The reasons why women feel paroxysmal pain inside the ribs below the right chest usually do not differ from other people. First of all, we should consider whether there is any recent sports leading to muscle strain, or there is a history of trauma, such as impact and extrusion, which may also cause paroxysmal pain inside the ribs below the right chest. In addition, many clinical diseases can also cause this situation.1, breast disease: women with breast disease, when the lesion occurs on the right side, can cause neuralgia or pulling pain, the patient reported paroxysmal pain inside the rib cage under the right chest. Under the guidance of a doctor, targeted use of anti-blocking or anti-inflammatory drugs should be used. Patients with breast tumors should have a treatment plan developed by a professional doctor, including surgery, radiotherapy, chemotherapy, etc.; 2. Intercostal neuritis: If there is only a sensation of paroxysmal pain inside the rib cage under the right chest and no other discomfort, clinical consideration is generally given to possible intercostal neuritis. The pain is pinprick-like, burning-like, mostly in the intercostal nerve innervation area in a strip-like distribution, and the pain can be aggravated when coughing. The clinical generally need to clarify the cause of intercostal neuralgia, and then give targeted treatment, pain can be given aspirin, carbamazepine and other analgesic treatment as prescribed by the doctor; 3, pneumonia: usually consider the right lower pneumonia, inflammation invasion caused by chest pain, in addition to feeling the right chest inside the rib cage paroxysmal pain, patients are often accompanied by persistent cough, fever, dyspnea and other symptoms. The clinician can usually make a clear diagnosis through physical examination combined with imaging. If the diagnosis of pneumonia is confirmed, the first step is to ensure rest and cooperate with the physician to receive systemic antibiotic therapy, cough and asthma treatment, and antipyretic and analgesic medication. 4. pleurisy: also known as costochondritis, is an inflammation that occurs in the pleural cavity, and the patient will also experience painful bouts inside the ribs below the right chest. Usually the patient will be accompanied by chest tightness, cough and other symptoms. The diagnosis can usually be confirmed by X-ray. Clinical treatment first needs to identify the cause and give symptomatic treatment for symptoms such as chest pain and cough. 5. Liver abscess: When the pathogenic bacteria cause purulent inflammation of the liver, patients can also experience paroxysmal pain inside the ribs under the right chest, which can radiate to the left shoulder, usually accompanied by nausea, vomiting, fever and other symptoms. Liver abscesses need to be treated with antibiotics combined with puncture and drainage and, if necessary, surgery; 6. Cholecystitis: Patients with cholecystitis can also experience painful bouts of pain inside the ribs below the right chest, mostly after a greasy diet or at night, and the pain can be more intense. If the diagnosis of cholecystitis is confirmed, the symptoms can be relieved by anti-infection treatment, biliary medication and analgesic drugs, and if necessary, surgery is required. In addition to the above diseases, intercostal muscle strain and lesions in the ribs, such as bone tumors and cysts, are present. Hepatobiliary diseases including stones, bleeding, rupture, tumors, and cancer in the liver and bile. Thoracic diseases, such as tumors or cancer in the lung or pleura, or lesions in the colon and near the colon, can also cause paroxysmal pain inside the ribs below the right chest. If the pain persists or worsens, it is recommended to promptly seek medical attention and improve imaging examinations to clarify the diagnosis so as not to delay treatment.