Epilepsy is a group of the most common and complex clinical syndromes, commonly known as epilepsy, lamb madness. Epidemiological survey data show that the prevalence of epilepsy is 4permil-9permil, and a large-scale survey organized by the World Health Organization in China reported 8permil, and there are more than 10 million epileptic patients in China, while the new incidence rate in China is 25/100,000/year and the annual number of new cases is 350,000. In addition, 70%-80% of patients can work, study or live normally after regular treatment with anti-epileptic drugs under the guidance of physicians, but there are 20%-30% of patients with drug-refractory epilepsy due to ineffective long-term medication or the use of a wide range of anti-epileptic drugs, and some have developed into epileptic psychosis, which greatly damages the physical and mental health of patients and causes social instability. These patients suffer greatly from psychosomatic damage and social instability, and cause great pain to their families. Because epilepsy is a chronic disease, most of the time the patient lives in the family, so the care of family members is very important in the treatment and recovery process. With the change in the biopsychosocial model of medicine, family care of epilepsy patients is particularly important. The usual care can be divided into therapeutic care, psychological care and life care. The majority of patients are unconscious when they have a seizure and cannot correctly describe the seizure, so it is mainly the observation of the family, especially children. However, because family members are often very nervous when a patient has a seizure, they forget to observe the condition, so 80% of family members cannot tell the details of the patient’s seizure when they visit the hospital, which will affect the determination and treatment of epilepsy to some extent. The main observation points are: (1) the regularity of the patient’s seizures, such as whether they occur at night or in the morning, whether they are related to menstruation in female patients, and under what circumstances they are likely to occur more often, such as poor rest, spicy food, emotions, colds, etc.; (2) the condition of the seizure: how long it lasts, whether there is any stomach discomfort, hallucinations, numbness in the hands and feet before the seizure, the part of the body where the seizure starts first, and whether the head and eyes are slanted to one side. (3) the duration of the patient’s sleep after the seizure, the presence of headache, etc. (2) Observation of medication: (1) Supervise the patient to take the medication on time and in the right amount, to reduce leakage and under-servicing, and to increase the patient’s compliance with medical advice. This is the most common cause of epilepsy, and often makes the treatment unsuccessful. (2) In the process of drug replacement and drug reduction, pay attention to slow drug reduction and avoid sudden drug discontinuation. The patient should also pay attention to prevent the patient from adding or changing medication too quickly, such as Toutai tablets and other drugs can cause serious side effects. 3, observation of drug side effects: for some drugs common early side effects family members and patients should be familiar with, early observation and treatment. 4, the efficacy of observation and consultation recommendations: generally after the occurrence of three seizure-like seizures to diagnose epilepsy, epilepsy once diagnosed often requires drug treatment, the current epilepsy treatment in China is more confusing, especially some units in Chinese medicine to add a large number of cheap western drugs or some harmful metal powder for treatment, often with poor results or obvious effects but easy to cause drug poisoning or other toxic reactions, so The family should guide the patient to a large hospital with an epilepsy specialist for medication treatment. The family should keep a detailed record of the medication taken (including the addition, reduction, and adjustment of medication), the side effects of the medication, and the therapeutic effect, so as to provide first-hand information to the physician and facilitate the physician’s choice of medication. The dose and type of medication can also be easily controlled, which can improve the treatment effect and avoid repeated adjustment of medication. For patients who have had frequent seizures for more than 3 years or whose seizures endanger their lives or the lives of their families, they should be advised to go to a surgical epilepsy center to receive surgical treatment, of which about 70% can be cured or have good results. In addition, some patients with epilepsy can show abnormal psychiatric seizures or have various mental disorders, so families should pay attention to the abnormal mental performance and behavioral changes of epilepsy patients. At the same time, we should actively provide psychological care to the patient from the following aspects. The patient refuses to admit that he or she is an epileptic out of high nervousness and low self-esteem about epilepsy. These two types of patients are mostly young and middle-aged patients. Families should give more care to the patients, publicize the preventability and treatability of epilepsy, talk to the patients, make friends with them, help them acknowledge epilepsy, and encourage them to accept the possible social effects of epilepsy. There is another group of patients and family members who are very afraid of epilepsy, once diagnosed they think they can’t do anything, they are completely a patient, students can’t even go to physical education, they can’t do anything at home, plus the family members are accommodating and protective, so the patient is basically out of society, and it is easy to develop into an eccentric personality, or even serious mental disorders, this kind of patients are mainly teenagers or elderly people with epilepsy. The main thing is to encourage the patient to get out of the family as much as possible, return to society, resume normal social interaction, study and work under the condition of ensuring the patient’s safety, be a useful person to society, and get rid of their patient mentality under the premise of receiving treatment. In addition, some patients recognize that epilepsy is only an occasional convulsion, and can not affect anything, after the seizure to see a doctor, and then also do not take drugs, repeated seizures are often aggravated, these patients are mostly adults should tell them about the dangers and dangers of epilepsy, explain the need for long-term treatment of epilepsy. 2, create a good psychological environment for the patient: the psychological state of the family often seriously affects the patient’s psychology, so the family should avoid excessive mental tension, afraid to let others know that the psychological impact on the patient will not have the greatest, must not have, to communicate with the patient, to understand the patient’s pain, to help solve the confusion. Life care Life care is the basic content, mainly to establish good habits, avoid overwork, lack of sleep, high fever and other situations, avoid stimulating food, avoid dangerous places and dangerous goods as much as possible, do not go up the mountain or water alone, children do not play strong stimulating games, adults avoid driving, cycling and other highly stressful things. (1) Family members should remain calm and observe and record the patient’s seizure in time, while not forcibly moving or pressing the patient to prevent fracture. (2) Place the patient in a flat, loose position as much as possible to avoid falls; (3) Loosen the patient’s belt, tie, red scarf, etc., tilt the head to one side, wipe the outflow and spit out food from the mouth in time to prevent inhalation, and do not irrigate the mouth to clean it. (4) Protect the patient from moving around to avoid injuring himself or others in case of partial psychomotor seizures; (5) Let the patient rest as much as possible after the convulsions stop; (6) Report to the medical unit for help if the patient has misaspiration, if the continuous convulsions reach more than 30 minutes or if the patient does not regain consciousness between convulsions.