小儿癫痫惊风目眩。灸神庭一穴,七壮,在鼻柱直上入发际五分。小儿诸痫如哕
吐清沫。灸巨阙穴三壮,在鸠尾下一寸陷中是穴。小儿鸡痫,善惊及掣目摇头。
灸少阴二壮,取法,在掌后去腕半寸陷中是穴。小儿惊痫者,先惊叫乃发也。
灸顶上旋毛中三壮,及耳后青络脉,炷如小麦大。小儿惊痫。灸鬼禄一穴,三
壮,取法,在上唇内中央弦上是穴。小儿食痫者,先寒热洒淅乃发也。灸鸠尾
穴上五分,三壮。小儿牛痫,目视直腹胀乃发也,灸鸠尾一穴,三壮,取法,
胸蔽骨下五分陷中是穴。小儿马痫,张口摇头,身折反,马鸣也。灸仆参穴,
各三壮,取法,在足跟骨下白肉际陷中,拱取之是穴。小儿羊痫,目瞪吐舌,
羊鸣也。灸第九椎下节间,三五壮。按∶《灵枢经》云∶暴挛,足不任身,取天
柱,天柱穴,足太阳也。又云∶癫痫螈 ,不知所苦,两跷之下,男阳女阴。洁
古云∶昼发灸阳跷,夜发灸阴跷,各二壮。阳跷起于跟中,循内踝上行至咽喉,
交贯冲脉,照海穴也。
〔钱〕五痫,重者死,病后甚者,亦死。小儿痫病,目直无声,目睹不转,眼
生白障,眼慢唇黑,瞳人瞬动,目间青黑,面青指黑,口出涎沫如白脓,口噤肚胀
不乳,喉如牵锯之声多睡不乳,身热下血不乳,身体痿软不醒,腹内虚鸣,唇逆而
痛,吐利不止,汗出壮热不止,卧久不寝,身体反张,大人脊下容一手,小儿脊下
容一指,并不治。
When infants and children suffer from epilepsy (epilepsy), convulsive disorders due to wind (convulsions), or dizziness, moxibustion may be applied to the Shenting (Shenting, GV24) acupoint once, with seven moxa cones. This point is located five fen above the hairline, directly above the nasal bridge.
For various types of epilepsy in infants and children, such as hiccups or vomiting clear froth, moxibustion may be applied to the Jueque (Jueque, CV14) acupoint three times. This point is located one cun below the Jiwei (Jiwei, CV15) acupoint, in the depression.
For chicken epilepsy in infants and children, characterized by susceptibility to fright, blinking eyes, and shaking of the head, moxibustion may be applied to the Shaoyin (Shaoyin, HT7/HT3 context dependent, here likely referring to a local point or specific pediatric point often associated with Heart/Kidney channels in this context, but literally "Shaoyin") acupoint twice. The method for locating it is in the depression half a cun distal to the wrist crease on the palm side.
For fright-induced epilepsy in infants and children, which begins with a cry of fright before onset, moxibustion may be applied to the center of the whorl of hair on the vertex three times, as well as to the blue collateral vessels behind the ears, using moxa cones the size of a wheat grain.
For fright-induced epilepsy in infants and children, moxibustion may be applied to the Guilu (Guilu, CV23) acupoint once, three times. The method for locating it is on the upper side of the central line inside the upper lip.
For food-induced epilepsy in infants and children, which begins with chills and shivering before onset, moxibustion may be applied five fen above the Jiwei (Jiwei, CV15) acupoint, three times.
For ox epilepsy in infants and children, characterized by staring straight ahead and abdominal distension before onset, moxibustion may be applied to the Jiwei (Jiwei, CV15) acupoint once, three times. The method for locating it is in the depression five fen below the xiphoid process of the sternum.
For horse epilepsy in infants and children, characterized by opening the mouth, shaking the head, body arching backward, and making sounds like a horse, moxibustion may be applied to the Pusen (Pusen, BL60) acupoint, three times on each side. The method for locating it is in the depression at the junction of white and black skin below the calcaneus; the foot should be arched to locate the point.
For sheep epilepsy in infants and children, characterized by staring eyes, protruding tongue, and making sounds like a sheep, moxibustion may be applied to the interspace below the ninth thoracic vertebra, three to five times.
Commentary: The *Ling Shu* (Spiritual Pivot) states: For sudden spasm where the feet cannot support the body, select the Tianzhu (Tianzhu, BL10) acupoint. Tianzhu belongs to the Foot-Taiyang Bladder Meridian. It also states: For epilepsy with convulsions, where the patient does not know their suffering, select below the two Qiao vessels; for males, the Yang Qiao; for females, the Yin Qiao. Jiegu (Zhang Yuansu) said: If attacks occur during the day, moxa the Yang Qiao; if at night, moxa the Yin Qiao, two cones each. The Yang Qiao vessel originates in the middle of the heel, ascends along the medial malleolus to the throat, intersects and penetrates the Chong Mai, corresponding to the Zhaohai (Zhaohai, KI6) acupoint.
[Qian Yi] Severe cases of the five epilepsies result in death; those with severe symptoms after illness also die. In infantile epilepsy, the following signs indicate untreatable conditions: eyes staring straight without sound, fixed gaze unable to turn, white opacity in the eyes, slow eyelids with black lips, blinking pupils, cyanosis around the eyes, cyanotic face and black fingers, vomiting white froth resembling pus, locked jaw with abdominal distension and refusal to nurse, sawing sound in the throat with excessive sleepiness and refusal to nurse, fever with bloody stool and refusal to nurse, flaccid body with unconsciousness, hollow rumbling in the abdomen, cold and painful lips, incessant vomiting and diarrhea, sweating with unremitting high fever, inability to sleep after lying down for a long time, opisthotonos (body arching backward). If an adult's hand fits under the spine, or a child's finger fits under the spine, these are all considered untreatable.