The heart pulse like pain, need to improve the examination, according to the different causes, can be given nutritional nerve, anti-platelet, lipid regulation, expanding blood vessels and other treatments. The most common cause of heart pulse-like pain is cardiac neurosis, which is caused by vegetative nerve dysfunction and manifests as pins and needles pain. Nutritional nerve drugs such as methylcobalamin can be given to treat the pain, and severe pain can be treated with neuralgia drugs such as pregabalin. Angina pectoris can be manifested as heart beating like pain, can improve the electrocardiogram, coronary CTA or coronary angiography for further clarification. After diagnosis, antiplatelet aspirin, clopidogrel, lipid-regulating drug atorvastatin can be given to stabilize plaque, and nicorandil and isosorbide mononitrate can also be used to expand blood vessels. The heart appears to pulse like beating pain, to go to the hospital to improve the examination, according to the doctor’s prescription medication treatment.