夫痫，小儿之恶病也，或有不及求医而致困者也。然气发于内，必先有候，常宜审察其
精神，而探其候也。
手白肉鱼际脉黑者，是痫候；鱼际脉赤者，热；脉青大者，寒；脉青细为平也。
鼻口干燥，大小便不利，是痫候。
眼不明上视喜阳，是痫候。
耳后完骨上有青络盛，卧不静，是痫候，青脉刺之令血出也。
小儿发逆上啼笑面暗，色不变，是痫候。
鼻口青时小惊，是痫候。
目闭青时小惊，是痫候。
身热头常汗出，是痫候。
身热吐 而喘，是痫候。
身热目时直视，是痫候。
喜欠，目上视，是痫候。
身热，目视不精，是痫候。
目瞳子卒大黑于常，是痫候。
卧惕惕而惊，手足振摇，是痫候。
卧梦笑，手足动摇，是痫候。
意气下而妄怒，是痫候。
咽乳不利，是痫候。
身热小便难，是痫候。
吐痢不止，厥痛时起，是痫候。
弄舌摇头，是痫候。
以上诸候二十条，皆痫之初也，见其候，便抓其阳脉所应灸，抓之皆重手，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，身热口禁不得乳，反张脊强，汗出发
热，为卧不悟，手足掣 ，善惊，凡八条，痫之剧者也，如有此，非复汤抓所能救，盒饭时
灸之。 论曰∶若病家始发便来诣师，师可诊候，所解为法作次序治之，以其节度首尾取
瘥也。病家已经杂治无次序，不能制病，病则变异其本候，师便不知其前证虚实，只根据后证
作治，亦不得瘥也。要应精问察之，为前师所配根据，取其前踪迹以为治，乃无逆耳。前师处
汤本应数剂乃瘥，而病家服一两剂未效，便谓不验，以后更问他师，师不寻前人为治寒温次
序，而更为治，而不次前师治则弊也。或前已下之，后须平和疗以接之，而得瘥也；或前人
未下之，或不去者，或前治寒温失度，后人应调治之，是为治败病，皆须邀射之，然后免耳。
不根据次第，及不审察，必及重弊也。
痫病，是小儿的一种严重疾病，有的因为未能及时求医而导致病情危重。然而，病气发作于体内，必定先有征兆，因此应当仔细审视观察其精神状态，以探察这些先兆。
手背大鱼际部位的脉色发黑的，是痫病的征兆；鱼际脉色发红的，主热证；脉象青而大的，主寒证；脉象青而细的，属于平人（正常）脉象。
眼睛视物不明且向上翻白、喜欢向阳处，是痫病的征兆。
耳后完骨部位有青色络脉充盈明显，睡眠不安静，是痫病的征兆，可用针刺青色脉络使其出血。
小儿头发竖起啼哭或嬉笑，面色晦暗但肤色未变，是痫病的征兆。
喜欢打哈欠，眼睛向上翻白，是痫病的征兆。
瞳孔突然变得比平时更大更黑，是痫病的征兆。
睡眠中做梦嬉笑，手足动摇，是痫病的征兆。
吞咽乳汁困难，是痫病的征兆。
以上二十条征兆，都是痫病的初期表现。见到这些征兆，就应抓住阳脉相应部位进行艾灸，施灸时要用力重按，使患儿突然啼哭，如果足部脉搏消失，也依据方剂给予汤药治疗。
如果出现眼睛直视、瞳孔颤动、腹部胀满、肠鸣下血、身体发热、牙关紧闭不能哺乳、角弓反张、脊背强直、出汗且发热、昏睡不醒、手足抽搐掣动、容易惊吓，这八条症状，属于痫病的重症。如果有这些症状，不再能通过汤药和抓拿疗法挽救，必须按时进行艾灸。
论述说：如果患病家庭在发病初期就来请教医师，医师可以进行诊察，按照理解的方法依次序进行治疗，因为其遵循了治疗的节度，从头到尾才能痊愈。如果患病家庭已经经过杂乱无章的治疗，没有次序，无法控制病情，导致病症变异了其原本的症状，医师便不知道之前的证候虚实，只能根据后来的证候进行治疗，这样也无法痊愈。必须要详细询问并审慎考察，根据前一位医师所配制的药物，追溯其之前的治疗踪迹来进行治疗，才不会产生逆乱。前一位医师开具的汤药本应服用数剂才能痊愈，而患病家庭只服了一两剂未见效果，便认为无效，随后再去询问其他医师。其他医师如果不探寻前人为治疗寒温病症的次序，而重新制定治疗方案，且不遵循前一位医师的治疗法则，就会产生弊端。或者之前已经使用了泻下法，后续需要用平和的方法调理来接续治疗，从而痊愈；或者前人未使用泻下法，或者病邪未去，或者前人的治疗寒温失当，后人应当进行调治，这是治疗败坏之病，都必须谨慎应对，然后才能免除祸患。如果不根据治疗次第，以及不审慎考察，必然会导致严重的弊端。
Epilepsy is a severe disease in infants and young children; some cases become critical due to delayed medical consultation. However, since the pathogenic qi originates internally, there are always prodromal signs beforehand. Therefore, one should carefully observe the child's mental state to detect these signs.
If the pulse at the thenar eminence (the fleshy part of the palm) on the dorsal side of the hand appears black, it is a sign of epilepsy; if red, it indicates heat; if blue/green and large, it indicates cold; if blue/green and thin, it is a normal pulse.
Dryness of the nose and mouth, along with difficulty in urination and defecation, are signs of epilepsy.
Blurred vision with upward deviation of the eyes and a preference for sunny places are signs of epilepsy.
Prominent blue collateral vessels above the mastoid process (Wangu, EX-HN6) behind the ear, accompanied by restless sleep, are signs of epilepsy; puncturing the blue vessels to induce bleeding is indicated.
Upward standing of hair, crying or laughing, and a dark complexion without change in skin color are signs of epilepsy.
Slight fright when the nose and mouth appear bluish-green are signs of epilepsy.
Slight fright with eye closure and bluish-green discoloration are signs of epilepsy.
Body heat with frequent sweating of the head are signs of epilepsy.
Body heat, vomiting, and panting are signs of epilepsy.
Body heat with occasional fixed staring of the eyes are signs of epilepsy.
Frequent yawning with upward deviation of the eyes are signs of epilepsy.
Body heat with unfocused gaze are signs of epilepsy.
Sudden enlargement and darkening of the pupils compared to usual are signs of epilepsy.
Restless sleep with fright, and trembling/shaking of the hands and feet are signs of epilepsy.
Sleeping while dreaming of laughter, with shaking of the hands and feet are signs of epilepsy.
Qi sinking downward with irrational anger are signs of epilepsy.
Difficulty in sucking milk are signs of epilepsy.
Body heat with difficult urination are signs of epilepsy.
Unremitting vomiting and diarrhea, intermittent onset of cold limbs and pain are signs of epilepsy.
Tongue protruding and head shaking are signs of epilepsy.
The above twenty signs all represent the early stage of epilepsy. Upon observing these signs, one should grasp the corresponding Yang meridians for moxibustion. The grasping should be forceful, causing the child to cry suddenly. If the pulse at the foot disappears, decoctions should also be administered according to formulas.
Fixed staring, trembling pupils, abdominal distension, borborygmus, bloody stool, body heat, locked jaw preventing suckling, opisthotonos, stiff spine, sweating with fever, coma/unresponsiveness, clonic jerking of limbs, and easy fright constitute eight symptoms representing severe epilepsy. In such cases, rescue by decoctions and manual manipulation is no longer effective; timely moxibustion must be performed.
It is stated: If the family seeks a physician immediately upon the onset of the disease, the physician can diagnose and treat sequentially according to proper methods, ensuring recovery from beginning to end through regulated treatment. If the family has already undergone chaotic treatments without sequence, failing to control the disease, the original symptoms may alter. The physician will then be unaware of the prior excess or deficiency patterns and can only treat based on current symptoms, which will likely fail. One must inquire meticulously and examine carefully, following the prescriptions and therapeutic traces of previous physicians to avoid adverse reactions. If a previous physician prescribed a decoction requiring several doses for recovery, but the family stops after one or two doses due to lack of immediate effect and consults another physician, that new physician must investigate the previous thermal/cold treatment sequence. Treating anew without adhering to the previous physician's principles leads to complications. For instance, if purgatives were previously used, subsequent mild regulation is needed to complete the cure; if purgatives were not used or pathogens remain, or if previous thermal/cold treatment was improper, post-treatment adjustment is required. These are cases of failed treatments requiring careful intervention to prevent disaster. Failure to follow treatment sequences and careful examination will inevitably lead to serious complications.