Abstract：The syndrome differentiation and treatment of the heart diseases by Zhang Zhongjing not only directly corrects the abnormal pathological state of the heart，but also blaze a trail in Chinese medicine treating heart diseases from the spleen and stomach on a basis of the related thoughts of the heart and spleen in Huangdi Neijing. In the treatment of the heart diseases，ZHANG flexibly adopted methods to warm the middle and assist yang，harmonize the stomach and move qi，clear dampness-heat by discharge，warm the stomach and dissolve phlegm，nourish the heart and spleen，as well as strength the middle energizer with the sweet and warm；he also used some prescriptions to regulate the spleen-stomach function， such as Renshen tang， Juzhijiang tang， Zhizi Dahuang tang， Xiaobanxia and Fuling tang， Ganmai Dazao tang， and Xiaojianzhong tang. Such treatment methods have provided ideas for future generations of physicians in syndrome differentiation and treatment of the heart diseases of Chinese medicine.