Cardiovascular disease is a common and frequent disease in middle-aged and elderly people. A significant proportion of patients in clinical practice also suffer from stomach diseases. In terms of treatment strategy, cardiovascular diseases are inseparable from both Chinese and Western medicine to activate blood circulation and remove blood stasis, only the academic name is different. Improper administration of the drugs used will have an effect on the stomach. However, TCM can effectively circumvent the side effects of blood-stasis activating drugs by adding and subtracting medications on an individual basis through dialectic and patient identification. Improve the clinical symptoms of the patient. Over the past few years, we have had good clinical results in treating patients suffering from gastric disease combined with cardiovascular patients. Today, we will discuss our treatment experience with you. Cardiovascular diseases include coronary heart disease, heart failure, arrhythmia, cardiomyopathy, hypertension and a host of other diseases. The common types of gastritis are acute gastritis and chronic gastritis, while long-term chronic inflammation can cause gastric mucosa chemosis, atrophy or heterogeneous hyperplasia, manifesting as epigastric fullness, vague pain and discomfort, stuffiness, nausea, belching, regurgitation, acid reflux and other symptoms. The name of gastritis in Chinese medicine, but according to its clinical manifestations, it belongs to the category of “stomach pain” and “fullness” in Chinese medicine. The treatment strategy of TCM for cardiovascular disease with gastritis is to identify and treat the disease as a whole. The following types are common: 1. Qi stagnation and blood stasis: clinically, we encountered such a middle-aged male patient, who came to the doctor with heart pain as the main complaint, stabbing pain in the precordial region or running pain, high blood lipids, st-t changes in the electrocardiogram, accompanied by gastric pain, suffering from chronic atrophic gastritis for several years, usually easy to get angry when moving, when angry, the stomach and epigastric distension, attacking and supporting pain, pain even the two sides, chest tightness and belching, good tai breath, coating thin white fur, and a stringent pulse. From the perspective of TCM, I considered de-stressing the liver, regulating qi and activating blood, and combined with emotional therapy, the patient’s discomfort improved significantly. TCM considers this kind of heart and stomach pain as an overall Qi imbalance. Due to the stagnation of liver qi, qi is not relieved, resulting in fullness in the chest; liver qi offends the stomach, and stomach qi is stagnant, resulting in a series of symptoms of stomach discomfort due to the loss of harmony and descent. The chest pain is caused by stagnation of Qi and blood stasis. Heart ischemia can also be effectively improved. 2, spleen and stomach weakness: the spleen and stomach is weak, the health and transportation is not in function, lifting and lowering abdominal fullness; spleen deficiency is not transported then dull and loose, biochemical deficiencies of Qi and blood, the heart is not nourished, visible palpitations, which is a very high clinical incidence of palpitations. However, the patient was suffering from palpitations, panic attacks and some symptoms of spleen and stomach Qi deficiency. A young IT man came to the clinic with palpitations, tachycardia, and premature beats. The electrocardiogram of the western doctor was frequent atrial premature beats, without hypertension or coronary heart disease. During the consultation, the patient said that he had been suffering from gastric pain for 5 years, and recently the pain was severe due to eating cold food. Gastroscopy suggested “chronic atrophic gastritis”. The pathology report was “chronic atrophic gastritis with intestinal glandular metaplasia”. Now he has vague distension and pain in the stomach and epigastrium, belching and dry mouth, rotten stool, 2-3 times/day, feeling tired and weak, with a yellowish complexion, a fat tongue with teeth marks on the side, and thin and greasy moss. Chinese medicine believes that it is a deficiency of both heart and spleen, insufficient heart qi, pulse qi cannot be articulated, so there is premature beatings, weak spleen qi, loss of middle transportation, damage to the gastric complex, and poor qi flow, so the stomach and epigastric discomfort. The treatment is to benefit the qi and calm the mind and harmonize the spleen and stomach. After taking the medicine for 2 months, the symptoms of gastric distension and belching were improved, the food and appetite were enhanced, the stool was real, and the gastroscopy was reviewed for “chronic superficial gastritis”. 3, gastric yin deficiency: deficiency of gastric yin, stomach loss of moistening, and loss of descending division, a series of gastric yin deficiency symptoms. A middle-aged female patient came to the clinic with palpitations and panic, 24-hour dynamic 6743/24-hour premature ventricular beats, poor sleep and other arrhythmia symptoms. He was also diagnosed with “severe atrophic gastritis with moderate to severe gastric glandular heteroplasia and intestinal epithelial hyperplasia. He was also diagnosed with “severe atrophic gastritis with moderate-to-severe gastric glandular heterotypic hyperplasia”. For the past 10 months, he has been suffering from gastric distention and fullness, burning pain, noisy anorexia, distension with a small amount of food, dry belching, loss of weight, poor facial color, fatigue. Shortness of breath and limbs, dry stools that are difficult to relieve, tender red and light tongue, thin and knotty pulse. With so many symptoms involving multiple organs of the heart, stomach and intestines, we identify the two injuries of Qi and Yin in the heart and stomach. The treatment is to benefit Qi and nourish Yin, calm the mind and harmonize the stomach. The patient’s heart rhythm not only returned to normal, but also the symptoms of stomach and heart discomfort improved. Moderate to severe gastric glandular heterogeneous hyperplasia and intestinal epithelial metaplasia transformed into superficial gastritis.