Premature beats, in fact, are a very common clinical arrhythmia. When the number of premature beats is small, there are no obvious symptoms and no combined heart disease, it is not harmful to patients and does not require treatment. When the number of premature beats is high and there are obvious symptoms such as chest tightness and shortness of breath, panic and weakness, or when frequent premature beats cause chronic heart damage and cardiomyopathy, or when they are combined with serious heart disease and may induce malignant arrhythmias such as ventricular fibrillation, then treatment is needed. Premature beats can be divided into two categories: atrial premature beats and ventricular premature beats. Atrial premature beats are common and are mostly caused by plant nerve disorders, irregular diet, irregular living and cervical spine lesions that compress the nerves innervating the heart, etc. They are not clinically significant and do not need to be treated. Patients with ventricular premature beats need to be treated if they have obvious symptoms such as panic and palpitations with a high number of beats, such as more than 20,000 premature beats in 24 hours; or if there is a risk of triggering malignant arrhythmias although the number of premature beats is not high, such as an electrocardiogram showing premature beats appearing in bunches; or if the number of premature beats is not high but the patient feels very sad and the quality of life is seriously affected. In life, many people have premature beats and have no obvious symptoms, but they are only discovered during physical examinations or during checkups for other diseases. Some people also carry the psychological burden that I have heart disease, repeatedly visit the doctor for examination, and even take drugs indiscriminately. In fact, there are many causes of premature beats. In addition to heart disease, premature beats can be caused by factors such as plant nervous disorders, endocrine disorders, excessive excitement or sadness, excessive intake of tobacco, alcohol and tea, and the use of diuretic drugs by hypertensive patients. These premature contractions are mostly caused by transient or reversible factors, which can be avoided by eliminating the triggering factors and taking proper rest, so there is no need to repeatedly consult a doctor. For treatable premature beats, it is important to put down the unnecessary burden of thought but not to ignore the potential risks. The doctor should be asked to help the patient make the right choice. If the patient is young and has good heart function, even if the number of premature contractions is high, the patient can be temporarily left untreated and observed first. However, if the patient’s response to premature beats is particularly high affecting the quality of life, or if there is a family history of hereditary arrhythmias leading to death, or if premature beats are accompanied by syncope and severe organic heart disease, which may occur only a few thousand times a day, treatment is also needed. Both Chinese and Western medicines for premature beats have their own characteristics and their effectiveness varies from person to person. For those who do not have good results with drugs, radiofrequency ablation surgery can be considered. Radiofrequency ablation surgery can “eliminate” premature beats at once. However, radiofrequency ablation can not eliminate all premature beats, and requires high equipment and technology, which can only be carried out by qualified tertiary hospitals, and the cost of tens of thousands of dollars is not a small amount. Moreover, radiofrequency ablation is after all an invasive procedure, which may cause complications such as vascular injury, hemopneumothorax or myocardial perforation during the operation, and many patients refuse it out of fear. In fact, Chinese medicine is very effective in treating premature beats. Premature beats belong to the category of “chest paralysis”, and the effect of treatment with Chinese medicine is good. There are basically no side effects and the cost is not high, so patients are happy to accept it.