小儿癫痫惊风目眩。灸神庭一穴,七壮,在鼻柱直上入发际五分。小儿诸痫如哕
吐清沫。灸巨阙穴三壮,在鸠尾下一寸陷中是穴。小儿鸡痫,善惊及掣目摇头。
灸少阴二壮,取法,在掌后去腕半寸陷中是穴。小儿惊痫者,先惊叫乃发也。
灸顶上旋毛中三壮,及耳后青络脉,炷如小麦大。小儿惊痫。灸鬼禄一穴,三
壮,取法,在上唇内中央弦上是穴。小儿食痫者,先寒热洒淅乃发也。灸鸠尾
穴上五分,三壮。小儿牛痫,目视直腹胀乃发也,灸鸠尾一穴,三壮,取法,
胸蔽骨下五分陷中是穴。小儿马痫,张口摇头,身折反,马鸣也。灸仆参穴,
各三壮,取法,在足跟骨下白肉际陷中,拱取之是穴。小儿羊痫,目瞪吐舌,
羊鸣也。灸第九椎下节间,三五壮。按∶《灵枢经》云∶暴挛,足不任身,取天
柱,天柱穴,足太阳也。又云∶癫痫螈 ,不知所苦,两跷之下,男阳女阴。洁
古云∶昼发灸阳跷,夜发灸阴跷,各二壮。阳跷起于跟中,循内踝上行至咽喉,
交贯冲脉,照海穴也。
〔钱〕五痫,重者死,病后甚者,亦死。小儿痫病,目直无声,目睹不转,眼
生白障,眼慢唇黑,瞳人瞬动,目间青黑,面青指黑,口出涎沫如白脓,口噤肚胀
不乳,喉如牵锯之声多睡不乳,身热下血不乳,身体痿软不醒,腹内虚鸣,唇逆而
痛,吐利不止,汗出壮热不止,卧久不寝,身体反张,大人脊下容一手,小儿脊下
容一指,并不治。
小儿患癫痫、惊风或目眩时,可灸神庭穴一处,七壮。该穴位于鼻柱直上,进入发际五分处。
小儿各种痫病,如呃逆、吐出清稀泡沫者,可灸巨阙穴三壮。该穴位于鸠尾穴下一寸的凹陷中。
小儿患鸡痫,表现为容易受惊及眨眼、摇头,可灸少阴穴二壮。取穴方法为:在掌后(手腕横纹)去腕半寸的凹陷中。
小儿患惊痫,先有惊叫然后发作。可灸头顶旋毛正中处三壮,以及耳后的青色络脉,艾炷大小如小麦粒。
小儿患惊痫,可灸鬼禄穴一处,三壮。取穴方法为:在上唇内中央的弦线上方。
小儿患食痫,先有寒战发抖然后发作。可灸鸠尾穴上五分处,三壮。
小儿患牛痫,双眼直视、腹胀然后发作,可灸鸠尾穴一处,三壮。取穴方法为:胸骨剑突下五分处的凹陷中。
小儿患马痫,张口摇头,身体向后反折,发出马叫声。可灸仆参穴,每侧各三壮。取穴方法为:在足跟骨下方白肉与黑肉交界处的凹陷中,拱起脚部即可取到该穴。
小儿患羊痫,瞪眼吐舌,发出羊叫声。可灸第九椎骨下方的节间,灸三五壮。
按语:《灵枢经》记载:突发痉挛,双脚无法支撑身体,应取天柱穴。天柱穴属于足太阳膀胱经。又记载:癫痫抽搐,不知痛苦所在,应取两跷脉之下,男性取阳跷,女性取阴跷。洁古(张元素)说:白天发作灸阳跷,夜间发作灸阴跷,各灸二壮。阳跷脉起于足跟中部,沿内踝上行至咽喉,交会贯穿冲脉,即照海穴所在。
〔钱乙〕五痫重症者死,病后症状严重者也死。小儿痫病,若出现以下症状则属不治之证:两眼直视无声,眼球固定不转动,眼睛生白翳,眼睑迟缓嘴唇发黑,瞳孔瞬动,眼眶周围青黑,面色青手指黑,口吐白沫如脓状,牙关紧闭腹部胀满不肯吃奶,喉间有拉锯声且多睡不肯吃奶,身体发热便血不肯吃奶,身体痿软昏迷不醒,腹内虚鸣作响,嘴唇逆冷而痛,呕吐腹泻不止,出汗且高热不退,躺卧很久不能入睡,身体角弓反张(背部强直反折)。成人脊柱下方能容纳一只手,小儿脊柱下方能容纳一根手指,这些情况均属于不治之证。
When infants and children suffer from epilepsy (epilepsy), convulsive disorders due to wind (convulsions), or dizziness, moxibustion may be applied to the Shenting (Shenting, GV24) acupoint once, with seven moxa cones. This point is located five fen above the hairline, directly above the nasal bridge.
For various types of epilepsy in infants and children, such as hiccups or vomiting clear froth, moxibustion may be applied to the Jueque (Jueque, CV14) acupoint three times. This point is located one cun below the Jiwei (Jiwei, CV15) acupoint, in the depression.
For chicken epilepsy in infants and children, characterized by susceptibility to fright, blinking eyes, and shaking of the head, moxibustion may be applied to the Shaoyin (Shaoyin, HT7/HT3 context dependent, here likely referring to a local point or specific pediatric point often associated with Heart/Kidney channels in this context, but literally "Shaoyin") acupoint twice. The method for locating it is in the depression half a cun distal to the wrist crease on the palm side.
For fright-induced epilepsy in infants and children, which begins with a cry of fright before onset, moxibustion may be applied to the center of the whorl of hair on the vertex three times, as well as to the blue collateral vessels behind the ears, using moxa cones the size of a wheat grain.
For fright-induced epilepsy in infants and children, moxibustion may be applied to the Guilu (Guilu, CV23) acupoint once, three times. The method for locating it is on the upper side of the central line inside the upper lip.
For food-induced epilepsy in infants and children, which begins with chills and shivering before onset, moxibustion may be applied five fen above the Jiwei (Jiwei, CV15) acupoint, three times.
For ox epilepsy in infants and children, characterized by staring straight ahead and abdominal distension before onset, moxibustion may be applied to the Jiwei (Jiwei, CV15) acupoint once, three times. The method for locating it is in the depression five fen below the xiphoid process of the sternum.
For horse epilepsy in infants and children, characterized by opening the mouth, shaking the head, body arching backward, and making sounds like a horse, moxibustion may be applied to the Pusen (Pusen, BL60) acupoint, three times on each side. The method for locating it is in the depression at the junction of white and black skin below the calcaneus; the foot should be arched to locate the point.
For sheep epilepsy in infants and children, characterized by staring eyes, protruding tongue, and making sounds like a sheep, moxibustion may be applied to the interspace below the ninth thoracic vertebra, three to five times.
Commentary: The *Ling Shu* (Spiritual Pivot) states: For sudden spasm where the feet cannot support the body, select the Tianzhu (Tianzhu, BL10) acupoint. Tianzhu belongs to the Foot-Taiyang Bladder Meridian. It also states: For epilepsy with convulsions, where the patient does not know their suffering, select below the two Qiao vessels; for males, the Yang Qiao; for females, the Yin Qiao. Jiegu (Zhang Yuansu) said: If attacks occur during the day, moxa the Yang Qiao; if at night, moxa the Yin Qiao, two cones each. The Yang Qiao vessel originates in the middle of the heel, ascends along the medial malleolus to the throat, intersects and penetrates the Chong Mai, corresponding to the Zhaohai (Zhaohai, KI6) acupoint.
[Qian Yi] Severe cases of the five epilepsies result in death; those with severe symptoms after illness also die. In infantile epilepsy, the following signs indicate untreatable conditions: eyes staring straight without sound, fixed gaze unable to turn, white opacity in the eyes, slow eyelids with black lips, blinking pupils, cyanosis around the eyes, cyanotic face and black fingers, vomiting white froth resembling pus, locked jaw with abdominal distension and refusal to nurse, sawing sound in the throat with excessive sleepiness and refusal to nurse, fever with bloody stool and refusal to nurse, flaccid body with unconsciousness, hollow rumbling in the abdomen, cold and painful lips, incessant vomiting and diarrhea, sweating with unremitting high fever, inability to sleep after lying down for a long time, opisthotonos (body arching backward). If an adult's hand fits under the spine, or a child's finger fits under the spine, these are all considered untreatable.