The common causes of chest pain and its disposal principles [author’s note] internal causes, we can not go genetic; external causes, the environment we live in has not become better, pollution is more serious, the pressure of life is also greater. “Accommodation” is the gesture to get along, “peace” is the way to teach. This is the wisdom of survival, but also the law of hiding in a chaotic world. Please “heart your heartache”, there is no pain at all, let it accompany the depression with the wind and dissipate it, the wounded heart will also automatically heal, the next, you will be happy like “a popcorn”. A, chest wall pain: This is also known as musculoskeletal pain, which can occur at any age. The performance of the pain is focused on a point, the patient can clearly point out; pain time is not long (usually maintained for one or two seconds), there is a chance of recurrence; but the patient for deep breathing, coughing, sneezing or turning, the chest that stabbing pain, or even severe pain; pain level is sometimes more intense than other diseases caused by chest pain, but most in a few days to two or three weeks to improve. Etiology: 1, the patient sprained the cartilage between the ribs and inflammation, that is, rib chondritis, is one of the more common chest wall pain diseases. 2. Inflammation caused by viruses such as influenza, which is called Tietze’s syndrome. 3. Rarely, the rib is broken, but it is also the most painful. Treatment: 1, the inflamed area will heal on its own without medication, if necessary, pain relief and anti-inflammatory drugs can be given as appropriate. 2, broken ribs can only be healed on their own. 3, a friendly reminder: no need to take antibiotics, because it can not have any effect on the virus. Anxiety chest pain: The pain usually lasts for hours, days, years, or even more than ten years; the whole chest may be painful in any position, and the patient feels chest discomfort when at rest (such as sitting, lying down or not working at hand); but not when working or exercising; the patient complains of “dizziness, sweating, nausea, shortness of breath, fear of heat, fear of cold, paralysis of hands and feet or lips” when visiting the doctor. The patient complained of “dizziness, sweating, nausea, shortness of breath, fear of heat, fear of cold, paralysis of the hands and feet or lips” and wanted the doctor to “cure” them quickly. Etiology: caused by excessive stress. Treatment: Focus on the mental state and explain in detail that the patient’s “chest pain” is not related to the heart. In addition, talk to them patiently and guide them on how to cope with stress easily. In severe cases, a psychiatrist or clinical psychologist should be consulted. Angina pectoris caused by coronary heart disease: This is the most serious condition, different from chest pain caused by anxiety, i.e. chest pain is felt only when walking, exercising, chasing buses, going up stairs, etc.; chest pain can be relieved when stopping; chest pain usually lasts for five to ten minutes; it is mostly manifested as crushing or suffocating pain in the precordial area or behind the sternum, the size of which is similar to the palm of the hand and can radiate to the left arm, neck, etc., with a feeling of pressure or a foreign body. If the pain lasts for fifteen to thirty minutes and sweating, it may be a myocardial infarction and must be brought to the emergency room immediately. Cause: Coronary artery embolism. Treatment: Patients with coronary artery disease who suffer from angina can take “heart pills” to dilate the blood vessels and relieve the condition, or receive “percutaneous coronary intervention (PCI)” or “coronary artery bypass grafting (CABG)” to restore the heart muscle. “(CABG), etc. to restore normal blood flow to the heart muscle. Gastroesophageal reflux disease: This is a type of disease in which the stomach contents reflux into the esophagus, causing uncomfortable symptoms and/or complications. The manifestation is a feeling of something coming up when eating too much, lying down or sleeping; a feeling of “bloating” and burning in the chest, and even a sour taste in the mouth; the condition improves when sitting up. Cause: The “cardia” (a group of sphincter) between the esophagus and the stomach is relaxed, and gastric acid flows back through it. Treatment: 1. change lifestyle habits, such as do not eat too much. 2. take medication to control the secretion of gastric acid. V. Gallbladder attack: Pain when eating very full; concentrated in the lower half of the chest to the stomach; a feeling of “overwhelming” or “bloating”; persistent pain for several hours. Causes: Inflammation of the gallbladder and/or bile duct due to infection, obstruction and stones. Treatment: Anti-inflammatory and cholagogic tablets, and if necessary, surgery to remove the gallbladder. Acid reflux and chest pain: Patients with acid reflux feel burning pain in the chest, while patients with coronary heart disease also feel discomfort in the chest. In addition, the medication for GERD causing esophagitis is not a direct cure for esophagitis, but a medication that suppresses gastric acid secretion. With less acid coming up, the time and number of irritations to the esophagus are reduced, and the damaged esophagus has a chance to heal slowly. Other: Many chest diseases can cause chest pain, such as chest trauma, pleurisy, intercostal neuralgia, chest herpes zoster, cardiac neurosis, cervical spine lesion, mediastinal tumor, lung tumor, aortic entrapment, infection in the chest cavity and its organs, etc. It is difficult to identify chest pain, but it should not be ignored.