Patients with epilepsy have different seizure manifestations, and the most common and most likely to cause harm to the patient is the “grand mal” seizure, which is a full tonic clonic seizure. This form of seizure is feared by families, and each seizure may cause “severe falls, fractures,” “tongue bites,” and other injuries to the patient. Some families try to forcefully break the teeth in order to prevent the tongue from being bitten, plus they panic during the seizure, and because the patient’s whole body muscles are in a highly spastic state during the seizure, the brute force used by the family may even break the patient’s teeth. Some parents even put their fingers into the patient’s mouth during the seizure in order to prevent tongue bite, resulting in serious finger bites by the patient. I am a neurosurgeon and in the field of epilepsy treatment I mainly deal with patients who have a history of seizures for many years and cannot be effectively controlled by medication. They expect that further treatment can be achieved through surgical treatment. But it is this population with a multi-year history of seizures whose families often still ask this question: What should family members do when a patient with epilepsy has a seizure? Seizures should pay attention to the following matters 1, protect the tongue: seizure patients often have certain aura performance, or the patient himself knows, or a sudden change in expression, double gaze in front or double gaze to the side, etc. At this time, the family members better grab a small gauze pad child when the aura symptoms appear, or take a corner of a soft pillowcase or towel nearby, loosely placed between the patient’s upper and lower molars To prevent biting the tongue. 2, prevent asphyxiation: family members facing a fallen seizure, the patient is convulsing, more respiratory secretions, easy to cause airway obstruction or aspiration pneumonia, should additionally unbutton the patient’s neck to keep the airway open is to tilt the patient’s head to the side, to facilitate the flow of secretions. Remember not to forcefully stuff the patient’s mouth in order to protect the tongue, to prevent asphyxiation. 3, fall on the ground: If you observe the aura or pre manifestation of seizure, you should lie down on the ground, homeopathically, to prevent a sudden fall and injury to the head or body. 4. Prevent injury: For patients who have frequent seizures and exhibit sudden falls, consider putting on a helmet to prevent falls yourself. During a patient’s seizure, do not forcibly break the patient’s limbs in order to control the patient’s convulsions; doing so can cause artificial damage to muscles and joints or fractures. 5, accompanied by observation: after the grand mal seizure, the patient will have a phase, manifesting as unconsciousness, at this time, someone should accompany the patient, or talk in a relaxed tone with him, to promote his wakefulness, family members at this time can not be “forced to fill the drug”, because that is a futile effort. 6, if necessary, send to the hospital: If the patient has only one seizure, seizure convulsions stop, after a period of drowsiness, or wandering, delirium and other tossing and turning (up to about tens of minutes), after which gradually return to normal, this situation does not need to send to the hospital. If the hair does last for more than 20 minutes or a seizure, not waiting for consciousness to return to consciousness before a second seizure, this situation is likely to suggest that the condition will evolve into: “persistent status epilepticus” must be sent to the hospital for treatment into, this situation is often life-threatening. 7, make a good record: after the patient’s seizure convulsions stop, family members should record in as much detail as possible the start of the seizure (especially the aura performance before the seizure), the process, the end of each stage of the details of performance, duration, cumulative calculation of the frequency and number of seizures. Provide the most valuable clinical information for patients to seek medical treatment, while doctors often judge the type of seizure and the site of the lesion based on the details of clinical symptoms.