癫痫作为一种难治病,其在临床上表现出发作性、反复性和刻板性的特征,如不进行药物干预,患者的身心健康将受到严重影响。通过检索国内外中医药治疗癫痫的文献发现,在癫痫发作期采用抗癫痫药物迅速控制其症状，随后在癫痫缓解期则辅以中医的辨证论治;其中,以痰、瘀及虚为辨证,以疏肝、化痰、祛瘀和补虚为治则:治法以针刺、穴位埋线、艾灸及中药汤剂为主。多项研究提示,中医药辨证论治可有效减少癫痫的发作频率,缓解癫痫的发作症状,并减轻不良反应,具有良好的临床治疗效果。本研究旨在梳理中医药在癫痫治疗领域的最新进展,期望为未来的临床实践提供一定的指导。

Epilepsy, as a difficult-to-treat disease in the clinic, is characterized by seizuresrecurrence, and stereotype. Without pharmacologic intervention,the physical and mentalhealth of patients will be seriously affected. After searching through the literature ofTraditional Chinese Medicine (TCM) treatment of epilepsy at home and abroad, it wasfound that anti-epileptic drugs were used to rapidly control the symptoms during theseizure period, and in the remission period of epilepsy, it was supplemented with TCMevidence-based treatment. Based on the identification of phlegm, blood stasis, anddeficiency, the treatment principles included soothing the liver, resolving phlegmdispelling blood stasis, and tonifying deficiency. The treatment methods mainly includedacupuncture, acupoint embedding,moxibustion, and TCM decoctions. Multiple studiessuggested that TCM can effectively reduce the frequency of epileptic seizures, alleviateseizure symptoms, and alleviate adverse reactions, with good clinical treatment effects.The aim of this study was to summarize the latest advances in the treatment of epilepsy with TCM, and to provided guidance for future clinical practice.