The problems in epilepsy treatment can be summarized in one phrase – “Patients are indiscriminate in their treatment and doctors are indiscriminate in their use of drugs”. (1) Lack of basic understanding of epilepsy by epileptic patients and their families. (1) Patients and their families lack basic understanding of epilepsy. The patient will stop taking the medication if he or she does not have a seizure, then have another seizure and take the medication again, repeatedly, resulting in serious mental and intellectual impairment. (2) Believing in rumors, fearing that anti-epileptic drugs are “stimulating to the brain” and will “make you stupid” if taken for a long time, they are afraid to take effective anti-epileptic agents. They also blindly seek medical help, look for “ancestral secret recipes”, and believe in street advertisements of “cure” and “root cause”, thus losing the opportunity of early treatment. (3) Most primary care physicians, even some neurologists, lack basic understanding of modern technology in epilepsy treatment. The specific manifestations are: indiscriminate use of antiepileptic drugs without differentiating the type of epilepsy, excessive or insufficient doses of drugs, too short a course of treatment or too rapid reduction of drugs, blind combination of drugs, no long-term and systematic treatment arrangements, and the occurrence of serious side effects in a few patients that cannot be detected and treated in time. (4) Some individual practitioners go around playing the signboard of “ancestral secret recipe” and “cure for all”, and at the same time let patients take anti-epileptic western medicine, or add some Chinese medicine randomly by crushing anti-epileptic western medicine themselves to make pills or capsules, claiming to be “The company’s main goal is to provide a solution to the problem of epilepsy. The above methods can sometimes make some patients temporarily seizure-free, but the real effect is still the anti-epileptic drugs, and their so-called “ancestral secret recipe” is just a front to cheat patients of money. In conclusion, in addition to the few medical schools and better general hospitals or neuropsychiatric hospitals in China that have opened epilepsy specialties, or epilepsy doctors using modern treatment methods and effective anti-epileptic drugs for the systematic and regular treatment of epileptic patients, most of the epilepsy treatment in primary hospitals is still very unsatisfactory.