Pain at the xiphoid process may be caused by trauma, acute gastritis, chondritis, coronary heart disease and other diseases. 1. Trauma: If the patient is subjected to external violence in the area of the raphe, it may lead to damage to the soft tissues in the area, thus causing the patient to experience pain in the raphe. 2. Acute gastritis: the cause of acute gastritis is mostly related to pathogenic microbial infection, food allergy, stress and other factors. Patients will have subacute pain, diarrhea and other symptoms. 3. Chondritis: the cause of chondritis is not clear, mostly related to viral infections, immune abnormalities, violent cough and other factors. Patients will have chest pain, pain in the raphe and other symptoms. 4. Coronary heart disease: coronary heart disease is mainly due to coronary artery atherosclerosis caused by narrowing or occlusion of the lumen, thus causing myocardial ischemia and hypoxia or necrosis. Patients will have chest pain, chest pressure and other symptoms. There are many causes of pain at the raphe, and it is recommended that patients go to regular hospitals for consultation and standardized treatment after clarifying the cause of the disease. Patients need to rest more in daily life, reasonable arrangement of work and life, avoid overwork. Quit smoking and drinking, and keep a good mood.