The common clinical causes of pain in the middle of the chest when pressed are generally the following: 1. Patients with coronary atherosclerotic heart disease can experience radiating pain in the chest due to irregular contraction of the heart muscle, causing ischemia and hypoxia in the heart. Patients can improve cardiac coronary angiography to clarify the severity of heart vessel stenosis; 2. Female patients can develop breast enlargement with painful pressure in the middle of the chest due to high estrogen levels in the body, which stimulates congestion and swelling of the breast glands. Patients can improve breast blood circulation and relieve chest pain caused by breast enlargement through acupressure around the breast, local hot compresses, and oral anti-inflammatory drugs; 3. Patients who are accidentally hit by trauma, resulting in sternal fracture or contusion at the chest, and accompanied by obvious pressure pain symptoms. At this time, patients can improve the local CT examination to clarify the severity of the sternal injury, as soon as possible to give analgesia, edema treatment, if necessary, feasible surgical treatment to relieve pain symptoms. 4. rib chondritis may