The etiology of burning sensation in the chest and back may be related to functional factors, or it may be caused by soft tissue injury of the chest and back, herpes zoster, reflux esophagitis, coronary artery disease and other causes. 1. Functional factors: such as vegetative nerve dysfunction, menopausal syndrome, cardiac neurosis, etc., may lead to burning sensation in the chest and back, and may be accompanied by insomnia, panic and other manifestations. 2. Chest and back soft tissue injury: usually due to overexertion or trauma, resulting in chest and back soft tissue injury, which may cause burning sensation in the chest and back, and may be accompanied by localized swelling, pain and other manifestations. 3. Herpes zoster: usually caused by chickenpox-herpes zoster virus infection, can involve multiple systemic tissues, which may cause burning sensation in the chest and back, and may be accompanied by local erythema, papules and other manifestations. 4. Reflux esophagitis: this disease can lead to gastric acid reflux, resulting in damage to the esophageal mucosa, thus stimulating the nerves of the chest wall, which may cause burning sensation in the chest, and may also cause a radioactive burning sensation and tingling sensation in the back. 5. Coronary heart disease: may be associated with dyslipidemia, hypertension, diabetes and other factors, in the attack will lead to burning sensation in the chest and back, may also be accompanied by chest pain, dyspnea, nausea and other symptoms. Burning sensation in the back of the chest may also be related to other causes, if the symptoms are serious, or accompanied by other discomfort, it is recommended to consult a doctor as soon as possible, to confirm the cause of the diagnosis, to give targeted treatment.