神庭、疗癫风不识人。羊鸣。(明见癫痫。)百会、疗风痫。青风心风。角弓反张。羊
鸣。
多哭。言语不择。发时即死。吐沫心热闷。头风。多睡心烦。惊悸无心力。忘前失后。食无
味。头重。饮酒面赤鼻塞。明下云、疗登高而歌。弃衣而走。角弓反张。羊痫吐舌。百会
、治风痫。中风。角弓反张。或多哭。言语不择。发即无时。盛即吐沫。心烦惊悸。(铜)
神
庭、丝竹空、(见目眩。)治风痫。目戴上不识人。巨阙、疗心中烦闷。热风风痫。浪言或作
鸟声。不能食。无心力。会宗、治肌肤痛。耳聋。风痫。脊中、(见癫。)涌泉、治风痫
。前顶、疗风痫。(明)上管、疗风痫热痛。可泻而后补。脊俞、疗风痫癫邪。眉冲
、
疗目五般痫。头痛鼻塞。涌泉、神聪、(见头风。)强间、(岐伯云。)疗风痫。天井、
疗痫病。羊鸣吐舌。痫病、小儿恶疾也。呼吸之间。不及求师。致困者不少。(下)小儿食
痫者。先寒热洒淅乃发。灸鸠尾上五分三壮。
小儿风痫者。先屈手指如数物。乃发也。灸鼻柱上发际宛中三壮。小儿猪痫病。如尸厥
。吐
沫。灸巨阙三壮。小儿鸡痫。善惊反折。手掣自摇。灸手少阴五壮。在掌后去腕半寸陷中
。小儿羊痫。目瞪吐舌羊鸣。灸九椎下节间三壮。小儿牛痫。目直视腹胀。乃发。灸鸠尾三
壮。小儿马痫。张口摇头。身反折。马鸣。灸仆参各三壮。马痫。张口摇头马鸣。欲反
折。灸项风府、脐中三壮。(千。烧马蹄未服良。)牛痫。目正直视腹胀。灸鸠尾骨及大椎
。各三壮。(烧牛蹄末服良。)羊痫。喜扬目吐舌。灸大椎上三壮。猪痫。喜吐沫。灸完
骨两旁各一寸。七壮。犬痫。手屈拳挛。灸两手心足太阳肋户。各一壮。鸡痫。摇头反
折。喜惊自摇。灸足诸阳各三壮。神庭、脊俞、疗风痫。(见惊痫。)前顶、治小儿惊痫
风痫。(铜见癫痫。)小儿发逆上。啼笑。面暗、色不变。是痫候。或鼻口青时小惊。或目
闭青时小惊。或身热头常汗出。或身热吐 而喘。或身热目时直视。或卧惕惕而惊。手足
振摇。或卧梦笑。手足动摇。或意惊下而妄怒。或咽乳不利。或目瞳子卒大黑于常。或喜
欠、目上视。或身热小便难。或身热目视不精。或吐痢不止。厥痛时起。或弄舌摇头。诸候
二十条。皆痫之初也。见其候、便爪其阳脉所应灸。爪之皆重手。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。身热口噤不得乳。反张脊强。汗出发热。为卧不悟
。手足掣 。喜惊。凡八条、痫之剧者也。如有此、非复汤爪所能救。当时而灸之。
徐嗣伯曰、风眩之病。起于心气不足。胸上蓄热实。痰热相感而动风。风心相乱则闷瞀
。故
谓之风眩瞀。大人曰癫。小儿为痫。此方为治。万无不愈。困急时但度灸穴。使大针针之。
无不瘥者。初得针竟便灸最良。余业之以来三十余年。所救活者。数千百人。病此而死。不
逢嗣故也。(续命汤主眩发顿闷无知。口沫出。四体角弓。目反上。口噤不得言。竹沥一升
二合。生地黄汁一升。龙齿末生姜防风麻黄去节各四两。防己附子炮。各三两。石膏十两。
桂二两。上十味。水一斗煮取三升。分三服。有气加附子一两。紫苏五合。橘皮半两。)其
论风眩癫痫甚有理。故并其方附于此。(更有贲豚汤。详见千金。)但小儿痫非心气不足尔
千金有风食惊痫三种。本事有阴阳痫慢脾风三证。(慢脾即食痫。宜醒脾元。人参散。)上方
有三痫丸治小儿百二十种惊痫。(荆芥穗二两。矾一两。半生半枯。为末。面糊丸。黍米大
。朱砂衣。姜汤下二十丸。)吾谓慢惊用来复丹。急惊三痫丸。食痫醒脾元可也。
Shenting (GV24), for treating epilepsy where the patient does not recognize people. With bleating sounds like a sheep. (Recorded in *Ming Yi Zhi Zhang* regarding epilepsy.) Baihui (GV20), for treating wind epilepsy. Including Qingfeng and Xinfeng. Symptoms include opisthotonos, bleating like a sheep, excessive crying, inappropriate speech. Upon onset, death may occur immediately; with foaming at the mouth, mental heat and oppression. It also treats head wind, somnolence with irritability, palpitations with lack of strength, forgetfulness, loss of taste, heavy head. After drinking alcohol, redness of the face and nasal congestion. *Ming Yi Zhi Zhang* also mentions treating climbing high and singing, discarding clothes and running, opisthotonos, and sheep epilepsy with tongue protrusion. Baihui (GV20) is also used to treat wind epilepsy, stroke-induced opisthotonos, excessive crying, inappropriate speech, irregular onset, severe foaming at the mouth, irritability, and palpitations. (*Tongren Shuxue Zhenjiu Tujing*)
Shenting (GV24), Sizhukong (TE23) (see dizziness), for treating wind epilepsy. Symptoms include eyes rolling upward and failure to recognize people. Jueque (CV14), for treating mental oppression from wind-heat and wind epilepsy. Incoherent speech or making bird-like sounds, inability to eat, lack of vital energy. Huizong (SI6), for treating skin and muscle pain, deafness, wind epilepsy. Jizhong (GV9) (see mania), Yongquan (KI1), for treating wind epilepsy. Qian Ding (GV21), for treating wind epilepsy. (*Ming Yi Zhi Zhang*) Shangwan (CV13), for treating wind epilepsy with heat and pain. Method: drain first, then tonify. Dazhui (GV14) [Note: Text says Ji Shu, likely referring to back shu points or specifically Dazhui contextually], for treating wind epilepsy and manic evil. Meichong (EX-HN3), for treating five types of eye-related epilepsy, headache, nasal congestion. Yongquan (KI1), Shencang (EX-HN5) (see head wind), Jiangjian (GV19) (as stated by Qibo), for treating wind epilepsy. Tianjing (TE10), for treating epilepsy with bleating and tongue protrusion. Epilepsy is a malignant disease in children; it strikes within a breath, leaving no time to seek a master, causing many to die in distress. (Lower section records)
For pediatric food-induced epilepsy (Shi Xian): Onset begins with chills and shivering. Moxibustion on Jiuwei (CV15), 0.5 cun above, 3 moxa cones.
For pediatric wind epilepsy (Feng Xian): Onset begins with flexing fingers as if counting. Moxibustion at the depression above the nasal bridge at the hairline, 3 moxa cones.
For pediatric pig-type epilepsy (Zhu Xian): Resembles corpse-like rigidity (Si Jue), foaming at the mouth. Moxibustion on Jueque (CV14), 3 moxa cones.
For pediatric chicken-type epilepsy (Ji Xian): Prone to fright, body arching backward, arm spasms and shaking. Moxibustion on the Heart Meridian of Hand-Shaoyin, 5 moxa cones. Location: 0.5 cun posterior to the wrist crease in the depression.
For pediatric sheep-type epilepsy (Yang Xian): Staring eyes, tongue protrusion, bleating. Moxibustion between the segments below the 9th thoracic vertebra, 3 moxa cones.
For pediatric cow-type epilepsy (Niu Xian): Staring straight ahead, abdominal distension, followed by onset. Moxibustion on Jiuwei (CV15), 3 moxa cones.
For pediatric horse-type epilepsy (Ma Xian): Mouth open, head shaking, body arching backward, neighing. Moxibustion on Pucan (BL63), 3 moxa cones on each side. For Ma Xian with mouth open, head shaking, neighing, and tendency to arch backward: Moxibustion on Fengfu (GV16) in the neck and Zhongwan (CV12)/Shenque (CV8 - Note: Text says Qi Zhong, usually Shenque CV8) 3 moxa cones each. (*Qian Jin Fang*: Burning horse hooves into powder and administering is effective.)
For Niu Xian: Straight staring, abdominal distension. Moxibustion on Jiuwei bone and Dazhui (GV14), 3 moxa cones each. (*Qian Jin Fang*: Burning cow hooves into powder and administering is effective.)
For Yang Xian: Likes to widen eyes and protrude tongue. Moxibustion 3 cun above Dazhui (GV14), 3 moxa cones.
For Zhu Xian: Likes to foam at the mouth. Moxibustion 1 cun lateral to Wanggu (GB12) on both sides, 7 moxa cones.
For Dog Xian: Hands curled into fists and contracted. Moxibustion on Laogong (PC8) of both hands and Lubiao (BL62? Note: Text says Zu Tai Yang Lu Hu, likely referring to specific bladder meridian points near ribs/shoulders, often interpreted as specific local points or errors in transcription, but literally "Foot Taiyang Rib Door") 1 moxa cone each.
For Ji Xian: Head shaking, body arching backward, prone to fright and self-shaking. Moxibustion on all Yang meridians of the foot, 3 moxa cones each.
Shenting (GV24), Ji Shu (likely Dazhui GV14 or Back Shu points), for treating wind epilepsy. (See Jing Xian).
Qian Ding (GV21), for treating pediatric jing xian and feng xian. (*Tongren* see Dian Xian).
When a child's illness manifests with qi rushing upward, crying or laughing, dark complexion without color change, these are signs of epilepsy. Or slight fright when nose and mouth turn blue, or slight fright when eyes close and turn blue, or body heat with constant sweating on the head, or body heat with vomiting and panting, or body heat with intermittent staring, or waking up startled and trembling during sleep with shaking limbs, or dreaming and laughing during sleep with limb movement, or sudden anger due to internal fear, or difficulty swallowing milk, or pupils suddenly becoming larger and darker than usual, or frequent yawning with eyes looking up, or body heat with difficult urination, or body heat with unfocused gaze, or continuous vomiting and diarrhea, intermittent cold extremities and pain, or playing with tongue and shaking head. These twenty conditions are all early stages of epilepsy. Upon seeing these signs, scratch the corresponding acupoints of the Yang meridians with nails for moxibustion. Scratch firmly to make the child cry suddenly, until the pulse at the feet becomes imperceptible. Alternatively, administer decoctions based on the pattern. If there is staring with moving pupils, abdominal fullness with rumbling and bloody stool, body heat with locked jaw unable to suckle, opisthotonos with stiff spine, sweating with fever, coma/unresponsiveness, limb spasms, and fright—these eight conditions represent severe epilepsy. If these occur, decoctions and scratching cannot save them; immediate moxibustion is required.
Xu Sibai said: The disease of Wind-Xuan originates from deficiency of Heart Qi, with accumulation of heat and excess in the chest. Phlegm-heat interacts to stir wind. Wind and Heart Qi confuse each other, leading to oppression and confusion (Mao). Hence it is called Wind-Xuan Mao. In adults, this is called Dian; in children, it is called Xian. This formula treats it, with no failure. In emergencies, measure the moxa points, needle with a large needle, and there will be no cure that fails. Moxibustion immediately after needling is best. I have practiced this for over thirty years, saving thousands. Those who died did so because they did not meet me. (Xuming Tang governs dizziness attacks, sudden fainting with loss of consciousness, foaming at the mouth, four-limb opisthotonos, eyes rolling up, locked jaw unable to speak. Formula: Bamboo sap 1 sheng 2 he, Fresh Rehmannia juice 1 sheng, Dragon Tooth powder, Fresh Ginger, Fangfeng, Ephedrae Herba (Mahuang, 麻黄) de-nodeled, each 4 liang; Podocarpus Root Bark (Fangji), Prepared Aconite Root (Fuzi, 附子), each 3 liang; Gypsum Fibrosum (Shigao, 石膏) 10 liang; Cinnamon Twig (Guizhi, 桂枝) 2 liang. Ten ingredients, boil in 1 dou of water to obtain 3 sheng, divide into three doses. Add 1 liang Fuzi, 5 he Zi Su, 0.5 liang Chenpi if Qi stagnation exists.) His discussion on Wind-Xuan and Dian/Xian is very reasonable, so I attach his formula here. (There is also Ben Tun Tang, see *Qian Jin*). However, pediatric epilepsy is not solely due to Heart Qi deficiency. *Qian Jin Fang* classifies Wind, Food, and Fright Epilepsy into three types. *Ben Shi Fang* classifies Yin/Yang Epilepsy and Slow Spleen Wind into three syndromes. (Slow Spleen Wind is equivalent to Food Epilexia, suitable for Xing Pi Yuan, Renshen San). The above formulas include San Xian Wan for treating 120 types of pediatric fright epilepsy. (Formula: Schizonepeta Spike (Jingjie Sui, 荆芥穗) 2 liang, Alum (Fan, 矾) 1 liang, half raw half calcined, powdered, pill with wheat paste, size of millet seeds, coat with Cinnabar, take 20 pills with Ginger Decoction). I believe using Laifu Dan for Slow Fright, San Xian Wan for Acute Fright, and Xing Pi Yuan for Food Epilexia is appropriate.