Cardiac neurosis is a neurosis characterized by cardiovascular symptoms and manifestations of excitability in the autonomic nervous system.Traditional Chinese medicine(TCM) has demonstrated a distinct efficacy in the treatment of cardiac neurosis and is extensively employed in clinical practice.Nevertheless，the lack of consensus regarding clinical diagnosis and treatment has hindered the effectiveness and standardization of clinical practice.The the Psychosomatic Medicine Committee of the China Association for Research and Promotion of Traditional Chinese Medicine convened over 30 cardiovascular and psychosomatic medicine experts from across China to establish a consensus on the diagnosis and treatment of cardiac neurosis in traditional Chinese medicine.It proposes that the appropriate Chinese medical term for cardiac neurosis is “Beidie”，with its primary symptoms encompassing palpitations，precordial pain，chest tightness，shortness of breath，insomnia，irritability，depression，anxiety，fear，and difficulty regulating emotions.The syndrome differentiation primarily involves liver depression and spleen deficiency syndrome，liver fire disturbing the heart syndrome，qi stagnation and blood stasis syndrome，phlegm and fire disturbing the heart syndrome，heart and gallbladder qi deficiency syndrome，and heart and liver yin deficiency syndrome.Chinese medicine treatment for cardiac neurosis has definite effects and minimal adverse reactions，and a clear differentiation of syndromes provides high guidance for clinical diagnosis and treatment.