There are many causes of paroxysmal pain in the right side of the head, and the common causes are mainly the following: first, occipital neuralgia, which is mainly manifested as paroxysmal pinprick-like severe pain, mainly in the back of one side of the neck, the symptoms last for a few seconds to tens of seconds each time and generally do not exceed one minute, the application of nerve-nourishing drugs, such as methylcobalamin, vitamin B, etc. can symptomatically relieve the symptoms. Second, cervical spondylosis, cervical muscle strain can pull the surrounding blood vessels and nerves, mainly manifested as paroxysmal pain in the back of the neck, perfect cervical spine examination can be clearly diagnosed, its treatment is mainly through traditional Chinese medicine physical therapy such as traction, acupuncture, massage and other ways to improve the symptoms. Thirdly, hypertension, when the blood pressure is elevated, the symptoms of paroxysmal headache in the back of the occipital area can also appear, often accompanied by a sense of vascular pulsation, and the pain can be relieved immediately after taking antihypertensive drugs to control the stable blood pressure.