It is common to encounter patients in outpatient clinics complaining of chest tightness, or irregular chest pain. Especially young people and elite people with stressful jobs, ladies who are angry, people with heavy mental burdens, and even children who go to school. However, nothing can be found after investigation, and in some cases, coronary angiography was done and the vascular lesions were not serious. Why does this happen? Textbooks describe the definition of coronary heart disease as myocardial ischemia due to spasm or narrowing of coronary arteries. There are also two types of classification, spontaneous and exertional. The spontaneous type is related to vasospasm, while the exertional type is mostly caused by significant stenosis of blood vessels. I have personally seen patients with acute infarction whose angiograms were normal after recovery, so the normal coronary angina cannot be easily denied due to spasm factors. How does Chinese medicine recognize chest pain and chest tightness? He belongs to the category of “chest paralysis” in Chinese medicine. The evidence of chest paralysis is from Zhang Zhongjing’s “Jin Kui Yao”, which refers to a disease caused by a deficiency of Yang Qi in the upper jiao, the upward movement of Yin evil, and the occlusion of the clear and open area, mainly due to chest tightness and chest pain. “Chest paralysis” and “true heart pain” have different pulse characteristics. The apical roundness or abnormal movement is an early and sensitive indicator of myocardial ischemia reflected by ultrasound. Through our observation of patients with chest pain of different ages, we found that abnormal heart pulse is a sensitive and specific indicator of “chest paralysis”, while ECG and ultrasound show apical rounding or abnormal movement as an objective and visual means for early diagnosis and differential diagnosis of “chest paralysis”. The results of this study will be presented in the following table. The combination of chest tightness, chest pain, heart pulse and ultrasound changes is more specific for determining “chest paralysis”. The causes of chest paralysis are complex, mostly due to injuries caused by the seven emotions, strain, inappropriate diet resulting in internal growth of phlegm and dampness, and external exposure to cold and heat, which injures the blood vessels. Therefore, there are many ways to treat chest paralysis in Chinese medicine: regulating the liver and strengthening the spleen, invigorating the blood and resolving blood stasis, strengthening the spleen and resolving phlegm, benefiting the qi and nourishing the yin, and tonifying the kidneys and warming the yang. Yang is active, Yin is quiet, Yang is sufficient, then the Qi and blood flow like the rivers of nature, warm is the river open water flow, cold is the water condensed into ice. The liver, the essence of the fighter. The liver will be hurt by fatigue and anger, especially staying up all night, staying up all night not only hurts the spleen but also the liver, the liver is the main blood collection, the blood returns to the liver at night, staying up all night, the blood cannot return to the liver then the liver is not moistened, the most obvious manifestation is dry eyes, vision loss. Chest pain, many of which are caused by vascular spasms, is not related to activity, that is, activity is not restricted. Although the depression is caused by the depression of the mind, it is also due to the deficiency of liver blood, and the depression is caused by the knot. It is necessary to use more peony to nourish the liver, so that liver qi can be relieved, regardless of the strength and weakness of the liver, it is advisable to use more. Use 5, 6 money to 1 tael. The appropriate addition of leeches and whole scorpions can increase the efficacy of the treatment for prolonged pain. Coronary heart disease is often treated mainly with Western medicine, while in Chinese medicine, there are many types of symptoms, here is only one type, but do not ignore that the treatment of Chinese medicine needs to identify the evidence, not a drug instead of the role of the evidence.