There are several cases of hypertension headache, which need to be treated according to different situations, as follows: 1.Hypertension itself causes cerebrovascular spasm, the treatment plan is based on lowering blood pressure and relieving vascular spasm, antihypertensive drugs and nimodipine can be taken to improve vascular spasm, the headache can be improved after ideal blood pressure control; 2.Hypertension causes cerebrovascular stenosis or cerebral infarction causing headache, such cases need to be reasonable and stable to lower blood pressure, while giving Aspirin anticoagulant, statin lipid-lowering drugs, stabilizing plaque, blood circulation and blood stasis Chinese medicine, such as ginkgo biloba, Tongxinluo, Chuanxiongzin, etc. to reduce blood viscosity; 3. Brain hemorrhage caused by hypertension needs dehydration and cranial pressure lowering treatment, if the bleeding volume is large, surgery is needed, and headache caused by brain hemorrhage and brain infarction needs to be clearly distinguished by performing cranial CT.