1. The pain in the middle of the sternum is considered to be intercostal neuralgia or costochondritis, it is recommended to do X-ray and CT examination to confirm the diagnosis, to see whether there is inflammation of the joints, you can use anti-inflammatory and analgesic medication to relieve it, oral fenbendazole and amoxicillin can be used.2. It may also be caused by spasm of the digestive tract or gastric ulcers, etc., it is recommended to do a gastroscopy examination.3. Cardiac disease can not be ruled out, it can be done to do a cardiac ultrasound and electrocardiogram, to see whether ST segment elevation and other abnormalities, such as angina pectoris, myocardial ischemia can also lead to sternal pain, pay attention to rest.4. In rare cases, there are also lesions in the sternum itself that cause pain, such as local inflammation, intraosseous lesions, etc., usually through the CT examination can be clear.