There are many causes of a bout of throbbing pain in the right back of the head. First, occipital neuralgia, which is caused by abnormal neuronal discharge due to changes in nerve demyelination, can be manifested as paroxysmal pulling-like pain in the posterior occipital region, taking gabapentin capsules can symptomatically relieve pain symptoms, and can also apply nerve-nourishing drugs such as methylcobalamin, vitamin B and other symptomatic treatment. Secondly, migraine, which is mainly manifested by paroxysmal throbbing pain in one or both temporal areas, often accompanied by vascular pulsation, is mostly seen in patients with high mental stress and disorderly work and rest, and can be treated symptomatically with drugs to improve brain circulation such as flunarizine hydrochloride capsule and Zhengtian pill. Third, cervical spondylosis, cervical muscle strain can pull and stimulate the surrounding blood vessels and nerves, resulting in paroxysmal pulling-like pain in the posterior occipital area, improve the cervical spine examination can be clearly diagnosed, take cervical rehabilitation pellets can symptomatically relieve the symptoms.