Zhang Moumou, male, 72 years old, came to our neurology outpatient clinic on October 12, 2005 with “recurrent palpitations for 1.5 years, aggravated for 5 months”. One and a half years ago, the patient had frequent palpitations, chest tightness, and discomfort in the precordial region, and the effect of taking quick-acting heart pills at home was not obvious. The patient reported that he felt panic at 2:00 p.m. with restlessness, fear, chest tightness and sweating, which lasted for about 2-3 hours and gradually relieved. He had been hospitalized several times in provincial hospitals, and the 24-hour dynamic electrocardiogram showed: multiple atrial premature beats, occasional ventricular premature beats, insufficient coronary artery blood supply; barium meal fluoroscopy of the upper gastrointestinal tract showed: esophageal diverticulum, chronic gastritis, and other treatments such as coronary dilation, improvement of myocardial circulation and anti-arrhythmia during hospitalization, but his condition did not improve significantly. When he came to our hospital, he was still taking oral medications such as anti-cardiac pain (20mg tid), cardioplegia (100mg tid), rapid-acting heart pills (5 capsules tid), morphine (10mg tid), and betalactam (25mg bid). There was a previous history of hypertension. On examination: blood pressure was 145/90 mmHg, the patient was clear, both eyebrows were locked, his heart was heavy, his speech was shivering and repetitive, and he was eager to seek treatment. The rest of the physical and neurological examinations were normal. The patient’s onset characteristics, course of illness and treatment, I believe that although the patient has a history of coronary heart disease, but is not the root cause of the disease, considered as panic attacks, after the identification of Chinese medicine, oral Chinese medicine and the application of SSRIs and other antidepressants and anxiety agents, the patient’s symptoms gradually alleviated, 2 months later the symptoms completely disappeared. Li Chunhong of the Department of Cerebrovascular (Stroke) Disease, Jinan Hospital of Traditional Chinese Medicine, panic attacks, also known as acute anxiety disorder, account for about 41.3% of anxiety disorders according to statistics. With the accelerated pace of life and the increase in survival pressure, the incidence of this disease has a tendency to increase year by year. Its attacks are very similar to acute attacks of certain heart diseases, and are basically characterized by repeated episodes of intense fear, accompanied by a variety of physical symptoms, such as tachycardia, dizziness, chest tightness, etc., which are cool like angina pectoris. The initial panic attack may have certain triggers, such as excessive workload, death of a loved one, etc., but subsequent attacks have no obvious triggers. The duration of each attack can be as short as a few minutes or as long as several hours, and many patients suffer from the fear of death. At present, the majority of patients do not consider this as a psychological disorder, and doctors in general hospitals usually mistake the physical symptoms of panic attacks for serious physical diseases and ignore the nature of the disease, which can easily lead to misdiagnosis and misdiagnosis, and even serious consequences of suicide due to unbearable pain. Only when doctors and patients correctly understand the disease and take the right countermeasures can patients recover as soon as possible.