Zhao, female, 61 years old, farmer, housewife, initial consultation: October 5, 2012, Lu Yongkun, Department of Encephalopathy, The First Affiliated Hospital of Henan College of Traditional Chinese Medicine. The patient has been suffering from dizziness and palpitations for more than six years. 24-hour ambulatory ECG report: sinus rhythm with occasional premature beats. The evidence belongs to internal stagnation of phlegm and Qi, and disharmony of the three jiao. The treatment is to resolve the phlegm and depression and harmonize the three jiao. This formula is based on Xiao Chai Hu Tang combined with Wenzhi Tang plus and minus. Prescription: Chai Hu 12g, Scutellaria Baicalensis 12g, Radix Scutellariae Sinensis 9g, Pericarpium Citri Reticulatae 12g, Poria 15g, Fu Shen 30g Citrus aurantium 9g, Zhu Ru 15g, Salviae Miltiorrhizae 30g Acorus calamus 15g, Yuan Zhi 15g, Sha Ren 6g Patchouli 12g Radix Glycyrrhiza Uralensis 3g. 7 doses with water, one dose per day. On the second consultation (October 12, 2012), after taking the above medicine for 7 doses, dizziness was reduced, unsteadiness in standing disappeared, palpitations, chest tightness, sighing and breathlessness were lightened, the feeling of jumping and trembling in the stomach and epigastric region basically disappeared, occasional hallucinations, drowsiness around the body was reduced, nausea was possible, poor sleep was reduced, stool was normal, tongue was red, moss was greasy and slightly yellow, pulse was smooth. Still following the previous method, add 25g of dragon’s tooth, 30g of raw oyster to revive the mind. Prescription: Chai Hu 12g, Scutellaria Baicalensis 12g, Ginger Panax 9g, Chen Pi 12g, Poria 15g, Fu Shen 30g Citrus aurantium 9g, Zhu Ru 15g, Salvia miltiorrhiza 30g Acorus calamus 15g, Yuan Zhi 15g, Sha Ren 6g Patchouli 12g Dragon’s tooth 25g Raw oyster 30g Raw licorice 3g. 7 doses with water, one dose per day. On the third consultation (October 19, 2012), after taking the above medicine for 7 doses, dizziness, drowsiness around the body, stomach and epigastric fluttering and tremors disappeared, hallucinations disappeared, palpitations and chest tightness basically disappeared, sleep was possible, stool was normal, tongue was light red, moss was thin white, pulse was smooth. The previous method is still followed, removing patchouli, adding 20g of Atractylodes Macrocephala and 30g of fried yam to eliminate the source of phlegm. Prescription: Radix Bupleurum 12g, Scutellaria Baicalensis 12g, Radix Panax Ginger 9g, Pericarpium Citriodora 12g, Poria 15g, Poria 30g Citrus aurantium 9g, Rhizoma Bamboo 15g, Radix Salviae Miltiorrhizae 30g Acorus Calamus 15g, Rhizoma Polygala 15g, Radix et Rhizoma Sand 6g Atractylodes Macrocephalae 20g Fried Yam 30g Longdiao 25g Raw Oyster 30g Raw Licorice 3g. 7 doses of decoction in water, one payment per day. The symptoms disappeared after taking the above medicine for 7 doses. Note: The bile vein is connected to the head and eyes, phlegm disturbs upward through the meridian, so dizziness, phlegm obstructs the bile, so the chest is stuffy and sighs; the mind is not guarded, phlegm and heat disturb upward, so hallucinations are seen. White greasy moss and slippery, for phlegm-dampness does not transform, pulse number for heat, string slippery for phlegm-heat stagnation, phlegm-heat internal disturbance of the symptoms can be seen. The evidence belongs to internal depression of phlegm and Qi, and the three jiao are out of harmony. Treatment is to resolve phlegm and depression and to harmonize the three jiao. The treatment is Xiao Chai Hu Tang with addition and subtraction of Warm Gall Bladder Tang, which treats phlegm, qi, heat and San Jiao. After the remedy, the evil is dispersed and the depression is relieved, the three jiao are harmonized and the symptoms are resolved. Both Xiao Chai Hu Tang and Wen Bile Tang are prescriptions for regulating the qi flow in the three jiao, with Chai Hu Tang treating qi stagnation and heat (which may be accompanied by deficiency) and Wen Bile Tang treating qi stagnation and phlegm. The formula of Wenzhian Tang is used to treat the symptoms of “deficiency and sleeplessness after a major illness”, as stated in “Qianjin Essentials”. Luo Qianfu: “the formula to” two Chen “to cure all phlegm drink, plus bamboo rhizome to clear heat, plus ginger to stop vomiting, plus heliotrope to break rebellious, each other to help each other, although not treating the bile and the bile since and, cover the so-called bile of the phlegm heat to go so also, named warm, is a mild warm, not warm and cool warm also ….. not only in the formula without warm and cool products The name warm is a mild warm, not warm and cool warm. not only the formula does not have warm and cool products, but also has cool stomach medicine.” Keywords: dizziness, palpitations, mild schizophrenia, evidence of internal depression of phlegm and Qi, loss of harmony of the three jiao. The treatment is to resolve the phlegm and depression and to harmonize the three jiao. The formula is based on Xiao Chai Hu Tang combined with Wenzhi Tang plus and minus.