Insomnia accompanied by head swelling and pain is caused by incorrect sleep posture, lying on the side or sleeping on the stomach can cause breathing difficulties and also compress the heart, thus causing headaches, which requires adjustment of sleeping posture. 1. Excessive mental stress, long-term insomnia, excessive fatigue, etc., lead to disorders of the vegetative nerves, which can lead to poor cranial blood circulation and cause mild hematoma, resulting in head swelling and pain, which can be treated with medication. 2. The patient with otitis media, tonsil inflammation for a long time, the body in a long-term state of suboptimal health, low immunity, will also cause swelling and pain, can follow medical advice to use a little sleeping pills and non-steroidal anti-inflammatory drugs, treatment of inflammation, relieve symptoms. 3, neurasthenia patients, there will be long-term insomnia symptoms, lack of nerve nutrition, increased intracranial pressure, will also have the symptoms of head swelling and pain, can use vitamin therapy.