The causes of chest and back pain in bed include the following: First, it is considered to be caused by respiratory system diseases, including acute and chronic bronchitis, rupture of pulmonary blisters and spontaneous pneumothorax, which are mostly accompanied by cough, wheezing, chest tightness and other respiratory symptoms, which can be clarified by chest CT or chest X-ray. The second aspect is that it is due to respiratory and circulatory diseases, including previous history of myocardial ischemia, exertional angina and other underlying diseases, and recent work strain, which leads to increased blood supply to the heart and increases the load on the heart. For this cause, it is necessary to go to the hospital to do electrocardiogram or ambulatory electrocardiogram and cardiac ultrasound to clarify, with the application of improving the myocardium and rest can be alleviated. The third aspect is that the pain is caused by intercostal muscle or intercostal nerve pain in the chest, which needs to be clarified by X-ray examination in the hospital.