Pain under the arch of the ribs a little to the right of the xiphoid process should be treated accordingly depending on the specific cause. Common causes include cholecystitis, duodenal ulcer, pancreatitis and so on. Commonly used treatments include general treatment, drug treatment and surgical treatment. 1. Cholecystitis: Acute cholecystitis should be fasting water, intravenous nutritional support. The use of antispasmodic and analgesic drugs such as atropine, pethidine, etc. can relieve spasm and reduce pain; prophylactic use of antibiotics such as benzylpenicillin, cefuroxime and other anti-infective treatment; cholagogic drugs such as ursodeoxycholic acid and other anti-inflammatory cholagogic. In severe cases, cholecystectomy is feasible. 2. Duodenal ulcer: avoid spicy and cold food, quit smoking and drinking. Commonly used drugs are H2 receptor antagonists such as cimetidine, proton pump inhibitors such as omeprazole, gastric mucosal protective agents such as magnesium aluminum carbonate and other anti-infective treatment of Helicobacter pylori (proton pump inhibitors + bismuth + two antibiotics such as amoxicillin and metronidazole). Complicated gastrointestinal bleeding should be treated surgically. 3. Pancreatitis: rapid rehydration therapy, rest, short-term fasting. For severe pain, painkillers such as pethidine can be used. Antibiotics such as ceftriaxone, pancreatic enzyme-activated growth inhibitors such as octreotide, H2 receptor antagonists such as cimetidine, etc. should be used. Surgery should be performed when accompanied by complications such as multi-organ failure and sepsis. There may be other reasons for the pain under the arch of the ribs a little to the right of the raphe, such as trauma, liver disease, etc. It is recommended to go to the hospital in a timely manner, improve the examination to clarify the cause of the disease, and standardize the treatment under the guidance of the doctor, and do not use their own medication.