A pang of pain in the nerve above the ear is considered to be mostly caused by overwork, lack of sleep, and mental tension in life, which results in a large nerve pain in the ear. The pain usually disappears after a period of rest and after the tension has been relieved. If the pain does not go away for a long time, or if the symptom occurs regularly, it is considered to be related to trauma, infection, nerve compression, and other causes. I. Trauma: When a sharp object cut or blunt impact damages the large nerve in the ear above the ear, it can trigger a burst of pain in the nerve. Patients usually have obvious antecedent conditions, and they are often accompanied by swelling and bruising of the wound. A surgical visit is usually required for corresponding bandaging or oral treatment with blood-activating medications such as Dazhiri capsules and Panglong Qi tablets. It is also necessary to improve the X-ray and other examinations to see if the degree of nerve damage is serious. Second, infection: 1. Viral infection: If the herpes zoster virus infects the periphery of the auricle, the herpes virus can invade the branches of the trigeminal nerve near the ear, which can also cause paroxysmal neuralgia. Patients may also have fever, fatigue, swollen lymph nodes in the neck, and erythema and papules along the nerves in the affected skin. Under the guidance of a doctor, medications such as acyclovir tablets and famciclovir tablets can be administered. 2. Bacterial infection: It is commonly caused by acute upper respiratory tract infection and tonsillitis due to bacterial infection, which can also cause a pang of pain in the nerve above the ear because the infection site is close to the ear. Patients need to follow medical advice to choose antipyretic and analgesic drugs for the disease, such as ibuprofen extended-release capsules and amoxicillin capsules for treatment. At the same time, drug sensitivity tests should also be conducted to select the corresponding antibiotics, commonly used are penicillins such as piperacillin, cephalosporins such as ceftazidime, etc. Third, nerve compression: 1. Cervical spondylosis: the auricular major nerve is part of the cervical plexus nerve. When patients suffer from cervical spondylosis, long-term compression of the cervical nerve implicates the auricular major nerve, which may trigger a burst of pain above the ear, and may also be accompanied by symptoms such as ipsilateral cervical spine soreness or even shoulder and back pain. It can be treated under the guidance of a doctor. Commonly used drugs include indomethacin tablets, ibuprofen extended-release capsules and other non-steroidal anti-inflammatory drugs. In addition, it can also be combined with massage and traction to relax the neck muscles. If the nerve root damage is obvious, surgery is required; 2. Tumors: such as intracranial tumors, cervical lymphoma, and even spinal cord tumors may compress the cervical plexus nerve, which in turn triggers a burst of pain in the nerve above the ear. Depending on the location of tumor onset, patients may also experience headache, shoulder and neck pain and other symptoms, and treatment is based on surgical removal. Therefore, the diagnosis of the specific disease needs to be determined by the patient going to the neurology department of the hospital and completing the relevant examination, and then receiving treatment under the guidance of the doctor to avoid aggravation of the nerve pain symptoms, which will affect the patient’s normal quality of life and health.