If the patient has obvious chest tightness, accompanied by the desire to vomit, the following points should be considered: First, take into account the cardiogenic diseases, often in coronary angina pectoris, arrhythmia caused by various factors, or myocarditis, pericarditis, heart failure, the patient will have chest tightness, shortness of breath, palpitations, accompanied by nausea, the desire to vomit clinical symptoms. Secondly, for diseases of the digestive system, often in acute gastroenteritis, bile reflux gastritis, acute esophagitis, or patients with pancreatitis, gastroduodenal ulcer, these conditions will cause chest tightness, shortness of breath, acid reflux, heartburn, nausea, and want to vomit symptoms. Third, if the patient has endocrine metabolic diseases, such as thyroid dysfunction, adrenal dysfunction, there will also be this clinical symptoms and reactions. Fourth, severe hypertension, once the patient has grade 3 hypertension or even more, there will also be chest tightness, nausea, vomiting, accompanied by dizziness, headache symptoms.