I. Introduction Cardiac insufficiency is a pathological state in which the blood expelled from the heart is insufficient to maintain tissue metabolic needs in the presence of normal blood return. It is characterized clinically by insufficient cardiac output, reduced tissue blood flow, and venous stasis in the pulmonary circulation and/or body circulation, and is also known as congestive heart failure. It is a clinical syndrome in which various cardiovascular diseases can lead to cardiac insufficiency due to prolonged cardiac overload, myocardial injury resulting in reduced contractility and poor diastolic function. It can be divided into acute and chronic according to its course, and can be classified as left heart, right heart or total heart failure according to symptoms and signs. According to the National Center for Health Statistics, mortality from myocardial infarction and stroke has decreased over the past 20 years, while death from congestive heart failure has increased more than fourfold. Even with early diagnosis and aggressive treatment, the prognosis remains poor. Mortality is related to the degree of left ventricular insufficiency. In recent years, medical practitioners are actively searching for new cardiac stimulants and vasodilators in addition to the conventional measures of rest, salt restriction, cardiac strengthening and diuretics. It is also necessary to explore effective treatment methods in Chinese medicine. According to the clinical manifestations, this disease can be classified as “palpitation”, “palpitation”, “edema”, “asthma” and “lung distension” in Chinese medicine. This disease can be classified as “palpitation”, “palpitation”, “edema”, “asthma”, “pulmonary distension”, “phlegm drink”, “heart paralysis” and other diseases in Chinese medicine. 2. Identification and treatment in Chinese medicine 1. Heart-lung Qi deficiency [Main symptoms] Fatigue, shortage of breath and spontaneous sweating, aggravated by movement; little food and dullness, cough and wheezing, palpitations and palpitations, blue and purple face; dull tongue or petechiae and petechiae, thin white tongue coating, sunken and weak pulse or both rapid, astringent and knotted generation. [Treatment] Nourishing the heart and tonifying the lung, strengthening the spleen and benefiting the qi. [Formula] Nourishing the Heart Soup. Ginseng, cinnamon, schisandra, angelica, Chuanxiong, Fa Hanxia, Poria, Yuan Zhi, sour date palm, Astragalus, licorice, etc. 2.Qi and Yin deficiency [symptoms]: shortness of breath and fatigue, palpitations and palpitations, dizziness, dry mouth and tongue, insomnia, spontaneous sweating and night sweating, red tongue with little coating, thin pulse or rapid, astringent, knotted generation. [Treatment] Benefit Qi and nourish Yin. [Radix et Rhizoma] Shengwen san combined with roasted licorice soup plus reduction. Ginseng, Mai Men Dong, Roasted Licorice, Wu Wei Zi, Gui Zhi, Aconite, Shu Di Huang, etc. 3.Blood stasis and obstruction of blood vessels. [Main symptoms] Palpitations and palpitations, shortness of breath aggravated by movement, paralysis and pain in the heart and chest, puffiness under the dorsum, cyanosis of the mouth and lips, dull redness of the cheekbones, swelling of the lower limbs, purple and dull tongue or petechiae, astringent pulse or knotted generation. [Treatment] Invigorate blood circulation to resolve blood stasis, benefit Qi and clear blood vessels. [Formula] Blood Mansion Expelling Stasis Soup with Addition. Tao Ren, Chuan Xiong, Niu Knee, Chai Hu, Citrus Aurantium, Radix Platycodon, Safflower, Angelica, Radix et Rhizoma, Radix Paeoniae, Glycyrrhiza, Astragalus, etc. 4, Yang deficiency and watery evidence [Main symptoms] palpitations and panting, cold fear, cold extremities, cold waist and knees, paucity of urine and swelling, pale or blue face, pale and dull tongue, white smooth tongue coating, sunken and feeble pulse or knotted generation. [Treatment] Warming Yang and promoting water retention. [Formula] Zhen Wu Tang with flavour. Radix rehmanniae, cinnamon, dry ginger, pig ling, atractylodes, roasted licorice, poria, zedoary, white peony, etc. 5.Phlegm-heat congestion of the lung [Evidence] Fever without cold, palpitation, shortness of breath, inability to lie down, cough, coughing with yellow phlegm, fullness in the chest and diaphragm, dry mouth, bitterness, yellow urine, swelling, red tongue with yellow fur, slippery pulse or rapid, astringent. [Treatment] Clearing heat and resolving phlegm, lowering Qi and relieving asthma. [Formula] Clearing the lung and resolving phlegm with addition and subtraction. Scutellaria baicalensis, Fritillaria fritillaria, Radix eucommiae, Qinpi, Almonds, Qianhu, Psidium guajava, Phellodendron zhejiang, Peach kernel, Scapularia scopariae, Chenpi, Licorice, etc. 6, Yang Qi deficiency evidence [main symptoms] severe palpitations and panting, false restlessness, profuse sweating, cold extremities, inability to lie down, paucity of urine and swelling, pale or grayish face, purple and dull tongue, white smooth tongue coating, sunken and thin pulse. [Treatment] Returning Yang to save the rebellion. [Radix et Rhizoma Ginseng, Radix et Rhizoma Longmu Tang, plus or minus. Red ginseng, cannon root, calcined dragon bone, calcined oyster, dried ginger, roasted licorice, maidenhair, wuweizi, cornelian, etc. Third, regulation and care Reduce the incidence of various heart diseases. For example, diet control, anti-infection, removal of infection foci, anti-rheumatism, lowering blood pressure, lowering sugar, overcoming insulin resistance, etc. that can reduce the incidence of coronary heart disease, rheumatic heart disease, hypertensive heart disease and diabetic heart disease. For patients who have already suffered from heart disease, various triggers for heart failure should be controlled and removed in a timely manner. For example, timely control of infection or removal of infection foci inside and outside the heart, rapid correction of arrhythmias, correction of electrolyte disorders and acid-base imbalance, avoiding excessive and rapid infusion of fluids, etc. Women of childbearing age with heart disease should use contraception depending on the situation, and pregnancy should be terminated if the condition is serious. Appropriate rest should be arranged: those with heart failure degree I should not participate in heavy physical labor and sports activities; those with heart failure degree II should limit their physical activities; those with heart failure degree III should rest in bed, but patients should be encouraged to do physical exercises to prevent thrombosis. To strengthen spiritual care: keep the indoor environment quiet, avoid mental stimulation, relieve the patient’s mind concerns, enhance confidence to overcome the disease, maintain a good mental state, in order to facilitate recovery. Food therapy and prescription: 1. Diet should be easy to digest and rich in nutrition, such as bighead carp, flower spot fish, snapper, rabbit meat, lean pork, hen meat, etc. 2, avoid eating fatty, indigestible food, such as animal offal, egg yolk, cuttlefish, octopus and other high-fat food, avoid eating spicy and stimulating items, as well as strong tea, coffee, etc., quit smoking and alcohol. Eat less and more meals, eat more fruits and vegetables. 3.Appropriate restriction of salt, for those with edema in heart failure, salt can be limited to 2-5g, and foods with high salt content, such as salted vegetables, salted eggs, salted fish, salted chicken, salted pork, soy sauce, etc. should also be restricted. 4.Chinese herbal medicines that can be used as dietary treatment include: ginseng, American ginseng, Radix Astragali, Ganoderma Lucidum, Poria, lotus seed, Chinese yam, Cordyceps Sinensis, Rhizoma Dioscoreae, Rhizoma Polygonati, Radix et Rhizoma Macrocephala, Radix Salviae Sinensis, Rhizoma Polygonati, Radix Angelicae Sinensis, Rhizoma Chuanxiong, Radix Panax notoginseng, Cortex Eucommiae, Semen Coicis, Plantago Ovatae, Capsellae, Radix et Rhizoma Gourd, Hawthorn, etc. These herbal medicines can be combined with food. These herbs can be combined with food as dietary therapy. Examples are as follows: (1) Ginseng products: Ginseng tablets, 1 to 2 capsules daily, 3 times a day. Ginseng or American ginseng punch, 1 sachet each time, 3 times a day. It is suitable for those with deficiency of heart qi in this disease. (2) Ginseng and maitake stewed chicken: 5-10g of ginseng, 15g of maitake, 3 jujubes, 100g of hen meat, 1 bowl of water, stewed with water in a tiled cup. Applicable to the heart qi and yin deficiency of this disease. (3) lotus seeds and cordyceps stewed pig heart: lotus seeds 30g (without heart), cordyceps 5-10, stewed pig heart 1/3, 1 bowl of water. Stewed with water in a tile cup, suitable for this disease palpitation pulse rhythm irregularities. (4) Winter melon carp and red bean soup: 150g of winter melon, 30g of red bean, 30g of coix seeds, 1 small carp, appropriate amount of water, boil soup, a little oil and salt seasoning food. Suitable for people with edema in this disease. (5) fried fish slices of fenugreek melon: fenugreek melon 150g (peeled, sliced core), grass carp meat (sliced) 100g oil and salt fried until cooked. No fish slices can be replaced by lean pork slices. (6) Qing tonic cold sugar water: saxifrage 15g, yu zhu 15g, dendrobium 15g, lily 15g, add 2 bowls of water and boil to 1 bowl, remove the dregs, add a little rock sugar to taste. Suitable for people with phlegm-heat in the lungs in this disease.