Vague pain below both ribs especially in female patients, especially for young female patients: first of all, cardiovascular neurosis should be considered, most of them have no diagnostic basis for cardiovascular disease, subjective symptoms are more obvious, vague pain below both ribs will appear during each attack, and even chest tightness and shortness of breath, sweating and dizziness will appear, symptoms are more typical, subjective symptoms are more obvious, accompanied by clinical manifestations of irritability or depression. The main focus is on psychotherapy, and if necessary, anti-anxiety or anti-depressant medication can be given. Secondly, intercostal neuralgia or costochondritis is considered to be a localized problem of the ribs, with the painful area being fixed and the symptoms worsening when the painful area is pressed. The main treatment is local medication, which can also be combined with physical therapy.