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In the second year

"In year two" (See: rc://en/ta/man/translate/translate-ordinal)

he had dreams

"Nebuchadnezzar had dreams"

His mind was troubled

Here "mind" refers to his thoughts. AT: "His thoughts disturbed him" (See: rc://en/ta/man/translate/figs-metonymy)

and he could not sleep

His troubled thoughts prevented him from sleeping. AT: "so that he could not sleep"