We often encounter such patients who have headaches for years and can only live on painkillers every day, but they never understand where the headaches come from. Some patients complain of pain around the eyes and go to the ophthalmology department to check eye pressure and visual field, but where do the stubborn headaches come from? At this time, experienced pre-screening nurses will recommend patients to come to the otolaryngology department. We did a detailed otolaryngological examination of the patients, especially the nasal examination, and found that many patients have the same signs: deviated nasal septum, sharp spines or large crests deeply penetrating the mucosa of the inferior or middle turbinates, or obvious hypertrophy of the inferior and middle turbinates, poor ventilation and drainage of the nasal cavity, or the nasal cavity can be sorely damaged. The patient is suggested to have a CT of the sinuses, which indicates that there is a clear “chronic sinusitis” or “sinus cyst”, etc. Let us summarize the characteristics of rhinogenic headache: 1. The headache can be alleviated or temporarily relieved after taking measures such as rest, nasal drops, steam inhalation or nasal ventilation and drainage, etc. The headache will be aggravated again when the venous pressure in the head is increased by coughing, head bowing, bending and exertion. What are the examination methods for rhinogenic headache: 1.nasal cavity examination 2.nasal endoscopy 3.sinus CT/MRI What are the conditions that should be considered as rhinogenic headache? 1.Long-term chronic headache 2.When headache is aggravated by cold and flu 3.Headache without any other exact cause 4.Headache relieved by mucosal surface anesthesia of middle nasal tract and olfactory fissure area or maxillary sinus puncture How to treat rhinogenic headache? 1.Obstructive infection type: middle turbinate or inferior turbinate is enlarged, most patients have nasal polyps or septal deviation in the nasal cavity, X-ray and CT show hypercavitation of hooks and septal vesicles, one or more sinus inflammation, the symptoms can be reduced after anti-infection and 1% ephedrine drops in the nasal cavity during headache attack. 2, compression type: nasal septal deviation, middle turbinate hypertrophy, nasal septal bone spine and sieve bubble close together. x-ray and CT examination can occasionally see the manifestation of sinus inflammation. The headache can be relieved after treatment with 1% dicaine soaked cotton tablets in the anterior and posterior sieve nerve distribution area. Surgical treatment can relieve the compression factors. 3.Mixed type: It has the etiology and clinical manifestations and characteristics of the obstruction and compression type. Of course, the incidence of rhinogenic headache may not be as high as the incidence of headache caused by central system diseases, but this article only aims to illustrate one point: when the headache is not cured for a long time, we may change our thinking, change our perspective, and the real cause of the headache may not be far away. The real cause of the headache may not be far from us. If you have the above symptoms, after reading this article, you can pay attention to them and be alert to them, which may help to relieve your pain and anxiety. Then the author’s efforts may not be in vain.