The patient, female, 66 years old, was first diagnosed on March 16, 2012. The patient often stays up late at night working and has been suffering from palpitations for more than a month. She is easily frightened, and when palpitations are worse, she is restless and has poor sleep. The diagnosis is that the heart is deficient in qi and the mind is not restrained. The treatment should be to nourish the heart and tranquilize the mind, calm the panic and calm the will. Prescription: Gui Zhi 9g, Roasted Licorice 9g, Astragalus 15, Ginseng 15g, Long Dong 30g, Sheng Oyster 30g g Fu Shen 30g. 5 doses, decoction, 1 dose daily, second consultation (March 21, 2012): after 5 doses palpitations significantly reduced, fidgeting disappeared, poor sleep slightly reduced, still use the front, add Atractylodes Macrocephala, longan meat, jujube to strengthen the spleen and nourish the heart. Prescription: Gui Zhi 9g, Roasted Glycyrrhiza Glabra 9g, Long Dong 30g, Raw Oyster 30g Ginseng 15g Radix Astragali 15g Fu Shen 30g Atractylodes Macrocephala 25g, Longan Pulp 30g, Jujube 6. 7 doses, decoction with water, 1 dose daily. Third diagnosis (March 28, 2012): after taking the above medicine all symptoms disappeared, still use the front, reduce the amount of dragon tooth, oyster, benefit the qi, strengthen the spleen, nourish the heart and calm the mind. Prescription: Gui Zhi 9g, Roasted Licorice 9g, Long Dong 15g, Raw Oyster 15g Ginseng 15g Radix Astragali 15g Fu Shen 30g Rhizoma Atractylodes Macrocephala 25g, Longan 30g, Jujube 6. 7 doses, decoction with water, 1 dose daily. Comment: The disease is due to night work depletion, heart Qi deficiency and God is not convergence of the cause. The tongue is white in color, the pulse is stringent and slow, and there is no strength when pressed, which shows the deficiency of Yang Qi. Su Wen? Yang Qi is the essence that nourishes the gods. The formula uses Gui Zhi and Gan Cao to warm and invigorate the heart and Yang, Ginseng and Huang Qi to replenish Qi, and Dragon Bone and Oyster to subdue the heart and mind, so the symptoms are treated together. An Xin Ding Zhi Wan is the basic formula for treating weakness of heart qi and phlegm disturbing the heart and mind, minus Calamus and Yuan Zhi, with the addition of Huang Qi, Longan and Jujube to nourish heart qi and calm the mind. Key Words: Palpitation, the pathogenic mechanism of heart qi is deficient and the mind does not converge, the treatment should be to nourish the heart and tranquilize the mind, calm the panic and fix the will. Gui Zhi Gan Cao Long Mu Tang with addition and subtraction. ?