神庭、疗癫风不识人。羊鸣。（明见癫痫。）百会、疗风痫。青风心风。角弓反张。羊
鸣。
多哭。言语不择。发时即死。吐沫心热闷。头风。多睡心烦。惊悸无心力。忘前失后。食无
味。头重。饮酒面赤鼻塞。明下云、疗登高而歌。弃衣而走。角弓反张。羊痫吐舌。百会
、治风痫。中风。角弓反张。或多哭。言语不择。发即无时。盛即吐沫。心烦惊悸。（铜）
神
庭、丝竹空、（见目眩。）治风痫。目戴上不识人。巨阙、疗心中烦闷。热风风痫。浪言或作
鸟声。不能食。无心力。会宗、治肌肤痛。耳聋。风痫。脊中、（见癫。）涌泉、治风痫
。前顶、疗风痫。（明）上管、疗风痫热痛。可泻而后补。脊俞、疗风痫癫邪。眉冲
、
疗目五般痫。头痛鼻塞。涌泉、神聪、（见头风。）强间、（岐伯云。）疗风痫。天井、
疗痫病。羊鸣吐舌。痫病、小儿恶疾也。呼吸之间。不及求师。致困者不少。（下）小儿食
痫者。先寒热洒淅乃发。灸鸠尾上五分三壮。
小儿风痫者。先屈手指如数物。乃发也。灸鼻柱上发际宛中三壮。小儿猪痫病。如尸厥
。吐
沫。灸巨阙三壮。小儿鸡痫。善惊反折。手掣自摇。灸手少阴五壮。在掌后去腕半寸陷中
。小儿羊痫。目瞪吐舌羊鸣。灸九椎下节间三壮。小儿牛痫。目直视腹胀。乃发。灸鸠尾三
壮。小儿马痫。张口摇头。身反折。马鸣。灸仆参各三壮。马痫。张口摇头马鸣。欲反
折。灸项风府、脐中三壮。（千。烧马蹄未服良。）牛痫。目正直视腹胀。灸鸠尾骨及大椎
。各三壮。（烧牛蹄末服良。）羊痫。喜扬目吐舌。灸大椎上三壮。猪痫。喜吐沫。灸完
骨两旁各一寸。七壮。犬痫。手屈拳挛。灸两手心足太阳肋户。各一壮。鸡痫。摇头反
折。喜惊自摇。灸足诸阳各三壮。神庭、脊俞、疗风痫。（见惊痫。）前顶、治小儿惊痫
风痫。（铜见癫痫。）小儿发逆上。啼笑。面暗、色不变。是痫候。或鼻口青时小惊。或目
闭青时小惊。或身热头常汗出。或身热吐 而喘。或身热目时直视。或卧惕惕而惊。手足
振摇。或卧梦笑。手足动摇。或意惊下而妄怒。或咽乳不利。或目瞳子卒大黑于常。或喜
欠、目上视。或身热小便难。或身热目视不精。或吐痢不止。厥痛时起。或弄舌摇头。诸候
二十条。皆痫之初也。见其候、便爪其阳脉所应灸。爪之皆重手。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。身热口噤不得乳。反张脊强。汗出发热。为卧不悟
。手足掣 。喜惊。凡八条、痫之剧者也。如有此、非复汤爪所能救。当时而灸之。
徐嗣伯曰、风眩之病。起于心气不足。胸上蓄热实。痰热相感而动风。风心相乱则闷瞀
。故
谓之风眩瞀。大人曰癫。小儿为痫。此方为治。万无不愈。困急时但度灸穴。使大针针之。
无不瘥者。初得针竟便灸最良。余业之以来三十余年。所救活者。数千百人。病此而死。不
逢嗣故也。（续命汤主眩发顿闷无知。口沫出。四体角弓。目反上。口噤不得言。竹沥一升
二合。生地黄汁一升。龙齿末生姜防风麻黄去节各四两。防己附子炮。各三两。石膏十两。
桂二两。上十味。水一斗煮取三升。分三服。有气加附子一两。紫苏五合。橘皮半两。）其
论风眩癫痫甚有理。故并其方附于此。（更有贲豚汤。详见千金。）但小儿痫非心气不足尔
千金有风食惊痫三种。本事有阴阳痫慢脾风三证。（慢脾即食痫。宜醒脾元。人参散。）上方
有三痫丸治小儿百二十种惊痫。（荆芥穗二两。矾一两。半生半枯。为末。面糊丸。黍米大
。朱砂衣。姜汤下二十丸。）吾谓慢惊用来复丹。急惊三痫丸。食痫醒脾元可也。
神庭穴，治疗癫痫导致的神志不清、不认识人。发出如羊叫的声音。（《明医指掌》中记载了癫痫。）百会穴，治疗风痫。包括青风、心风。症状表现为角弓反张、羊叫声、多哭、言语错乱不分场合。发作时可能立即死亡，吐白沫，心中烦热闷乱。也可治疗头风、嗜睡伴心烦、惊悸乏力、忘前失后（记忆力减退）、饮食无味、头重脚轻。饮酒后面部发红、鼻塞。《明医指掌》中还提到治疗登高而歌、脱衣奔跑、角弓反张、羊痫吐舌等症状。百会穴也用于治疗风痫、中风引起的角弓反张，或多哭、言语错乱、发作无定时、严重时吐白沫、心烦惊悸。（《铜人腧穴针灸图经》记载）
神庭穴、丝竹空穴（参见目眩条目），治疗风痫。症状包括眼睛上翻、不认识人。巨阙穴，治疗心中烦闷的热风和风痫。胡言乱语或发出鸟叫声，不能进食，心力不足。会宗穴，治疗肌肤疼痛、耳聋、风痫。脊中穴（参见癫病条目）、涌泉穴，治疗风痫。前顶穴，治疗风痫。（《明医指掌》记载）上管穴（即上脘穴），治疗风痫热痛。可采用先泻后补的手法。脊俞穴（即大椎穴附近或特定背俞穴，此处指代背部穴位），治疗风痫癫邪。眉冲穴，治疗五种眼疾相关的痫病、头痛、鼻塞。涌泉穴、神聪穴（参见头风条目）、强间穴（岐伯说），治疗风痫。天井穴，治疗痫病，表现为羊叫、吐舌。痫病是小儿的恶疾，呼吸之间发病，来不及求师救治，因此困顿致死的人不少。（下篇记载）
小儿食痫，先出现寒战发抖，然后发作。灸鸠尾穴上方五分处，三壮。
小儿风痫，先屈手指仿佛在数东西，然后发作。灸鼻柱上方发际凹陷处，三壮。
小儿猪痫，像尸厥一样，吐白沫。灸巨阙穴，三壮。
小儿鸡痫，容易受惊，身体反折，手臂抽搐自摇。灸手少阴心经穴位，五壮。位置在手掌后方，距离腕横纹半寸的凹陷中。
小儿羊痫，眼睛瞪大、吐舌头、发出羊叫声。灸第九椎骨下的节间，三壮。
小儿牛痫，眼睛直视、腹胀，然后发作。灸鸠尾穴，三壮。
小儿马痫，张口摇头，身体反折，发出马叫声。灸仆参穴，各三壮。
马痫，张口摇头马叫，想要反折。灸颈部风府穴、脐中穴，各三壮。（《千金方》记载：烧马蹄末服用效果良好。）
牛痫，眼睛正直直视、腹胀。灸鸠尾骨及大椎穴，各三壮。（《千金方》记载：烧牛蹄末服用效果良好。）
羊痫，喜欢睁大眼睛、吐舌头。灸大椎穴上方，三壮。
猪痫，喜欢吐白沫。灸完骨穴两旁各一寸处，七壮。
犬痫，手握拳挛缩。灸两手心及足太阳膀胱经肋户穴，各一壮。
鸡痫，摇头反折，喜欢惊吓、自行摇晃。灸足部诸阳经穴位，各三壮。
神庭穴、脊俞穴，治疗风痫。（参见惊痫条目）
前顶穴，治疗小儿惊痫、风痫。（《铜人腧穴针灸图经》参见癫痫条目）
小儿发病时气逆向上，啼哭或笑，面色晦暗但颜色不变，这是痫病的征候。或者鼻口发青时轻微惊厥，或者闭眼发青时轻微惊厥，或者身体发热头部常出汗，或者身体发热呕吐且喘息，或者身体发热眼睛不时直视，或者睡觉时惕惕不安而惊醒，手足振摇，或者睡觉做梦笑，手足动摇，或者心里惊恐向下而妄怒，或者吞咽乳汁不利，或者瞳孔突然比平时更大更黑，或者喜欢打哈欠、眼睛上视，或者身体发热小便困难，或者身体发热眼神不聚焦，或者呕吐腹泻不止，厥冷疼痛时起时伏，或者弄舌头摇头。以上二十条症状，都是痫病的初期表现。见到这些征候，就用指甲掐按阳脉所对应的穴位进行艾灸。掐按时都要用重手，让孩子突然啼哭，直到足部绝脉（脉搏暂时摸不到）。也可以根据情况给予汤药。如果出现眼睛直视、瞳孔跳动、腹部胀满转动有声并下血、身体发热牙关紧闭不能吃奶、身体反折脊柱僵硬、出汗发热、昏睡不醒、手足抽搐、喜欢惊吓等八条症状，则是痫病的危重阶段。如果有这些症状，仅靠汤药和掐穴已无法挽救，必须当时立即施灸。
徐嗣伯说：风眩之病，起于心气不足，胸中蓄积热实，痰热相互感应而动风。风与心气相乱则导致闷瞀（神志昏蒙）。所以称为风眩瞀。大人患此称为癫，小儿患此称为痫。此方用于治疗，万无不愈。危急时刻只需度量好灸穴位置，用大针针刺，没有不好的。刚针刺完随即艾灸效果最好。我从事这一行业三十多年，救活的患者有数千百人。病死于此病的人，是因为没遇到像我这样的医生罢了。（续命汤主治眩晕发作、突然昏厥无知、口吐白沫、四肢角弓反张、眼睛上翻、牙关紧闭不能说话。配方：竹沥一升二合，生地黄汁一升，龙齿末、生姜、防风、麻黄去节各四两，防己、炮附子各三两，石膏十两，桂枝二两。以上十味药，用水一斗煮取三升，分三次服用。若有气滞加附子一两、紫苏五合、橘皮半两。）他对风眩癫痫的论述很有道理，所以连同他的方子一并附在这里。（还有贲豚汤，详见《千金方》。）但是小儿痫病并非都是心气不足所致。《千金方》中有风食惊痫三种分类，《本事方》中有阴阳痫、慢脾风三种证型。（慢脾风即食痫，宜用醒脾元、人参散。）上面的方子有三痫丸，治疗小儿一百二十种惊痫。（配方：荆芥穗二两，矾一两，一半生用一半枯死，研为末，面糊做丸，如黍米大小，朱砂为衣，姜汤送服二十丸。）我认为慢惊风用来复丹，急惊风用三痫丸，食痫用醒脾元即可。
Shenting (GV24), for treating epilepsy where the patient does not recognize people. With bleating sounds like a sheep. (Recorded in *Ming Yi Zhi Zhang* regarding epilepsy.) Baihui (GV20), for treating wind epilepsy. Including Qingfeng and Xinfeng. Symptoms include opisthotonos, bleating like a sheep, excessive crying, inappropriate speech. Upon onset, death may occur immediately; with foaming at the mouth, mental heat and oppression. It also treats head wind, somnolence with irritability, palpitations with lack of strength, forgetfulness, loss of taste, heavy head. After drinking alcohol, redness of the face and nasal congestion. *Ming Yi Zhi Zhang* also mentions treating climbing high and singing, discarding clothes and running, opisthotonos, and sheep epilepsy with tongue protrusion. Baihui (GV20) is also used to treat wind epilepsy, stroke-induced opisthotonos, excessive crying, inappropriate speech, irregular onset, severe foaming at the mouth, irritability, and palpitations. (*Tongren Shuxue Zhenjiu Tujing*)
Shenting (GV24), Sizhukong (TE23) (see dizziness), for treating wind epilepsy. Symptoms include eyes rolling upward and failure to recognize people. Jueque (CV14), for treating mental oppression from wind-heat and wind epilepsy. Incoherent speech or making bird-like sounds, inability to eat, lack of vital energy. Huizong (SI6), for treating skin and muscle pain, deafness, wind epilepsy. Jizhong (GV9) (see mania), Yongquan (KI1), for treating wind epilepsy. Qian Ding (GV21), for treating wind epilepsy. (*Ming Yi Zhi Zhang*) Shangwan (CV13), for treating wind epilepsy with heat and pain. Method: drain first, then tonify. Dazhui (GV14) [Note: Text says Ji Shu, likely referring to back shu points or specifically Dazhui contextually], for treating wind epilepsy and manic evil. Meichong (EX-HN3), for treating five types of eye-related epilepsy, headache, nasal congestion. Yongquan (KI1), Shencang (EX-HN5) (see head wind), Jiangjian (GV19) (as stated by Qibo), for treating wind epilepsy. Tianjing (TE10), for treating epilepsy with bleating and tongue protrusion. Epilepsy is a malignant disease in children; it strikes within a breath, leaving no time to seek a master, causing many to die in distress. (Lower section records)
For pediatric food-induced epilepsy (Shi Xian): Onset begins with chills and shivering. Moxibustion on Jiuwei (CV15), 0.5 cun above, 3 moxa cones.
For pediatric wind epilepsy (Feng Xian): Onset begins with flexing fingers as if counting. Moxibustion at the depression above the nasal bridge at the hairline, 3 moxa cones.
For pediatric pig-type epilepsy (Zhu Xian): Resembles corpse-like rigidity (Si Jue), foaming at the mouth. Moxibustion on Jueque (CV14), 3 moxa cones.
For pediatric chicken-type epilepsy (Ji Xian): Prone to fright, body arching backward, arm spasms and shaking. Moxibustion on the Heart Meridian of Hand-Shaoyin, 5 moxa cones. Location: 0.5 cun posterior to the wrist crease in the depression.
For pediatric sheep-type epilepsy (Yang Xian): Staring eyes, tongue protrusion, bleating. Moxibustion between the segments below the 9th thoracic vertebra, 3 moxa cones.
For pediatric cow-type epilepsy (Niu Xian): Staring straight ahead, abdominal distension, followed by onset. Moxibustion on Jiuwei (CV15), 3 moxa cones.
For pediatric horse-type epilepsy (Ma Xian): Mouth open, head shaking, body arching backward, neighing. Moxibustion on Pucan (BL63), 3 moxa cones on each side. For Ma Xian with mouth open, head shaking, neighing, and tendency to arch backward: Moxibustion on Fengfu (GV16) in the neck and Zhongwan (CV12)/Shenque (CV8 - Note: Text says Qi Zhong, usually Shenque CV8) 3 moxa cones each. (*Qian Jin Fang*: Burning horse hooves into powder and administering is effective.)
For Niu Xian: Straight staring, abdominal distension. Moxibustion on Jiuwei bone and Dazhui (GV14), 3 moxa cones each. (*Qian Jin Fang*: Burning cow hooves into powder and administering is effective.)
For Yang Xian: Likes to widen eyes and protrude tongue. Moxibustion 3 cun above Dazhui (GV14), 3 moxa cones.
For Zhu Xian: Likes to foam at the mouth. Moxibustion 1 cun lateral to Wanggu (GB12) on both sides, 7 moxa cones.
For Dog Xian: Hands curled into fists and contracted. Moxibustion on Laogong (PC8) of both hands and Lubiao (BL62? Note: Text says Zu Tai Yang Lu Hu, likely referring to specific bladder meridian points near ribs/shoulders, often interpreted as specific local points or errors in transcription, but literally "Foot Taiyang Rib Door") 1 moxa cone each.
For Ji Xian: Head shaking, body arching backward, prone to fright and self-shaking. Moxibustion on all Yang meridians of the foot, 3 moxa cones each.
Shenting (GV24), Ji Shu (likely Dazhui GV14 or Back Shu points), for treating wind epilepsy. (See Jing Xian).
Qian Ding (GV21), for treating pediatric jing xian and feng xian. (*Tongren* see Dian Xian).
When a child's illness manifests with qi rushing upward, crying or laughing, dark complexion without color change, these are signs of epilepsy. Or slight fright when nose and mouth turn blue, or slight fright when eyes close and turn blue, or body heat with constant sweating on the head, or body heat with vomiting and panting, or body heat with intermittent staring, or waking up startled and trembling during sleep with shaking limbs, or dreaming and laughing during sleep with limb movement, or sudden anger due to internal fear, or difficulty swallowing milk, or pupils suddenly becoming larger and darker than usual, or frequent yawning with eyes looking up, or body heat with difficult urination, or body heat with unfocused gaze, or continuous vomiting and diarrhea, intermittent cold extremities and pain, or playing with tongue and shaking head. These twenty conditions are all early stages of epilepsy. Upon seeing these signs, scratch the corresponding acupoints of the Yang meridians with nails for moxibustion. Scratch firmly to make the child cry suddenly, until the pulse at the feet becomes imperceptible. Alternatively, administer decoctions based on the pattern. If there is staring with moving pupils, abdominal fullness with rumbling and bloody stool, body heat with locked jaw unable to suckle, opisthotonos with stiff spine, sweating with fever, coma/unresponsiveness, limb spasms, and fright—these eight conditions represent severe epilepsy. If these occur, decoctions and scratching cannot save them; immediate moxibustion is required.
Xu Sibai said: The disease of Wind-Xuan originates from deficiency of Heart Qi, with accumulation of heat and excess in the chest. Phlegm-heat interacts to stir wind. Wind and Heart Qi confuse each other, leading to oppression and confusion (Mao). Hence it is called Wind-Xuan Mao. In adults, this is called Dian; in children, it is called Xian. This formula treats it, with no failure. In emergencies, measure the moxa points, needle with a large needle, and there will be no cure that fails. Moxibustion immediately after needling is best. I have practiced this for over thirty years, saving thousands. Those who died did so because they did not meet me. (Xuming Tang governs dizziness attacks, sudden fainting with loss of consciousness, foaming at the mouth, four-limb opisthotonos, eyes rolling up, locked jaw unable to speak. Formula: Bamboo sap 1 sheng 2 he, Fresh Rehmannia juice 1 sheng, Dragon Tooth powder, Fresh Ginger, Fangfeng, Ephedrae Herba (Mahuang, 麻黄) de-nodeled, each 4 liang; Podocarpus Root Bark (Fangji), Prepared Aconite Root (Fuzi, 附子), each 3 liang; Gypsum Fibrosum (Shigao, 石膏) 10 liang; Cinnamon Twig (Guizhi, 桂枝) 2 liang. Ten ingredients, boil in 1 dou of water to obtain 3 sheng, divide into three doses. Add 1 liang Fuzi, 5 he Zi Su, 0.5 liang Chenpi if Qi stagnation exists.) His discussion on Wind-Xuan and Dian/Xian is very reasonable, so I attach his formula here. (There is also Ben Tun Tang, see *Qian Jin*). However, pediatric epilepsy is not solely due to Heart Qi deficiency. *Qian Jin Fang* classifies Wind, Food, and Fright Epilepsy into three types. *Ben Shi Fang* classifies Yin/Yang Epilepsy and Slow Spleen Wind into three syndromes. (Slow Spleen Wind is equivalent to Food Epilexia, suitable for Xing Pi Yuan, Renshen San). The above formulas include San Xian Wan for treating 120 types of pediatric fright epilepsy. (Formula: Schizonepeta Spike (Jingjie Sui, 荆芥穗) 2 liang, Alum (Fan, 矾) 1 liang, half raw half calcined, powdered, pill with wheat paste, size of millet seeds, coat with Cinnabar, take 20 pills with Ginger Decoction). I believe using Laifu Dan for Slow Fright, San Xian Wan for Acute Fright, and Xing Pi Yuan for Food Epilexia is appropriate.