The incidence of coronary heart disease has been on the rise in recent years. The increase in the detection rate of coronary heart disease in China is related to the improvement of people’s living standard, the change of diet, the development of medical and health care and the increase of life expectancy of the population. With the vigorous development of Chinese medicine and the combination of Chinese and Western medicine in China, the contemporary Chinese medicine understanding of coronary heart disease has surpassed the original “chest paralysis”, “true heart pain”, “syncope heart pain” and “palpitation” in the ancient Chinese medical texts. “It has not only widely absorbed modern medical physical and chemical experimental and instrumental testing methods in the diagnosis of the disease, but also fully reflected the inherited and developed knowledge of the new generation of TCM doctors in the clinical diagnosis and treatment. The content of the book not only extensively incorporates the physical and chemical laboratory and instrumentation methods of modern medicine in the diagnosis of the disease, but also fully reflects the inherited and developed knowledge of the new generation of Chinese medicine practitioners in the clinical diagnosis and treatment. The etiology of coronary heart disease is not only the result of diet, labor and fatigue, internal injury of the seven emotions, cold and heat, and deficiency of the body in old age, but also the result of imbalance of qi, blood, and yin and yang of the heart and blood vessels. The deficiency is caused by deficiency of qi and blood in the internal organs and yin and yang, and the deficiency is caused by irregular elevation of qi and blood, and yin and yang are not in line with each other, which can endanger life in a moment. The key to the treatment of coronary heart disease is guided by the doctrine of Chinese medicine’s internal organs, which is highly summarized as follows: “not only in the heart, but also in the heart; the root of the treatment is in tonicity, and the target of the treatment is in the ventilation”. (A) coronary heart disease of the heart ontology evidence of treatment 1 deficiency: deficiency is to make up for, so where deficiency, when the main focus should be to make up. 1, heart qi deficiency: clinical evidence of general qi deficiency symptoms, often accompanied by palpitations and palpitations, chest tightness and vague pain, pulse deficiency or knotted generation, treatment to supplement the heart qi, commonly used princeton ginseng, codonopsis, astragalus, roasted grass, Zhu Fu Shen, etc., qi deficiency is obvious, with raw sun ginseng, or red ginseng, ginseng. 2, heart blood deficiency: in addition to the general symptoms of blood deficiency, often accompanied by chest tightness and chest pain, sleeplessness, etc.. Pay attention to the principle of Qi and Blood and Yin and Blood together, not confined to the four categories of nourishing Blood. For Blood deficiency and Qi deficiency, add two or three flavors of Qi tonic after imitating Guei-Spleen and Nourishing Heart Soup; for Blood deficiency and Yin deficiency, it is often seen as irritable fever and night sweating, light tongue and lack of fluid, pulse is either rapid or knotted, or fine count, commonly used Angelica sinensis, Shengdi, Bai Shao, Fructus Lycii, Mai Dong, Yu Zhu, fried jujube seeds, Wu Wei Zi, etc. 3, heart yin deficiency: yin deficiency and see the heart system symptoms, such as palpitations and palpitation, fear and sleeplessness, chest pain, pulse count, can nourish the heart yin, generally with heart tonic Dan, to treat the deficiency of yin and qi; Huang Lian Agaricus soup to treat the deficiency of the heart and kidney yin, water deficiency and fire, the former every with prince’s ginseng, north sage, purple ginseng, Jing no ginseng, the latter although Agaricus chicken yellow also does not avoid its nourishment. 4, heart Yang deficiency: warming heart Yang for the treatment of the normal method, light Gui Gan Longmu Tang, heavy ginseng with soup, Yang deficiency, each with Qi deficiency, so with the fifth volume 645 raw sun ginseng, sometimes with red ginseng, Gao Li ginseng. 5, heart qi and blood deficiency: benefit qi and blood, nourish blood and calm the mind, with ginseng to spleen soup as the main formula, chest pain and sleeplessness, plus amber, Panax ginseng powder. 6, heart qi and yin two deficiencies: benefit qi and nourish yin, nourish the heart and calm the mind, tonic heart Dan is only used for general light evidence, heavy people must use raw pulse drink, in which the use of ginseng is extremely delicate, partial yin deficiency with western ginseng, partial qi deficiency with raw sun ginseng, have seen Zhang treating qi and yin two exhaustion, the pulse of shrimp swimming and fish flying to get off, with a large dose of Jilin wild mountain to participate in the day maidong, Wu Wei Zi, and get out of danger. 7, heart yin and yang two deficiency: this evidence pulse every or promote, or knot, or generation, Zhang’s commonly used Zhongjing complex pulse soup, and pointed out that this formula maitong, raw earth, Agaricus with cinnamon branch, ginger, adding roasted grass, ginseng, jujube, hemp seeds in the formula, qi and blood yin and yang balance. In severe cases, the decoction with wine and water is emphasized, so that the power of clear wine can open the veins and harmonize yin and yang, which is the most important point of using this formula. 2 real evidence (deficiency and real evidence): regardless of the cold and heat of qi and blood, and the stagnation of phlegm, dampness and water and drink, all to pass as important. 1, phlegm and blood stasis: coronary heart disease from phlegm and blood stasis theory of treatment, has been the consensus of many doctors. Zhang believes that this kind of evidence must have phlegm and stasis to see the symptoms, and need to identify the cause of blood stasis, whether it is qi stagnation and blood stasis, or blood astringency and blood stasis, or qi deficiency and lack of drumming power and blood stasis, or blood deficiency and biochemical power and blood stasis; phlegm evidence need to identify the water and gas phlegm and dampness, or paste and thick taste, fat accumulation of intestinal fat, internal aggregation of phlegm, or spleen and kidney deficiency and fluid can not be gasified, accumulation of phlegm, treatment methods have their own machinations. To resolve phlegm and dispel stasis, such as peach and red four substances, combined with Xing Fu to guide phlegm and Dan Shen, Gua Pao, Bayberry, Di Long, etc., is the general common method, to identify phlegm and stasis and examine the evidence to seek the cause, the method of treatment for the root of the disease. 2, paralysis of the heart: such as chest pain through the back, chest Yang paralysis, the use of Guahu Allium type Tong Yang xuan paralysis; Ying and Wei Qi and blood is not regulated, paralysis of the heart, commonly used Dan Shen Drink, and even Blood Mansions and Stasis Tang; Qi suffocation caused by the common use of Chai Hu, Yuan Hu, Xiang Shen, Dan Shen, Ge Ge Gen, Yu Jin, Shen Xiang, San Qi, milk not etc.. 3, cold and hot depression: coronary heart disease purely see cold and hot depression is not much, but regardless of angina pectoris, or myocardial infarction, there are indeed such evidence, Zhang has treated stubborn angina pectoris and see cold and Yang micro, heart pain through the back, back pain through the heart, Chinese and Western medicine is difficult to relieve, with aconite, red stone resin, Sichuan pepper, dry ginger, and sophora and get results. He also saw repeated palpitations and palpitations after myocardial infarction, chest tightness and chest pain, yellow greasy moss and red tongue, irritability and knotted stool, after using diarrhea of the heart combined with Huang Lian and warm gallbladder soup, the lower pass, moss, pain and palpitations are relieved. 4, water overwhelming the heart: coronary heart disease for a long time, heart and kidney insufficiency, is the same disease of heart, spleen and kidney, the original deficiency but the symptoms are real, Ling Gui Zhu Gan, real spleen drink, Zhen Wu Tang identify the evidence and select the formula. Zhang often uses Scapularis nemerosa, Black and White Ugly, Mupanghui, Chuanjiaomu, Raw Oyster, Zedoary, Dan Shen, Peach Nut and Yu Jin, which are added to the identification formula. (2) Heart and other viscera-related diseases are treated according to the identification of viscera, each with its own characteristics, and treatment also has its own characteristics. 1, heart and liver blood deficiency: nourish blood, soften the liver, calm the mind and tranquilize the heart, and use Dong Yuan liver tonic soup (Siwu Tang with jujube, papaya and licorice) with flavor. 2, deficiency of both heart and spleen: benefit Qi and nourish Blood, regulate the heart and spleen, with GUI Spleen Tang plus reduction. The tonic must be supplemented with products that regulate qi and blood. 3, heart and lung Qi deficiency: such symptoms are seen outside the palpitations and palpitations, often accompanied by chest tightness and shortness of breath, and even choking and coughing and wheezing, must be supplemented to benefit the heart and lung Qi, with ginseng, astragalus, licorice, Yuan Zhi, Fu Shen, Dan Shen, ginger and dates for treatment. 4, the heart and kidney do not intersect: coronary heart disease and see sleeplessness, palpitations, often the law has not worked, to consider the heart and kidney do not intersect. There are two types of symptoms, one for the fire in the kidney floating and heart fire burnt within the heart and kidneys do not cross, with Huang Lian, cinnamon, cross the heart and kidneys; one for the kidney water deficiency, heart fire on the inflammation, and the heart and kidneys do not cross, it is appropriate to strengthen the water to control the fire, with Huang Lian Agaricus soup, that is, Ye Tian Shi diarrhea of the north method, 5, heart and kidney Yang deficiency: coronary heart disease belongs to the category of Chinese medicine heart disease, but Zhang believes that the heart and kidneys hand and foot less Yin, the surface is related, commonly used heart disease treatment of the kidney method. Therefore, warming the heart and kidney yang, the real heart disease treatment of kidney, such as true Wu Tang plus ginseng and astragalus. 6, heart and gallbladder restlessness: coronary heart disease palpitations and chest pain, sleeplessness, good fear and easy to panic, greasy coating and slippery pulse, with warm gallbladder soup as the main formula, this formula changes in the fifth volume 646 very much, such as the tongue red pulse number, add Huang Lian; heart and kidney deficiency and phlegm very much add ginseng, dogwood, jujube, etc. that is, the ten flavors of warm gallbladder soup method. (3) Characteristic evidence and treatment In addition to the above types of identification and treatment, Zhang often combined patients with chest paralysis and heart pain as the main manifestations of coronary heart disease, as well as men and women with similar manifestations of menopause symptoms, into one category, as a characteristic evidence, and set a main formula and carry out additions and changes. The main treatment is to open up the zongyang, open up the heart chakra and benefit the heart qi, and the rest can be treated according to the evidence.