Premature beats belong to the category of palpitations in Chinese medicine, and clinically different treatment principles should be adopted according to different symptoms and signs, and different traditional Chinese medicines should be used. Common types of symptoms include heart deficiency and timidity type, clinically manifested in premature beats as good fright, easy to fear, can use tranquilize the spirit to fix the spirit pill. Heart-blood deficiency type will manifest as dizziness, eye suspension, insomnia and forgetfulness, and can be used in Gui Spleen Pills. Yin deficiency and fire exuberance type will manifest as heartburn, insomnia, and five heart-heat, can use Tianwang Xinzhu Dan or Zhu Sha An Shen Wan. Heart-Yang deficiency type may manifest as pale face, cold form and cold limbs, and may use Gui Zhi Gan Cao Long Bone Oyster Tang or Ginseng and Forsythia Tang. For water-drinking type, it can be manifested as short urine and swelling of the lower limbs, and Ling Gui Zhu Gan Tang is often used. In the type of blood blockage, premature beats are accompanied by chest tightness and chest pain, and the pain is like pins and needles, so peach kernel and safflower decoction can be used. There is also a type of phlegm-fire disturbing the heart, which is accompanied by chest tightness, irritability, insomnia, dreaminess, bitter mouth, dry mouth and constipation, and can be treated with Huanglian Wenshou Tang.