There are many causes of right-sided chest pain, commonly skin, bone and muscle diseases, pleurisy, pneumothorax, pneumonia, hepatobiliary and gastrointestinal diseases, etc. Skeletal and muscular diseases are caused by trauma and inflammation resulting in pathological changes of neuromuscles, mostly seen in rib fractures or deformed healing of fractures, rib chondritis, etc. Pleurisy mostly manifests as chest pain, cough and chest tightness. Clinical anti-infective treatment is the main focus, and sensitive antibiotics are selected for treatment according to the results of drug sensitivity tests after the cause is clearly identified. If the pain is significant, analgesic drugs can be taken for treatment. If the right pleural effusion, it can be treated by thoracentesis and fluid aspiration. Esophageal inflammatory pain, the esophagus and heart sensory nerve fibers are the same, so the irritation of the esophageal mucosa will cause the sensation of chest pain on the right side of the heart. Common diseases include reflux esophagitis and esophageal hiatal hernia. Liver and biliary diseases can also cause right-sided chest pain, such as liver abscess, acute cholecystitis, acute gallbladder stones, chronic cholecystitis, and herpes zoster. Right-sided chest pain may also have herpes zoster on the right side of the skin. Some patients will have symptoms of chest pain before the appearance of herpes, especially severe pain in elderly patients, and if herpes zoster appears, promptly go to dermatology.