Gases of sick sinus syndrome in which some had a duration as long as five years were treated with TGM satisfactorily. The result showed that no palpitation

dyspnea or extrasystole remained

and the heart rate was maintained at about 60/m. The treating principle adopted was to regulate the Yin and Yang principles and keep the ascending and descending of the Qi （Vital energy） balanced. In case there appeared symptoms due to deficiency of the Yang factor of the Heart

prescription for reinforcing the Yang factor of the Heart were administered. On the other hand

when there were symptoms and signs of "heat" caused by deficiency of the Yin factor of the Heart

prescriptions for inhibiting the "fire" and cultivating the Yin factor were administered By presenting a case report

the authour mainly discussed the so—called delayed pulse and concluded that it must not necessarily denote a disease of a deficient and cold type.