Abstract: Microvascular angina pectoris namely with angina pectoris, coronary angiography did not see unusual, electrocardiogram (ecg) exercise test positive, ergonovine test negative, without other disease and coronary artery spasm of a disease, the pathogenesis of western medicine is not completely clear, treatment with nitrates and Ca channel blockers, B resistance agent, etc., by using the method of dialectical treatment of TCM and qi stagnation, blood stasis and phlegm turbidity, gas Yin deficiency of dialectic, the liver and promoting blood circulation to remove blood stasis, eliminating phlegm and tonic JingXie treatment achieved good clinical effect, to the microvascular angina pectoris provides a new direction of treatment, improve the patient’s quality of life.