论曰黄帝问曰∶人生而病癫疾者,安所得之,岐伯对曰∶此得之在母腹中时,其母有所
大惊也,气上而不下,精气并居,故令子发为癫疾,病在诸阳脉,且寒且热,诸分且寒且热,
名曰狂,刺之虚脉,视分尽热,病已止,病癫初发,岁一发,不治月一发,不治四五日一发,
名曰癫疾,刺诸分,其脉尤寒者,以针补之,病已止,癫疾始生,先不乐,头重痛,直视,
举目赤,甚作极,已而烦心,候之于颜,取手太阳阳明太阴,血变而止,癫疾始发先反僵,
因而脊痛,候之足太阳阳明太阴手太阳,血变而止,癫疾始作,而引口啼呼(甲乙作喘悸)者
,候之手阳明太阳,右强者攻其左,左强者攻其右,血变而止,治癫疾者,常与之居,察其
所当取之处,病至,视其有过者即泻之,置其血于瓠壶之中,至其发时。血独动矣,不动灸
穷骨二十壮,穷骨者,尾 也。
筋癫疾者身卷挛急,脉大,刺项大经之大杼,呕多涎沫,气下泄,不治。
脉癫疾者,暴仆,四肢脉皆胀而纵,脉满,尽刺之出血,不满挟项灸太阳,又灸带脉
于腰,相去三寸,诸分肉本 ,呕多涎沫,气下泄,不治。
猝癫疾,灸两乳头三壮,又灸足大趾本丛毛中七壮,灸足小趾本节七壮。
大人癫,小儿惊痫,灸背第二椎,及下穷骨两处,以绳度中折绳端一处,是脊骨上也,
凡三处毕,复断绳,作三折令各等,而参合如 字样,以一角注中央,灸下二角挟脊两边。
凡五处,各百壮,削竹皮为度胜于绳。
又灸足大趾上聚毛中七壮。
又灸囊下缝二七壮。
又灸两乳头三壮。
又灸督脉三十壮,三报,穴在直鼻中上入发际。
又灸天窗百会,各渐至三百壮,炷惟小作。
又灸耳上发际,各五十壮。
论述说:黄帝问道:人一生下来就患有癫疾,这是从哪里得来的?岐伯回答说:这是在母腹中时,母亲受到巨大惊吓所致。气机上逆而不能下行,精气并聚于上,因此导致孩子发生癫疾。病在诸阳脉,表现为又冷又热,各个分肉之间也又冷又热,这种病名叫狂。针刺时要使脉象虚弱,观察分肉处全部发热后,病就好了便停止针刺。
癫疾刚开始发作时,一年发作一次;如果不治疗,每月发作一次;再如果不治疗,四五天发作一次,这种病名叫癫疾。针刺各个分肉部位,如果脉象特别寒的,用针补法,病好了便停止。
癫疾开始产生时,先表现为心情不愉快,头重痛,眼睛直视,眼球发红,严重时极度疲惫,随后心中烦乱。诊察部位在颜面,取手太阳、手阳明、手太阴经穴,见血液颜色改变(由暗变红)即停止。
癫疾刚开始发作时,先出现身体反张僵硬,因而脊背疼痛。诊察部位在足太阳、足阳明、足太阴及手太阳经,见血液颜色改变即停止。
癫疾刚发作时,牵引口角啼叫呼号(《甲乙经》作喘息心悸)的,诊察手阳明、手太阳经,右侧强直则攻治左侧,左侧强直则攻治右侧,见血液颜色改变即停止。
治疗癫疾的人,应常与患者居住在一起,观察其应当取穴的部位。病发时,视其有过盛的邪气之处即泻之,将放出的血置于葫芦瓢中,等到下次发病时,观察发现只有那里的血在单独跳动,若不跳动,则在穷骨(尾骶骨)处灸二十壮。穷骨,就是尾骶骨。
筋癫疾者,身体卷曲挛急,脉象大,针刺颈项部大经的大杼穴。如果呕吐多涎沫,气机下泄,属于不治之症。
脉癫疾者,突然仆倒,四肢脉络皆胀大而弛纵,脉象满实,将其全部刺破出血。如果脉不满,挟持颈部灸太阳经,又在腰部灸带脉,距离旁开三寸,若呕吐多涎沫,气机下泄,属于不治之症。
猝然发作的癫疾,灸两侧乳头各三壮,又灸足大趾根部丛毛中七壮,灸足小趾本节处七壮。
大人患癫疾,小儿患惊痫,灸背部第二椎下方,以及下方的穷骨两处,用绳子量取中间位置折断绳端一处,这是脊骨上的位置,共三处完毕,再折断绳子,做成三等份,像“丫”字形状,以一个角指向中央,灸另外两个角夹着脊柱的两边。
凡五处,每处各灸一百壮,削竹皮作为度量标准比用绳子更好。
又灸足大趾上聚毛中七壮。
又灸阴囊下缝十四壮。
又灸两侧乳头各三壮。
又灸督脉三十壮,每日三次,穴位在直对鼻中向上进入发际处。
又灸耳上发际处,各五十壮。
Commentary states: The Yellow Emperor asked, "When a person is born with epilepsy (dianji), from where does it originate?" Qibo replied, "This originates while in the mother's womb. If the mother suffers a great fright, the qi ascends and fails to descend, causing essence and qi to congregate above, thereby causing the child to develop epilepsy. The disease affects the Yang meridians, presenting with alternating cold and heat in the body and in the intermuscular spaces; this condition is named Kuang (Mania). Acupuncture should be performed to reduce the pulse; when the intermuscular spaces are thoroughly warmed, the disease ceases, and needling should stop.
When Dianji first begins, it occurs once a year; if untreated, it occurs monthly; if still untreated, it occurs every four or five days; this is named Dianji. Needle the intermuscular spaces. For those whose pulses are particularly cold, use the tonification method with needles; stop when the disease resolves.
When Dianji initially manifests, the patient first experiences dissatisfaction, heavy head and pain, fixed staring gaze, red eyes, extreme exhaustion at its peak, followed by vexation and heart discomfort. Observe the face (Yan); select points from the Hand Taiyang, Hand Yangming, and Hand Taiyin meridians. Stop bleeding when the blood color changes.
When Dianji first starts, the body may stiffen and arch backward, resulting in spinal pain. Observe the Foot Taiyang, Foot Yangming, Foot Taiyin, and Hand Taiyang meridians. Stop bleeding when the blood color changes.
When Dianji begins with mouth traction and crying/shouting (Jiayi Jing reads as panting and palpitations), observe the Hand Yangming and Hand Taiyang meridians. If rigidity is on the right, treat the left; if on the left, treat the right. Stop bleeding when the blood color changes.
Those treating Dianji should reside frequently with the patient to observe the appropriate acupuncture sites. When the disease strikes, identify areas of excess and drain them. Place the extracted blood into a gourd vessel. At the time of recurrence, observe if the blood in that specific area throbs independently. If it does not throb, moxa 20 cones at Qionggu (the coccyx). Qionggu refers to the coccyx.
In cases of Jindianji (Sinew Epilepsy), the body curls and contracts tightly, and the pulse is large. Needle the Da Shu (BL11) point along the major meridians of the neck. If there is excessive vomiting of saliva and froth, and Qi leaks downward, it is incurable.
In cases of Maidianji (Pulse Epilepsy), the patient suddenly collapses, and the pulses in the four limbs are distended and flaccid, with full pulses. Prick all affected vessels to bleed. If the pulse is not full, moxa the Taiyang meridian along the neck, and also moxa the Dai Mai (Girdle Vessel) at the waist, three cun lateral to the midline. If there is excessive vomiting of saliva and froth, and Qi leaks downward, it is incurable.
For sudden onset of Dianji, moxa both nipples 3 cones each, then moxa the hairy region at the root of the big toe 7 cones, and moxa the proximal joint of the little toe 7 cones.
For adult Dianji or pediatric Jingxian (Startle Epilepsy), moxa below the second thoracic vertebra on the back, and below at the Qionggu. Measure the midpoint with a string and break it at one end; this marks the spinal bone. After marking these three locations, break the string again into three equal parts to form a 'Y' shape. Place one corner at the center and moxa the two corners flanking the spine on either side.
These constitute five locations, each receiving 100 cones. Using bamboo skin for measurement is superior to using string.
Also moxa the hairy region above the big toe 7 cones.
Also moxa the seam below the scrotum 14 cones (2 x 7).
Also moxa both nipples 3 cones each.
Also moxa the Du Meridian 30 cones, administered three times daily. The acupoint is located directly above the nose, entering the hairline.
Also moxa Tianchuang (SI16) and Baihui (GV20), gradually increasing to 300 cones each, using only small moxa cones.
Also moxa the hairline above the ears, 50 cones each.