A severe headache may be a tension headache or a cluster headache. Tension headache is mainly manifested as bilateral occipital collar, temporal and frontal pain, but also can appear the whole top of the head pain, pain feeling most of the pressure, tightness, and even can appear to be to explode like feeling. Patients can experience dull, aching or swelling pain, which can be aggravated in bursts, usually without continuous fluctuation, and can be accompanied by mild nausea, mostly without photophobia, phonophobia and vomiting. Cluster headache patients manifested as severe headache, intolerable, persistent drilling pain, tearing and pulling pain, as well as colic, burning pain, etc., and its attacks are often cyclical. Most of the patients are onset at night, especially 1-2 hours after going to sleep, daytime is usually not onset, and its treatment is mainly to give sumatriptan drugs, but also can be given oxygen therapy. For patients with tension headaches, oral acetaminophen, ibuprofen, naproxen, etc. can be given, and psychological counseling can also be given.