Symptom family: Seizure and Epileptic Disorders

Sub-symptom(s): Infantile Epilepsy

Did you mean? Seizures

What is Epilepsy?

Epilepsy is a neurological disorder characterized by a tendency for recurrent seizures. These seizures are episodes of disturbed brain activity that can cause changes in attention or behavior.

The condition spans a spectrum, with seizures varying from brief and nearly undetectable to long periods of vigorous shaking. The specific type of seizure may depend on the part of the brain involved and the cause of epilepsy.

How Does TCM View Epilepsy?

Traditional Chinese Medicine (TCM) perceives epilepsy as a manifestation of internal disharmony, often relating to a disturbance in the body's energetic system. It identifies a 'pattern' — a complex framework of signs and symptoms that indicate an imbalance.

Recognizing these patterns is essential because TCM treatments, including acupuncture and herbal medicine, are tailored to correct the specific imbalances, rather than just treating the symptoms.

Causes of Epilepsy According to TCM

TCM attributes epilepsy to multiple internal disharmonies, predominantly disturbances in the liver. A common cause is seen as Liver Wind, which arises from extreme Heat or Yin Deficiency, leading to internal movement akin to Wind.

Another cause might be Phlegm misting the mind, where metabolic byproducts obstruct the flow of Qi, or vital energy. Understanding these causes (patterns) helps TCM practitioners choose the most effective treatments to harmonize the body's Qi and Blood, calm the Liver, or clear Phlegm or Heat.

TCM Herbal Formulas for Epilepsy

For epilepsy characterized by Liver Wind or Yin Deficiency, formulas like Tian Ma Gou Teng Yin, with gastrodia as a key herb, are recommended to subdue the Wind and nourish the Liver.

When Phlegm Heat is implicated, Zhi Bao Dan with buffalo horn might be used to clear Heat and dissolve Phlegm. The choice of formula is crucial as each person's pattern of disharmony can differ, necessitating a personalized treatment approach.

Explore below some TCM herbal formulas used to address epilepsy, organized by formula type.

  • By Formula Type
  • Formulas that sedate and calm the mind
  • Formulas that clear heat and open sensory orifices
  • Formulas that harmonize lesser yang-warp disorders
  • Formulas that invigorate blood and dispel blood stagnation
  • Formulas that pacify and extinguish internal wind
  • Formulas that regulate blood
  • Formulas that clear heat from the organs
  • Formulas that dredge and disperse external wind
  • Formulas that nourish the heart and calm the mind
  • Formulas that clear heat and transform phlegm
  • Formulas that clear heat and resolve toxicity
  • Formulas that warm and open sensory orifices
  • Formulas that purge heat accumulation
  • Formulas that clear wind-Cold
  • Formulas that promote qi movement
  • Formulas that dispel phlegm

All "formulas that invigorate blood and dispel blood stagnation" recommended for epilepsy

Formula Key herbs
Di Dang Tang Leeches (Shui Zhi), Tabanus Horseflies (Meng Chong)
Tao He Cheng Qi Tang Peach Kernels (Tao Ren), Rhubarb (Da Huang)

All "formulas that pacify and extinguish internal wind" recommended for epilepsy

Formula Key herbs
Tian Ma Gou Teng Yin Gastrodia Rhizomes (Tian Ma), Gambir Stems And Thorns (Gou Teng)
Zhen Gan Xi Feng Tang Achyranthes Roots (Niu Xi)

Acupoints for Epilepsy

In managing epilepsy, TCM also employs acupuncture, targeting points that harmonize the Liver, extinguish Wind, and clear Phlegm. Points such as Baihui (DU-20) on the top of the head are used for their powerful effect on calming the Liver and subduing Wind, which are critical in the treatment of seizures.

Other points like Fengchi (GB-20) at the base of the skull, Taichong (LIV-3) on the foot, and Yintang (EX-HN-3) between the eyebrows are chosen for their reputed ability to clear internal Heat, settle the Liver, and restore a sense of balance.

Explore below some acupoints used to address epilepsy, organized by meridian.

  • By Meridian
  • Governing Vessel
  • Bladder Channel
  • Gall Bladder Channel
  • Extra Points: Head and Neck (EX-HN)
  • Liver Channel
  • Kidney Channel
  • Triple Burner Channel
  • Directing Vessel
  • Small Intestine Channel
  • Pericardium Channel
  • Extra Points: Upper Extremities (EX-UE)
Changqiang Du-1

Changqiang Du-1

Midway between the tip of the coccyx and the anus.

Yaoshu DU-2

Yaoshu DU-2

In the hiatus of the sacrum.

Mingmen DU-4

Mingmen DU-4

On the lower back midline, in the depression below the spinous process of the 2nd lumber vertebra (L2).

Jizhong DU-6

Jizhong DU-6

On the back midline, in the depression below the spinous process of the 11th thoracic vertebra (T11).

Jinsuo DU-8

Jinsuo DU-8

On the back midline, in the depression below the spinous process of the 9th thoracic vertebra (T9).

Shendao DU-11

Shendao DU-11

On the back midline, in the depression below the spinous process of the 5th thoracic vertebra (T5).

Shenzhu DU-12

Shenzhu DU-12

On the back midline, in the depression below the spinous process of the 3th thoracic vertebra (T3).

Dazhui DU-14

Dazhui DU-14

On the midline at the base of the neck, in the depression below the spinous process of the seventh cervical vertebra (C7).

Yamen DU-15

Yamen DU-15

On the back of the neck, 0.5 cun directly above the midpoint of the posterior hairline, below the spinous process of 1st cervical vertebra (C1).

Naohu DU-17

Naohu DU-17

1.5 cun above Fengfu DU-16 or 2.5 cun above the posterior hairline, in a depression superior to the external occipital protuberance.

Qiangjian DU-18

Qiangjian DU-18

On the posterior midline, 1.5 cun above Naohu DU-17, midway between Fengfu DU-16 and Baihui DU-20.

Baihui DU-20

Baihui DU-20

At the vertex, at the junction of a line connecting the apex of the ears and the midline, in the depression 7 cun above the posterior hairline and 5 cun behind the anterior hairline.

Qianding DU-21

Qianding DU-21

On the midline, 1.5 cun anterior to Baihui DU-20 or 3.5 cun posterior to the anterior hairline.

Shenting DU-24

Shenting DU-24

On the head midline, 0.5 cun above the anterior hairline.

Renzhong DU-26

Renzhong DU-26

Below the nose, a little above the midpoint of the philtrum.

Duiduan DU-27

Duiduan DU-27

On the midline, at the junction of the philtrum and the upper lip.

Zanzhu BL-2

Zanzhu BL-2

On the medial extremity of the eyebrow, or on the supraorbital notch.

Meichong BL-3

Meichong BL-3

Vertically above the medial extremity of the eyebrow and medial canthus of the eye, 0.5 cun within the anterior hairline, between Shenting DU-24 and Quchai BL-4.

Wuchu BL-5

Wuchu BL-5

1 cun within the anterior hairline and 1.5 cun lateral to the anterior midline. It is also 0.5 cun posterior to Quchai BL-4.

Luoque BL-8

Luoque BL-8

1.5 cun lateral to the anterior midline and 5.5 cun superior to the anterior hairline. Or 0.5 cun posterior to Baihui Du-20 at the vertex.

Yuzhen BL-9

Yuzhen BL-9

First identify Naohu DU-17 which is on the superior border of the external occipital protuberance. Yuzhen BL-9 is 1.3 cun lateral to Naohu DU-17.

Tianzhu BL-10

Tianzhu BL-10

1.3 cun lateral to Yamen DU-15 on the posterior midline, 0.5 cun above the posterior hairline, on the lateral side of trapezius muscle.

Kunlun BL-60

Kunlun BL-60

In the depression between the tip of the lateral malleolus and the Achilles tendon.

Pucan BL-61

Pucan BL-61

Posterior and inferior to the external malleolus, directly below Kunlun BL-60, in the depression of the calcaneum at the junction of the red and white skin.

Shenmai BL-62

Shenmai BL-62

In the depression directly below the lateral malleolus tip.

Jinggu BL-64

Jinggu BL-64

On the lateral side of the foot dorsum, below the tuberosity of the 5th metatarsal bone, at the border of the red and white skin.

Hanyan GB-4

Hanyan GB-4

Within the hairline of the temporal region, midway of the upper half of the distance between Touwei ST-8 and Qubin GB-7.

Tianchong GB-9

Tianchong GB-9

Posterior and superior to the auricle, about 0.5 cun posterior to Shuaigu GB-8.

Wangu GB-12

Wangu GB-12

In the depression posterior and inferior to the mastoid process.

Benshen GB-13

Benshen GB-13

0.5 cun within the hairline of the forehead, at the junction of the medial two-third and lateral third of the distance from Shenting DU-24 to Touwei ST-8.

Toulinqi GB-15

Toulinqi GB-15

Directly above Yangbai GB-14, on the pupil line, 0.5 cun within the hairline, midway between Shenting DU-24 and Touwei ST-8.

Muchuang GB-16

Muchuang GB-16

1 cun posterior to the Toulingqi GB-15 or 1.5 cun posterior to the anterior hairline, on the pupil line which is 2.25 cun lateral to the midline.

Fengchi GB-20

Fengchi GB-20

In the posterior aspect of the neck, below the occipital bone, in the depression between the upper portion of sternocleidomastoid and trapezius muscle.

Sishengcong EX-HN-1

Sishengcong EX-HN-1

This is a group of 4 points and each located 1 cun from Baihui DU-20 in the anterior, posterior and lateral direction.

Yintang EX-HN-3

Yintang EX-HN-3

Yintang EX-HN-3 is between the eyebrows and on the anterior midline.

Anmian EX-HN

Anmian EX-HN

Posterior to the ear and to the mastoid process, between Yifeng TB-17 and Fengchi GB-20.

Dadun LIV-1

Dadun LIV-1

On the lateral side of the dorsum of the great toe terminal phalanx, between the lateral corner of the nail and interphalangeal joint.

Xingjian LIV-2

Xingjian LIV-2

Between the first and second toe, on the dorsum of the foot, 0.5 cun proximal to the interdigital fold.

Taichong LIV-3

Taichong LIV-3

On the dorsum of the foot, between the 1st and 2nd metatarsal bones, in the depression proximal to the metatarsophalangeal joints and the proximal angle between the two bones.

Yongquan KID-1

Yongquan KID-1

In the depression between the 2nd and 3rd metatarsal bones on the sole when the foot is in plantar flexion, approximately at the junction of the anterior and middle third of the sole.

Zhaohai KID-6

Zhaohai KID-6

Approximately 1 cun below the medial malleolus tip, over the joint space between the talus and the calcaneus.

Futonggu KID-20

Futonggu KID-20

5 cun above the umbilicus, 0.5 cun lateral to the anterior midline.

Qimai TB-18

Qimai TB-18

In the center of the mastoid process, at the junction of the middle and lower third of the curve formed by Yifeng TB-17 and Jiaosun TB-20 posterior to the helix.

Luxi TB-19

Luxi TB-19

Posterior to the ear, at the junction of the upper and middle third of the curve formed by Yifeng ST-17 and Jiaosun ST-20 behind the helix.

Sizhukong TB-23

Sizhukong TB-23

In the depression at the lateral end of the eyebrow.

Chengjiang REN-24

Chengjiang REN-24

On the midline, in the center of the mentolabial groove.

Houxi SI-3

Houxi SI-3

Proximal to the head of the 5th metacarpal bone on the ulnar side, in the depression at the junction of the red and white skin.

Jianshi P-5

Jianshi P-5

3 cun above the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpi radialis muscle.

Shixuan EX-UE-11

Shixuan EX-UE-11

On the tips of the 10 fingers.

TCM Herbs for Epilepsy

Explore below some TCM herbs used to address epilepsy, organized by herb category.

  • By Herb Category
  • Herbs that anchor and calm the spirit
  • Herbs that invigorate the blood
  • Herbs that pacify internal liver wind and stop tremors
  • Herbs that open the orifices
  • Warm herbs that transform phlegm and stop cough
  • Tonic herbs for qi deficiency
  • Herbs that clear heat and dry dampness
  • Warm/Acrid herbs that release the exterior
  • Herbs that cool the blood
  • Herbs that warm the interior and/or expel cold
  • Herbs that nourish the heart and calm the spirit
  • Cool/Acrid herbs that release the exterior
  • Purgative herbs that drain downward
  • Tonic herbs for blood deficiency
  • Herbs that stabilize and bind
  • Cool herbs that transform phlegm and stop cough
  • Herbs that clear heat and relieve toxicity
  • Herbs that regulate qi

"Herbs that pacify Internal Liver Wind and stop Tremors" recommended for epilepsy

Herb Formulas they belong to (if applicable)
Gastrodia Rhizomes (Tian Ma) Tian Ma Gou Teng Yin
Gambir Stems And Thorns (Gou Teng) Tian Ma Gou Teng Yin
Saiga Antelope's Horns (Ling Yang Jiao) Zi Xue Dan
Centipedes (Wu Gong) Not applicable
Silkworms (Jiang Can) Not applicable

"Herbs that open the Orifices" recommended for epilepsy

Herb Formulas they belong to (if applicable)
Musk (She Xiang) Su He Xiang Wan | Zi Xue Dan | Hui Chun Dan | Zhi Bao Dan
Styrax (Su He Xiang) Su He Xiang Wan
Borneol (Bing Pian) Su He Xiang Wan
Benzoin (An Xi Xiang) Su He Xiang Wan
Sweetflag Rhizomes (Shi Chang Pu) Not applicable

"Warm herbs that transform Phlegm and stop Cough" recommended for epilepsy

Herb Formulas they belong to (if applicable)
Arisaema (Tian Nan Xing) Di Tan Tang
Chinese Honeylocust Abnormal Fruits (Zhu Ya Zao) Not applicable
Giant Typhonium Rhizomes (Bai Fu Zi) Not applicable

"Tonic herbs for Qi Deficiency" recommended for epilepsy

Herb Formulas they belong to (if applicable)
Milkvetch Roots (Huang Qi) Bu Yang Huang Wu Tang
Liquorice (Gan Cao) Feng Yin Tang
Atractylodes Rhizomes (Bai Zhu) Yue Ju Wan

"Herbs that clear Heat and dry Dampness" recommended for epilepsy

Herb Formulas they belong to (if applicable)
Baikal Skullcap Roots (Huang Qin) Chai Hu Jia Long Gu Mu Li Tang
Chinese Gentian (Long Dan Cao) Dang Gui Long Hui Wan

"Warm/Acrid herbs that release the Exterior" recommended for epilepsy

Herb Formulas they belong to (if applicable)
Cinnamon Twigs (Gui Zhi) Chai Hu Jia Long Gu Mu Li Tang | Feng Yin Tang | Xiao Qing Long Tang
Ephedra (Ma Huang) Xiao Qing Long Tang

"Herbs that cool the Blood" recommended for epilepsy

Herb Formulas they belong to (if applicable)
Water Buffalo Horns (Shui Niu Jiao) Zi Xue Dan | Zhi Bao Dan
Ox Gallstones (Niu Huang) Hui Chun Dan