Patients who have symptoms of tightness in the top of the head should consider the possible existence of myotonic headache or plant nerve dysfunction, which may manifest as a feeling of tightness in the top of the head, and patients with chronic cerebral blood supply deficiency may also experience tightness in the top of the head. In this case, it is recommended that the patient promptly visit a hospital for relevant examinations, such as perfecting transcranial Doppler, cervical vascular ultrasound, and CT examination of the cervical spine, to clarify whether these problems exist. If these are the causes, acupuncture or head massage can be given to relieve the problem, and oral medications can be taken to improve blood circulation and activate blood stasis. For example, blood plugging tablets, ginkgo ketone ester drops, vermifuge snake Tongluo capsule to relieve the patient’s lack of blood supply to the brain and relieve the symptoms of tightness in the top of the head.