灵枢经·癞狂病 Epilepsy and Mania
目眦外决于面者，为锐眦；在内近鼻者，为内眦；上为外眦，下为内眦。
癫疾始生，先不乐，头重痛，视举目赤，甚作极，已而烦心。候之于颜。取手太阳、阳明、太阴，血变为止。
癫疾始作，而引口啼呼喘悸者，候之手阳明、太阳。左强者，攻其右；右强者，攻其左，血变为止。癫疾始作，先反僵，因而脊痛，候之足太阳、阳明、太阴、手太阳，血变为止。
治癫疾者，常与之居，察其所当取之处。病至，视之有过者写之，置其血于瓠壶之中，至其发时，血独动矣，不动，灸穷骨二十壮。穷骨者，骶骨也。
骨癫疾者，顑、齿诸腧、分肉皆满而骨居，汗出、烦悗，呕多沃沫，气下泄，不治。
筋癫疾者，身倦挛急大，刺项大经之大杼脉，呕多沃沫，气下泄，不治。
脉癫疾者，暴仆，四肢之脉皆胀而纵，脉满，尽刺之出血，不满，灸之挟项太阳，灸带脉于腰相去三寸，诸分肉本输。呕吐沃沫，气下泄，不治。癫疾者，疾发如狂者，死不治。
狂始生，先自悲也，喜忘、苦怒、善恐者得之忧饥，治之取手太阳、阳明，血变而止，及取足太阴、阳明。狂始发，少卧不饥，自高贤也，自辩智也，自尊贵也，善骂詈，日夜不休，治之取手阳明太阳太阴舌下少阴，视之盛者，皆取之，不盛，释之也。
狂言，惊，善笑，好歌乐，妄行不休者，得之大恐，治之取手阳明太阳太阴。狂，目妄见，耳妄闻，善呼者，少气之所生也；治之取手太阳太阴阳明，足太阴头两顑。
狂者多食，善见鬼神，善笑而不发于外者，得之有所大喜，治之取足太阴太阳阳明，后取手太阴太阳阳明。狂而新发，未应如此者，先取曲泉左右动脉，及盛者见血，有顷已，不已，以法取之，灸骨骶二十壮。
风逆，暴四肢肿，身漯漯，唏然时寒，饥则烦，饱则善变，取手大阴表里，足少阴阳明之径，肉清取荥，骨清取井、经也。
厥逆为病也，足暴清，胸若将裂，肠若将以刀切之，烦而不能食，脉大小皆涩，暖取足少阴，清取足阳明，清则补之，温则写之。厥逆腹胀满，肠鸣，胸满不得息，取之下胸二胁，咳而动手者，与背输，以手按之，立快者是也。
内闭不得溲，刺足少阴太阳，与抵上以长针。气逆，则取其太阴、阳明、厥阴，甚取少阴、阳明，动者之经也.
少气，身漯漯也，言吸吸也，骨酸体重，懈惰不能动，补足少阴。短气息短，不属，动作气索，补足少阴，去血络也。
Where the canthus of the eye opens outward toward the face, this is the outer canthus (the 'sharp canthus'); where it lies to the inside, near the nose, this is the inner canthus. The upper is the outer canthus; the lower is the inner canthus.
When epilepsy (dianji) first begins to arise, the patient first feels unhappy, with heaviness and pain in the head; on looking upward the eyes appear red. When the attack reaches its extreme, and it has passed, the patient feels vexation in the heart. Examine this at the forehead. Select the Hand Taiyang, Yangming, and Taiyin, and stop once the blood [drawn by needling] changes color.
When epilepsy first breaks out, with the mouth drawn taut, crying out, panting, and palpitations, examine the Hand Yangming and Taiyang. If the left side is more rigid, treat the right; if the right side is more rigid, treat the left, and stop once the blood changes color. When epilepsy first breaks out with the body first arching backward rigidly, and consequently pain in the spine, examine the Foot Taiyang, Yangming, Taiyin, and Hand Taiyang, and stop once the blood changes color.
In treating epilepsy, one should remain constantly with the patient, observing the points that ought to be selected. When the disease attacks, observe the site where there is a fault, and drain it; place the blood [drawn] into a gourd vessel — when the next attack occurs, the blood alone will stir. If it does not stir, apply moxibustion twenty times to Qionggu (the 'utmost bone'). Qionggu is the sacrococcygeal bone.
In bone epilepsy, the jaw, the teeth's transport points, and the flesh divisions are all full and swollen, while the bones remain fixed and unmoving, with sweating, vexation and oppression, frequent vomiting of frothy phlegm, and qi leaking downward — this cannot be treated.
In sinew epilepsy, the body is fatigued, with severe contraction and spasm; needle the great channel of the nape at Dazhu (Great Shuttle). If there is frequent vomiting of frothy phlegm and qi leaking downward, this cannot be treated.
In vessel epilepsy, there is sudden collapse, and the vessels of the four limbs are all distended and slack. If the vessels are full, needle all of them to let blood; if not full, apply moxibustion at the Taiyang points flanking the nape, and at the Belt Vessel (dai mai) points three cun apart at the lower back, and at the root transport points of all the flesh divisions. If there is vomiting of frothy phlegm and qi leaking downward, this cannot be treated. In epilepsy, when the attack manifests like mania (kuang), this is fatal and cannot be treated.
When mania first arises, the patient first becomes sorrowful, forgetful, prone to anger, and prone to fear; it is contracted through worry and hunger. Treat by selecting the Hand Taiyang and Yangming, stopping once the blood changes color, and also select the Foot Taiyin and Yangming. When mania first breaks out, the patient sleeps little and does not feel hunger, considers himself lofty and worthy, considers himself eloquent and wise, considers himself honored and noble, and is given to cursing and reviling others without ceasing day or night. Treat by selecting the Hand Yangming, Taiyang, Taiyin, the point beneath the tongue, and the Shaoyin; wherever the pulse is found to be full, select it, and where it is not full, release [leave it untreated].
Manic raving, being easily startled, prone to laughter, fond of singing and merriment, and wandering aimlessly without cease — this is contracted through great fright. Treat by selecting the Hand Yangming, Taiyang, and Taiyin. Mania in which the eyes see falsely, the ears hear falsely, and the patient is prone to shouting — this arises from depleted qi. Treat by selecting the Hand Taiyang, Taiyin, Yangming, the Foot Taiyin, and the two sides of the head at the jaw.
Mania in which the patient eats excessively, is prone to seeing ghosts and spirits, and is prone to laughing without any outward provocation — this is contracted through some occasion of great joy. Treat by selecting the Foot Taiyin, Taiyang, and Yangming, then afterward selecting the Hand Taiyin, Taiyang, and Yangming. When mania is newly arisen and has not yet developed to this degree, first select the pulsating vessels to the left and right of Ququan (Spring at the Bend), and wherever full, let blood; after a short while the condition will resolve. If it does not resolve, treat according to the standard method, and apply moxibustion twenty times to the sacrococcygeal bone.
In wind reversal (fengni), there is sudden swelling of the four limbs, the body feels drenched with sweat, and the patient sighs and shivers with periodic chills; when hungry, there is vexation, and when full, the condition readily changes for the worse. Select the exterior and interior channels of the Hand Taiyin, and the pathways of the Foot Shaoyin and Yangming. If the flesh is cold, select the Spring points; if the bone is cold, select the Well and channel points.
As a disease, reversal-counterflow (jueni) causes the feet to suddenly turn cold, the chest to feel as though it were splitting apart, and the intestines to feel as though cut with a knife; the patient is vexed and cannot eat, and the pulse, whether large or small, is rough and choppy throughout. If there is warmth, select the Foot Shaoyin; if there is cold, select the Foot Yangming — where cold, supplement; where warm, drain. In reversal-counterflow with abdominal distension and fullness, intestinal rumbling, and fullness in the chest with inability to breathe freely, select the points below the chest on both rib-sides — where coughing causes the hand placed there to be moved, along with the back transport points; press with the hand, and the point that brings immediate relief is the correct one.
For internal blockage with inability to urinate, needle the Foot Shaoyin and Taiyang, together with the point reaching up toward the lower abdomen, using a long needle. When qi rebels, select the Taiyin, Yangming, and Jueyin; in severe cases, select the Shaoyin and Yangming — these being the channels where the pulse stirs.
In depleted qi, the body feels drenched with sweat, speech comes in short gasping breaths, the bones ache, the body feels heavy, and the patient is listless and unable to move — supplement the Foot Shaoyin. In shortness of breath, where the breath is short and discontinuous, and exertion exhausts the qi entirely, supplement the Foot Shaoyin, and remove [stagnant blood from] the blood network vessels.