Most epilepsy disorders require medication, some do not if the frequency of seizures is extremely low. Epilepsy is a clinical syndrome caused by highly synchronized abnormal discharges of neurons in the brain due to multiple causes, and the clinical manifestations are characterized by seizures, transient, repetitive and stereotyped. Epilepsy is not a stand-alone disease, but a group of diseases or syndromes. The probability of having one to several epileptic seizures in a person’s lifetime is as high as 5%, and 39% of epileptic patients have a tendency to spontaneous remission, so not every epileptic patient needs medication. Generally speaking, those who have two or more seizures within six months should be medicated as soon as the diagnosis is clear; those who have their first seizure or have one seizure at an interval of more than six months can be informed of the possible adverse effects of antiepileptic drugs and the possible consequences of leaving them untreated, and then, according to the wishes of the patients and their families, they can choose, at their own discretion, whether to use or not to use antiepileptic drugs. Patients with epilepsy, it is recommended to consult a doctor in time and follow the doctor’s instructions for treatment.