Patient: Onset, one month ago, diagnosed as headache, then doctor diagnosed as occipital neuritis, seen in local hospital. The patient also suffered from triglycerides. He had a CT and magnetic resonance examination, but his blood count was high, platelets were 536 and white blood cells were also high, and he has been on anti-inflammatory medication, but his platelets still did not come down. It takes this to control platelets. The hematology department of Xinjiang Uygur Autonomous Region Hospital of Traditional Chinese Medicine Bai Yusheng: Hello! There are two types of platelet elevation: secondary and primary. The former is a reactive hyperplasia triggered by other factors, while the latter belongs to the range of blood diseases and requires further examination including bone aspiration and corresponding tests to confirm the diagnosis. The first step is to review the routine blood test several times, all suggesting that the platelet count is high, some even over 600 or 1000. also need to clarify the diagnosis, in order to develop the appropriate treatment plan.