It is rare for an epileptic patient to have a seizure during a visit to the doctor, so the doctor rarely has the opportunity to witness the patient having a seizure. During a seizure, the patient is in many cases unconscious and does not understand the seizure on his or her own, and some children do not speak on their own and are unable to express their condition. However, doctors rely on the narrative of family members or bystanders present to diagnose the condition and thus determine whether it is epilepsy and what type it is. Therefore, family members or people present during a seizure should carefully and thoroughly observe the condition in order to provide the doctor with detailed and accurate information about the condition and make a diagnosis as soon as possible. So how do you observe the condition during a seizure? (1) In patients with grand mal seizures, it is important to observe for any aura symptoms, such as any hallucinations or delusions before the patient starts to convulse, any emotional reactions and pay attention to their performance. (2) Whether the seizure starts bilaterally or from which side, which side or which limb is the heaviest and lasts the longest, and whether the head and eyes turn during the seizure. (3) How the patient’s face looks during the seizure, whether the patient’s consciousness is clear, and whether the patient is unable to call out during the seizure. Is there lip or tongue bite (spitting blood from the mouth), is there a fall or bruise, is there incontinence of stool or urine. (4) The time and place of the seizure, whether it is during the day or night, whether the seizure occurs at night during sleep, just after going to sleep or just after waking up in the middle of the night or early morning? Is the seizure occurring in a crowded or unoccupied environment? (5) In patients who suddenly fall and lose consciousness without convulsions, note whether they are standing or in a sitting position before falling to the ground, whether they fall slowly to the ground or fall to the ground, whether they are after a meal or in a hungry state, whether they are pale, have cold and wet limbs, and whether their whole body is stiff or limp. (6) The presence or absence of fever during convulsions in younger children. Are there any sudden fainting or freezing for a while (about 10 seconds) in school-age children, accompanied by eyelid fluttering, body tilting or whole body shaking?