Headache is one of the most common diseases in clinical pain management, and according to statistics, everyone experiences headache at least once in their lifetime. Due to the lack of proper diagnosis and treatment, many headache patients are in extreme pain for a long time, which seriously affects their work, study and quality of life and brings serious mental and economic burdens to patients and their families, and some patients even resort to suicidal behavior to end their pain. It is noteworthy that the incidence of headache among adolescents has been on the rise in recent years, bringing adverse consequences to their learning, psychology and growth. In the past, there were many classifications of headache, and there was no scientific basis for the belief that headache was caused by pathophysiological changes in the skull. In 1991, Sjasstad proposed the concept of “cervicogenic headache” for the first time, believing that pathological changes inside and outside the cervical spinal canal could cause headache symptoms, which posed a great challenge to the perception, diagnosis and treatment of headache. The concept of “neurogenic headache” and “neurovascular headache” will be gradually eliminated, and the concept of cervicogenic headache is getting more and more attention. Anatomical studies have found that the 1st to 4th cervical nerves are closely related to headache, and these nerves are interconnected to form the greater occipital nerve, the lesser occipital nerve, the greater auricular nerve and the cervical plexus, which are responsible for the sensory transmission of the occipital muscles and skin. In addition, in the posterior horn of the cervical medulla, cervical nerves 1-3 are extensively connected to the terminal fibers from the olfactory nerve, facial nerve, glossopharyngeal nerve, vagus nerve and afferent branches of the trigeminal nerve, extending the sensory range forward to the forehead and infraorbital area. In the pain clinic, 70% to 80% of headache patients are cervicogenic headaches, and many of these patients have suffered from headaches for years due to misdiagnosis by several well-known hospitals. The clinical manifestations are unilateral or bilateral occipital, postauricular dullness or soreness that may spread to the forehead, temporal, top, neck or upper extremities, and even the face, along with nausea and vomiting, tinnitus, eye swelling, and altered sense of smell and taste. Physical examination may reveal significant pressure pain in the paracervical vertebrae below the ear and behind the mastoid process, and there may be scattered pressure pain points in the head. Cervical X-ray, CT and MRI are important for the diagnosis of cervicogenic headache. Many patients have abnormal position of the bony joints in the upper cervical segment of the cervical spine, and the intervertebral disc shows degeneration or protrusion, but the site and degree of degeneration and protrusion are not necessarily closely related to the site and degree of pain. The Department of Tui-Na of our hospital has a well-established system for treating cervicogenic headache by using meridian tui-na, which uses imaging and scale scoring patterns to accurately determine the severity of the patient’s pain and to improve the condition of the observer from time to time. It is less painful, non-invasive and easily accepted by patients. Good results can be received in the short term.