The treatment of mania is the combination of disease and syndrome.The mental illness and symptoms of the patient was investigated,the cause of dialectics was analyzed,traditional Chinese medicine was applied,and satisfactory results were achieved by acupuncture.The seven examples in this article are as follows.Clinical,phlegm fire is mad person occupy a minority,heart fire,irascience is mad person occupy a majority.For the treatment of manias,except for yangming fu and fu,other evidence should be examined and the corresponding evidence should be given.It is not proper to say "madness should be under" ,and "vomit,under can be cured" . Mad disease pathogenic fire,phlegm fire,non-emotional internal injury,the five minds too extreme place.It is the patient’s own endowment of dirty gas easy to be solid,or the positive body of the gas is easy to phlegm and rapid change caused by fire.