The following conditions need to be considered: First, vascular headache, which is the most common primary headache, often manifested as throbbing pain or swelling or stabbing pain in the temples. Generally, there is no abnormality in CT examination of the head, and it is easy to attack after blowing wind, getting cold or drinking alcohol or staying up late. Second, temporal arteritis, also throbbing pain near the temples, but when touched can feel the thickened temporal artery, the texture is tougher, there is obvious pressure pain, ESR may be mildly elevated, C-reactive protein may also be increased, is a rheumatic immune disease, often combined with other vascular inflammation. Third, intracerebral organic disease, this kind is more, including encephalitis, cerebral infarction, cerebral hemorrhage, brain tumor, etc.. It is necessary to improve the cranial CT or magnetic resonance examination to further clarify the diagnosis, and then to treat the cause.