Usually, the symptom of hearing the pulse in the head during sleep may be caused by physiological factors or pathological factors such as cerebral vascular spasm or vegetative nerve disorder, which can be treated by improving living habits, applying medication and surgery. Physiological factors: Incorrect sleeping position and excessive fatigue may also lead to increased vascular pulsation and the symptom of head pulse can be heard during sleep. Patients can relieve the symptoms by taking rest and releasing pressure in daily life. 2. Pathological factors (1) Cerebral vasospasm: abnormal contraction of cerebral arteries caused by craniocerebral injury or surgery may lead to cerebral vasospasm, causing the symptom of hearing the pulse in the head while sleeping. Patients can follow the doctor’s instruction to apply drugs such as fasudil hydrochloride and nimodipine to relieve the spasm; or take endovascular intervention surgery, cerebrospinal fluid replacement and other ways of treatment under the guidance of the doctor. (2) Vegetative nerve disorder: It may be due to excessive stress, heredity, disease and other factors that cause the function of the cerebral cortex to decline, and the regulation of the vegetative nerve center becomes weaker, resulting in vegetative nerve dysfunction, which causes the patient to have the symptom of being able to hear the pulse of the head in his sleep. Patients can follow the doctor’s instructions to apply vitamin B1, glutamine and other drugs to regulate the function of the plant nerves, so as to alleviate the symptoms. After the occurrence of sleep can hear head pulse situation should promptly consult a doctor, under the guidance of the doctor for further examination and treatment.