Perimenopausal syndrome is referred to as "various symptoms before and after menopause" in traditional Chinese medicine. Professor Huang Xili, a renowned traditional Chinese medicine expert in Fujian Province, a mentor for the sixth batch of national and the fourth batch of Fujian Province"s academic experience inheritance of veteran TCM experts, has accumulated rich experience in treating perimenopausal syndrome with remarkable results. Professor Huang believes that the physiological characteristic of perimenopausal women is kidney deficiency and depletion of Tiankui, and this period is prone to be affected by changes in internal and external environments, leading to imbalance of kidney yin and yang, which in turn affects the functions of the heart, liver, spleen and other organs, resulting in perimenopausal syndrome. Professor Huang points out that the failure of communication between the heart and the kidney is the key factor in the onset of perimenopausal syndrome. Therefore, She treats it from the perspective of the heart spirit and uses the modified classical formula Baihe Dihuang Decoction, achieving good clinical results.【Keywords】Perimenopausal Syndrome; Traditional Chinese Medicine treatment; Baihe Dihuang Decoction