Palpitations are most common due to deficiency of heart energy, Yin deficiency and fire, Qi and Yin deficiency, and heart-Yang blockage. The pathogenesis is the original deficiency and the symptoms. It is mainly due to the loss of Qi, blood, yin and yang in the internal organs; the symptoms are mostly due to phlegm and blood stasis. Therefore, four principles are emphasized in the treatment. Heart Qi deficiency – focus on the treatment of the spleen is mostly seen in sinus tachycardia or bradycardia, atrial fibrillation, various pre-term contractions, etc., and can also be accompanied by cardiac insufficiency. Treatment focuses on strengthening the spleen. Use ‘s Gui Spleen Soup to remove mullein and ginger. Add Danshen, Chuanxiong, and Chicken Blood Vine for treatment. Second, Yin deficiency and fire – focus on treating the kidneys Most commonly seen in paroxysmal supraventricular tachycardia, accompanied by various pre-term contractions with fast heart rate. Treatment focuses on nourishing the kidney. Commonly used to treat with the medicine of , such as Sanjia Fuyi Tang with Huang Lian and Bitter Ginseng. Qi and Yin deficiency – focus on treating the heart Mostly seen in tachycardia or bradycardia, various pre-term contractions, etc. Treatment focuses on nourishing the heart and restoring the pulse. The treatment should be based on the roasted licorice soup with salvia, red peony and other medicines. Fourth, the heart Yang blockage – focus on phlegm and stasis treatment Most commonly seen in sinus bradycardia, atrioventricular block, Cambodian branch conduction block, sick sinus syndrome, various pre-term contractions, and often accompanied by insufficient coronary artery blood supply. In the treatment, not only should the heart be warmed up, but also the phlegm and blood stasis should be dispelled and treated together. We often use Gui Zhi Tang from the Treatise on Typhoid Fever, Warm Gallbladder Tang from the Three Causes Formula, and Blood Mansions and Blood Stasis Soup from the Medical Lin Correction.