Wu, a female, 17 years old, was first diagnosed on November 20, 1983. Complaint: Palpitations and chest tightness for 4 years, aggravated for more than 1 year. History: The patient developed palpitations and chest tightness after strenuous exercise 4 years ago, which was relieved after rest. He was hospitalized in Western medicine and is now coming to Chinese medicine for treatment. Present symptoms: palpitations, shortness of breath, chest tightness, sometimes feeling distended, pale, dizziness, fatigue, weakness, cold form and limbs, thirst without drinking, slightly purple lips, dark tongue with purple edges, petechiae, thin and weak pulse. Traditional Chinese medicine diagnosis: palpitation and chest paralysis, evidence of deficiency of heart qi, non-expansion of chest yang and stasis of blood. Heart Qi deficiency, so palpitations, shortness of breath, chest tightness, dizziness, fatigue; chest Yang is not invigorated, so the face is pale, cold form and cold limbs; mouth and lips slightly purple, tongue dark side tip purple, with stasis points, thin pulse, etc. is the image of blood stasis blockage …… Western diagnosis: hypertrophic cardiomyopathy. Treatment: Benefit Qi, warm Yang, broaden the chest and activate the blood method. Prescription: rarotto allium and white wine soup with Si Jun Zi Tang and Ling Gui Zhu Gan Tang plus reduction. Guadua 15 g, Allium 10 g, Gui Zhi 5 g, Dang Shen 10 g, Bai Zhu 10 g, Fu Ling 15 g, Dan Shen 15 g, Tao Ren 10 g, Hong Hua 6 g, Gan Cao 6 g. In this formula, Guadua, Allium and Gui Zhi broaden the chest and invigorate Yang; Dang Shen, Bai Zhu, Fu Ling and Gan Cao benefit Qi and strengthen the spleen; Dan Shen, Tao Ren and Hong Hua invigorate Blood and resolve blood stasis. The whole formula is effective in warming Yang and benefiting Qi, broadening the chest and activating blood circulation. Second Diagnosis: After taking 18 doses, the chest tightness and distension, palpitations were obviously reduced, the purple and dark stasis points on the tip of the tongue were obviously reduced or subsided, and the pulse was slightly stronger. Poor sleep at night, oral ulcers, red corn-like acne around the mouth and lips, nose and tianting, fat, lightly pointed red tongue with teeth marks, thin yellowish moss, sunken smooth pulse on the left and sunken thin pulse on the right. The patient is young, with internal damp-heat and excess phase fire. Herbs: 1. Huang Lian 10 g, Shang Gui 1 g, Zhu Ru 10 g, Han Xia 10 g, Fu Ling 15 g, Gua Gua 15 g, Hovenia 10 g, Dan Pi 10 g, Stiff Silkworm 10 g, Bo He 10 g, Fried Jujube 15 g, Liu Yi San Bao 15 g. Take with water. 2. 10 g of Morus alba, 10 g of Radix et Rhizoma ginseng, 15 g of Radix et Rhizoma lotus, 10 g of Radix et Rhizoma cypress, 6 g of borax, 6 g of catechu. Rinse the mouth with water. Third diagnosis: After 18 doses of the soup, the acne has been cured, palpitations and shortness of breath have been greatly reduced, chest tightness is occasionally made, menstrual flow with blood clots, purple-red color, less abdominal pain, a little petechiae on the tongue, white slippery moss, smooth pulse, damp-heat is removed from the phase fire clear, still with the original method of variation, the medicine: Gui Zhi 6 g, Gua Gua Piper 9 g, Han Xia 9 g, Chen Pi 9 g, Prince’s ginseng 20 g, Fu Ling 9 g, Dan Shen 15 g, Red Peony 12 g, Red Flower 3 g The fourth diagnosis: 8 doses of medicine, chest pain disappeared, palpitations did not make, night sleep is poor, dry mouth at night, the heart is hot, the tip of the tongue is red, the moss is thin and greasy, pulse string smooth inch large. The treatment is to nourish heart yin, clear deficiency heat, and activate blood circulation to resolve blood stasis. Herbs: Radix Salviae Miltiorrhiza 12 g, Radix et Rhizoma Macrocephalae 9 g, Radix et Rhizoma Miltiorrhiza 15 g, Poria 10 g, Gardenia 6 g, Edamame 9 g, Zhi Mu 6 g, Salviae Miltiorrhiza 10 g, Yu Jin 9 g, Acorus Calamus 10 g, Daphne Scabra 6 g, Glycyrrhiza Uralensis 3 g. The symptoms disappeared after 7 doses. Note: Adolescents often have surplus yang and vigorous vitality, and the deficiency of yang may be a temporary change. In this case, with a pale complexion and cold extremities, a small amount of Gui Zhi was used to warm and promote Yang energy. 18 doses of Gui Zhi were given and mouth sores and acne appeared, which was adjusted and rested. Then 8 doses of yin deficiency internal heat emerged, to nourish heart yin and clear deficiency heat to close the work.