In clinical practice, patients often seek TCM treatment for “stomach pain”, but is what they call “stomach pain” really “stomach pain”? In clinical practice, we should not arbitrarily characterize the condition based on the patient’s complaints, but also analyze the condition comprehensively and diagnose and treat the disease scientifically and reasonably. Sometimes the patient’s “stomach” refers to the real stomach and epigastric region, but sometimes it may be a heart disease. Heart disease, such as angina pectoris, sometimes occurs in the subxiphoid process and the upper abdomen, and the patient may mistake the pain in the subxiphoid process for stomach pain because of its proximity to the stomach, but this can be dangerous. If angina persists without relief, it can induce myocardial infarction, and the consequences can be serious. Patients must be alert. Gastroparesis is also a very common disease around us, gastroparesis is usually related to eating, if the patient feels pain in the upper abdomen or under the saber when hungry, then it may be a duodenal ulcer or duodenal bulb; if the pain increases after eating, it may be gastritis, but to really confirm the diagnosis, it is better to go to the hospital to do a gastroscopy to see the degree of integrity of the gastric mucosa. In daily life, if a patient feels pain under the raphe and the pain radiates to the left shoulder or even the back, he or she must first consider heart disease and take sublingual nitroglycerin or quick-acting heart pills if available. Do this to try to avoid a dangerous heart attack. Also be sure to pick up the phone by your side, call 120, call an ambulance and get timely treatment. If it is related to eating, accompanied by heartburn, belching, acid reflux and loss of appetite, you can take medicines such as omeprazole or ranitidine to protect the gastric mucosa, which will quickly improve the symptoms of stomach pain.