(Disclaimer: This article is for scientific use only, and the information in the following content has been processed to protect patient privacy) Abstract: Bile-depressed phlegm disturbance is a TCM evidence type, which represents a physical constitution. The patient was diagnosed with biliary depression and phlegm disturbance evidence because she presented with irritable mood, nighttime dreaminess and often had nightmares, dry mouth and bitterness, and easily lost her temper. After targeted physical conditioning with herbal tonics to de-stress the liver and bile, resolve phlegm and calm the mind, the patient’s mood was soothed, his sleep improved, and his original anxiety state was greatly reduced. The patient’s mood was relieved, his sleep improved, and his anxiety greatly reduced. She has been having nightmares, dreaming of fighting with others, and has poor energy during the day, which affects her work status. He was diagnosed with anxiety disorder, mild hyperlipidemia, abnormal liver function, and slightly elevated blood pressure, and was given oral anxiolytic treatment with haloperidol and alprazolam tablets. The patient was introduced by a friend to seek TCM treatment in our office. According to the information collected from the four consultations, the patient had a red tongue tip, yellow greasy tongue coating, slippery pulse, dry mouth, bitter mouth, sticky stool, yellow urine, easy to get angry, depressed mood, chest tightness and shortness of breath, poor appetite, poor sleep, frequent nightmares, easy to wake up, fatigue and weakness, as well as frequent sweating above the chest and fear of wind, etc. The Chinese medicine diagnosis belonged to the evidence of biliary depression and phlegm disturbance, which caused the above symptoms. The initial treatment was to dredge the liver and bile, resolve phlegm and dampness, and calm the fear. After taking the medicine for 1 week, the patient’s dry mouth and bitterness were relieved, the stool was relaxed, and the chest tightness was relieved, but other symptoms did not change much. In the second consultation, the original formula was strengthened with drugs to resolve phlegm and dampness, adding bamboo rhizome, psyllium, dragon bone and oyster. At the third consultation, the patient was emotionally stable, slept for 4-6 hours, slept peacefully and woke up in a better mental state. Therefore, after the fourth consultation, the original plan was given to continue consolidation. The patient’s yellowish tongue coating was reduced, his mood was basically stable, he could sleep and dream less, and he woke up with a clear mind and was energetic at work during the day. The patient no longer took haloperidol and alprazolam tablets, and his inner anxiety was greatly relieved, and he regained confidence in his life and work. During the individualized treatment with Chinese herbal medicine, the patient’s symptoms were all improved. IV. Precautions We are glad that the patient’s symptoms have improved significantly after 5 weeks of treatment, but it is necessary to develop good habits in daily life, such as quitting smoking and drinking, eating lightly, avoiding staying up late, keeping a relaxed mood, and exercising moderately. 1, patients need to quit smoking and alcohol, it is recommended to try a gradient to quit, suddenly quit smoking and alcohol can easily cause withdrawal syndrome, which is not conducive to late treatment, the symptoms may also aggravate; 2, a light diet, mostly vegetables, minimize the intake of greasy food, fried, seafood fatty food; 3, in line with the law of the four seasons for living arrangements, do not stay up late, to avoid the depletion of Yang Qi; 4, pay attention to the regulation of Avoid sulking and keep a relaxed mood; 5. Exercise moderately, do more stretching exercises, such as jogging and walking, but do not exercise too much to avoid excessive depletion of yang energy. Like the patient, most people with biliary depression and phlegm disturbance have an anxious and depressed personality, and are prone to think more and care more about things and people, if they have the habit of smoking and drinking alcohol, less exercise and fatty, sweet and greasy diet, it is very easy to form biliary depression and phlegm disturbance, with insufficient bile qi and weakness of ascending and descending, the qi is easily blocked in the liver and gallbladder, and the bile is disturbed by depression and heat, which results in dry mouth, bitter mouth, dreamy sleep, emotional agitation The corresponding symptoms such as dry mouth and bitterness, dreamy sleep, irritability and so on. Therefore, regulating one’s mood and increasing exercise are very important for the treatment of this disease.