Mr. Yin, male, 34 years old. Experiencing fullness in the chest and flanks, incessant sleep talking at night, chaotic and numerous dreams, occasional episodes of fright and terror, mental restlessness, spontaneous sweating, and difficulty with bowel movements. He has a history of epilepsy, and this condition arose following a fright. Upon observation, the patient appears mentally dull, with a bluish complexion, a red tongue with a mixed white and yellow coating. The pulse is deep and wiry, diagnosed as liver and gallbladder qi stagnation, combined with yangming fu heat, disturbing the heart and mind, leading to an inability to calm and converge. Treatment should focus on soothing the liver and purging the stomach, setting the heart and calming the mind. Prescription:
Bupleurum 12g, Skullcap Root 9g, Pinellia 9g, Fresh Ginger Rhizome 9g, Fossil Bone 15g, Oyster Shell 15g, Rhubarb Rhizoma 6g (to be decocted later), Minium 4.5g (wrapped in cloth), Poria with Pine 9g, Cinnamon Twig 4.5g, Chinese Date 6 pieces
. After one dose, bowel movements became smooth, fullness in the chest and flanks and sleep talking ceased, mental state stabilized, no longer disturbed by dreams, but with a sensation of wanting to vomit without actually vomiting, and a feeling of discomfort in the stomach. The above prescription was modified by adding Bamboo Shavings and Dried Tangerine Peel, and the patient recovered after taking it.