Atrial fibrillation belongs to the categories of “chest paralysis (chest tightness and pain)”, “palpitations (rapid heartbeat, often accompanied by panic)” and “anxiety (violent heartbeat, panic)” in Chinese medicine. The optimal treatment plan is based on the patient’s condition, and the TCM diagnosis and treatment is divided into various treatment plans, such as heart yang inactivity type, heart yin deficiency, and qi deficiency. Heart-Yang Dysphoria type: Using Sen-Gui Heart Protecting Soup to treat Heart-Yang Dysphoria type chest paralysis combined with palpitations is effective, and the patient’s symptoms can be improved. Heart yin deficiency type: use Heavenly King’s Heart Tonic Dan and Sour Zao Ren Soup with additions and subtractions to treat coronary heart disease combined with atrial fibrillation. Qi deficiency type: it can be treated with tonifying yang and returning five soup plus danshen and gerbera root. In addition, there is also Jia Wei Sheng Wei San, which can reduce the patient’s clinical symptoms and at the same time reduce the patient’s psychological burden and improve the quality of life. The above prescriptions are not recommended to be purchased and taken by patients on their own to avoid serious liver and kidney toxicity, and should be treated under the guidance of professional Chinese medicine practitioners for evidence-based treatment.