What does "feng tan jing xian" (wind-phlegm convulsive epilepsy) mean?

Dec 10, 2025 Source: Cainiu Health
Dr. Sun Lianqing
Introduction
The core of the condition lies in the interplay of internal phlegm-dampness and wind pathogen, which invade the heart and spirit and obstruct the meridians. Typical symptoms include sudden limb convulsions, clenched jaw, upward rolling of the eyes, and may be accompanied by impaired consciousness, frothing at the mouth, and gurgling sounds due to phlegm in the throat. The duration of episodes varies; after remission, patients often experience no obvious discomfort, but the condition tends to recur frequently, significantly affecting both physical and mental well-being.

Phlegm-wind convulsion is a condition in traditional Chinese medicine (TCM), referring to seizures, convulsions, and other mental disturbances caused by internal disturbance of wind-phlegm. Professional TCM syndrome differentiation and treatment are required. If concerned, it is recommended to seek medical advice promptly. Detailed analysis is as follows:

The core of the condition lies in the interplay between internal damp-phlegm and wind pathogen, which invades the mind (Shen) and obstructs the meridians. Typical symptoms include sudden limb convulsions, clenched jaw, upward rolling of the eyes, possibly accompanied by confusion, frothing at the mouth, and gurgling sounds from phlegm in the throat. Episodes vary in duration and typically resolve without obvious discomfort afterward, but they tend to recur frequently, significantly affecting physical and mental well-being.

The causes are often related to constitution, diet, and emotional factors. Individuals with weak spleen and stomach functions are prone to generating damp-phlegm; when affected by external wind or emotional fluctuations, the phlegm may transform into internal wind and rise upward to disturb the body. Long-term consumption of greasy or overly sweet foods, or underdeveloped organs in children, may also trigger this condition. Such cases require focused regulation of damp-phlegm and calming of internal wind.

When related symptoms appear, prompt medical consultation is necessary for accurate syndrome differentiation to avoid delayed treatment. In daily life, maintain a light diet, reduce intake of greasy and sweet foods, keep regular作息 (daily routines), and avoid intense emotional fluctuations to support recovery.