The scalp area acne is painful, consider the following two disease may: 1, folliculitis, is due to local bacterial infection resulting in hair follicles, sebaceous gland ducts blockage, the surrounding inflammation appears. The actual fact is that you can use topical clindamycin phosphate gel or Fuqing gel, as well as oral pepto-bismol capsules to clear the heat and detoxify the toxins, along with oral doxycycline capsules for antibacterial and anti-infective treatment. 2. Consider herpes zoster, which can appear in unilateral scalp areas along the peripheral nerves, with several clusters of small pimples or blisters, accompanied by painful sensations. In clinical treatment you can take oral famciclovir tablets or acyclovir tablets, and at the same time apply topical ganciclovir ointment or topical acyclovir ointment for treatment, and if the pain is obvious you can also take oral gabapentin capsules with it.