Tianzong belongs to an acupuncture point in Chinese medicine and is located in the scapular region. Pain in this area is mostly related to shoulder diseases, such as supraspinatus, infraspinatus, and frozen shoulder due to rheumatism and strain, etc. For pain in this area, acupuncture, massage, and physical therapy can be given, along with pain medications such as diclofenac, if necessary. In addition, some posterior mediastinal tumors in the chest may cause pain in the Tien-Tzung area, which can be diagnosed by chest X-ray and chest CT, etc. After diagnosis, comprehensive treatment including surgery is feasible.