痫证
Alias癫痫
Traditional Chinese Medicine Definition
Epilepsy, also known as epilepsy, is categorized under the category of heart-related diseases in traditional Chinese medicine. According to classical Chinese medical texts, epilepsy is believed to arise from factors such as emotional disturbances, irregular diet, congenital deficiency, or postnatal malnutrition, leading to the internal generation of phlegm and turbidity, which obscure the clear orifices, block the meridians, and cause symptoms such as sudden fainting, tetany, and salivation. The treatment of epilepsy should adhere to the principle of "expelling what is excessive and reinforcing what is deficient," with the main therapeutic approach being to purge phlegm, subdue the wind, and open the orifices to stabilize epilepsy.
In clinical practice of traditional Chinese medicine, the core pathogenesis of epilepsy is the obstruction of meridians by phlegm and turbidity, disturbing the mind and spirit. Common precipitating factors include emotional disorders, irregular diet, and overexertion. During the process of differentiation, attention should be paid to distinguishing the nature of cold and heat, as well as the deficiency and excess. For instance, the wind-phlegm obstruction syndrome often manifests as dizziness and chest oppression before an attack, sudden fainting, and tetany with salivation; while the internal excess of phlegm-fire syndrome is characterized by irritability, restlessness, insomnia, and palpitations, with attacks presenting as fainting, tetany, and salivation. In treatment, traditional Chinese medicine believes that the corresponding adjustment should be made according to the syndrome type, such as purging phlegm and subduing the wind for the wind-phlegm obstruction syndrome, and clearing fire, expelling heat, and resolving phlegm for the phlegm-fire excess syndrome. The overall adjustment direction suggests focusing on regulating the spleen and stomach, removing dampness and phlegm, while also attending to the regulation of emotions and enhancing physical fitness.
Common Syndrome Types and Key Points of Differentiation
风痰闭阻证
Main Manifestations：发作前眩晕胸闷，发则猝然昏仆，抽搐吐涎
Management Approach：涤痰息风，开窍定痫
痰火内盛证
Main Manifestations：平素急躁易怒，心烦失眠，发作时昏仆抽搐吐涎
Management Approach：清火泻热，化痰息风
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
During an attack, epilepsy patients often exhibit tetany, pale complexion, and pale tongue with white fur. It is often necessary to calm and stabilize the epilepsy to pacify the mind.
— 唐玉兰 中医执业医师（师承）
Guidance for Nearby Treatment
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)