Abstract： Although palpitations are not separated from the heart， they are not only related to the heart，but also closely related to the five viscera and six bowels. Palpitations are mostly caused by damage due to the seven emotions，improper diet，physical asthenia，fatigue and other factors，which lead to the deficiency of yin，yang，qi and blood of the heart，mind dystrophy，or pathogen obstruction of the heart vessel， harassment in the heart spirit. The heart is the main body of the five viscera and six bowels. Disorders of the other viscera and bowels，such as constraint and stagnation of liver qi，phlegm production due to spleen deficiency，kidney yang depletion，dysregulation of the lung，and asthenia of gallbladder， can influence the heart spirit and so as to cause palpitations，and therefore the five viscera and six bowels can cause palpitations. The influence of the other viscera and bowels on palpitations should be paid attention to， rather than only stick to the heart. Palpitations should be treated with different prescriptions and medicines according to different viscera and bowels and different syndrome types.