Causes of anterior chest and back pain are commonly associated with intercostal neuralgia and coronary angina. It is necessary to clarify the cause of the disease in order to treat the symptoms with medication. 1. Intercostal neuralgia: the intercostal nerve is responsible for the innervation of the region to produce pain symptoms, pain is persistent or paroxysmal, intercostal neuralgia is divided into primary and secondary, the treatment needs to be based on the treatment of the primary cause of the disease, with the use of analgesic drugs, such as carbamazepine or phenytoin sodium and other drugs. 2. Coronary angina: Coronary angina is a common clinical disease, which can be manifested as chest tightness, chest pain, shortness of breath, sweating, fatigue and so on. Nitroglycerin can be taken sublingually and orally immediately when in pain. Treatment is based on crown expansion and secondary prevention of coronary heart disease. Common antiplatelet aggregation drugs include aspirin and clopidogrel, and lipid-lowering and stabilizing drugs such as atorvastatin. The appearance of chest and back pain, it is recommended that timely medical examination, improve the relevant examination to clarify the cause of the treatment under the guidance of the doctor, do not blindly take oral medication, so as not to miss or aggravate the condition.