If the patient has chest tightness at night accompanied by sleeplessness: 1. First, consider phytodysfunction, especially in the case of cardiac neurosis, there is often sleeplessness, chest tightness, shortness of breath, palpitations, and discomfort in the precordial area at night, and the symptoms will be relieved after regulating phytodysfunction and improving sleep quality. 2. Second, if the patient has primary myocardial disease, or valvular disease of the heart, coronary artery disease In addition, if patients have infections for various reasons, especially in and upper respiratory tract infections, such as acute bronchitis, bronchitis, in these cases once the patient has a significant fever, there will also be chest tightness, wheezing, breathing difficulties, sleeplessness during sleep. 4. If the patient has endocrine metabolic diseases, the above symptoms are especially significant when the thyroid gland is dysfunctional.