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Ren Zhai stated: Generally speaking, blood stasis in the heart orifice and pathogenic factors residing in the Heart lead to epilepsy arising from accumulated fright. The key to treatment lies in unblocking the Heart meridian, regulating the blood vessels, promoting Qi circulation, and resolving phlegm. If a child has internal heat and phlegm, refuses breastfeeding, sleeps restlessly, and frequently experiences fright or palpitations, these are all precursors to epilepsy. One should immediately administer Zishuang Wan (Purple Frost Pill) to guide out stagnation (see formula under "Bianzheng Heat"). Administering Zishuang Wan appropriately and in moderation can reduce excessive pathogenic qi, thereby preventing the complications of wind-stroke and epilepsy.

When epilepsy symptoms first emerge, there will inevitably be messy, thread-like cyanotic veins between the high bone behind the ear. Upon seeing this, scratch the skin with fingernails until it bleeds and causes crying, which further promotes Qi circulation. In cases where various types of epilepsy cause inability to speak, it is because the throat is the pathway for Qi; wind injury obstructs this pathway, blocking the gate of voice production. This is also caused by blood stasis in the Heart and blockage of the Heart orifice. Prepare Nanxing (Arisaema Rhizome, *Pinelliae Tuber*) by stir-frying and grinding into powder, mix with bile from a male pig, and feed a small amount to the patient, which often yields effective results. As for Qian Yi's Wu Xian Wan (Five Epilepsy Pills) and Nanxing San (Nanxing Powder), they should be taken with decoction of Shichangpu (Acorus Rhizome, *Acori Tatarinowii Rhizoma*). Gansui Zhu Xin Tang (Kansui and Pig Heart Decoction) combined with one pill of Suhe Xiang Wan (Styrax Pill) are both essential medicines for treating epilepsy.

Liu Wansu opined: A child's Shen (Spirit) is still weak; upon fright, the Shen does not remain in its residence. When the residence is empty, phlegm-saliva gathers there. Alternatively, irregular diet damages the Spleen and Stomach, accumulating into phlegm-fluid retention, leading to phlegm confusing the Heart orifice and causing disease. The treatment method should target Fire and Phlegm. However, predecessors mostly used sedative and Heart-clearing drugs. While these can treat heat and clear phlegm, they are difficult to expel stubborn, adhesive phlegm. For pathogens located above, emesis must be used first; only after vomiting should such drugs be administered. For phlegm firmly rooted in the interior, purgation is also required, applied according to the severity of the illness.

Li Dongyuan stated: If there is exogenous phlegm-heat fever accompanied by abnormal sounds, administer Wu Se Wan (Five Colors Pill) with a decoction of Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*) and Jingjie (Schizonepeta Spike, *Schizonepetae Spica*). Periodic tidal fever indicates accumulated heat, treated primarily with Tao Zhi Wan (Peach Twig Pill) (see formula under "Accumulated Heat"). Persistent high fever requires using Digupi San (Dogwood Bark Powder, *Corni Fructus* related formula, see formula under "Tidal Fever") to take Wu Se Wan. For wind-heat, use Fangfeng Huangqin Tang (Saposhnikovia and Scutellaria Decoction) to take Da Qing Gao (Great Blue Ointment). If the body is warm but not hot, use Baihu Tang (White Tiger Decoction) added with Cangzhu (Atractylodes Rhizome, *Atractylodis Rhizoma*) to take Wu Se Wan.

Xue Ji stated: These are all syndromes of insufficient Yuan Qi (Original Qi). Treatment must focus on Ziheche (Placenta Human, *Human Placenta*) pills as the main therapy, assisted by tonifying herbs. If indiscriminate purgative methods are used, further damaging Yuan Qi, the disease will inevitably recur intermittently, eventually becoming critical and often incurable. An old man had a son who was just one year old. In early autumn, due to sudden cold, he suddenly developed convulsions resembling epileptic fits, followed by faint breath afterward. This was caused by deficient Yuan Qi; he recovered after taking Buzhong Yiqi Tang (Decoction for Supplementing the Middle and Augmenting the Qi). Another case involved two children, aged ten and seven respectively, each suffering from epilepsy with twice-yearly attacks. Later, due to smallpox eruption and food stagnation, attacks became frequent. They were cured using Liujunzi Tang (Six Gentlemen Decoction) and Buzhong Yiqi Tang. Another child suffered from the aforementioned condition, vomiting phlegm and feeling fatigued with each attack, recovering after a short while. Various medications failed. By age thirteen, attacks became frequent. We used Ziheche (Human Placenta, *Human Placenta*), raw and ground thoroughly, mixed with Ren Shen (Ginseng Root, *Panacis Ginseng Radix*) and Dang Gui (Angelica Sinensis Root, *Angelicae Sinensis Radix*) powders, formed into pills the size of paulownia seeds. Each dose consisted of 30–50 pills, taken 3–5 times daily, dissolved in breast milk. Gradual improvement occurred within one month, and complete recovery was achieved with the addition of Bazhen Tang (Eight Treasures Decoction). A seven-year-old child suffered from fright-epilepsy. Before each onset, his father allowed him to drink human breast milk freely; subsequently, attacks became less frequent and milder. At age fourteen, it recurred. Breast milk alone was ineffective. I prescribed thick Ziheche (Human Placenta, *Human Placenta*) ground into a paste, mixed with breast milk, taken 2–3 times daily. Recovery occurred after several doses. Thereafter, Jiajian Bawei Wan (Modified Eight Flavor Pill) was commonly used to maintain stability. At age twenty-three, it recurred with cold limbs. The previous method was repeated, assisted by Bawei Wan (Eight Flavor Pill) and Shiquan Dabu Tang (Ten Significant Tonifying Decoction), resulting in full recovery.