Systolic tremor is a small vibration sensation felt in the palm of the hand during palpation, similar to the respiratory tremor felt in the larynx of cats, also known as feline wheezing. The mechanism of tremor is the same as that of interstitial tremor. It is caused by the flow of blood through a narrow caliber or in an abnormal direction to form a vortex that causes vibrations in the valves, vessel walls, or walls of the heart chambers to be transmitted to the chest wall. When tremor is detected, the site and source (valve, large vessel, or septal defect) should be determined first, followed by the phase of the cardiac cycle (systolic, diastolic, or continuous), and finally, the clinical significance should be analyzed. So, how should systolic tremor be prevented and treated? Compensatory treatment: 1. Maintain and improve cardiac function, avoid overburdening the heart, but combine motion and static; pay attention to the prevention of complications; and have a light diet. 2. Prevention and control of streptococcal infection and rheumatic activity. Treatment of decompensation: Actively treat cardiac insufficiency, promptly detect rheumatic activity and complications, and give treatment. TCM treatment: Heart vein stasis: dizziness and weakness, palpitation and palpitation, coughing and hemoptysis, or see heart pain, C-zygomatic purple-red, lip and nail tongue blue and purple, pulse fine or knotted generation. Treatment: Invigorate blood circulation and resolve blood stasis. Remedies: Blood Mansion and Stasis Removal Tang with addition and subtraction. Qi and Blood deficiency: palpitation and shortness of breath, irritability and weakness, pale or yellowish face, fat and tender tongue, fine pulse. Treatment: Benefit Qi and nourish Blood. Treatment: Benefit Qi and nourish Blood. Heart and kidney Yang deficiency: palpitations, swelling, coughing and wheezing, dull complexion, lack of warmth in the hands and feet, pale tongue with thin coating, knotty or sunken and counted pulse. Treatment: Warming Yang and inducing diuresis. Remedy: Zhen Wu Tang.