Ni, male, 61 years old. Hospital diagnosis of rheumatic heart disease has been 6 years. Now his face is gray and his eyes are dull. High-pitched voice. The lower limbs were pigmented and slightly enlarged. Asked about his sensation, suffocating and painful in the chest. The right pulse is sunken, the left inch is astringent and small, and the ruler is tight. The results of cardiac ultrasound and electrocardiogram were lost. He is taking the following oral medications: digoxin, tachyphylaxis, spironolactone, enteral aspirin, and cartol. Auscultation: murmurs in the mitral and aortic regions. Arrhythmia. Auscultation: apical pulsation shifted upward to the left. Palpation: No pericardial rubbing sensation. There is tremor in the apical tensor phase. Auscultation: Bilateral enlargement of the heart border. Analysis: Heart Qi is deficient and Yang is not invigorated. Insufficient chemistry. The so-called “walking corpse” in Huangdi Neijing. The essence, qi and spirit are like candlelight in the wind, wavering. Diagnosis: Advanced rheumatic heart disease. Herbs: Gua Pou, Allium, Semen, Ren Q, Dan Q, Gui Zhi, i Pi, Xiang Shen, Shi Calamus, Peach kernel, Safflower, Angelica, Chi Zhang Yu Jin, Yuan Hu, Zhu Sha, Amber, Dragon’s tooth, Yuan Zhi, Shen. All of the above medicines are powdered and taken orally with refined honey for one course of treatment in January, for a total of three courses of treatment.