Prick them to bleed immediately and induce crying to facilitate Qi flow. If limbs remain soft and consciousness returns intermittently, it is Epilepsy. If limbs are rigid and consciousness is lost for days, it is Spasm (Jing Bing), not Epilepsy.