Head like bugs crawling may be head lice disease, neurosis, diabetic peripheral neuropathy and other diseases caused by the need to take medication, psychotherapy, other treatments, surgical treatment for the cause of the disease. 1. Head lice disease: because of head lice, patients will always feel something crawling on the scalp. Patients need to follow the doctor’s advice to apply drugs such as tincture of Bacitracin and benzyl benzoate emulsion. If these two kinds of drug treatment is not effective, then you can follow the doctor’s advice to apply ivermectin, malathion and other drugs. 2. Neurosis: Because the patient will have autonomic nerve disorder, abnormal sensation and other symptoms, so it can be manifested as the head like a bug crawling. Patients need to follow the medical advice to apply propranolol, labetalol and other beta-blockers, as well as diazepam, alprazolam and other anti-anxiety drugs. At the same time, need to cooperate with the doctor for psychological counseling, common methods are cognitive therapy, Morita therapy and so on. 3. Diabetic peripheral neuropathy: common symptoms include sensory impairment, numbness and pain in the limbs, which can be manifested as bugs crawling on the head. Patients need to follow the doctor’s instructions to apply the nutritional nerve drugs, such as methylcobalamin, vitamin B1, etc., as well as aldose reductase inhibitors, such as Epalrestat and Torrestat. If there is obvious pain, you need to follow the doctor’s advice to apply ibuprofen, acetaminophen and other non-steroidal anti-inflammatory drugs. And need to actively control blood sugar. It is also necessary to cooperate with the doctor to actively control blood sugar. Generally this disease does not need surgical treatment, if there is nerve compression, then need to consider nerve decompression surgery. To summarize, there are many reasons why there are bugs crawling on the head, patients need to go to the hospital and actively treat the original disease.