Epilepsy is a disease that seriously affects human physical and mental health, causing a great burden on society and families. Acorus tatarinowii Schott has the effects of opening orifices and eliminating phlegm, awakening mind and benefiting intelligence, resolving dampness and appetizing. It is often used to treat various diseases in traditional medicine, and it has a good therapeutic effect on epilepsy. By sorting out the mechanism of Acorus tatarinowii Schott in the treatment of epilepsy, it provides a theoretical basis for clinical use of this traditional Chinese medicine. Therefore, this article reviews its mechanism of action as follows.Epilepsy is a chronic brain disease caused by a variety of causes. It is characterized by recurrent, paroxysmal and transient central nervous system dysfunction caused by excessive discharge of brain neurons. Epilepsy is mainly manifested as recurrent seizures without warning, such as fainting, body convulsions or spasms, sensory abnormalities and so on. At present, it is believed that the main causes of epilepsy are genetic, congenital diseases, genetic metabolic diseases, central nervous system infections, cerebrovascular diseases, etc. The pathogenesis of epilepsy is complex and not completely clear. According to the current research, its pathogenesis is mainly related to ion channel dysfunction, neurotransmitter imbalance, immune response, gene mutation and so on [1].At present, the treatment of the disease is still mainly based on Western medicine, but traditional Chinese medicine also has a deep understanding of epilepsy and a variety of treatment methods, which can be used for adjuvant treatment. Among them, there is a traditional Chinese medicine-Acorus tatarinowii Schott, which plays an important role in the treatment of epilepsy in traditional Chinese medicine. Acorus tatarinowii Schott belongs to the heart and stomach meridian, and its medicinal properties are pungent, bitter, dry and warm. It has the effects of inducing resuscitation and eliminating phlegm, awakening mind and benefiting intelligence, resolving dampness and appetizing. It can treat coma, epilepsy, forgetfulness, insomnia, tinnitus and deafness [2]. Traditional Chinese medicine has rich experience in the treatment of epilepsy. Exploring the mechanism of Acorus tatarinowii Schott in the treatment of epilepsy is of great significance for finding ideal therapeutic drugs. Therefore, this paper reviews the mechanism of Acorus tatarinowii Schott in the treatment of epilepsy.