Intercostal neuralgia right epigastric pain for twenty years may be simple intercostal neuralgia, may also be intercostal neuralgia complicating chronic cholecystitis, costochondritis, etc., should consult a doctor in a timely manner to clarify the cause of the cause of treatment. 1. Intercostal neuralgia: If the pain is localized in the right upper abdomen with a band-like distribution of hidden pain, and not related to eating greasy food, then it should be considered as simple intercostal neuralgia, this kind of people can carry out percutaneous electrical stimulation, and when the pain is serious, you can use carbamazepine and other painkillers. 2. Chronic cholecystitis: intercostal neuralgia right epigastric pain may also be intercostal neuralgia complicated by cholecystitis, such people’s pain will be aggravated after eating greasy food, while deep inhalation will be because of the pain of inhalation will stop, and there may be a change in the bowel movements, ursodeoxycholic acid and other medications can be used to treat the need for surgical resection. 3. Costochondritis: aseptic inflammation caused by long-term damage to the rib cartilage, infection or immune mismatch, usually occurs after exposure to cold or exertion, and can be manifested as a vague pain in the right upper abdomen, which can be relieved by taking non-steroidal anti-inflammatory drugs as prescribed by the doctor. All of the above medications and treatments should be administered under a doctor’s supervision.