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.