Patients with a burst of pain on one side of the head are mainly considered to be migraine or caused by occipital neuralgia, as follows: 1. Migraine: Usually migraine is prone to recurrent attacks, and about 2/3 of migraine patients have a positive family history of the disease. Before the attack, there are often some triggers, such as poor sleep, emotional tension, stress or dietary stimulation, which may trigger the attack, manifesting as a burst of throbbing pain on one side of the head. When the patient rests, temporary pain medication can make the symptoms relieved quickly; 2. Occipital neuralgia: the nature of the pain is lightning-like, knife-like pain, which can be clearly diagnosed by physical examination, and if there are pressure points to consider this aspect of the problem, there is usually an increase in headache when the patient coughs, walks, goes up the stairs and other actions.