Self-perceived tightness and heaviness in the head may be related to tension headaches, high blood pressure, insufficient blood supply to the brain, etc. It may also be caused by sleep deprivation, and needs to be treated symptomatically and causally. Most of the self-felt head tightness and heaviness are caused by tension headaches. The exact cause is unknown, but it is closely related to mental and emotional disorders such as anxiety, depression or poor rest. Adequate sleep and physical and mental health should be ensured, and sleeping and anti-anxiety drugs such as alprazolam can be taken appropriately. In severe cases, indomethacin can be taken for pain relief. If the headache is persistent and does not get better after rest, it may be related to secondary headache caused by high blood pressure and insufficient blood supply to the brain. In this case, antihypertensive drugs, such as amlodipine, timosartan, etc., should be taken; improve the circulation of drugs, ginkgo biloba, butylphthalide, etc. to treat the cause. In addition, the above symptoms can also occur when there is a lack of sleep, and can be relieved after ensuring adequate sleep. When the symptoms of tightness and heaviness in the head occur, it is recommended to consult a doctor in a timely manner to clarify the cause of the disease and then targeted treatment, do not blindly self-medication, in order to avoid delaying the condition.