Face like bugs crawling mainly consider the following aspects of the cause: First, middle-aged and elderly patients with bugs crawling on the face of the feeling of persistence, as well as dizziness, weakness of one side of the limbs or one side of the limbs numbness, to ask the patient whether there is hypertension, diabetes mellitus, hyperlipidaemia, long-term smoking or drinking a lot of alcohol, considering that the patient may be the existence of cerebrovascular disease, such as thalamic infarction or hemorrhage, you need to go to the hospital to do a cranial The patient needs to go to the hospital for cranial magnetic resonance examination to make it clear. Secondly, young and middle-aged patients feel that there are bugs crawling on their faces, belonging to the paroxysmal phenomenon, we should ask the patients how their sleep is, whether there is any emotional change, such as irritability, anxiety or laziness, suspicious, suspicious of disease or suspected of discomfort and pain in other parts of the body, and we need to do the anxiety, depression scale evaluation to determine whether the patients have somatization disorder. In short, there are bugs crawling on the face, the main consideration of the above two aspects of the cause.