Heart failure can occur in all cardiovascular diseases at some stage of development and is often the final manifestation and cause of death. Many extracardiac diseases can also cause heart failure. Although mechanical assisted therapy and pharmacological treatment of heart failure have made great progress in recent years, and bone marrow stem cell transplantation has shown promising prospects, the 5-year mortality rate is still similar to that of malignant tumors. Combining the clinical symptoms and signs of this disease, it can be classified as “deficiency labor”, “asthma”, “edema”, “phlegm” and “obstruction” in Chinese medicine. The clinical symptoms and signs of this disease can be classified as “deficiency labor”, “asthma”, “edema”, “phlegm-drinking”, “obstruction”, etc. The clinical symptoms of heart failure in TCM mostly begin with damage to the upper jiao heart and lungs, followed by damage to the middle jiao, lower jiao spleen and kidneys, and the five viscera can be changed to damage the upper jiao heart and lungs again, eventually leading to the depletion of true qi, the accumulation and congestion of evil qi, and the death of yin and yang. The disease involves the metabolism of qi, blood and fluids in the whole body; the location of the disease involves the five viscera and six internal organs; the disease depends on the degree of damage to the positive qi and the process of the waxing and waning of the positive evil. The basic pathogenesis is based on the deficiency of vital energy in the five viscera, especially the deficiency of heart qi and heart yang, with qi stagnation, blood stasis, phlegm and water evil as the symptoms. It is a deficiency of the heart and a deficiency of the evil, with the deficiency being the main cause and the deficiency being mixed with the reality. In the case of cardiac insufficiency, according to the symptoms of edema, floating face, cold and fear of cold, and palpitations under the heart, it is often considered to be a Yang deficiency disease of water and qi non-transformation, and Zhen Wu Tang and Ling Gui Zhu Gan Tang are used to warm Yang, transform qi and move water; according to the symptoms of suffocation in the chest and wheezing and inability to lie down, it is considered to be a branch drinking disease of phlegm and water congestion in the lung, and Scape Dahurian Dates Diarrhea Lung Soup is used to diarrhea the lung and calm asthma. Zhen Wu Tang and Ling Gui Zhu Gan Tang are the treatments for Yang deficiency and water flooding, watery qi overwhelming the heart, and coughing and panting upward; Scape Drabble and Dazao Diarrhea of Lung Soup is an expedient treatment for lung qi depression, suffocation in the chest, and inability to lie down. Zhen Wu Tang and Ling Gui Zhu Gan Tang are pungent, warm and dissipative, and their prolonged use is likely to harm yin and deplete qi; if Draba Dazao Diarrhea Lung Soup is not used in conjunction with heart qi and zong qi medicines, it has the disadvantage of leaking profit and hurting the righteousness. Obviously, the clinical use of long-term application, there is a certain drug bias. Modern medicine believes that the physiopathology of cardiac insufficiency can be basically divided into three aspects: first, compensatory activation of the neuroendocrine system; second, decreased cardiac systolic and diastolic function; third, impaired blood circulation and retention of water and fluid metabolites. Modern Chinese medicine believes that the heart’s systolic and diastolic functions are mostly deficient in qi and yang. Qi and Yang deficiency not only lies in the heart, but also involves the spleen and kidney. There are also clinical cases of deficiency of yin and blood, which cannot nourish the heart veins and lead to cardiac decompensation; blood circulation disorders and water metabolism stagnation are mostly due to blood stagnation and internal stagnation of water and fluid, especially “blood is not good for water”, which plays an important role in the process of water metabolism stagnation. The combination of disease and evidence, under the guidance of theories related to qi and blood and internal organs in Chinese medicine, summarizes and summarizes the pathological mechanism, which is of great significance to improve clinical efficacy. Yin and yang have mutual roots and transform each other. Yin deficiency must involve the lack of source of yang energy, and yang loss must lead to insufficient production of yin fluid. Chronic heart failure has a long course and is difficult to heal repeatedly, so the pathological mechanism of yin loss and yang and yang loss and yin must exist during the development of the disease. In addition, the heart is the master of blood vessels, heart disease is mostly related to the blood vessels, the heart qi (yang), which responds to the function of the heart, mainly lies in warming and transporting the blood vessels, heart qi (yang) deficiency must first lead to unfavorable blood vessels, resulting in pathological changes of stagnant blood and stagnant veins, stagnant blood is not conducive to the transformation of water. Therefore, clinical Chinese medicine treatment of chronic heart failure, should pay attention to the following aspects: 1, benefit qi and warm yang, promote blood flow to facilitate water flow: benefit qi and warm yang to warm the blood, so that the blood vessels flow; activate blood circulation, resolve blood stasis and facilitate water, can promote the excretion of stagnant metabolites. Benefit Qi with astragalus and ginseng for heart and vital energy, should not only use party ginseng. Party ginseng is good at tonifying the spleen qi and replenishing the lack of strength of heart qi and vital energy; warming the yang with cinnamon branch to warm the blood vessels. If the blood vessels are not cold, the extremities are cold, or the kidney yang is deficient and the yin is cold, the Radix et Rhizoma is not used. The large pungent, hot, and dry products of Radix et Rhizoma, which are prone to injure Yin and disperse Qi, are not conducive to the long-term treatment of chronic cardiac insufficiency when applied in large quantities over a long period of time. For chronic cardiac insufficiency of water retention, should not use the method of water alone, with drugs such as poria, pig ling, carpenter, zedoary, two ugly, etc., should be the main blood circulation to resolve blood stasis, supplemented by water. Activate blood circulation and eliminate blood stasis by using Dan Shen, Ze Lan and Yi Mu Cao. These three drugs modern pharmacological research shows that there is expansion of renal arteries, increase glomerular filtration rate, promote the role of water metabolism; water selection of Che Qian Zi, red beans, Poria, Poria, Sichuan pepper eye, etc., light percolation of water without depleting Yin. 2, regulate the bowel, descending lung gas to promote the excretion of metabolites: chronic cardiac insufficiency, especially with intestinal stasis, mucosal edema in patients, although the ambassador is more common loose. However, clinically speaking, constipation or constipation without constipation and defecation difficulties are not uncommon. The internal Qi does not work, one affects the lung Qi purging, water metabolism is more unfavorable; two can aggravate the intestinal blood circulation disorders; three can affect the excretion of toxic metabolites. Therefore, chronic cardiac insufficiency of the patient, should pay attention to the smooth bowel stool. The method of regulating the bowels, one can be used almond, guajou kernel, peach kernel and other quality run down the lungs and regulate intestinal products; two available sweet and warm quality runny medicine such as angelica, meat from the rhizome, gas deficiency and constipation with astragalus with sweet and warm laxative; three can apply rhubarb to regulate the internal organs. Traditionally, it is believed that rhubarb is bitter, cold, laxative and laxative, easy to deplete the vital energy, and is prohibited for those with chronic illness and deficiency. For chronic cardiac insufficiency with constipation, it can be used to open the internal organs to lower the lung qi and promote the excretion of toxic metabolites; invigorate blood circulation, remove blood stasis, promote blood circulation in the intestines. Especially for those with cardiac insufficiency combined with infection and constipation in pulmonary heart disease, rhubarb can be used appropriately to obtain better curative effect. It can be used clinically for about 10 grams, or about 5 grams for those with obvious physical deficiency. Decoction with other drugs can weaken its laxative nature and enhance its function of activating blood circulation, removing blood stasis and dispelling toxins. 3. Nourishing yin and astringent heart qi, and facilitating the flow of water by moving blood vessels: yin liquid is not deficient, so that yang qi can be guarded internally and not dispersed externally, and only then can blood vessels be injected to promote blood flow. Nourish Yin with acid astringent, one can converge the heart Qi, so that Yang Qi within the guard; two can prevent the warming of Yang Qi medicine pungent warm hurt Yin dispersed Qi. Heart qi and heart yang are used to stimulate the blood vessels and run with them. Unlike the spleen yang (qi) used in warming the middle and guarding the middle, the kidney yang used in latent, dense essence. Supplementing heart yang and heart qi with nourishing yin and acid astringency helps to make heart qi and heart yang run normally in the blood vessels. For those who have deficiency of both heart qi and yin, it is often used to take Li Dong Yuan’s “Treatise on Internal and External Injuries and Cluster of Sensations”, which is a combination of the beneficial qi medicine ginseng and the nourishing yin and acid astringent medicine maitong and wu wei zi. If there is no obvious yin deficiency, it should also be supplemented with maitong and wu wei zi on the basis of qi to return the heart qi to the Ying blood. Yang deficiency, clinical often warm, through the, for fear of nourishing Yin Gan cold curb its Yang Qi or acid convergence affect Yang temperature, and abandoned. I do not know that the heart qi and heart yang can only be contained within the Ying and Blood and go in the blood vessels to warm the blood vessels to run. Even if there are no obvious clinical symptoms of yin deficiency, the potential pathogenesis of yang (qi) loss and yin may exist. On the basis of replenishing Yang (Qi), it should also be slightly complemented with Yin nourishing medicines such as Mai Dong and Sheng Di, so that Yang (Qi) can be guarded internally to penetrate the Blood Vessel and transport the Blood, in order to play the wonderful role of Yin and Yang to produce and overcome each other. The author treats chronic cardiac insufficiency, according to the heart qi is easy to dissipate, the heart is the main blood vessels and the heart and other viscera connection, commonly used formula as follows: astragalus, ginseng, maitong, Wu Wei Zi, Dan Shen, motherwort, Che Qian Zi, Ze Lan, red bean, Gui Zhi. If the heart is deficient in Yang and the blood vessels are unfavorable, add Gui Zhi; if the bowels are constipated, add Da Huang; if the whole body is swollen, add Almond and Shi Wei. It can be used for reference. In conclusion, in the clinical treatment of chronic heart failure in Chinese medicine, attention should be paid not only to the side of Qi (Yang) deficiency that cannot warm the blood vessels, but also to the side of Blood (Yin) as the mother of Qi and Blood to carry Qi; attention should be paid not only to the function of “Heart governs Blood vessels”, but also to “Lung governs the joints” and “Kidney governs Qi transformation”, We should not only pay attention to the function of “Heart governs Blood”, but also consider “Lung governs Qi”, “Kidney governs Qi” and the interconnection of internal organs. The combination of disease and evidence, and the identification of both manifest and latent evidence, from Yin to Yang, from blood to water, so that the movement of Qi and blood, and the distribution of water to restore normal, the clinical can receive better results.