Epilepsy

General

Clinical Manifestations
Treatment Principle
Herb Formulas	Chai Hu Gui Zhi Tangmodified Xiao Qing Long Tang Pediatric: Da Huang Gan Cao Tang Zhi Jing San Yi Gan San Jia Chen Pi Ban Xia Chronic pediatric: Li Zhong Tang Long-standing cases with a weak constitution: Xiang Sha Liu Jun Zi Tang Zhi Bai Di Huang Wan
Points	Bleed the Jing-Well points, DU-20, DU-26, GB-20, HT-7, PC-6, REN-15, SI-3, ST-36 DU-24, GB-13, GB-15, UB-3 DU-26, GB-20, GB-34, KI-1, LI-4, PC-6 LU-10, UB-57, UB-60 DU-26, GB-20, PC-6, Yaoqi Prick to bleed DU-1, Dianxian, Yaoqi DU-13, DU-26, PC-6, ST-40, Yaoqi DU-15, DU-26, SI-3, ST-40 DU-14, DU-26, PC-6, REN-14, Yaoqi SI-2, SI-3, UB-62 KI-3, PC-6, REN-14, ST-40 Ghost Points in order: Ghost Palace - DU-26 Ghost Faith - LU-11 Ghost Castle - SP-1 Ghost Heart - PC-7 Ghost Path - UB-62 Ghost Pillow - DU-16 Ghost Bed - ST-6 Ghost Market - REN-24 Ghost Den - PC-8 Ghost Hall - DU-23 Ghost Hiding - REN-1 Ghost Leg - LI-11 Ghost Sealed - Corona of the sublingual frenulum (bleed and leave the needle in) + For Heart congestion: HT-3, REN-15 For stiff neck: SI-3 For upset Stomach: REN-6, REN-12 For Phlegm: ST-36, ST-40 For nourishing the Kidneys and calming the Liver: KI-1, SP-6 GB-20, HT-7, REN-6, REN-12, REN-15, SP-6, ST-40, UB-13, UB-15 Moxa DU-20, KI-6, needle UB-62 Non-febrile: Anmian, DU-8, DU-12, DU-14, DU-26, GB-34, LI-4, LIV- Febrile: DU-12, GB-20, LI-1, LI-11, REN-10 (contraindicated during pregnancy), REN-13, ST-25 (contraindicated during pregnancy), ST-36, ST-45, UB-10 Ear: Subcortex, Occiput, Heart, Liver, Shenmen, for fever, bleed the ear apex Infantile: Bleed DU-26, KI-1, LU-11, SI-4

Jue Yin Heat

Clinical Manifestations	Cold extremities. Body hot and feverish due to lack of harmony of the Liver Qi Thirst Abdominal distention Fever Dark yellow urine T:  Red C: Yellow or white P:  Rapid and slippery.
Treatment Principle	Clear Heat Reverse reversals
Herb Formulas	Si Ni San
Points	DU-14, LI-4, LI-11, LIV-2, LIV-3, LIV-14, PC-6, REN-12, SP-6

Wind-Cold-Dampness

Clinical Manifestations	Fever Chills Anhidrosis or Mild sweating Pain and stiffness of the head, back and neck Aching and heaviness in the limbs Trismus or Contractures and spasms of the limbs Stuffy nose Blood shot eyes Sores that are red, swollen and painful Generalized body aches and pain Headache Swollen eyes Thirst or no thirst T: Normal C: Thin white P: Floating or Floating and rapid
Treatment Principle	Induce sweat Release the Exterior Dispel Wind Alleviate pain
Herb Formulas	Qiang Huo Sheng Shi Tang For severe Cold: Ge Gen Tang With Damp-Heat: San Ren Tangmodified
Points	DU-8, DU-16, DU-20, GB-20, SJ-5, UB-10, UB-18, UB-60

Wei Stage: Wind-Heat Transfers To The Pericardium

Clinical Manifestations	A history of Wei Stage invasion (fever and chills for the first few days) High fever Delirium Maybe coma Maybe convulsions Maybe hemorrhage anywhere T: Dark red P: Rapid maybe forceful
Treatment Principle	Expel Heat from the Pericardium Resuscitate
Herb Formulas	An Gong Niu Huang Wan
Points	Bleed the Jing-Well points, DU-26, KI-1, LIV-2, LIV-3

Wind-Heat Attacks The Liver Channel

Clinical Manifestations	Hot tears appear on exposure to Wind Red eyes Eyes feel gritty Dry mouth Dry nose Dizziness Vertigo Epilepsy Tinnitus T: Red C: Thin white P: Wiry or Thready and rapid
Treatment Principle	Mild cases: Cool the Liver Expel Wind Severe cases: Expel Wind-Heat Nourish Yin Clear Fire
Herb Formulas	Ling Yang Jiao San
Points	General points

Summerheat And Dampness With Liver And Gallbladder Heat

Clinical Manifestations	Red eyes Sore throat Mouth, tongue and lip ulcerations Urinary difficulty Diarrhea Papules Sores Prickly Heat Ocular pain Dark urine Chest pain Hemoptysis Epistaxis Hematemesis Oliguria with dark urine Scanty urine Swelling of the throat Fever Thirst Irritability Nausea Vomiting Lassitude due to Summerheat T: Normal C: Yellow and greasy P; Soggy and rapid
Treatment Principle	Clear Heat Relieve toxicity Promote urination Eliminate Summerheat TonifY Qi Cool the Blood Stop convulsions
Herb Formulas	Bi Yu San
Points

Qi Stage: Gall Bladder Heat

Clinical Manifestations	Childhood convulsions Alternating chills and fever Bitter taste in mouth Thirst Dry throat Rib pain (doesn't like touch) Hypochondriac pain Nausea Vomiting Hypogastric pain and distension T: Red C: Yellow P: Rapid and wiry
Treatment Principle	Relieve Gall Bladder Heat Pacify the Liver and Gall Bladder
Herb Formulas	Liang Ge San
Points	GB-34, Lanweixue, LI-11, LIV-2, LIV-3, LIV-4, LIV-13, LIV-14

Ying Stage Heat

Clinical Manifestations	High fever, worse at night Insomnia. Irritability Mild thirst - no desire to drink Mental disturbance Speech disturbance Maybe convulsions Rashes (red, dry, painful) T: Deep red P: Thready and rapid
Treatment Principle	Reduce Heat in the Ying Detoxify
Herb Formulas	Qing Ying Tang modified Zi Xue Dan Niu Huang Qing Xin Wan
Points	HT-3, HT-5, HT-6, HT-7, KI-3, LI-11, PC-7, PC-8, Shixuan(bleed), Sifeng, SP-6

Xue Stage: Blood Heat Generates Wind

Clinical Manifestations	High fever Hypertension Dizziness Headache Confusion of mind Delirium (mania) Dark yellow urine Excessive skin rashes all over body Hemorrhage Hematemesis Hemoptysis Epistaxis Hemafecia Hematuria Stiffness Convulsions Clenched jaws Clenched fists Shaking Opisthotonis Stiff neck Semi-consciousness T: Deep red and dry C: Yellow and dry P: Wiry and rapid.
Treatment Principle	Subdue Wind Cleanse Heat Nourish Yin Stop convulsion
Herb Formulas	Ling Jiao Gou Teng Tang
Points	To clear Heat and Toxins: Bleed the Jing-Well points, DU-14, LI-11, ST-44 To extinguish Wind: GB-20, DU-16 To promote Blood circulation: SP-10, UB-17 To treat hemafecia: ST-25, ST-37, SP-1 To restore consciousness: DU-26, K-1 To nourish Yin: SP-6, KI-3 To calm the Shen: HT-7

Large Intestine Excess Heat

Clinical Manifestations	Constipation Flatulence Abdominal pain that is not worse with pressure Hemorrhoids Tidal fevers Delirious speech Profuse perspiration from the palms and soles Aversion to Heat Mania Abdominal masses Dry mouth Tenesmus Epigastric and abdominal distention and pain Irritability Heavy body Fever Dysuria Diarrhea Abdominal and chest distention Abdominal fullness T: Dry with prickles C: Dark yellow and dry or Black and dry P: Deep, Shi and rapid or Tenesmus Slippery and rapid
Treatment Principle	Purge Heat accumulation Purge the Gall Bladder Normalize the flow of Qi at the center Eliminate Dampness
Herb Formulas	Xiao Cheng Qi Tang Zhu Ling Tang Da Cheng Qi Tang
Points	LI-11, SJ-6, ST-25, ST-37, ST-44, UB-25

Phlegm-Fire Disturbs The Heart

Clinical Manifestations	Mental agitation Confused thinking Sudden fainting Convulsions May happen several times per day for weeks Noise from the larynx Tired after the seizure Restlessness Vertigo Headache Red eyes Insomnia Depression Fullness in the chest Epistaxis Bleeding gums Mouth ulcers Mania Irritability Palpitations Bitter taste in mouth Much dreaming Easily startled Scanty urination Constipation T: Red or Red tip C: Greasy and yellow P: Slippery, rapid and full and maybe wiry or Wiry and rapid
Treatment Principle	Clear the Heart Break through Phlegm
Herb Formulas	Meng Shi) Gun Tan Wan Ci Zhu Wan Huang Lian Wen Dan Tang Wen Dan Tang Hui Chun Dan
Points	HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, ST-40, UB-15 DU-2, GB-20, REN-15, UB-15, UB-18 HT-7, PC-5, REN-12, ST-40, UB-62 Anmian, Bleed the Jing-Well points, Dingshen, DU-14, DU-16, DU-20, DU-26, HT-7, PC-5, PC-6, PC-7, PC-8, ST-40, UB-15 Dingshen, DU-14, LI-4, LI-11, LIV-3, LU-11, PC-5, PC-7, PC-8, ST-40 DU-20, DU-26, Shixuan(moxa until the Blood pressure goes up) or electroacupuncture for a long period of time Nocturnal: KI-6

Phlegm Confuses The Heart Orifice

Clinical Manifestations	Mental confusion Clouding of consciousness Talking to oneself Acting as if no one else is present Dull expression with blank stare Odd behavior Maybe depression Maybe loss of consciousness Maybe falling to the ground Sound of phlegm in throat with gurgling T Pink C: White and greasy P: Deep and slippery; maybe wiry
Treatment Principle	Clear Phlegm Open the Orifices.
Herb Formulas	Dao Tan Tang
Points	DU-14, DU-16, DU-26, GB-20, Yaoqi Grand mal: KI-6 daytime, UB-62 nighttime To tranquilize the mind: DU-24, HT-7, PC-6 Psychomotor: 1. To awaken the Spirit: HT-7, PC-5 2. To clear the chest and Resolve Phlegm: REN-12, REN-14, ST-40 For focal epilepsy: 1. Open the Four Gates - LI-4, LIV-3 2. Relax the muscles and tendons - GB-34 3. Regulate the leg Yin channels - SP-6 To awaken the brain: DU-20 To calm the Shen: UB-15 To pacify the Liver: UB-18 Between seizures: KI-3, REN-4 DU-14, DU-16, DU-26, GB-20, HT-7, PC-5, ST-40, Yaoqi HT-3, HT-7, LIV-2, SI-3, SJ-10, SP-5, UB-15, moxa UB-2, UB-63, UB-66 GB-35, KI-1, REN-13, REN-15, SI-3, UB-15 Primary: DU-16, GB-20 Supplementary: HT-5, LIV-13, PC-6, SP-6 Pick one primary and two supplementary points per treatment During seizure: KI-1, DU-26 Primary: DU-15, SI-3 Supplementary: DU-26, GB-20, PC-6, Yaoqi (needle upward) During seizure: DU-26 Between seizures: Use the primary points. If they are not effective, add the supplementary points. To Open the Heart Orifice and Restore mental clarity: UB-15, UB-62, HT-7, DU-16, DU-26 To Resolve Phlegm: PC-5, ST-40, UB-20 To Spread Liver Qi: UB-18 Ear: Shenmen, Heart, Kidneys, Occiput, Stomach, Subcortex, Brain Electroacupuncture: 1. DU-24 - PC-6 2. Taiyang- ST-36 3. GB-20 - UB-61 Moxibustion: 1. DU-20, KI-7, REN-13, REN-15, UB-62 (daytime), KI-6 (nighttime) 2. REN-12 (50 cones) Scalp: Motor, Sensory, Leg motor, Leg sensory

Phlegm Obsructs The Heart Orifice: Yang Obsruction

Clinical Manifestations	Sudden collapse with loss of consciousness Lockjaw (trismus) Eyes open Both fists clenched Convulsions Retention of urine Constipation Stiffness and spasm of limbs Red face Body feels hot Coarse breathing Bad breath Restlessness Involuntary movements T: Pink C: Yellow and greasy P: Slippery, wiry and rapid
Treatment Principle	Clear Phlegm Open the Orifices
Herb Formulas	Zhi Bao Dan Su He Xiang Wan An Gong Niu Huang Wan San Sheng San
Points	Bleed the Jing-Well points of the Six Hand channels to clear Heat, DU-20, DU-26, KI-1, LIV-3, ST-40

Phlegm Obstructs The Heart Orifice: Yin Obstruction

Clinical Manifestations	Sudden collapse with loss of consciousness Lockjaw (trismus) Eyes open Both fists clenched Retention of urine Constipation Stiffness and spasm of limbs Pale face with bluish lips Limbs cold, pale and still Lying peacefully Usual sequelae of C.V.A. such as: Hemiplegia Aphasia Facial paralysis T: Pink C: White and greasy P: Deep, slippery and even
Treatment Principle	Open the Heart Orifices with Pungent Warming Herbs Eliminate Phlegm Subdue Wind
Herb Formulas	Su He Xiang Wan Di Tan Tang San Sheng San
Points	Bleed the Jing-Well points of the Six Hand channels, needle DU-20, DU-26, KI-1, LIV-3, PC-5, ST-40, UB-20

Phlegm-Fire Affects The Heart

Clinical Manifestations	Manic behavior with sudden onset Emotional upset Shouting Scolding or hitting people Exceptional physical strength Not eating or sleeping Agitation An angry look in the eyes Shouting abuse Desire to climb to high places Irritability Inability to rest Breaking things Rash/impulsive behavior Rash movements Constipation Headache Insomnia Red face and eyes Anger T: Red C: Sticky and yellow - Stomach-Heart crack with a sticky, yellow coating inside it P: Rapid, wiry, Overflowing and Slippery
Treatment Principle	Sedate the Heart Eliminate Phlegm Clear Fire Calm the Shen
Herb Formulas	Sheng Tie Luo Yin Hui Chun Dan Xiao Er Hui Chun Dan
Points

Heart And Liver Blood Deficiency

Clinical Manifestations	Dizziness Palpitations Dry eyes Blurred vision Acute: Fainting Convulsions Women may be acute before or after their periods Pale lips and nails T: Pale C: Thin and white P: Thready
Treatment Principle	Tonify Blood Eliminate Phlegm
Herb Formulas	Zhi Yin Ling Shen Tang With Heart Blood Stagnation or Liver Qi Stagnation: Gan Mai Da Zao Tang
Points	HT-7, LIV-3, PC-6, REN-4, REN-14, SP-1, SP-6, ST-36, UB-15, UB-17, UB-18, UB-20 + general points

Heart And Liver Yin And Blood Deficiency With Liver Yang Rising

Clinical Manifestations	Irritability Restless sleep Occasional palpitations Anxiety Dizziness Fright Insomnia Vertigo T: Red or Pale or Pink C: Little or None P: Thready and wiry
Treatment Principle	Enrich Yin Nourish the blood Sedate the Heart Calm the Shen Calm the Liver Anchor Yang
Herb Formulas	Zhen Zhu Mu Wan
Points

Heart And Gall Bladder Qi Deficiency

Clinical Manifestations	Insomnia or frequent waking, often early in the morning Unable to fall back to sleep Easily frightened or startled Easily unsettled by seeming trivial events Anxiety Palpitations Shortness of breath Lethargy Fatigue Depression Spontaneous sweating T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip C: Thin and white P: wiry and thready
Treatment Principle	Strengthen Qi Calm the Shen Alleviate fearfulness
Herb Formulas	Ding Zhi Wan
Points	GB-40, HT-7, LIV-3, LIV-5, PC-7, REN-15

Lack Of Communication Between The Heart And Kidneys

Clinical Manifestations	Epilepsy Amenorrhea Insomnia with much dreaming Irritability Easily startled Palpitations Poor memory Dizziness Tinnitus Low back soreness Legs weak Tidal fever Night sweats Dry mouth Red cheeks Urine short and red T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reduce Fire Make the Hear and Kidneys communicate.
Herb Formulas	Gui Zhi Jia Long Gu Mu Li Tang
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23

Liver Qi Stagnation: Phlegm And Qi Stagnant And Blociked

Clinical Manifestations	Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed Distention and pain in the sides or flanks Suffocating sensation in the chest and hypochondrium Tendency to sigh Melancholy Depression Irritability Inappropriate anger Hypochondriac pain Coughing with profuse phlegm Vomiting Difficulty swallowing A delicate constitution A tendency towards fatigue Palpitations Abdominal distention Muscular and skin flaccidity Fear Edema Asthma Insomnia Maybe convulsions Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm
Herb Formulas	Ban Xia Hou Po Tang Chai Hu Jia Long Gu Mu Li Tang Yue Ju Wan Su He Xiang Wan
Points	PC-5, LIV-3, SJ-6, LI-18, SI-17

Liver Wind Stirring Internally: Liver Yang (Fire) Generates Wind

Clinical Manifestations	Dizziness and vertigo to the point of falling over Headache with a drawing sensation Numbness and tremor of limbs Tics Twitching and involuntary writhing of hands and feet Dysphagia Unsteady gait Sudden loss of consciousness Tongue stiffness with aphasia Facial paralysis Hemiplegia Easily angered T: Red P: Thready and wiry
Treatment Principle	Nourish Yin Pacify the Liver Subdue Wind
Herb Formulas	Zhen Gan Xi Feng Tang Tian Ma Gou Teng Yin Dang Gui Long Hui Wan Xiao Chai Hu Tang Yi Gan San Ding Feng Zhi Cong Chong Ji Xu Ming Tang
Points	Bleed the Jing-Well points of Six Hand Channels to reduce Heat, DU-20, DU-26, GB-20, GB-34, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23

Liver Wind Stirring Internally: Extreme Heat Leads To Wind

Clinical Manifestations	High fever Contractures Clenched fists Extremities clenched and shaking Agitation with contractures of the limbs Spasms Tics Neck stiffness Convulsions Oculogyric crises Opisthotonos Easily angered Dizziness Vertigo Teeth grinding T: Red or Deep red C: None P: Wiry and rapid
Treatment Principle	Clear Heat, Cool the Liver Subdue Wind
Herb Formulas	Ling (Yang) Jiao Gou Teng Tang Bai Hu Tangmodified Feng Yin Tang Qing Re Xi Feng Tang Zhi Jing San
Points	Bleed the Jing-Well points of Six Hand channels, DU-14, DU-16, DU-20, DU-26, GB-20, LI-11, LIV-2, LIV-3 DU-12, DU-14, KI-1, LI-4, LI-11, PC-8, Shixuan, Sifeng, SJ-5, Taiyang SI-3, UB-62 DU-14, LI-4, LIV-2, UB-60 For serious conditions; Bleed the Jing-Well points of Six Hand channels For entire body agitation; + DU-20, GB-34, LI-11 DU-14, DU-16, GB-20, LI-4, LIV-3, bleed Shixuan

Liver Wind Stirring Internally: Liver Blood Deficiency Generates Wind

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before eyes Dizziness Headache Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of limbs Tremor, spasms or involuntary movements (chorea) Involuntary shaking of head Light menses or amenorrhea Late menses Tic or tremor of hands and feet Maybe trismus T: Pale C: Little P: Thready and wiry
Treatment Principle	Tonify and Regulate Blood Nourishes Liver Yin
Herb Formulas	San Jia Fu Mai Tang Bu Zhong Yi Qi Tang
Points	DU-16, DU-20, GB-20, LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20 + general points

Disharmony Between The Liver And Spleen

Clinical Manifestations	Abdominal pain Irritability Slight chills Spasms of the calf muscles Convulsions Cramps in the hands Weak legs Hypertonicity of the extremities characterized by difficult flexion and extension Wheezing Coughing Vomiting Diarrhea Sciatic pain Severe and painful muscle spasms in the Stomach, bronchi, Gallbladder and uterus. Intestines Shoulder pain Pain in the head, body or limbs due to arterial spasms characterized by a severe pulling pain T: Normal or Reddish C: None or Yellowish P: Wiry and rapid or Thready and rapid
Treatment Principle	Soften the Liver Nourish the Blood Nourish Yin Moderate painful spasms Relieve pain Harmonize the Middle Jiao Replenish Body Fluids
Herb Formulas	Shao Yao Gan Cao Tang
Points	General points

Kidney Deficiency (Congenital)

Clinical Manifestations	Epilepsy, recurrent for many years Weakness Facial pallor Cold sweat Low back pain Heel pain Impotence Premature ejaculation White vaginal discharge Convulsions with loss of control of urine and stool T: Pale C: Thin and white P: Deep and thready
Treatment Principle	Tonify the Kidneys Tonify Qi Calm the Shen
Herb Formulas	He Che Wan
Points	DU-16, DU-20, GB-20, KI-7, LIV-3, LIV-8 SI-3, UB-62 General points

Kidney Yang Deficiency With Internal Cold

Clinical Manifestations	Epilepsy Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching No thirst Swollen and painful joints Wasting of the muscles of the thigh and calf Dizziness Tinnitus Impotence Spermatorrhea Premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm Yang Tonify the Blood Disperse Cold Eliminate Stagnation
Herb Formulas	Yang He Tang
Points

Kidney And Liver Yin Deficiency Generates Wind

Clinical Manifestations	Fatigue Muscle spasms with alternating flexion and extension of the extremities Prostration Clonic convulsions Dizziness - worse with stress or anger Insomnia Dream-disturbed sleep Sore low back and knees Nocturnal emissions Often the patient is on the verge of shock T: Deep red C: Thin or Peeled P: Weak and faint
Treatment Principle	Nourish Yin Extinguish Endogenous Wind
Herb Formulas	Da Ding Feng Zhu
Points	General points

Dian - (Heart Qi Deficiency With Hot Phlegm)

Etiology	This condition is caused by Excess emotion (fright, anger, worry) causing Qi and Blood Deficiency, Yin Deficiency and Heat in the Heart channel
Clinical Manifestations	Unhappiness Head heavy and painful Red eyes Weeping Incoherent speech Severe loss of balance Collapse Muscle spasms and rigidity Bone Dian: Teeth and jaw diseases The space between the skin and flesh is full Sweating Depression Sinew Dian: Severe loss of balance The Blood vessels in the limbs are swollen and full Maybe vomiting of Phlegm P: If Large and slippery, there is a return to normal Qi. If Small, floating and anxious the disease is difficult to cure
Treatment Principle
Herb Formulas	Rest No smoking No drinking alcohol No meat (beef, lamb, chicken) More vegetables Less sex
Points	DU-12, DU-26, HT-7, PC-6, REN-12, SI-3, ST-40 GB-20, HT-7, REN-6, REN-12, REN-15, SP-6, ST-40 , UB-13, UB-15

Kuang - (Heart Heat)

Etiology	Phlegm blocks the Heart Orifices, the Upper Jiao is full, the Large Intestine and Stomach channels are Hot and there is Heat in the Chong channel with Excess Fire due to fright, sorrow or Excess pleasure.
Clinical Manifestations	Madness Recklessness Forgetfulness Prone to rage and fear Sleeps little Anorexia Previously capable of rational thought and possessing knowledge and moral values Prone to abusive language Does not rest day or night Fond of sing and music Moves about wildly and without pause Eats a lot Prone to see ghosts Wild speech Does not avoid vulgarity Severe: May remove clothes and walk about naked May climb to high places and sing
Treatment Principle
Herb Formulas	Rest No smoking No drinking alcohol No meat (beef, lamb, chicken) More vegetables Less sex
Points	DU-16, DU-26, PC-5, REN-12, SP-6, ST-40, UB-15

Xian - Epilepsy

Etiology	Kidney channel disease where the Yin becomes Deficient leading to Kidney and Liver Yin Deficiency Fire generating Wind.
Clinical Manifestations	Spits saliva Confused Shen Suddenly does not know or recognize anything Trismus Convulsions may last any length of time After the attack, returns to normal behavior Horse Xian: (Heart) The patient neighs like a horse Ox Xian: (Spleen) Stares straight ahead Abdominal swelling Makes noise like an ox The attacks occur in the early evening Pig Xian: (Kidney) Spits saliva Grunts like a pig He attacks occur at night Chicken Xian: (Liver) Shakes head to and fro Clucks like a chicken The attacks occur in the morning Sheep Xian: (Lung) Raises the eyes and sticks out the tongue Bleats like a sheep Hot Phlegm lodged in the Heart and Stomach: The attack occurs when the patient is startled Yin Xian: (Hot Phlegm) Excess Cold herbs lead to Yin Excess in the Spleen and Stomach Gall Bladder: The attack occurs at dawn Urinary Bladder: The attack occurs in mid-day Stomach Bladder: The attack occurs in the evening
Treatment Principle
Herb Formulas	Rest No smoking No drinking alcohol No meat (beef, lamb, chicken) More vegetables Less sex
Points	DU-14, GB-20, HT-7, LIV-2, PC-5, SI-3, ST-40, UB-15 GB-20, HT-7, REN-6, REN-12, REN-15, SP-6, ST-40 , UB-13, UB-15 During seizure: DU-26, SI-3, UB-62 Intermittent: 1. DU-20, REN-12, ST-40 2. SP-6, UB-15, UB-18 Ear: Shenmen, Heart, Kidney Back of Head, Stomach, Subcortex Brain

Wind-Damp Phlegm Obstructing The Channels And Collaterals

Clinical Manifestations	Dizziness and vertigo to the point of falling over Headache with a drawing sensation Numbness and tremor of limbs Twitching and involuntary writhing of hands and feet Dysphagia Tongue stiffness with aphasia Sudden loss of consciousness Maybe convulsions Facial paralysis Hemiplegia Unsteady gait T: Red C: Normal P: Thready and wiry
Treatment Principle	Warm the channels Unblock Yang Dispel Wind Resolve Phlegm Relax spasms
Herb Formulas	Xiao Xu Ming Tang
Points	Bleed the Jing-Well points of Six Hand Channels (Shixuan),DU-20, DU-26, GB-20, GB-34, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23

Wind-Phlegm

Clinical Manifestations	Dizziness Chest fullness and oppression General malaise Maybe nausea Sudden fall and loss of consciousness Convulsions Incontinence of urine and stool Maybe a transient loss of consciousness or falling into a trance without convulsions Spitting up frothy saliva Worsens with cold weather or when the patient has a cold T: Pink C: Thick, sticky and white or White and slimy P: Slippery or Taut and slippery
Treatment Principle	Tonify Spleen Yang Eliminate Phlegm Extinguish Wind Stop convulsions
Herb Formulas	Xing Xiang Er Chen Tang Ban Xia Bai Zhu Tian Ma Tang Ding Xian Wan San Sheng San With Qi and Blood Stagnation: Bu Yang Huan Wu Tang Chinese patent medicines: Ding Xiang Wan Wu Xian Zai Sheng
Points	GB-20, LI-11, LIV-3, PC-6, SP-9, ST-36, ST-40 Tonify HT-7, KI-1, UB-15, UB-18, Sedate REN-14, ST-40

Phlegm Stagnation

Clinical Manifestations	Headache When the headache is severe, it leads to convulsions Face and lips are purplish A history of injury T: Purplish or Purple spots C: Sticky and white P: Choppy
Treatment Principle	Eliminate Phlegm Relieves Stagnation Invigorates the Blood Relieves convulsions
Herb Formulas	Huang Qi Qu Feng Tang Er Chen Tang Qu Feng Dao Tan Tang With Phlegm clogging the chest and diaphragm: Gua Di San
Points	General points

Phlegm-Fire

Clinical Manifestations	Sudden falling and loss of consciousness Convulsions Spitting saliva Screaming A hot temper Dysphoria Insomnia A bitter taste in the mouth Dryness of the pharynx Cough with sputum Scanty, dark urine Constipation
Treatment Principle	Clear and purge Liver Fire Resolve Phlegm Resuscitate
Herb Formulas	Di Tan Tangmodified Chinese patent medicines: Long Dan Xie Gan Tang Yang Jiao Feng Wan With constipation: Zhi Li Da Tan Wan
Points	Tonify UB-15, UB-18, Sedate LU-11, PC-8, REN-14, ST-40

Phlegm-Heat Generates Wind (Re Tan)

Clinical Manifestations	Mild or severe tremors of the head and extremities Sometimes the tremors can be stopped by conscious effort Fullness and stiffness of the chest and epigastrium A dry mouth Dizziness Vertigo Sweating Yellow Phlegm A tendency toward obesity T: Normal or Red C: Greasy and yellow P: Wiry, slippery and rapid
Treatment Principle	Clear Heat Transform Phlegm Extinguish Wind
Herb Formulas	Dao Tan Tangmodified With severe Phlegm, Heat and tremors: Cui Gan Wan Chinese Patent Medicines: An Gong Niu Huang Wan Wan Shi Niu Huang Qing Xin Wan Hu Po Bao Long Wan
Points	DU-12, GB-13, LIV-3, PC-5, REN-15, ST-25, ST-40 If worse at night: + KI-6 If worse during the day: + UB-62

Blood Stagnation In The Lower Jiao Due To Heat

Clinical Manifestations	Firmness and distention in the lower abdomen which is painful and gives resistance on pressure Smooth urination Manic behavior Forgetfulness Black stools that are easy to expel Delayed menstruation Amenorrhea Irregular menstruation Coagulated blood Thirst Dry mouth Polyuria Liver spots indicating stagnant blood found on the face, lips, tongue, limbs and finger nails T: Purplish C: Normal P: Deep, slow and irregular
Treatment Principle	Breaks up and dispels Blood Stasis Clear Heat
Herb Formulas	Di Dang Tang Tao He Cheng Qi Tang
Points	General points

Quasi-Epilepsy

Clinical Manifestations
Treatment Principle
Herb Formulas
Points	DU-12, DU-14, GB-31, HT-7 For stupor: Moxa DU-20, HT-7, KI-1, needle Anmian Sedate DU-12, DU-15, HT-7, REN-13, REN-15, UB-15, UB-62, UB-63 + the ulnar border of the hand DU-16, DU-20, GB-20, LIV-3 For Heat: Electroacupuncture DU-20, DU-26, Shixuan for an extended period of time For Cold: Moxa DU-20, REN-4, REN-8