To explore the clinical observation of Fuyuan Huoxue Decoction（复元活血汤）combined with acupuncture in the treatment of coronary heart disease patients with Qi deficiency and blood stasis combined with chronic heart failure.

A total of 106 patients with coronary heart disease of Qi deficiency and blood stasis type combined with chronic heart failure admitted to the hospital from January 1，2020 to December 31，2021 were collected as research subjects. Using a random number table method，the patients were divided into an experimental group and a control group，with 53 cases in each group. The control group received Aspirin Enteric Coated Tablets（100 mg，once a day），Isosorbide Mononitrate Tablets（20 mg，3 times a day），Spironolactone Tablets（20 mg，once a day），Metoprolol Tartrate Tablets（25 mg，3 times a day）and Captopril Tablets（25 mg，3 times a day）. On this basis，the experimental group applied Fuyuan Huoxue Decoction combined with acupuncture treatment. The TCM syndrome scores，clinical efficacy，heart rate，blood pressure and incidence of adverse reactions were compared between two groups. The research data in this article was analyzed by using SPSS 25.0 statistical software.

After treatment，compared with the control group，the experimental group had a higher clinical total effective rate（P<0.05）. After treatment，the scores of various traditional Chinese medicine syndromes in both groups decreased compared to those before treatment（P<0.05）. Compared with the control group，the experimental group had lower scores of various traditional Chinese medicine syndromes（P<0.05）. After treatment，the values of heart rate（HR），systolic blood pressure（SBP）and diastolic blood pressure（DBP）of the two groups were significantly reduced compared to those before treatment（P<0.05）. Compared with those of the control group，the levels of HR，SBPand DBPin the experimental group were lower（P<0.05）. There was no significant difference in the incidence of adverse reactions between the two groups of patients（P>0.05）.

The combination of Fuyuan Huoxue Decoction and acupuncture treatment can significantly improve the clinical symptoms of patients with Qi deficiency and blood stasis type of coronary heart disease combined with chronic heart failure，with high safety. Its treatment mechanism may be closely related to inflammation inhibition and regulation of hemodynamics.