The left temple has a tendon a burst of pain, may be migraine, neurasthenia, trigeminal neuralgia and other causes, can be applied through the application of drugs, improve lifestyle and other methods of treatment. 1. Migraine: left temple has a tendon a burst of pain, may be caused by migraine, the disease is mainly manifested as a side of the head throbbing pain, can be accompanied by nausea, vomiting and other symptoms. 2. neurasthenia: stress, prolonged mental anxiety, rest is not good, resulting in neurasthenia, may cause a paroxysmal pain in the left temple. It is recommended to adjust your state of mind, more outdoor exercise, ensure adequate sleep, in order to improve the symptoms. 3. Trigeminal neuralgia: Trigeminal neuralgia can be manifested as a pinprick-like, cut-like severe headache, when the lesion involves the left ophthalmic branch of the trigeminal nerve, there can be a paroxysmal pain near the left temple. Carbamazepine can be taken as prescribed by the doctor for treatment. Paroxysmal pain with a root in the left temple may also be caused by other reasons. It is recommended to go to the hospital for head CT examination, cerebrovascular ultrasound examination, etc., to clarify the cause of the disease and then under the guidance of the doctor for the next step in the treatment.