Abstract: Heart failure is a serious outcome of many cardiac diseases. Medical thoughts like "Chuan wu shan zheng" and "Da qi xia xian" in Zhang Xichun's Records of Chinese Medicine with Reference to Western Medicine are related to the diagnosing and treatment of heart failure. Replenishing qi and promoting urination， taking Han syndrome into consideration， and preventive treatment of diseases are of great significance to modern clinical practices in treating heart failure.