Patients with back pain while sleeping have the following common clinical causes: a. When patients with acute cholecystitis sleep at night, the vagus nerve excitation of the organism stimulates the peristalsis of the gallbladder, and radioactive pain in the back occurs. Patients can control local inflammation and improve their pain symptoms by applying local heat and taking oral anti-inflammatory and cholestatic tablets, cholining tablets, amoxicillin and other drugs. If the patient has back pain caused by cholecystitis on a regular basis, surgery can be considered to remove the gallbladder to completely resolve the pain symptoms. Second, patients with lumbar disc herniation can cause back pain due to nerve compression in the back, and if the patient sleeps at night with improper posture, it will make the back pain symptoms significantly worse. It is recommended that patients sleep on a hard bed at night, and local massage and physical therapy can reduce the pain and discomfort in the back.