Most chest congestion in the elderly belongs to chest paralysis disease, chest paralysis with chest congestion as the main manifestation, the details are as follows: a. Qi stagnation heart chest evidence: clinical manifestations are heart and chest full of stuffiness, pain, appetite is too thin, as well as encounter with emotional and mental disorders easily induced aggravation, accompanied by chest distension, get belching or dampness after the suffocation, pain can be relieved. To treat the evidence of Qi stagnation in the heart and chest, it is necessary to dredge the liver and regulate qi, activate blood circulation, and can be treated with Chai Hu and Liver San plus reduction. Second, phlegm blocking evidence: manifesting as chest tightness and heavy, phlegm and shortness of breath, heavy limbs, obesity, easily triggered by rainy days, accompanied by tiredness and weakness, dullness and loose stools, coughing and spitting phlegm, fat tongue, with teeth marks on the side, treatment should be through Yang and drain turbidity, dispel phlegm and promote paralysis, with Gua Gua Bai Han Xia Tang combined with Phlegm Detoxification Tang plus or minus treatment. Heart and kidney yin deficiency: manifesting as heart pain and stuffiness, panic and night sweating, sleeplessness, soreness and weakness of the waist and knees, dizziness and tinnitus, dry mouth and constipation, red tongue with little coating and thin pulse.