Summary of case history,　The patient, a 70-year-old female, presented with "recurrent chest tightness for 1 year, aggravated by coughing and shortness of breath for 2 days". The patient had recurrent chest tightness with no obvious cause for a year ago, which lasted for several minutes and could not be relieved, but was not treated systematically. In the past 2 days, the patient's chest tightness, wheezing and coughing have worsened, and even he could not lie down at night, so he came to see the doctor. Evidence: Chest tightness, palpitations at times, worse at night, waking up from time to time, with cough and sputum, white and thin sputum, shortness of breath and wheezing, aggravated by activity. He has poor sleep and wakes up easily, and needs to take eszopiclone to help him sleep, but he still has poor sleep. There is occasional erratic reflux and mild depressed edema in both ankles. Low urination and constipation. Cold hands and feet, a slight fear of cold, occasionally head swelling. Dry mouth, purple and moist tongue, thin yellow and slightly greasy coating, slow and weak pulse.,TCM diagnosis,　lung distention;syndrome of phlegm and blood stasis obstructing lung,Western medicine diagnosis,　chronic obstructive pulmonary disease with acute exacerbation; hypertensive disease grade 3 (very high risk),Therapeutic methods,　Traditional Chinese medicine decoction of 7 doses.Choose the Baiqian Tang from "GuJin LuYan" to warm the yang and water to calm the breath, breathe and revitalize the blood and calm the spirit.,Clinical outcomes,　After taking 8 doses, the symptoms of cough, wheezing, edema and wheezing disappeared, and a better curative effect was achieved. This report hopes to provide some clinical experience for the identification and treatment of chronic obstructive pulmonary disease with acute exacerbation and pulmonary heart disease in Chinese medicine for fellow practitioners to learn and exchange.