Coronary artery atherosclerotic heart disease is equivalent to “chest paralysis” in Chinese medicine theory, treatment should be based on different symptoms and dialectical treatment. The symptoms are severe pain in the heart and chest, such as stabbing and strangulation, the pain has a fixed place, especially at night, even if the heart pain through the back, back pain through the heart, palpitations, purple and dull tongue, or petechiae, sunken and astringent pulse or knotted generation. The treatment is to invigorate blood circulation and resolve blood stasis, to clear the blood vessels and relieve pain. The formula is Blood Mansion and Blood Stasis Tang with addition and subtraction. 2.Qi stagnation in the heart and chest The symptoms are fullness and stuffiness in the heart and chest, painful bouts, pain without a fixed location, good sighing, depression, easily triggered or aggravated by emotional fluctuations, often accompanied by gastric and epigastric distention and discomfort, relieved by belching. The tongue is thinly coated or thinly greasy, and the pulse is thin and stringent. The treatment is to dredge the liver and regulate qi, invigorate the blood and promote blood circulation. The formula is Chai Hu Dredging Liver San plus or minus. 3.Phlegm paralysis The symptoms are chest tightness like choking and pain, pain leading to shoulder and back, shortness of breath and shortness of breath, triggered or aggravated by cloudy and rainy days, mostly obesity, tiredness and weakness, heavy limbs, phlegm, or coughing up phlegm and saliva, dullness and loose stools, fat tongue with teeth marks on the side, cloudy tongue coating and slippery pulse. The treatment is to ventilate the turbidity of Yang, resolve phlegm and open the chest. The formula is Gua Gua Bai Han Xia Tang with addition and subtraction. The symptoms are sudden heart pain like strangulation, chest pain through the back, re-emerging or aggravated by cold, palpitation and shortness of breath, pale face, or even cold extremities, cold sweat, wheezing and sleeplessness, clear and long urine, loose stools, pale tongue with white fur, sunken or tight pulse. The treatment is to warm up the heart and promote Yang, dispel cold and relieve pain. The formula is Gua Gua Allium and White Wine Soup with Angelica Sinensis and Si Wei Tang with addition and reduction. 5.Heat poisoning and blood stasis The symptoms are chest pain, bitterness and dryness of the mouth, constipation with red urine and constipation, purple dull or dull red or red-red vivid tongue, greasy moss or peeling moss, and stringiness or slippery pulse. The treatment is to clear heat and detoxify the toxin, activate blood circulation and remove blood stasis, and the formula is to use Si Miao Yong An Tang plus or minus. 6.Qi and Yin deficiency The symptoms are chest tightness and vague pain, with occasional onset and cessation, palpitation and shortness of breath, easy to sweat, and even more when moving, fatigue and lazy speech, low voice and weak breath, less florid face, red tongue or tooth marks, and thin pulse or knotted generation. The treatment is to benefit qi and nourish yin, clear the veins and relieve pain. The formula is Sheng Wei San combined with roasted licorice soup plus or minus. 7, Kidney Yin deficiency The symptoms are chest tightness and heart pain, five heart troubles, sleeplessness, palpitation, soreness and weakness of waist and knees, dizziness and tinnitus, dry mouth and night sweating, constipation, red tongue with little moss or peeling moss, and fine pulse. The treatment is to nourish Yin, tonify the kidney and nourish the heart to calm the mind. The formula is Zuo Gui Drink combined with Tian Wang Tonic Heart Dan plus or minus. 8, heart and kidney Yang deficiency Symptoms are chest pain, palpitation, shortness of breath, weakness and spontaneous sweating, moving is more, awe of cold, cold limbs, pale face, or see the lips and nails cyanosis, swelling of the limbs, pale tongue with white fur, sunken pulse or sluggish and weak. The treatment is to tonify Qi, promote Yang, and warm the heart. The formula is Ginseng and Radix Soup combined with Right Return Drink plus or minus. 9.Qi deficiency and phlegm stasis The symptoms are dullness and pain in the heart and chest, fatigue and weakness, obesity, shortness of breath, or poor appetite, pale fat tongue, or tooth marks, or purple and dull texture, or petechiae, petechiae, cloudy and greasy moss, smooth or fine pulse. The treatment is to regulate the spleen and protect the heart, benefit the qi and resolve phlegm. The formula is based on warm gall bladder soup with addition and reduction.