It is now generally accepted that epilepsy is a treatable disease. With timely and correct diagnosis and treatment, 60% to 75% of patients with epilepsy can be fully controlled with individualized and rationalized medication and live and learn in good health. However, there are two key points in the diagnosis and treatment process that we hope you will pay attention to. One of the key points is that the diagnosis of epilepsy should be made carefully. When a patient presents with convulsions, unconsciousness and other manifestations, the most important thing is not how to treat them, but first to clarify whether they have epilepsy, because there are many non-epileptic seizure disorders that also present with convulsions, unconsciousness, and sensory, motor and mental changes, such as syncope, hysteria, transient ischemic attack, migraine, hypoglycemia, hypocalcemia, sleepwalking, psychogenic disorders, movement disorder disorders, etc., which are highly confused with epilepsy. Studies have shown that about 11-25% of patients once diagnosed with epilepsy are actually not epileptic, so antiepileptic drug therapy is naturally ineffective, and in the absence of efficacy is likely to increase the drug dose, causing antiepileptic drug toxicity and causing the occurrence of pharmacogenic epilepsy. The first thing you need to do is to get a good idea of what you’re doing. The experts reminded that after the onset of seizure symptoms, do not be overly nervous, but must go to the regular hospital epilepsy clinic for the necessary tests to clarify the diagnosis. The first thing you need to do is to get a good idea of what you want to do. When the diagnosis of epilepsy is clear, it should be typed according to the seizure symptoms and EEG examination results, and then use this to select the medication. If the wrong choice is made, some of the antiepileptic drugs can aggravate some seizure types, and it is also important to note that there are interactions between drugs. The medication should be started at a small dose and slowly increased until the seizure is controlled or the maximum tolerable dose is reached. The number of doses should be reasonably arranged during the process: to facilitate treatment, ensure efficacy and reduce adverse effects. Except for some special cases where treatment can be considered to be started after the first seizure, treatment is usually given after the appearance of the second seizure, but for seizures with too long an interval (more than 1 year or even longer), drug treatment can be temporarily postponed, or seizures with clear contributing factors may not require immediate treatment either. Discontinuation of medication should be considered only after 2-5 years or more of complete absence of seizures after medication, and the discontinuation process should proceed slowly and may last for several months or even more than 1 year. Some medications are even longer. If seizures occur during withdrawal, continued withdrawal should be stopped and the drug dose should be restored to the pre-seizure dose. In conclusion, standardized and rational treatment is the guarantee of epilepsy cure. For patients and families who are getting rid of epilepsy, it must be clear that epilepsy is a chronic disease, and its treatment is different from that of a cold and fever, which is never achieved overnight, and the course of treatment is long. The patient may be afraid of the possible adverse effects of the drugs and not increase the dosage as planned or change the dosage frequently. This is a common misconception, which can lead to poor seizure control and increase the intractability of epilepsy. The introduction of a large number of new anti-epileptic drugs in the 20th century has provided more options for our treatment and achieved better efficacy.