If a piece of the top of the head hurts when pressed by hand, it is mainly due to the following reasons: First, ask the patient if there is a history of head trauma. If the patient has a history of head impact or trauma, there may be a local scalp hematoma, and there will be a painful phenomenon when pressed by hand. Secondly, if the top of the head is painful when pressed by hand, ask the patient if there is any pulling-like pain in the back of the head or forehead, if there is pulling-like pain in the top of the head, occipital region or frontal and temporal regions, with paroxysmal attacks, and if the scalp cannot be touched, consider that there may be occipital neuralgia, which is related to the cervical spine being cold or having incorrect posture. Thirdly, if the top of the head module hurts when you press it with your hand, you should also consider whether there is any influence of drugs, for example, sometimes after taking certain drugs, the side effects of drugs appear as pain in the head.