Tearing pain in the chest, the specific cause of which may be a ruptured aortic entrapment or esophageal fistula, causing tearing-like pain. It is recommended to first check for lung infection, pleurisy, tuberculosis, and pneumothorax. Also consider the possibility of intercostal neuritis and costochondritis. Sometimes it is important to pay attention to peptic ulcer, or perforation of the digestive tract, pancreatic disease, acute severe pancreatitis may cause. It is also important to check the liver and gallbladder ultrasound, liver function for any problems, and determine whether there is a possibility of myocardial ischemia and myocardial infarction in the electrocardiogram. Also consider whether the stomach is cold or intercostal neuralgia caused, you can take omeprazole, pay attention to rest, avoid being cold, hot compresses, massage, pay attention to a light diet easy to digest. Also rule out aortic entrapment caused by hypertension, tear-like pain caused by rupture of the thoracic main and abdominal aorta, and perform cardiography or aortography if necessary to rule out fatal factors.