Abstract: Although after the revascularization, heart blood vessel is unobstructed, the excessive use of surgical instruments can easily damage qi and blood, and disturb the mind; meanwhile, spleen and kidney are deficient. The combination of deficiency and excess in "qi, fire, dampness and stasis" leads to frequent chest pain after surgery. Qi and blood deficiency, heart spirit disturbance, and liver, spleen, and kidney qi disharmony are the symptom basis of chest pain after revascularization of coronary heart disease; liver qi stagnation, qi stagnation turning into fire, lack of heart-kidney interaction, yin deficiency and fire hyperactivity, heart qi deficiency, stasis obstructing the meridians, spleen and kidney yang deficiency, dampness accumulation turning into phlegm, and mixed "qi, fire, dampness and stasis" is the core pathogenesis of chest pain after revascularization of coronary heart disease. In clinical practice, it is necessary to distinguish the syndrome factors of qi, fire, dampness, and stasis and the deviation of the heart, liver, spleen, and kidney. From the perspective of the four dimensions of syndrome factors and viscera, the treatment ideas of clearing the heart and tonifying the kidney, calming the mind, replenishing qi and activating blood circulation, removing stasis and unblocking collaterals, strengthening the spleen and warming the kidney, removing phlegm and relieving obstruction, soothing the liver and nourishing the liver, regulating qi and improving chest stuffiness are proposed, which provides a theoretical basis for the clinical diagnosis and treatment of chest pain after revascularization of coronary heart disease.