When the nerve behind the ear hurts with a jerk, occipital neuralgia is occurring. Occipital neuralgia extends upward to the greater auricular nerve, and when the greater auricular nerve is simply involved, it is also called auricular neuralgia. The nature of the pain is throbbing, stabbing, or pulling-like pain, which is not intense, paroxysmal, and lasts for one or two seconds each time, and most of them can recur. The cause is not yet fully understood, but is related to chronic inflammatory injury, cold and wind, and muscle compression. Treatment is mainly symptomatic, and pain medications such as ibuprofen and naproxen can be used, as well as carbamazepine and pregabalin, which specifically target neuralgia. Nerve-nourishing drugs, such as vitamin B1, vitamin B12, methylcobalamin, and cytarabine capsules, are also used.