Why do you get epilepsy? Epilepsy is the second most common disease in the nervous system after stroke, and the factors associated with seizure induction and care are summarized below. Age factor, 60% to 80% of epilepsy first seizure age before 20 years old, mostly perinatal injury, congenital disease, metabolic disorders, acute infection, febrile convulsions, craniocerebral trauma, vascular malformation, etc. After the age of 35 years old, mostly brain tumor, cerebrovascular disease and metabolic disorders. The cause of idiopathic epilepsy is unknown, and there is no organic brain lesion. The closer the blood relationship, the more pronounced the role of genetic factors. For example, generalized tonic-clonic seizures tend to occur 2 h after waking, at night, after falling asleep and during the evening relaxation period. The seizures that occur in the wake and evening are usually referred to as awakening seizures, accounting for about 33% of the cases. Seizures that occur after sleep or before awakening are called sleep seizures and account for 44% of seizures. The rest are irregular seizures. Endocrine changes, electrolyte imbalance and metabolic changes may affect the threshold of epilepsy. Triggering factors: (1) Fever, excessive water intake, hyperventilation, alcohol consumption, lack of sleep, overwork and starvation can trigger seizures, and certain drugs such as meprobamate, promethazine, pentazocine, and sudden withdrawal of antiepileptic drugs can also lead to seizures. (2) sensory factors: some patients are sensitive to certain sensations such as vision, hearing, smell, taste, vestibular, somatic sensation, etc., which can cause different types of seizures when stimulated, called reflex epilepsy. (3) Mental factors: some patients can be prompted to have seizures during strong emotional activity, mental excitement, fright, calculations, chess, playing cards, etc. In addition, the patient should be given individualized treatment, and the adverse effects of drugs should be closely monitored for a long time, and the patient should be instructed to adhere to long-term and regular treatment. During treatment, the patient and family members should cooperate, and the timing and method of drug discontinuation should be strictly controlled, and the dosage should not be arbitrarily reduced, discontinued or intermittently taken irregularly to prevent the occurrence of persistent conditions. The patient’s mind is always in a state of stress and worry, and it is easy to become pessimistic and even lose confidence in life. The purpose of epilepsy treatment is not only to control the seizures, but also to restore the patient to a normal personal and social life. Psychological care sometimes plays a more important role than medication in seizure control and quality of life improvement. Therefore, we should understand the patient’s mind, do a good job of psychological care, care for patients, more communication with them to restore their normal psychology, establish confidence in overcoming the disease, so that they can work closely with medical staff, the best physical and mental state to adhere to treatment, and promote early recovery to resume normal life. Life care, instruct patients to maintain a good routine and diet, avoid overfed, overwork, staying up late, drinking alcohol, constipation and emotional impulses, pay attention to the combination of work and rest, prohibit working at height, climbing, swimming, driving vehicles and dangerous work and activities such as by the fireplace or motor. Create a quiet, comfortable, light, fresh air, suitable temperature and humidity of the living environment, avoid fever and cold, if it occurs should be dealt with in a timely manner. Daily diet should be reasonable, mainly light, easy to digest, reduce spicy, stimulating food, eat more vitamin-rich vegetables, fruits, and foods containing fiber. Keep the bowels open. Health education, together with the patient’s family, guide and help the patient to adapt to the environment and normal interpersonal interaction, give him/her a proper social position, and pay attention to eliminate certain stimuli that can cause seizures in life, such as red light, stimulating colors, sudden unexpected loud noises, shock, etc. to reduce or avoid reflex seizures.