Ma, Moumou, female, 65 years old, Zhengzhou City, Henan Province, initial diagnosis: August 8, 2013. Lu Yongkun, Department of Encephalopathy, The First Affiliated Hospital of Henan College of Traditional Chinese Medicine, Henan, China The patient was dizzy all day long, with headache, pronounced on both sides and posterior, occasional finger tremors, palpitations, nervousness, impatience, insomnia, insomnia, bitter mouth, dry mouth, poor effect of multiple infusions with medication, red tongue, thin yellow coating, and string pulse. Consider liver and gallbladder stagnation and heat, Shaoyang is unfavorable. Treatment: clear the Shaoyang, clear the head and eyes, and calm the mind. Prescription: Chai Hu 15 Baicalin 15 Scutellaria 15 Tian Ma 15 Hooked vine 30 Chuanxiong 30 Qiang Wu 15 Kudzu 60 Smilax 30. Mai Dong 20 Angelica 15 Safflower 15 Danshen 30 All Scorpion 6 Centipede 3 Dragon tooth 30 Oyster 30 Acorus calamus 12 Sour date palm 30 Chrysanthemum 15 Second consultation (August 15, 2013): 7 doses of medicine, dizziness significantly reduced, mouth bitterness disappeared, dry mouth, insomnia significantly reduced, today I feel that the left lower limb Today, I feel that my left lower extremity is slightly unfavorable to movement and speech. I still use the preceding medicine, removing Ge Gen, Tian Tian Fan, Chuan Xiong, Qiang Wu, Quan Scorpion and Centipede, and adding Chuan Niu Kne 25g to induce the downward movement of the medicine. Prescription: Radix Bupleurum 15, Scutellariae 15, Rhizoma Scutellariae 15, Rhizoma Gastrodiae 30, Radix Angelicae Sinensis 15, Salviae Miltiorrhiza 30, Oyster 30, Acorus Calamus 12, Zizyphus 30, Chrysanthemum 15, Radix Achyranthes Bidentatae 25g, Third Consultation (August 22, 2013): 7 doses, dizziness reduced, no bitterness in the mouth, dry mouth basically disappeared, occasional left lower extremity activity and speech slightly unfavorable, still using the front, remove Chrysanthemum, after the medicine, insomnia disappeared, the rest of the symptoms basically disappeared. The rest of the symptoms basically disappeared. The liver fire disturbs the fire, the liver fire disturbs the mind, which can be seen in palpitations, nervousness, impatience and irritability, insomnia and dreaminess, etc. People who are weak and timid are more likely to see this disease; the liver fire disturbs the clear orifices, which can be seen in dizziness and headache; the liver fire is vigorous, which can be seen in bitterness and dryness of the mouth, constipation and yellow urine; the evil heat disturbs the steam, which causes the fluid to leak out, and therefore sweating; the liver fire disturbs the yang and generates wind, which disturbs the tendons, which can be seen in muscle and finger tremors. Xiao Chai Hu Tang is particularly useful in treating external fever, especially in reducing fever, and in treating miscellaneous diseases of internal injuries, it is characterized by draining the qi and relieving depression and fire. The seven emotions caused by the loss of drainage of the liver, liver and gallbladder stagnation, depression and heat into fire, out of the meridians, internal and internal organs, depression and heat can carry dampness, phlegm, wind, Qi, overflowing and diffuse in the upper, middle and lower three jiao. The class evidence of treatment” cloud: “Yang Qi automatically and quiet, then sleep; Yin Qi from quiet and moving, then awake. If you don’t sleep, you are sick because Yang does not cross Yin.” Yang protects the outside, Yin guards the inside, and yin and yang mingle through the operation of the Shaoyang pivot. If the Shaoyang pivot does not operate, it makes the surface and the inside open and close in an inappropriate manner, and the qi and blood run disorderly and the yang does not cross over to the yin. Xiao Chai Hu Tang is a special formula for the transfer of the Shao Yang pivot, which regulates the qi flow, unblocks the yang qi, and relieves the depressed heat in the San Jiao, so that the evil heat is removed, the yang qi is pacified, and the yin and yang are harmonized. Suwen – Six Micro-intelligence Great Theory” cloud: “non-in and out to grow strong and old, non-lift to grow and collect, so lift in and out, there is no tool.” In this formula, Chai Hu rises and lifts Yang Qi, dredges the liver and relieves depression, “main heart and abdomen, removing knotted Qi in the intestines and stomach, accumulation of food and drink, cold and heat evil Qi, pushing the old to the new” (Shennong Ben Cao Jing). The original formula dosage of eight two for the ruler, “and the seven flavors in the formula, half summer, scutellaria are in the list of those who can go, but not Chai Hu, licorice, when you know that the cold and heat, all rely on Chai Hu outside, licorice and in” (“typhoid fever Lai Su set”). Scutellaria bitter cold to drain the heat; half ansia pungent open bitter down, with Chai Hu is up, with Scutellaria is down, and has the effect of lowering the rebellion and stomach, pungent open bitter down. In addition, ginseng, licorice, ginger, jujube, replenish the vital energy and Ying and Wei, lowering rebellion and stopping vomiting, strengthening the spleen and cultivating the yuan, so that the positive prevails over the evil, supporting the positive without leaving the evil. The combined use of all the herbs enables the Qi to reach up and down, and harmonizes the internal and external functions. Key words: Pathogenesis: Liver and gallbladder heat, Shaoyang detriment, treatment: clearing Shaoyang, clearing the head and eyes, and calming the mind. Xiao Chai Hu Tang with addition and reduction, insomnia.