小儿痫症，多火痰，如脉滑沫出痰也。脉散腮红，火热肝经，其症之发不一，或眼目直
斜，口噤流涎，或手足抽掣，腰曲脊强，或形如死状，或一二时方醒，宜服∶
导痰汤 此方治五痫初起，轻者服之即安。
雄黄 贝母 广皮 茯苓 桔梗 北细辛 菖蒲 栝楼 薄荷 虫蜕（去足） 天麻 郁金
甘草（各三分） 竹沥、姜汁为引。
小儿忽然昏迷抽掣，有力为实邪，肝痫是也。宜服∶
柴胡清肝散
柴胡 黄芩 栀仁 白芍 川芎 连翘 桔梗（各六分） 大便不通加熟军、胆草各五分，
水煎服。
小儿忽然昏迷，目赤，吐舌，饮水，为心痫是也。宜服∶
朱砂安神丸
黄连（三分） 当归 生地 甘草（各一钱） 朱砂（三分） 共为末，米糊丸朱砂为衣。
小儿昏迷，目直发热，面色光润，脾痫是也。宜服∶
导痰汤 方见本门前。加紫苏、香附、苍术。
小儿忽然昏迷，面白色，手足微动，肺痫是也。宜服∶
五味异功散
人参 焦术 茯苓 甘草（等分） 水煎服。
一小儿忽然昏迷，肢体如尸，口吐白沫，肾痫是也。宜用∶
六味地黄汤 见咳血门。
小儿忽然卒死，多属痰迷，以白矾、百草霜等分，开水冲合，灌之必苏。
五痫外治法 耳后高骨间有紫青筋，用针挑破即醒。
一方用竹沥、姜汁灌之。
一方细辛、牙皂、巴豆为末，少许微吹鼻中即醒。
一方用蒜捣汁，以茶匙挑入鼻中，三次即效。
小儿痫症，多由火邪和痰浊引起，例如脉象滑利且口吐白沫，这是痰证的表现。若脉象散乱、腮部发红，则是火热之邪侵犯肝经。其发作症状不一：有的双眼直视或斜视，牙关紧闭、流口水；有的手足抽搐，腰部弯曲、脊背强直；有的形体如同死状；有的经过一两个时辰才能苏醒。适宜服用导痰汤。此方用于治疗五痫初起阶段，病情较轻者服用后即刻安宁。
雄黄、贝母、广陈皮、茯苓、桔梗、北细辛、石菖蒲、栝楼、薄荷、蝉蜕（去除足部）、天麻、郁金、甘草（各三分），以竹沥、姜汁作为药引。
小儿突然昏迷并伴有抽搐，若肢体有力，属于实证，称为肝痫。适宜服用柴胡清肝散。
柴胡、黄芩、栀子仁、白芍、川芎、连翘、桔梗（各六分）。若大便不通，加熟大黄、龙胆草各五分，水煎服。
小儿突然昏迷，眼睛发红，伸舌头，想喝水，这是心痫的表现。适宜服用朱砂安神丸。
黄连（三分）、当归、生地黄、甘草（各一钱）、朱砂（三分）。共同研磨成粉末，用米糊制成丸剂，以朱砂为衣。
小儿昏迷，双眼直视且发热，面色光亮润泽，这是脾痫的表现。适宜服用导痰汤（方剂见本门前文）。加入紫苏、香附、苍术。
小儿突然昏迷，面色苍白，手足轻微抽动，这是肺痫的表现。适宜服用五味异功散。
一个小孩突然昏迷，肢体僵硬如尸体，口吐白沫，这是肾痫的表现。适宜使用六味地黄汤（见咳血门）。
小儿突然猝死，多属于痰迷心窍所致，可用白矾、百草霜等量混合，开水冲服灌下，必能苏醒。
五痫的外治法：耳后高骨之间有紫青色筋络显现，用针挑破即可苏醒。
另一方法是将细辛、牙皂、巴豆研成粉末，取少许轻轻吹入鼻中即可苏醒。
另一方法是用大蒜捣汁，用茶匙挑起滴入鼻中，三次即见效。
Pediatric epilepsy is mostly caused by fire pathogen and phlegm turbidity. For instance, a slippery pulse accompanied by foaming at the mouth indicates a phlegm syndrome. A scattered pulse with red cheeks indicates heat-fire invading the Liver meridian. The symptoms of onset vary: some present with eyes staring straight or deviating, clenched jaws, and drooling; some exhibit convulsions of hands and feet, curved waist, and stiff spine; some appear as if dead; some take one to two hours to regain consciousness. It is appropriate to administer Dao Tan Tang (Phlegm-Resolving Decoction). This formula treats the initial stage of the five types of epilepsy; for mild cases, administration brings immediate relief.
Realgar (Xionghuang), Fritillariae Bulbus (Beimu), Exocarpium Citri Reticulatae (Guangpi), Poria (Fuling), Platycodonis Radix (Jiegeng), Asari Radix et Rhizoma (Bei Xixin), Pogostemonis Rhizoma (Changpu), Trichosanthis Fructus (Gualou), Menthae Haplocalycis Herba (Bohe), Periostracum Cicadae (Chongtui, feet removed), Gastrodiae Rhizoma (Tianma), Curcumae Aromatiae Rhizoma (Yujin), Glycyrrhizae Radix et Rhizoma (Gancao) (each 3 fen), using Bamboo Sap (Zhuli) and Ginger Juice (Jiangzhi) as guides.
If a child suddenly falls into coma with convulsions and has strong physical strength, it is an excess syndrome known as Liver Epilepsy. It is appropriate to administer Chaihu Qinggan San (Bupleurum Liver-Clearing Powder).
Bupleuri Radix (Chaihu), Scutellariae Radix (Huangqin), Gardeniae Fructus (Zhiren), Paeoniae Radix Alba (Baishao), Ligustici Chuanxiong Rhizoma (Chuanxiong), Forsythiae Fructus (Lianqiao), Platycodonis Radix (Jiegeng) (each 6 fen). If there is constipation, add prepared Rhei Radix et Rhizoma (Shu Jun) and Gentianae Radix (Danchao), each 5 fen, decoct in water and take orally.
If a child suddenly falls into coma with red eyes, protruding tongue, and desire to drink water, this is Heart Epilepsy. It is appropriate to administer Zhusha Anshen Wan (Cinnabar Calming-the-Mind Pill).
Coptidis Rhizoma (Huanglian, 3 fen), Angelicae Sinensis Radix (Danggui), Rehmanniae Radix Preparata (Shengdi), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 qian), Cinnabaris (Zhusha, 3 fen). Grind together into powder, form pills with rice paste, and coat with Cinnabar.
If a child falls into coma with eyes staring straight, fever, and a shiny, lustrous complexion, this is Spleen Epilepsy. It is appropriate to administer Dao Tan Tang (Phlegm-Resolving Decoction) [see formula mentioned earlier in this section]. Add Perillae Folium (Zisu), Cyperi Rhizoma (Xiangfu), and Atractylodis Rhizoma (Cangzhu).
If a child suddenly falls into coma with a pale face and slight twitching of hands and feet, this is Lung Epilepsy. It is appropriate to administer Wuwei Yigong San (Five-Ingredient Miracle-Efficiency Powder).
Panax Ginseng Radix (Renshen), roasted Atractylodis Macrocephalae Rhizoma (Jiaozhu), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao) (equal parts), decoct in water and take orally.
If a child suddenly falls into coma, limbs rigid like a corpse, and foams at the mouth, this is Kidney Epilepsy. It is appropriate to use Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction) [see Hemoptysis section].
Sudden death in children often belongs to phlegm confusing the mind. Use equal parts of Alum (Baifan) and Soot from Hundred Herbs (Baicaoshuang), mix with boiling water, and灌 (pour/administer); the patient will surely regain consciousness.
External treatment methods for the five epilepsies: If purple-blue veins are visible between the high bone behind the ear, puncture them with a needle to awaken the patient.
Another method involves administering Bamboo Sap (Zhuli) and Ginger Juice (Jiangzhi).
Another method uses Asari Radix et Rhizoma (Xixin), Gleditsiae Sinensis Spina (Yazao), and Crotonis Semen (Badou) ground into powder; blow a small amount gently into the nose to awaken the patient.
Another method uses juice extracted from crushed garlic; lift with a tea spoon and drip into the nose; three applications yield efficacy.