Cold pain in the back of the head may be related to occipital neuritis, high blood pressure, insufficient blood supply to the brain, etc. Drugs such as carbamazepine and calcium antagonists need to be given in conjunction with the cause of the disease. 1. Occipital neuritis: It often shows pain in the area between the occiput and the upper part of the external ear, radiating to the back of the head and neck, which may lead to cold pain in the back of the head. It is recommended that B vitamins be given to nourish the nerves, and gabapentin and carbamazepine be given to those with obvious pain. 2. Hypertension: headache, arrhythmia, palpitation, etc., which may lead to cold pain in the back of the head. Calcium antagonists such as nifedipine, angiotensin-converting enzyme inhibitors such as captopril, and angiotensin receptor antagonists such as valsartan are recommended. 3. Insufficient blood supply to the brain: due to cervical spondylosis, cerebral arteriosclerosis, cerebral infarction, etc., the blood vessels in the brain are insufficiently supplied to the brain due to compression and obstruction, causing local ischemia and hypoxia of the brain tissues, which may lead to cold pain in the back of the head. Commonly used vasodilators such as flunarizine, betahistine; antiplatelet agents such as aspirin, clopidogrel, etc. and for treatment. There are many causes of cold pain in the back of the head, it is recommended that you should choose to seek early medical treatment, identify the cause and follow the doctor’s instructions, do not self-medication.