Emotional state expressions and body movements such as terror, cheerfulness, anger, and contemplation may be seen. It is a clinical manifestation of automatism. Complex partial motor episodes showing more coordinated adaptive unconscious activity with amnesia are called automatism. About 75% of patients show cheek and tongue movements and about 50% show face or neck movements, which can be secondary to generalization. How to check for feeding-like automatism? The eating or tasting movements, such as lip licking, tongue outstretched smacking and throat clearing, are often accompanied by a degree of stereotypy such as salivation, chewing, swallowing or snorting. Eating-like automatism is a clinical manifestation of mimicking automatism. It is most often seen as a result of a confined lesion in the cortex, and the variety of different symptoms during a seizure is determined by the location of the lesion. It is most commonly seen in temporal lobe epilepsy. Temporal lobe epilepsy occurs predominantly in young adults, and 62% of patients have their first seizure before the age of 15 years. Psychomotor seizures and grand mal seizures are the most common clinical symptoms, but petit mal and mixed seizures can also be seen. The clinical manifestations of temporal lobe epilepsy have been classified into six main seizure types, namely: 1. Sensory (auditory, taste, and smell hallucinations) 2. Affective (irritability, rage state, aggressive behavior, fear, panic, mania, suicidal ideation). 3, autonomic (abdominal, cardiac). 4.Memory disorders (forgetfulness, hallucinations, delusions, nostalgia for the past). 5.Autonomic or psychomotor episodes (pharyngeal, oral, simple or complex movements). 6. Blurred state of consciousness (mental confusion, etc.). In observation, attention should be paid to asking about seizure aura. About 3/4 of temporal lobe epilepsy patients have various aura, except for hallucinations, hallucinations and smells, depersonalization, once-acquainted state, lack of any purpose of voluntary movement can be seen, excitement, euphoria, aggressive behavior, irritable mood, anger and fear state, mania, and seizure psychosis memory impairment should be treated equally with psychomotor seizures. When the epileptic focus is located in the left temporal lobe, it is often accompanied by hallucinations, amnesia and complex motor automatism; when the epileptic focus is located in the right temporal lobe, perceptual seizures and depersonalization are the main manifestations, and memory impairment epileptic focus is mostly in the left temporal lobe. According to the typical clinical seizure characteristics and EEG focal discharges, CT or MRI examination of the head should be routinely performed. You should go to the neurology department of a regular hospital for examination to determine what causes it, and the examination of Chinese medicine is also possible. The most effective means to prevent relapse is to maintain the medication and consolidate the effect. The dose of maintenance medication should be individualized, i.e., it varies from person to person, and the smallest effective dose should be considered for discontinuation. Therefore, early selection of more effective, scientific and safe treatment is necessary to achieve cure and no further recurrence. The delay in diagnosis and treatment of this case for more than 40 years is a profound lesson for medical colleagues, and also suggests that in clinical work, for those with long duration of disease and atypical symptoms, repeated EEG examinations are needed several times, and antiepileptic drugs can be given for diagnostic treatment if necessary. This is essential for early detection, diagnosis and treatment of epilepsy.