Abstract： Objective： To discuss the correlation of Chinese medicine syndrome， heart function classification and ultrasonic cardiography index in paticents with coronary heart disease complicated with heart failure. Methods： A total of 102 cases of patients with coronary heart disease complicated with heart failure were divided into four groups according to the Chinese medicine syndrome differentiation with the monitoring of ultrasonic cardiography， namely the group with qi deficiency and blood stasis，the group with qi deficiency，blood stasis，and water retention，the group with qi deficiency， blood stasis， and phlegm turbidity， as well as the group with qi deficiency， blood stasis， and phlegm- water binding. Cardiac function classification was carried out，and the data results were observed and compared in the four groups. Results： In cases with grade Ⅱ cardiac function， the patients with qi deficiency and blood stasis(50.98% ) and those with qi deficiency， blood stasis， and phlegm turbidity(41.18% ) accounted for a larger proportion； in cases with grade Ⅲ cardiac function， the patients with qi deficiency， blood stasis， and water retention(45.10% ) and those with qi deficiency， blood stasis，and phlegm-water binding(49.02%) accounted for a larger proportion；patients with qi deficiency，blood stasis，and phlegm- water binding and those with qi deficiency，blood stasis，and water retention had a higher incidence of left atrial enlargement than patients with qi deficiency， blood stasis， and phlegm turbidity and those with qi deficiency and blood stasis，differences being significant(P＜0.05). When compared the occurrence rates of left ventricular systolic dysfunction and score of left ventricular ejection fraction(LVEF) ≤ 40%，patients with grade Ⅱ cardiac function had lower rates than patients with grade Ⅲ cardiac function，differences being significant(P＜0.05). Conclusion：In the treatment of patients with coronary heart disease complicated with heart failure，there is a close relation among Chinese medicine syndrome，cardiac function classification，and ultrasonic cardiography index.