Chest pain that feels like tugging or has tearing-like pain is seen in many kinds of diseases. First of all, it is common to see diseases of the aorta, such as thoracic aortic aneurysm. If a coarctation aneurysm is formed, or even if there is a possibility of rupture, the patient will show tearing-like pain in the chest, also accompanied by a drop in blood pressure, and also involving pain in the back of the shoulder, which can be diagnosed by performing an enhanced CT of the chest. There is a family tendency for this to occur, and it is also associated with hypertension and atherosclerosis. Secondly, there are also some patients who have intra-thoracic diseases, such as patients with pulmonary herpes rupture after activity, they will develop spontaneous pneumothorax, which will also manifest as chest pain, chest tightness, and even obvious shortness of breath and restricted breathing, and in severe cases, further surgical drainage is required. Finally, an atypical manifestation of a patient with mastocytosis is a tugging-like pain in the chest and back, accompanied by breast distention and pain.