Two temple swelling and pain may be caused by physiological factors such as lack of sleep, but also due to intracranial diseases, high blood pressure, tension headaches and other pathological factors. 1. Physiological factors: lack of sleep or overexertion often triggers temple pain. Generally, no treatment is needed, and the symptoms can be relieved on their own by improving the daily routine and increasing exercise moderately. 2. Pathologic factors: (1) Intracranial diseases: including meningitis, subarachnoid hemorrhage, brain tumors, cerebrovascular malformations and other lesions. Intracranial diseases may cause increased intracranial pressure or cerebral vasospasm, etc., triggering bilateral solar plexus swelling and pain. (2) Hypertension: When the blood pressure level rises abnormally, the pressure of the blood vessels in the brain will also increase, causing the constriction of the cerebral blood vessels and insufficient blood supply to the brain, which can also be manifested as distending pain in the temples, and some patients will also experience other uncomfortable symptoms, such as dizziness, palpitations and tinnitus. (3) Tension-type headache: often caused by the persistent contraction of the head muscles and fascia, or by excessive mental tension and other factors, there is a swelling and pain in the temples, this kind of pain is mostly a dull pain, which can be accompanied by a sense of tightness. It is recommended that patients with bilateral temple swelling and pain performance, should promptly seek medical attention to clarify the cause of the disease, under the guidance of the doctor to take targeted therapeutic measures.