夫痫，小儿之恶病也，或有不及求医而致困者也。然气发于内，必先有候，常宜审察其
精神，而探其候也。
手白肉鱼际脉黑者，是痫候；鱼际脉赤者，热；脉青大者，寒；脉青细为平也。
鼻口干燥，大小便不利，是痫候。
眼不明上视喜阳，是痫候。
耳后完骨上有青络盛，卧不静，是痫候，青脉刺之令血出也。
小儿发逆上啼笑面暗，色不变，是痫候。
鼻口青时小惊，是痫候。
目闭青时小惊，是痫候。
身热头常汗出，是痫候。
身热吐 而喘，是痫候。
身热目时直视，是痫候。
喜欠，目上视，是痫候。
身热，目视不精，是痫候。
目瞳子卒大黑于常，是痫候。
卧惕惕而惊，手足振摇，是痫候。
卧梦笑，手足动摇，是痫候。
意气下而妄怒，是痫候。
咽乳不利，是痫候。
身热小便难，是痫候。
吐痢不止，厥痛时起，是痫候。
弄舌摇头，是痫候。
以上诸候二十条，皆痫之初也，见其候，便抓其阳脉所应灸，抓之皆重手，令儿骤啼，
及足绝脉，亦根据方与汤。直视瞳子动，腹满转鸣下血，身热口禁不得乳，反张脊强，汗出发
热，为卧不悟，手足掣 ，善惊，凡八条，痫之剧者也，如有此，非复汤抓所能救，盒饭时
灸之。 论曰∶若病家始发便来诣师，师可诊候，所解为法作次序治之，以其节度首尾取
瘥也。病家已经杂治无次序，不能制病，病则变异其本候，师便不知其前证虚实，只根据后证
作治，亦不得瘥也。要应精问察之，为前师所配根据，取其前踪迹以为治，乃无逆耳。前师处
汤本应数剂乃瘥，而病家服一两剂未效，便谓不验，以后更问他师，师不寻前人为治寒温次
序，而更为治，而不次前师治则弊也。或前已下之，后须平和疗以接之，而得瘥也；或前人
未下之，或不去者，或前治寒温失度，后人应调治之，是为治败病，皆须邀射之，然后免耳。
不根据次第，及不审察，必及重弊也。
Epilepsy is a severe disease in infants and young children; some cases become critical due to delayed medical consultation. However, since the pathogenic qi originates internally, there are always prodromal signs beforehand. Therefore, one should carefully observe the child's mental state to detect these signs.
If the pulse at the thenar eminence (the fleshy part of the palm) on the dorsal side of the hand appears black, it is a sign of epilepsy; if red, it indicates heat; if blue/green and large, it indicates cold; if blue/green and thin, it is a normal pulse.
Dryness of the nose and mouth, along with difficulty in urination and defecation, are signs of epilepsy.
Blurred vision with upward deviation of the eyes and a preference for sunny places are signs of epilepsy.
Prominent blue collateral vessels above the mastoid process (Wangu, EX-HN6) behind the ear, accompanied by restless sleep, are signs of epilepsy; puncturing the blue vessels to induce bleeding is indicated.
Upward standing of hair, crying or laughing, and a dark complexion without change in skin color are signs of epilepsy.
Slight fright when the nose and mouth appear bluish-green are signs of epilepsy.
Slight fright with eye closure and bluish-green discoloration are signs of epilepsy.
Body heat with frequent sweating of the head are signs of epilepsy.
Body heat, vomiting, and panting are signs of epilepsy.
Body heat with occasional fixed staring of the eyes are signs of epilepsy.
Frequent yawning with upward deviation of the eyes are signs of epilepsy.
Body heat with unfocused gaze are signs of epilepsy.
Sudden enlargement and darkening of the pupils compared to usual are signs of epilepsy.
Restless sleep with fright, and trembling/shaking of the hands and feet are signs of epilepsy.
Sleeping while dreaming of laughter, with shaking of the hands and feet are signs of epilepsy.
Qi sinking downward with irrational anger are signs of epilepsy.
Difficulty in sucking milk are signs of epilepsy.
Body heat with difficult urination are signs of epilepsy.
Unremitting vomiting and diarrhea, intermittent onset of cold limbs and pain are signs of epilepsy.
Tongue protruding and head shaking are signs of epilepsy.
The above twenty signs all represent the early stage of epilepsy. Upon observing these signs, one should grasp the corresponding Yang meridians for moxibustion. The grasping should be forceful, causing the child to cry suddenly. If the pulse at the foot disappears, decoctions should also be administered according to formulas.
Fixed staring, trembling pupils, abdominal distension, borborygmus, bloody stool, body heat, locked jaw preventing suckling, opisthotonos, stiff spine, sweating with fever, coma/unresponsiveness, clonic jerking of limbs, and easy fright constitute eight symptoms representing severe epilepsy. In such cases, rescue by decoctions and manual manipulation is no longer effective; timely moxibustion must be performed.
It is stated: If the family seeks a physician immediately upon the onset of the disease, the physician can diagnose and treat sequentially according to proper methods, ensuring recovery from beginning to end through regulated treatment. If the family has already undergone chaotic treatments without sequence, failing to control the disease, the original symptoms may alter. The physician will then be unaware of the prior excess or deficiency patterns and can only treat based on current symptoms, which will likely fail. One must inquire meticulously and examine carefully, following the prescriptions and therapeutic traces of previous physicians to avoid adverse reactions. If a previous physician prescribed a decoction requiring several doses for recovery, but the family stops after one or two doses due to lack of immediate effect and consults another physician, that new physician must investigate the previous thermal/cold treatment sequence. Treating anew without adhering to the previous physician's principles leads to complications. For instance, if purgatives were previously used, subsequent mild regulation is needed to complete the cure; if purgatives were not used or pathogens remain, or if previous thermal/cold treatment was improper, post-treatment adjustment is required. These are cases of failed treatments requiring careful intervention to prevent disaster. Failure to follow treatment sequences and careful examination will inevitably lead to serious complications.