Tightness and dizziness of the scalp is the occurrence of a tension-type headache, which is caused by chronic contraction and tension of the capsular tendon membrane. Patients often combine anxiety, depression, sleep disorders or cervical spine disease. Their complaints are often scalp tightness, a sense of tightness, pressure, and a persistent feeling of dizziness, rather than a direct complaint of headache. In this case, a CT scan of the head can be refined to rule out organic brain disease. Improve the anxiety self-assessment scale and depression self-assessment scale, and if possible, can also be performed respiratory sleep monitoring. After clarifying the above diseases, the treatment is based on the use of muscle relaxants, as well as anti-anxiety and antidepressant. Commonly used compound chlorzoxazone, eperisone, tizanidine, can relax the muscle, reduce muscle tension. The combination of anxiety and depression can use duloxetine, Duloxetine.