Patients with a stabbing pain in the top of the head mainly consider neurological headache and systemic diseases, as follows: First, neurological headache: it may be caused by neurological headache, which usually occurs easily when patients are tired, have decreased resistance, are cold or windy, and may also be accompanied by other symptoms of external sensation, such as nasal congestion, runny nose, muscle aches and pains, etc. It is caused by viral invasion of the epidermis of the head during the cold. It is caused by the virus invading the nerves in the epidermis of the head during the cold. Secondly, systemic diseases: Patients with a tingling pain in the top of the head may be related to systemic diseases, such as hypertension, poor blood pressure control, or migraine, tension headache and other factors. In response to the above, we have to combine the patient’s medical history and relevant examination to judge and give corresponding treatment.