Posterior occipital head pain needs to be considered migraine as well as occipital neuralgia, the onset of triggers are due to anxiety, sleep deprivation, neuroinflammation, migraine is a chronic headache, due to emotional stimulation, sleep deprivation, the nature of the pain is distension, tingling, the duration is relatively fixed, and will improve after rest. Non-steroidal anti-inflammatory drugs, such as paracetamol, meloxicam, and ibuprofen extended-release tablets, can also be used. Occipital neuralgia is due to the large occipital nerve, small occipital nerve, partly caused by inflammation of the large ear nerve pain, as stabbing pain, needle-like pain, pain is intense, examination methods can press the Fengchi point in the back of the occipital Chinese medicine, can induce pain, pain is intense can be diagnosed as occipital neuralgia, treatment is mainly to give pain relief, sedation symptomatic treatment. Sedative treatment can be used with mood regulating drugs for pain treatment, which is obviously different from the pain treatment for migraine, because it has better effect on neuralgia.