Tachycardia belongs to the category of “palpitation” in Chinese medicine, and there is no definite conclusion on the first choice of traditional Chinese medicine for palpitation treatment, which needs to be reasonably selected according to the patient’s specific situation. Palpitation can be divided into heart deficiency and timidity, heart blood insufficiency, yin deficiency and fire, heart yang not vibrant and other types of evidence, the treatment prescription is different. 1. Heart deficiency and timidness certificate: due to heart deficiency and timidness, heart and god are not nourished, palpitation can be seen, the treatment is mainly to calm the mind and nourish the heart and tranquilize the god, the formula is to choose tranquilize the mind and tranquilize the god pill plus subtraction, the drugs are sour jujube nut, poria, farzhi, asparagus, and so on. 2. Cardiac blood deficiency: due to the loss of cardiac blood, heart loss of nourishment (the heart loses nourishment), the heart and the spirit are not at peace, so palpitation is seen, the treatment is mainly to nourish blood and nourish the heart, benefit the qi and tranquilize the spirit, and the formula is to choose Gui Spleen Soup with additions and subtractions, and there are drugs such as Astragalus, ginseng, roasted licorice, Angelica sinensis, Longan pork, and so on. 3. Yin deficiency and hyperactivity of fire: due to Yin deficiency of liver and kidney, internal disturbance of fire, the heart and mind are disturbed, so palpitation is seen, the treatment is mainly to nourish Yin and clear fire, nourish the heart and tranquilize the mind, and the formula is Tianwang Xinxindan, etc., and the medicines are Radix Rehmanniae Praeparata, Radix et Rhizoma Ophiopogonis, Radix et Rhizoma Polygoni Multiflori and others. 4. Cardiac Yang Dysfunction Certificate: Cardiac Yang deficiency can’t warm up the heart and god, so palpitation is seen, the treatment is mainly to warm up the heart and god, calm down the god and settle the palpitation, the formula is Gui Zhi Gan Cao Long Bone Oyster Soup, etc., the medicines are Gui Zhi, Gan Cao, Radix et Rhizoma Ginseng, Radix Long Bone and Oyster, etc.. In addition, there are other types of symptoms such as water-drinking overriding the heart, stasis blocking the heart veins, and phlegm-fire disturbing the heart, etc., and the prescriptions are all different. All of the above medicines should be used under the guidance of a doctor. It is recommended that palpitation sufferers should consult a professional doctor in time.