患者张某，女性，19岁。因高考落榜出现情志抑郁不畅，继之性情急躁，无故两眼怒视，时而骂詈号叫，不避亲疏，面红目赤，舌质红,苔黄腻，脉滑数。若病人日久不愈，症见情绪躁扰不宁，多 言不序，妄见妄闻，面色晦滞，舌质紫黯, 苔薄黄，脉弦细，首选方剂是

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