文章简述了从痰论治卒中后癫痫( post- stroke epilepsy, PSE )的理论源流,对于PSE的治疗原则进行探讨。通过文献回顾发现,从痰论治PSE可以显著改善患者的各种临床指标，具有良好的临床疗效以及较少的不良反应。常使用涤痰汤、定痫丸、化痰通络汤、抗痫煎剂等具有祛痰作用的方剂治疗PSE。从痰论治PSE可以作为未来PSE治疗的研究方向。

This article briefly described the theoretical origin of the treatment of post-stroke epilepsy (PSE) from the perspective of phlegm, and discussed the treatment principles of PSE. Through literature review, it was found that treating PSE with phlegm therapy could significantly improve various clinical indicators of patients, with good clinical efficacy and fewer adverse reactions. Some formulas with expectorant effects were used to treat PSE, such as Ditan Tang, Dingxian Wan, Huatan Tongluo Tang, and Antiepileptic Decoction. The treatment of PSE based on phlegm might be a research direction in the future.