Migraine and tension-type headache are both common clinical diseases. According to the International Classification of Headache Disorders, Second Edition (ICHD-II) (new version) released by the International Headache Society (IHS) in February 2004, they both belong to primary headache, but their definition, etiology, diagnosis and treatment are different. They should be distinguished from each other. Migraine is mainly characterized by periodic, episodic moderate to severe throbbing headache on one or both sides, accompanied by nausea, vomiting or photophobia and vocalophobia, and is more common in women. Each attack lasts for several hours or days. Typically, there are often reversible focal neurological symptoms as an aura before or during the headache attack, manifesting as visual, sensory, verbal and motor deficits or irritation symptoms. Tension-type headaches are mostly bilateral occipital or whole head constricting or pressure headaches, usually non-pulsating, persistent mild to moderate dull pain, rarely accompanied by nausea and vomiting, and many patients may have symptoms such as dizziness, insomnia, anxiety or depression, mostly triggered by mental tension, work fatigue, insomnia, etc., and may be aggravated by menstrual flow. Migraine is a common primary headache, with a prevalence of 5% to 10%. The pathogenesis of migraine is mainly based on the vascular source theory, trigeminal vascular reflex theory, and cortical diffusion inhibition theory, but the vascular source theory is still the most commonly accepted one, which means that the vasoconstriction and dilatation function is disturbed. The intracranial vasoconstriction causes aura symptoms, followed by extracranial and intracranial vasodilatation leading to pulsatile headache. Migraine has a genetic susceptibility, about 60% of migraineurs have a family history, is more common in women, is prone to attacks during menstruation, and certain foods and medications tend to trigger migraine attacks. Tension-type headache is the most common type of chronic headache, accounting for about 40% of headache sufferers. Episodic tension-type headache is mostly due to contraction or ischemia of pericranial muscles and myofascial structures, abnormal intra- and extracellular potassium ion transport, and increased release of inflammatory mediators, etc. The pain sensitivity of pericranial myofascial tissues increases significantly, causing tension and pain in pericranial muscles or myofascial structures. Patients with chronic tension-type headache are prone to nociceptive hypersensitivity due to functional and/or structural abnormalities in the posterior horn of the spinal cord, trigeminal nucleus, thalamus, and cortex, with a marked decrease in nociceptive threshold to tactile, electrical, and thermal stimuli. In addition, stress, tension and depression are also associated with persistent neck and scalp muscle contractions, which can also aggravate tension-type headaches. Therefore, migraine attacks are caused by both genetic factors and dysregulation of the intraorganic environment and vasoconstriction and diastole disorders. Tension-type headache attacks, on the other hand, are mostly related to anxiety, tension, and muscle strain. According to the theory of Chinese medicine, the head is the meeting of all the yang, the house of essence, and the place where the sea of marrow resides, and it is connected with the internal organs by meridians and the external world by orifices. Ming? Therefore, the cause of headache is closely related to the qi and blood of the internal organs and the yin and yang of the internal organs, and the symptoms of headache may occur regardless of the condition of any link. The liver is the most influential organ in the headache pathology. From the circulation of the meridians, the liver meridian “goes up through the forehead to the top of the head and meets with the Governor’s vein”. And “wind qi passes through the liver”, the “Medical Zong Zhi Read” cloud: “on top of the sympathetic yin, wind qi is the main; sympathetic yin headache, wind pain also”, and headache recurring, prolonged for a long time, “clinical evidence guide medical case” said “long pain will enter the luo, qi and blood Therefore, whether it is the treatment of migraine or tension-type headache, it is necessary to calm the liver and quench the wind and invigorate the blood to remove blood stasis. However, because migraine is mostly caused by the disorder of vasoconstriction and dilation, the nature of pain is more than that of tension-type headache, so the requirement of activating blood circulation and removing blood stasis is obviously higher than that of tension-type headache. The cause of tension-type headache is closely related to long-term emotional stimulation such as anxiety, tension or fatigue, and long-term anxiety or depression can also cause muscle spasm and vasoconstriction in the head and neck, resulting in pulling and spreading pain, so the treatment process pays more attention to mental regulation, soothing the tendons and channels, softening the tendons and calming the mind.