The treatment of thoracic muscle strain, emphasizing prevention over treatment, is mostly based on comprehensive treatment, emphasizing the cooperation between doctors and patients. 1, the use of manipulative treatment in the pain point. It can be done by pushing and rolling, pressing and kneading, plucking and tapping according to the patient’s age, constitution, symptoms and tolerance level. 2. Local acupuncture treatment, together with moxibustion and fire cupping, can warm the blood vessels, activate the blood and relieve pain. If the pain point is clear, local closure treatment can be used, using compound betamethasone and tretinoin acetate for pain point closure.3. Chinese medicine is used internally and externally, combining internal medicine with external Chinese medicine fumigation. If the pain is caused by wind-cold and dampness obstruction, you can use Douwuxiaosheng Tang. If it is caused by Qi stagnation and blood stasis, Body Pain and Stasis Removal Soup can be used. If it is caused by liver and kidney deficiency, Six Flavored Dihuang Pills can be used. External fumigation is the characteristic treatment of Chinese medicine, which has the effect of dispersing wind and cold, warming the meridians, and relieving muscle spasm. This can restore the normal stretching and contraction function of the muscles and enhance the balance of the spine. In addition, it can also be combined with infrared ray, Chinese medicine ion introduction, microwave, ultrashort wave, Chinese medicine permeation treatment. In daily life, the patient should be instructed to pay attention to the posture of labor, improve the working conditions, pay attention to cold and warmth, and pay attention to the combination of work and rest.