Long-term chronic rhinitis can cause neuropathic headaches due to swelling of the mucous membrane of the nasal cavity, which clings to the surrounding tissues. The principle of treatment is to promote the expansion of the nasal space. Surface anesthetics as well as vasoconstrictor tampons can be used to astringent the nasal cavity during episodes, which can be further determined if the headache is effectively relieved. Treatment is drug-based and requires the use of short-term nasal vasoconstrictors as well as glucocorticoid-based nasal sprays. The latter has a good anti-inflammatory and anti-allergic effect, and it acts directly on the mucosal surface of the nasal cavity without producing systemic side effects, so it can be used safely for about a month. For those with combined sinusitis, antimicrobial agents and mucus promoters should be used appropriately. For those who have poor results with medication, surgery is the best treatment.