The whole headache like it is going to explode is mostly considered to be caused by tension headache. The disease is a primary headache disease, most occur in 20-30 years old young adults, the exact cause is not clear, may be related to the patient’s mental tension, stress and sleep disorders, clinically can be categorized into infrequent recurrent tension headache, frequent recurrent tension headache and chronic tension headache. Headache is generally persistent, can last for days, weeks, months, and even some patients can last for years, most of the soreness, swelling, dull pain, can also appear to be the same as the feeling of explosion, can be aggravated for a while. Headache usually occurs on both sides, can appear on both sides of the occipital, fronto-temporal, but also can appear in the whole top of the head, headache can have a sense of tightness and pressure. Cranial CT or nuclear magnetic need to rule out other causes of headache, its treatment is mainly to give symptomatic treatment, if the patient is a chronic tension headache, generally should be given prophylactic drugs, commonly used drugs mainly amitriptyline, symptomatic treatment in the treatment of drugs including diclofenac, ibuprofen and indomethacin. In the case of pregnant women, breastfeeding patients and children, psychosocial treatment is also available.