Pain at the back of the head, near the ear, is usually referred to as aural neuralgia. The greater auricular nerve is a branch of the occipital nerve and is often combined with occipital neuralgia. It may be related to cold and wind, viral infection, or cervical spondylosis, resulting in muscle tension and compression. When the area of the greater auricular nerve is pressed, there is often localized pressure and pain that diffuses into the area of its innervation. The nature of the pain is usually stabbing, throbbing, or distending, and lasts for a short period of time, mostly without other accompanying symptoms such as nausea, vomiting, or blurred vision, etc. Perfect cranial CT examinations usually do not show any significant abnormalities. Treatment should be with drugs that target neuralgia, such as carbamazepine, gabapentin, and pregabalin. If it is related to cervical spondylosis or chronic muscle tension inflammation, compound cloxazolazone, or anti-inflammatory and analgesic drugs such as eperisone are also added.