《千金》论五脏之痫（灸法并在后篇也。）肝痫之为病，面青，目反视，手足摇。（《婴童宝鉴》云∶手足螈 。）心
痫之为病，面赤，心下有热，短气息微数。（《婴音宝鉴》云∶短气微喘。）脾痫之为病，面黄腹大，喜痢。肺痫之为病，
面目白，口沫出。（《婴童宝鉴》云∶肺痫，面目反视，如枯骨，口吐涎沫。）肾痫之为病，面黑，目正直视不摇，如尸状。
膈痫之为病，目反，四肢不举。肠痫之为病，不动摇。（《婴童宝鉴》云∶肠痫，身体手足并不动摇，但直而不至痉。）
上五脏痫证候。
《婴童宝鉴》∶五脏痫外，又有异痫，面白啼呼，色有变易。
钱乙论∶凡治五痫，皆随脏治之。每脏各有一兽，并五色丸治其病也。犬痫，反折上窜，犬叫，肝也。
羊痫，目瞪吐舌，羊叫，心也。牛痫，目直视，腹满，牛叫，脾也。鸡痫，惊跳反折，手 ，鸡叫，肺也。猪
痫，如尸，吐沫，猪叫，肾也。五痫重者死，病后甚者亦死。
钱乙论五色丸方
朱砂（半两，研） 水银（一分） 雄黄（二两，熬） 真珠（末一两，研） 铅（三两，同水银熬）
上炼蜜丸麻子大。每服三四丸，煎金银薄荷汤下。
《千金》论六畜之痫（灸法并在后篇。）马痫之为病，张口摇头，马鸣，欲反折。牛痫之为病，目正直视，腹胀。
羊痫之为病，喜扬目吐舌。猪痫之为病，喜吐沫。（《婴童宝鉴》云∶猪痫口吐涎沫，根据目视人）。犬痫之为病，手屈拳挛。
（《婴童宝鉴》云∶手屈两足拳挛。）鸡痫之为病，摇头反折，喜惊自摇。
上六畜痫证候。
《婴童宝鉴》六畜痫外，又有乌痫，唇口撮，聚目，手俱摇。蛇痫，身软，头举吐舌视人。
《博济方》治小儿五般痫∶牛痫，即牛声；马痫，即马声；狗痫，即狗吠；羊痫，即羊鸣；鸡痫，即鸡鸣。
五痫病者，腑脏相引，邪气盈起，寒厥，各识手顾，口吐沫，须臾如苏，复作。神效雄黄丸方与钱氏五色丸同，
但《博济》水银用八分耳。（钱氏五色丸方见前篇。）
The *Qianjin Fang* (Thousand Gold Formulas) discusses epilepsy of the five Zang organs (moxibustion methods are detailed in the following chapter). The symptoms of Liver Epilepsy include: a bluish complexion, eyes rolling upward and staring straight ahead, and convulsive trembling of the hands and feet. (*Yingtong Baojian* [Treasure Mirror for Infants and Children] states: convulsive twitching of the hands and feet.) The symptoms of Heart Epilepsy include: a reddish complexion, heat sensation below the heart, shortness of breath with weak and rapid respiration. (*Yinyin Baojian* states: shortness of breath with slight panting.) The symptoms of Spleen Epilepsy include: a sallow complexion, abdominal distension, and a tendency toward dysentery or diarrhea. The symptoms of Lung Epilepsy include: a pale face and eyes, and foaming at the mouth. (*Yingtong Baojian* states: in Lung Epilepsy, the face and eyes stare rigidly like dry bones, and saliva is vomited from the mouth.) The symptoms of Kidney Epilepsy include: a dark complexion, eyes staring straight without movement, and a body stiff as a corpse. The symptoms of Diaphragm Epilepsy include: eyes rolling upward and inability to raise the four limbs. The symptoms of Intestinal Epilepsy include: lack of bodily movement. (*Yingtong Baojian* states: in Intestinal Epilepsy, the body and limbs do not move, remaining straight but without developing spasms.) These are the clinical manifestations of epilepsy of the five Zang organs.
*Yingtong Baojian* records: besides epilepsy of the five Zang organs, there is also "Abnormal Epilepsy," characterized by a pale complexion, crying and calling out, and changes in facial color.
Qian Yi discussed: In treating all types of Five Epilepsies, treatment must follow the affected Zang organ. Each Zang corresponds to an animal, and the Five-Color Pills are used to treat the disease. Canine Epilepsy involves opisthotonos with upward jerking and barking sounds; it relates to the Liver. Ovine Epilepsy involves staring eyes, protruding tongue, and bleating sounds; it relates to the Heart. Bovine Epilepsy involves fixed gaze, abdominal fullness, and mooing sounds; it relates to the Spleen. Gallus Epilepsy involves startle jumps, opisthotonos, hand contractures, and crowing sounds; it relates to the Lung. Porcine Epilepsy resembles a corpse, with foaming at the mouth and grunting sounds; it relates to the Kidney. Severe cases of any of the five epilepsies result in death; those who survive but have worsening symptoms afterward also die.
Qian Yi’s prescription for the Five-Color Pills: Cinnabar (Ban Liang, ground), Mercury (Yi Fen), Realgar (Liang Liang, calcined), Pearl (Mo Yi Liang, ground), Lead (San Liang, boiled together with mercury). Process these with refined honey to form pills the size of hemp seeds. Administer three to four pills per dose, taken down with decocted Silver-Mint Decoction.
The *Qianjin Fang* discusses epilepsy of the six domestic animals (moxibustion methods are detailed in the following chapter). Equine Epilepsy involves opening the mouth, shaking the head, neighing, and a desire for opisthotonos. Bovine Epilepsy involves fixed gaze and abdominal distension. Ovine Epilepsy involves a tendency to stare and protrude the tongue. Porcine Epilepsy involves a tendency to foam at the mouth. (*Yingtong Baojian* states: in Porcine Epilepsy, saliva is vomited from the mouth; diagnosis relies on observing eye contact with people.) Canine Epilepsy involves flexion of the fingers into fists and tendon contractures. (*Yingtong Baojian* states: fingers flexed, both feet curled into fists.) Gallus Epilepsy involves head shaking, opisthotonos, susceptibility to fright, and spontaneous trembling. These are the clinical manifestations of epilepsy of the six domestic animals.
*Yingtong Baojian* records: besides epilepsy of the six domestic animals, there is also Crow Epilepsy, characterized by puckering of the lips and mouth, squinting eyes, and trembling of both hands. Snake Epilepsy involves a soft body, raised head, protruding tongue, and gazing at people.
The *Boji Fang* (Universal Relief Formulas) treats five types of pediatric epilepsy: Bovine Epilepsy mimics cow sounds; Equine Epilepsy mimics horse sounds; Canine Epilepsy mimics dog barking; Ovine Epilepsy mimics sheep bleating; Gallus Epilepsy mimics chicken crowing.
Patients suffering from the Five Epilepsies experience internal traction among the Fu and Zang organs, where pathogenic factors fill and surge up, leading to cold reversal. They exhibit specific gestures and glances, foam at the mouth, and after a moment recover consciousness as if revived, only for the attack to recur. The Formula for Divine-Efficacy Realgar Pills is identical to Qian’s Five-Color Pills, except that the *Boji Fang* uses eight Fen of Mercury. (Qian’s Five-Color Pills formula is seen in the previous chapter.)