In many outpatient or ward charts, patients complaining of paroxysmal or episodic headaches with no positive clinical, laboratory, or neuroimaging findings are often diagnosed with vascular headache, or vasoneurotic headache. Over time, physicians and patients have become accustomed to it. However, if we review the foreign literature, vascular headache refers to headache caused by increased intracranial pressure due to high blood pressure, or aneurysm or vasculitis, which is different from our diagnostic concept. As for the diagnosis of vascular neurogenic headache, it simply does not exist. Because of the view in the 1960s that migraine was due to imbalance of constriction and dilation of intracranial blood vessels, the vascular mechanism was given priority, and this may be the reason why some doctors call migraine a vascular headache. However, since the 1970s, it has been found that migraine attacks cannot be summarized by the dysfunction of blood vessels, but also by the function of the brain and brainstem, and the role of the trigeminal nerve, which cannot be ignored. As a result, vascular neurological mechanisms are increasingly on the agenda. According to the latest results of the World Health Organization Headache Burden Reduction Research Project, the incidence of headache in China is 24.6%, with the most common types of headache being tension headache, migraine, chronic headache, and several other categories. Headaches tend to be more prevalent in young and middle-aged people, and are most common in people around 40 years old. Internationally, it is generally accepted that primary headache mainly includes migraine, tension headache and cluster headache. A definite diagnosis of migraine should include the following seven symptoms: 1. Recurrent unilateral erogenous headache. 2.The degree of headache is moderate or severe. 3.Headache attacks lasting 4 to 72 hours (untreated or untreated). 4.Headache is often accompanied by nausea and vomiting or photophobia and phonophobia. 5.The headache can be aggravated by daily physical activities or it is difficult to engage in daily physical activities (such as walking or climbing stairs) due to headache. 6.Menstrual cycle, stress, lack of sleep, sun exposure, etc. can trigger headache. 7.About 1/4 of patients have a family history of headache. Some patients may have a visual aura before the onset of headache, such as water ripples, battlements or visual field defects in front of the eyes, which may disappear automatically in 15 to 20 minutes, but the headache comes immediately afterwards. However, only about 25% of patients have a visual aura, called migraine with aura or classic migraine. Most patients have no clear aura symptoms before the headache attack, and the location, nature and accompanying symptoms of the headache attack are similar to those of typical migraine, which is called common or migraine without aura. Acupuncture has good efficacy in the treatment of migraine. According to the theory of meridians, the head is the meeting of all the yang, and the three yang meridians of the hands and feet all follow the head and face, and the liver meridian of the foot and fructus yin also goes up to the brain, so acupuncture treatment of headache should pay attention to the combination of identification and identification of meridians. In clinical treatment, we use acupuncture and acupuncture therapy combined with monk medicine to treat migraine with remarkable effect.