Ischemic cardiomyopathy (ICM) refers to contractile left ventricular dysfunction in the case of severe coronary stenosis, which is the most common cause of heart failure. In recent years, the incidence of ICM has shown a significant upward trend, and the quality of life and life safety of patients have been seriously affected. At present, the treatment of ICM mainly focuses on dilating blood vessels, diuresis, improving myocardial metabolism and enhancing myocardial function. Research shows that traditional Chinese medicine has unique advantages in improving the prognosis and quality of life of ICM patients. There are a variety of treatment methods, including decoction, injections, proprietary Chinese medicine, etc. This article summarizes the research progress of ICM's traditional Chinese medicine, western medicine and integrated traditional Chinese and western medicine, with a view to providing reference for clinical treatment.