Any pattern characterized by wild behavior, self-aggrandizement, scolding and shouting, smashing objects and beating people, climbing over walls or onto roofs, failure to modify behavior for either family and friends or outsiders, extraordinary strength, tendency not to rest or to eat, red tongue with yellow fur, and a large stringlike slippery rapid pulse; attributed to five-mind fire transformation or phlegm clouding the orifices of the heart.
Medicinal therapy: Flush phlegm and open the orifices; drain fire and attack accumulations. Use formulas such as Iron Flakes Beverage (生铁落饮shēng tiě luò yǐn), Chlorite/Mica Phlegm-Rolling Pill (礞石滚痰丸méng shí gǔn tán wán), or Major Qì-Coordinating Decoction (大承气汤dà chéng qì tāng).
Acumoxatherapy: Base treatment mainly on PC, LR, HT, and ST. To drain fire and settle the heart, select GV-26 (Water Trough, 水沟 shuǐ gōu), PC-8 (Palace of Toil, 劳宫 láo gōng), PC-5 (Intermediary Courier, 间使 jiān shǐ), HT-7 (Spirit Gate, 神门 shén mén), HT-8 (Lesser Mansion, 少府 shào fǔ), and LR-2 (Moving Between, 行间 xíng jiān), and prick LU-11 (Lesser Shang, 少商 shào shāng) to bleed. To flush phlegm, quiet the heart, and open the orifices, select BL-15 (Heart Transport, 心俞 xīn shù), ST-40 (Bountiful Bulge, 丰隆 fēng lóng), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), PC-7 (Great Mound, 大陵 dà líng), GV-20 (Hundred Convergences, 百会 bǎi huì), and SP-1 (Hidden White, 隐白 yǐn bái). Needle with drainage at all points. See mania and withdrawal.