Positive fungal spores on the head is considered to belong to the ringworm of the head, you can take oral antifungal drugs (terbinafine, itraconazole), as well as topical antifungal drugs (bifonazole solution, ketoconazole hair lotion) treatment. 1. Oral antifungal drugs: commonly used drugs are terbinafine tablets, itraconazole capsules, fluconazole capsules, ashwagandha tablets and so on. Mainly can play a role in killing and inhibiting the role of fungi, common adverse reactions for drug liver injury medication, during which need to regularly check liver function. 2. Topical antifungal drugs: commonly used drugs are bifonazole solution, terbinafine cream, ketoconazole hair lotion and so on. Common adverse reactions are skin irritation, occasionally allergic reactions, allergic to the drug is prohibited. It is recommended that patients go to the hospital in a timely manner to find out the cause, follow the doctor’s instructions to use medication, do not self-medication, so as not to cause adverse effects.