钱仲阳云。小儿发痫。因气血未充。神气未实。或为风邪所伤。或为惊怪所触。亦有因乳母
七情惊怖所致。若眼直目
牵。口噤流涎。腹膨搐搦。背项反张。腰脊强劲。形如死状。或一时二时醒。若反折上窜。其声
如鸡。属肝。抽搐有力。为实邪。柴胡清肝散。大便不通者。泻青丸。阴虚。地黄丸。若目瞪吐
舌。其声如马。属心。发热饮冷为实热。朱砂安神丸。发热饮汤为虚热。辰砂妙香散。若目直腹
痛。其声如牛。属脾。若发热抽掣。仰卧。面色光泽。脉浮病在腑为阳。易治。加味导痰汤。身
冷不搐。覆卧面色黯黑。脉沉病在脏为阴。难治。六君子加木香、柴胡。若惊跳反折手纵。其声
如羊。属肺。面色痿黄者。土不能生金也。五味异功散。面色赤者。阴火上冲于肺也。地黄丸。
若肢体如尸。口吐涎沫。其声如猪。属肾。地黄丸用紫河车膏代蜜丸服。肾无泻法。故悉从虚治。
凡有此证。先宜看耳后高骨间。有青紫纹。抓破出血。可免其患。此皆元气不足之证。须常用六
味丸加鹿角胶。或八味丸用鲜河车膏代蜜以助先天。更以六君子补中益气以助后天。设若泛行克
伐。复伤元气。则必不时举发。久而危殆。多致不救。凡癫痫虎口脉乱。乃气不和也。脉纹见有
五色。由其病甚。色能加变。至于纯黑者。不可治也。
钱仲阳说：小儿发生癫痫，是因为气血尚未充盈，神气尚未充实。有的因风邪侵袭而致病，有的因受到惊吓怪异刺激所致；也有因乳母情绪波动、惊恐不安影响胎儿或婴儿引起的。如果表现为眼睛直视、眼球牵引、牙关紧闭、流口水、腹部胀大、抽搐痉挛、头颈背部向后反张、腰脊僵硬强劲，身体形态如同死状。或者经过一时或两时后苏醒。如果出现身体向后反折、向上窜动，叫声像鸡一样，这属于肝病。若抽搐有力，属于实证，用柴胡清肝散治疗。大便不通畅的，用泻青丸治疗。若是阴虚体质，用地黄丸治疗。
如果眼睛直视、吐出舌头，叫声像马一样，这属于心病。发热且想喝冷水的，属于实热证，用朱砂安神丸治疗。发热且想喝热水的，属于虚热证，用辰砂妙香散治疗。
如果眼睛直视、腹痛，叫声像牛一样，这属于脾病。如果发热并伴有抽搐掣动，仰卧，面色光泽，脉象浮，说明病在腑，属于阳证，容易治疗，用加味导痰汤治疗。如果身体发冷且不抽搐，俯卧，面色黯黑，脉象沉，说明病在脏，属于阴证，难以治疗，用六君子汤加入木香、柴胡治疗。
如果惊跳、身体反折、手部松弛下垂，叫声像羊一样，这属于肺病。面色萎黄的，是土（脾）不能生金（肺）的表现，用五味异功散治疗。面色发赤的，是阴火上冲于肺的表现，用地黄丸治疗。
如果肢体僵硬如同尸体，口吐涎沫，叫声像猪一样，这属于肾病。用地黄丸，并用紫河车膏代替蜂蜜制成丸药服用。肾没有泻法，所以都从虚证来治疗。
凡是出现这些症状的，首先应该查看耳后高骨之间是否有青紫色的纹路，将其抓破出血，可以避免发病。这些都是元气不足的证候。必须常用六味地黄丸加入鹿角胶，或者八味丸用新鲜紫河车膏代替蜂蜜，以补助先天之本。同时再用六君子汤和补中益气汤来补助后天之本。如果随意使用攻伐药物，再次损伤元气，那么病情必定会不时发作，时间久了就会危及生命，大多导致无法救治。
凡是癫痫患者，如果虎口脉象紊乱，这是气机不和的表现。脉纹显现出五色，是由于病情严重，颜色能够发生变化。至于呈现纯黑色的，是不可治愈的。
Qian Zhongyang stated: Pediatric epilepsy occurs because the qi and blood are not yet full, and the spirit (Shen) is not yet solid. It may be caused by invasion of wind pathogens or triggered by fright from strange objects/events. It can also result from the wet nurse's emotional fluctuations and terror. Manifestations include eyes staring straight, eyeball traction, locked jaw, drooling, abdominal distension, convulsions and spasms, opisthotonos (backward arching of the head and neck), and stiffness of the waist and spine, with the body appearing like a corpse. The child may regain consciousness after one or two hours. If the body arches backward and moves upward, with a sound resembling that of a chicken, it belongs to the Liver. Forceful convulsions indicate an excess pathogen; treat with Chaihu Qinggan San (Bupleurum Liver-Clearing Powder). If accompanied by constipation, use Xieqing Wan (Drain Green Pill). For yin deficiency, use Dihuang Wan (Rehmannia Pill).
If the eyes stare straight and the tongue protrudes, with a sound resembling that of a horse, it belongs to the Heart. Fever with craving for cold drinks indicates excess heat; treat with Zhusha Anshen Wan (Cinnabar Calming-the-Spirit Pill). Fever with craving for warm drinks indicates deficient heat; treat with Chen Sha Miaoxiang San (Cinnabar Wonderful Fragrance Powder).
If the eyes stare straight and there is abdominal pain, with a sound resembling that of an ox, it belongs to the Spleen. If accompanied by fever and twitching, lying supine, with a lustrous complexion and a floating pulse, the disease is in the Fu organs and is a Yang syndrome, which is easy to treat; use Jiawei Daotan Tang (Modified Phlegm-Resolving Decoction). If the body is cold without convulsions, lying prone, with a dark complexion and a deep pulse, the disease is in the Zang organs and is a Yin syndrome, which is difficult to treat; use Liujunzi Tang (Six Gentlemen Decoction) added with Muxiang (Aucklandiae Radix) and Chaihu (Bupleuri Radix).
If there is startle jumping, backward arching, and flaccid hands, with a sound resembling that of a sheep, it belongs to the Lung. A sallow complexion indicates that Earth (Spleen) fails to generate Metal (Lung); treat with Wuwei Yigong San (Five-Ingredient Extraordinary Efficacy Powder). A red complexion indicates ministerial fire rushing up to the Lung; treat with Dihuang Wan (Rehmannia Pill).
If the limbs are stiff like a corpse and saliva/foam is vomited from the mouth, with a sound resembling that of a pig, it belongs to the Kidney. Use Dihuang Wan (Rehmannia Pill), substituting honey with Ziheche Gao (Placenta Heminis Extract) to make pills. Since the Kidney has no purgative method, all treatments address deficiency.
For any such condition, first inspect the area between the high bone behind the ear for blue-purple veins. Pricking them to bleed can prevent the onset. These are all syndromes of insufficient primal qi (Yuan Qi). One must commonly use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) added with Lujiaojiao (Deer Antler Glue), or Shengui Bashen Wan (Eight-Ingredient Pill from the Golden Cabinet) using fresh Ziheche Gao (Placenta Heminis Extract) instead of honey, to assist the congenital foundation. Additionally, use Liujunzi Tang (Six Gentlemen Decoction) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to assist the acquired foundation. If harsh purgatives or draining methods are indiscriminately used, further damaging the primal qi, the condition will inevitably recur frequently. Over time, it becomes critical and often leads to untreatable death.
In cases of epilepsy, if the pulse at the Tiger's Mouth (Hukou point area) is chaotic, it indicates disharmony of qi. If the nail bed veins show five colors, it signifies severe illness where color changes occur. If the color turns purely black, it is incurable.