Myocardial ischemia can be treated with reference to chest paralysis and cardiac pain disease in Chinese medicine. There are various causative factors and clinical evidence of chest paralysis and cardiac pain, and different herbal medicines should be used according to the different manifestations. The most common type of treatment is blood stasis, and the most commonly used formula is Blood Mansions and Blood Stasis Soup, which is composed of angelica, peach kernel, red flowers, chuanxiong, red peony and other drugs. In addition, myocardial ischemia can also be seen in the cold clotting type, and myocardial ischemia favoring cold clotting should be treated with addition and reduction of Angelica Sinensis Si-wei Tang. In addition, the phlegmatic type of chest paralysis and heart pain is also more common, and can be applied by adding or subtracting Guahuabai and Hanxia Tang. In addition, deficiency myocardial ischemia includes deficiency of heart qi, heart yin and heart yang, and different herbs should be used according to different types of symptoms. Among the Chinese herbal medicines used to treat myocardial ischemia, the more commonly used ones with definite efficacy include Tongxinluo capsule or Heart Pulse Tong tablets, etc.