(痫附 余论见风痫)
天柱、主卒暴痫眩。(千)攒竹、小海、后顶、强间、主痫发螈 狂走。商丘、主痫
丝竹空、通谷、主风痫癫疾。涎沫狂烦。金门、仆参、主癫疾马痫。(千)天井、小海
、主癫疾。羊痫吐舌。羊鸣戾颈。
悬厘、束骨、主癫疾互引。善惊羊鸣。筋缩、曲骨、阴谷、行间、主惊痫狂走癫疾。
列
缺、主热痫惊而有所见。水沟、治失笑无时。癫痫。语不识尊卑。(下经同。)乍喜乍哭。
牙关不开。(铜)心俞、治发痫悲泣。(见狂走。)筋缩、治惊痫。狂走癫疾。脊急强。目
转上垂。仆参、(见狂言。)金门、(见尸厥。)治癫痫。脊中、治风痫癫邪。神门、
治大小人五痫。金门、治小儿发痫。张口摇头。身反折。脊俞、疗风痫癫邪。(明)神
庭、疗肿气风痫癫风不识人。羊鸣。角弓反张。披发而上歌下哭。多学人语。惊悸不安寝。
肺俞、仆参、(见尸厥。)疗癫痫。少海、疗癫痫吐舌。沫出羊鸣。狂癫风痫吐舌。灸
胃管百壮。不针。仓公法、狂痫不识人。癫病眩乱。灸百会九壮。
难经疏云、狂病之候。不爱眠卧。不肯饮食。自言贤智。歌乐行走。此是阳气盛之所为
。故
经言重阳者狂。今世以此为癫病。谬矣。癫病发即僵仆倒地。故有癫蹶之言。阴气大盛。故
不得行立而倒也。今世以为痫病者。误也。其剖析癫狂之病。晓然如此。而人终不信。岂亦
传习之误。难以改欤。(重阴者癫。)
凡发狂则欲走。或自高贵称神圣。皆须备诸火灸之。乃得永瘥。悲泣呻吟。此则为邪、
非狂也。自根据邪方法治。(千)
(Appendix on Epilepsy, for the remaining discussion see the section on Wind Epilepsy)
Tianzhu (BL10) governs sudden onset of epilepsy and dizziness. (From *Qianjin Fang*)
Cuanzhu (BL2), Xiaohai (SI8), Houding (GV19), Qiangjian (GV20) govern epilepsy attacks with convulsions and manic running.
Shangqiu (SP5) governs epilepsy.
Sizhukong (SJ23), Tonggu (BL64) govern wind epilepsy and mania, accompanied by salivation, manic agitation, and restlessness.
Jinmen (BL63), Puxcan (BL60) govern mania and horse epilepsy. (From *Qianjin Fang*)
Tianjing (TE10), Xiaohai (SI8) govern mania; in sheep epilepsy, the tongue protrudes, a bleating sound is made, and the neck twists.
Xuanli (GB5), Shugu (BL65) govern mania causing mutual pulling of limbs, susceptibility to fright, and bleating sounds.
Jinsuo (GV22), Qugu (RN2), YinGu (KI10), Xingjian (LR2) govern fright epilepsy, manic running, and mania.
Lieque (LU7) governs heat epilepsy characterized by fright and visual hallucinations.
Shuigou (GV26) treats sporadic laughter without cause, epilepsy, and speech lacking respect for hierarchy. (*Xia Jing* records the same).
Manifestations include alternating joy and crying, and locked jaw. (From *Tongren Shuxue Zhenjiu Tujing*)
Xinshu (BL15) treats epilepsy with sadness and weeping. (See manic running symptoms).
Jinsuo (GV22) treats fright epilepsy, manic running, and mania, accompanied by spinal stiffness, upward deviation of the eyes.
Puxcan (BL60), (see manic speech symptoms).
Jinmen (BL63), (see corpse-like coma symptoms), treats epilepsy.
Jizhong (GV12) treats wind epilepsy and evil influences of mania.
Shenmen (HT7) treats five types of epilepsy in adults and children.
Jinmen (BL63) treats pediatric epilepsy onset, characterized by gaping mouth, head shaking, and opisthotonos.
Jishu (BL12) treats wind epilepsy and evil influences of mania. (From *Mingtang*)
Shenting (GV24) treats wind epilepsy and mania caused by swelling qi, characterized by not recognizing people, bleating sounds, opisthotonos, disheveled hair, singing while crying, mimicking others' speech, palpitations, anxiety, and insomnia.
Feishu (BL13), Puxcan (BL60), (see corpse-like coma symptoms), treat epilepsy.
Shaohai (HT3) treats epilepsy with tongue protrusion, foaming at the mouth, bleating sounds, manic epilepsy with tongue protrusion.
Moxibustion on Weiguan (CV12) 100 moxa cones; do not needle.
Method of Cang Gong: Treats manic epilepsy with loss of recognition, and mania with dizziness and confusion; moxibustion on Baihui (GV20) 9 cones.
*Nan Jing Shu* states: The symptoms of mania include unwillingness to sleep or lie down, refusal to eat, claiming to be wise and virtuous, singing, laughing, and walking around. This is caused by an excess of Yang Qi. Hence, the classics state "Double Yang leads to mania." Modern people mistakenly call this condition mania (dianbing); this is incorrect.
Mania (dianbing) involves stiffening and falling to the ground upon onset, hence the term "dian jue" (manic collapse). This is due to a massive excess of Yin Qi, rendering the patient unable to stand or walk, leading to collapse. Modern people mistakenly identify this as epilepsy; this is also incorrect. The distinction between mania and epilepsy is clear as described above, yet people remain unconvinced. Is this perhaps due to errors in transmission and learning that are difficult to correct? ("Double Yin leads to mania/dian.")
Whenever mania manifests with a desire to run, or self-proclaimed nobility and divinity, various forms of fire moxibustion must be prepared to achieve permanent cure. Sadness, weeping, and groaning indicate pathogenic evil influence, not mania. One should treat according to methods for dispelling evil. (From *Qianjin Fang*)