There are many causes of pain above the temples, the common causes are mainly the following: first, vascular neuropathic headache, mainly manifested as a side or bilateral temporal paroxysmal headache, mostly accompanied by visual aura symptoms, with a sense of vascular pulsation, mostly seen in patients with high mental stress and overexertion, taking drugs such as tianma headache tablets, nourishing blood and clearing the brain particles, can improve the symptoms. Second, trigeminal neuralgia, due to changes in nerve demyelination, mainly manifested as knife-like or needle-like pain above the temples on one side, the symptoms last for a few seconds to tens of seconds, not more than a minute, taking antiepileptic drugs such as carbamazepine, phenobarbital can be symptomatic treatment. Third, tension headache, also known as muscle contraction headache, mainly manifests as dull pain in one or both temporal areas, no pulsating sensation, with a tightening sensation in the head, perfect head-related examination without intracranial organic lesions, taking anti-inflammatory and analgesic drugs such as ibuprofen extended-release capsules and aminogam tablets, can symptomatically relieve pain symptoms.