Pain felt when massaging the top of the head is usually due to chronic inflammation of the myofascia, or the occurrence of myotonic headaches. The patient has a layer of capillary tendon membrane under the scalp, which is connected to the muscles of the neck and the latissimus dorsi. When there is cervical spondylosis or the patient works with his head down for a long time, it tends to lead to muscle pulling in the back of the neck, causing chronic contraction and tension of the capitellar fascia, which tends to develop chronic inflammation. Patients who have anxiety, depression, poor sleep, and mental stress can also cause chronic tension and contraction in the head. If the attack lasts for a long time, it is called chronic tension headache. There is pressure pain when the headache is localized by pressure, and there is usually no abnormality on CT examination of the head. Treatment can be done with muscle relaxation, anti-inflammatory and analgesic drugs, such as compound cloxazolazone, eperisone and tizanidine, and also with Chinese medicine, such as headache nin and tianshu capsules.