Harmonious soul ravine (HSR) is a spiritual space where people with the same or similar characteristics can purify their minds, calm their hearts, become peaceful and quiet, and enter into an eternal harmony of essence, energy and spirit. In today’s society, which is in a special historical stage of structural adjustment, the doctor-patient relationship is also undergoing a period of profound change in development. The author has always believed that the harmony of the mind between individuals is both the original intention and the destination. In this quiet valley, “celadon” is carefully placed, the “crystal” heart is a hundred care! Acquired heart valve disease (valvular heart disease, VHD) is a common heart disease, with damage to the left atrioventricular valve being the most common, followed by the aortic valve, and the tricuspid valve being less common. The diagnosis can be confirmed based on symptoms, signs and symptoms, X-ray cardiography, electrocardiography and echocardiography. Once the diagnosis is made, the decision to perform surgery is based on the lesion and the functional status of the heart. In mitral valve stenosis (MS), if the valve leaflets are mobile, with only junctional adhesions or mild subvalvular damage, closed dilatation or direct visualization angioplasty can be pursued; if the valve is calcified or has funnel-like changes, valve replacement surgery is required. In mitral incompetence (MI), the mitral annulus is enlarged or the junction is limited by leaflet curl, and direct visualization surgery can be pursued; if leaflet perforation or tendon rupture is difficult to correct completely or if the surgery fails, mitral valve replacement surgery is appropriate; mitral stenosis combined with mitral incompetence requires valve replacement in most cases. Usually valve replacement is not performed for tricuspid valve damage (valvula tricuspidalis deterioration), and valve replacement surgery is performed only when the lesion is severe. Aortic valve stenosis (AS) is congenital AS and middle-aged, the former can often be performed during adolescence with direct visualization; the latter is mostly due to calcification on the basis of congenital aortic valve diastasis malformation and requires aortic valve replacement surgery. Aortic incompetence (AI) can be caused by an enlarged annulus, leaflet tears and perforations, coiling or prolapse, etc. Valve replacement surgery is usually indicated, and only mild aortic valve prolapse is possible with valvuloplasty. Pulmonary valve pathological changes are mostly congenital malformations that rarely require valve replacement and often require right ventricle-pulmonary artery diversion with a valved conduit. Today’s heart valves are not the heart valves of the past (rheumatic heart valve disease is the most common), and with the significant increase in heart valve disease in advanced age (the most recent increase in heart valve disease is mitral valve prolapse due to papillary muscle insufficiency and cusp degeneration) and the added complexity of surgical management due to the combination of other cardiovascular diseases in the elderly, new diagnostic methods and surgery-based treatments will continue to change. methods will continue to evolve. I. Diet: Patients after heart valve surgery should be careful not to take “tonic drugs” or herbal medicines of unknown composition after discharge from the hospital, because some of these ingredients may increase or decrease the efficacy of Warfarin, which may cause enhanced or insufficient anticoagulant effects. 1, VHD postoperative recovery period should be appropriate to limit staple foods, salt, sugar and fat, it is appropriate to small number of meals to reduce the burden on the heart; in addition to three meals, a small amount of snacks, fruits, etc.. 2, the diet should be given light, rich in protein, vitamins and high calorie easy to digest diet, such as fish, meat, eggs, milk, etc.; a small number of meals, more vegetables and fruits; cardiac insufficiency to give low salt diet, and limit water intake. 3, because spinach, cabbage, fresh peas, cauliflower, pig liver, etc. contain more vitamin K, should not eat more after valve replacement (vitamin K can counteract anticoagulant drugs, shorten the prothrombin time). Second, activities: exercise training for patients after heart valve surgery, can promote the recovery of heart function, so that the body fully recovered. However, patients with cardiac insufficiency should be absolutely bed rest, and avoid adverse stimulation. Specific details are as follows: 1. After valve replacement surgery for VHD, the patient can take care of household chores (such as washing dishes and sweeping the floor) and living at home, and can participate in some relaxing recreational activities, and can also ride a bicycle and play tai chi. The amount of activity depends on the cardiac function. Initially, you can get out of bed by yourself and walk indoors. Later, you can increase the walking range day by day until you can walk 500 meters each time and practice walking up and down the stairs. During the activity, observe closely, count the pulse rate, and do not exceed 110 beats/min, without chest pain and dyspnea. 2, early after VHD valve replacement, avoid lifting heavy objects, weight-bearing and other sports or prolonged (more than 7 seconds) breath-holding and forceful movements. Take sufficient rest before and after each activity. 3, VHD flap replacement after 6 to 8 months of rest for a comprehensive review, such as a good recovery can resume study and work, first from part-time work, gradually increase to full-day work, but should not be prematurely engaged in heavy physical labor. Emotions and sexual life should be abstained. 4.Recommend the development of individual rehabilitation exercise program, the exercise mode using fast walking, stair climbing, fixed bicycle, etc.; exercise intensity from 75% to 85% of the maximum heart rate reached by the patient exercise test or the degree of self-conscious exertion. Self-monitoring or intermittent or continuous cardiac monitoring was performed during exercise, 3-5 times a week, and exercise cardiac function was reviewed after 2-4 weeks. It is worth mentioning that all patients with mechanical valve replacement need anticoagulation therapy after the operation, pay attention to whether there is bleeding, especially during the exercise to test the prothrombin time (PT) on time. Third, drug therapy: 1, VHD disease who undergo surgery in the early discharge still need to continue to support cardiac function (cardiac, diuretic drugs), the time to take drugs depending on the cardiac function. Those with severe valve replacement need to be applied continuously for half to one year. Patients taking cardiac diuretic drugs for a long time should pay attention to the pulse rate. When the heart rhythm is irregular or the heart rate slows down to less than 70 beats/min, the possibility of digitalis toxicity should be considered, and the drug should be stopped immediately and the patient should be seen in the hospital. 2, where the mechanical valve, need to be lifelong anticoagulation; placed biological valve anticoagulation for 3 to 6 months. In order to make the anticoagulant drug (warfarin or new anticoagulant) not over or under, it is necessary to draw blood regularly to test the prothrombin time (PT), which should be 2 times of the normal control, and adjust the dose of the drug according to the test results. During the anticoagulation period, close observation should be made for any bleeding or oozing of blood. In case of anticoagulant overdose, it manifests as hematuria, extensive petechiae and hemorrhagic purpura, and excessive menstruation. Once it occurs, the drug should be immediately reduced or discontinued and a hospital visit should be made. IV. Review indications: Patients with valve replacement should be reviewed regularly over a long period of time to understand cardiac function and valve function, and anticoagulation therapy problems. Patients who find their heartbeat irregular should rest immediately and go to the hospital for examination. 1.In the near future after discharge from the hospital, generally review once a week or 2 weeks. If the prothrombin time is stable at about 2 times normal, the review interval can be gradually extended, such as once a month or once every two months. 2.The review should be timely if the following conditions are encountered: bleeding tendency; sudden syncope or limb pain, chills, pale phenomenon; irregular medication due to forgetfulness; simultaneous application of drugs affecting prothrombin time (such as dextran, aspirin, botrytisone, indomethacin, pansentin, chloramphenicol, vitamin K and hemostatic drugs, etc.). 3. Patients after flap replacement should preferably undergo a comprehensive review once in 6 to 8 months after discharge, and those without conditions can be followed up by correspondence, telephone and Internet. V. Precautions: 1. After discharge from the hospital, patients should pay attention to keeping warm and avoid getting cold. If respiratory tract infection, gum infection or skin infection occurs, adequate antibiotics should be used in a timely manner. 2. Patients should judge their personal physical and cardiac function status according to their self-perceived symptoms, and cardiac function is divided into the following four levels. Grade I: occasional shortness of breath, can engage in physical labor; Grade II: can engage in light physical labor and normal work, but easy to panic and shortness of breath after exertion; Grade III: can not engage in physical labor, life can still take care of themselves, but a little activity will feel shortness of breath; Grade IV: in a state of heart failure, can not live a normal life, can only be bed rest; VHD patients after valve replacement, such as good heart function, young patients can generally get married. Female patients with class I heart function can be pregnant; class II patients should be carefully considered and closely observed after pregnancy, if the phenomenon of excessive heart burden should be terminated to avoid heart failure; class III-IV patients should practice contraception or sterilization. 3, after valve replacement sometimes still can hear a mild murmur, usually belongs to the normal phenomenon. After mechanical valve replacement, a metallic clanging sound (such as an alarm clock ticking) can be heard during the heartbeat, which is also a normal phenomenon and should not be minded. If a new murmur is later discovered, a hospital examination should be performed to determine the nature of the murmur. 4, after valve replacement can generally improve the symptoms more significantly. Because valve disease is a complex pathological process, coupled with the trauma of the surgery itself, in addition to the need to take anticoagulants for life after prosthetic valve replacement, patients often worry about embolism or bleeding due to improper use of postoperative anticoagulants, psychological reactions and emotional changes are extremely complex, so the early postoperative period is sometimes not very obvious improvement of the original symptoms, but as long as through symptomatic treatment and careful patient recuperation, the symptoms will gradually However, with symptomatic treatment and careful convalescence, the symptoms will gradually decrease or even disappear.