In outpatient clinics and wards, we often encounter patients who feel uncomfortable in the heart or other parts of the chest, but cannot tell how they feel uncomfortable. The seizure time is very long, often several hours, or even days and nights are not good. At this time, patients often start to get nervous and anxious, thinking, “I’m so uncomfortable, something must be wrong with me!” The next step is to go to the outpatient clinic, sometimes even to hospitalization, to “get a good checkup!” If this patient had never been checked for heart problems before, the doctor would most likely agree to be hospitalized for a checkup. However, after hospitalization, they were examined every day, had a lot of blood drawn, ECG, ECG, ambulatory ECG, ECG panel exercise test, cardiac ultrasound, chest X-ray and even chest CT, and in some cases, coronary angiography, and even other organ tests were done, but nothing was found. At the same time, various anti-ischemic and anti-atherosclerotic drugs were used, such as nitroglycerin, aspirin, statins, and various antihypertensive and cardiac load-reducing drugs. In short, do a lot of tests, eat a lot of drugs, but still how not good. This is when some people start to have doubts about the hospital’s technology and even about the doctor’s character: “How come after all these things there is still nothing to cure!” This situation is not at all uncommon, and can even be said to be encountered every day. This is when doctors generally suspect that there is a condition called “cardiac neurosis”. To be precise, this is also a disease, but there is a fundamental difference between this disease and what is generally called “heart disease, coronary heart disease”. The following is a basic introduction. Cardiac neurosis is a clinical syndrome in which the symptoms of cardiovascular disease are the main manifestation, and it is one of the functional neuroses. It occurs mostly in young and middle-aged people, and is more common between the ages of 20 and 50. It is more common in women than in men, especially in menopausal women, and more common in mental than in physical workers. Cardiovascular neurosis can exist alone, or it can coexist with or occur on the basis of organic heart disease. As social competition becomes more intense and fierce, the incidence of this disease increases year by year due to the increase in work and life stress. Modern medicine believes that the cardiovascular system is regulated by the nervous system and the endocrine system, with the autonomic nerves playing a leading role. The normal activities of the cardiovascular system are regulated through the mutual antagonism and coordination of the sympathetic and vagus nerves. When mentally stimulated by the external environment or when work and study are stressful, the sympathetic nerves become hyperactive and the sympathetic and vagus nerves become unbalanced, leading to the development of the disease. Cardiovascular neurosis is significantly more common in women than in men, especially in menopausal women. In addition to the neurological type and personality that women are prone to, it is now believed that the dysfunction of the female endocrine system is also involved in the occurrence of this disease. To diagnose this disease, the presence of organic heart disease must first be ruled out, which makes it difficult for the doctor to say with certainty to the patient that you are the problem. Because after all, modern medical tests have limitations, it is impossible to achieve 100% complete exclusion, and in most cases you can only tell the patient: “In your case, most of the time there is no problem, there may still be more psychological factors”. For patients, if they do have a lot of tests, my personal advice is not to be too obsessed with “finding the cause”, but to focus more on their mental health, which may lead to unexpected discoveries. This disease is characterized by variable symptoms, influenced by external factors, especially related to certain psychological factors, some symptoms are very similar to the symptoms of coronary heart disease, so patients feel that “this disease must be very serious”, and seek medical advice everywhere. Some people even ran all over the country’s major cardiovascular hospitals to do all the tests they could, but nothing was found. To this point still do not stop, firmly believe that they have not found the disease. Such a patient should be said to have a certain degree of mental disorder, the next treatment plan should be to go to a psychiatric hospital for treatment, or at least a little psychological guidance, I’m afraid it will be better. Sometimes when dealing with this type of patient, the doctor will suggest that the patient undergo some psychological counseling, or more directly, will suggest that the patient go to a psychiatric hospital. At this point, patients often resist, thinking that they are mentally ill if the doctor can’t find out. In fact, modern regular psychiatric hospitals are not the madhouses that most people imagine, and psychological adjustment problems can also be consulted there. Just like a large hospital has both an intensive care unit specializing in acute and critical illnesses, there are also general wards for ordinary patients. People will have psychological problems, just like a person will always have a few colds and inflammations in their lifetime, and they will be fine with proper treatment. But if you avoid treatment, or always feel that it is not a psychological problem, perhaps it will really develop into a more serious mental illness. There are also many formal psychological counselors in the community that can provide psychological adjustment services. If you feel psychologically challenged to go to a psychiatric hospital, it can be helpful to go to a psychological counselor first. In conclusion, cardiac neurosis has a good prognosis and is neither a terminal nor a difficult disease, so perhaps a little psychological counseling, or even relaxation, listening to music, or finding a Chinese medicine practitioner to take care of it will be significantly better.