Headaches caused by nasal disease are called rhinogenic headaches. In patients with headache, the determination of whether their headache is of rhinogenic origin is based on the location of pain, the time of occurrence, nasal symptoms and the necessary rhinological examination. Anesthesia with mucosal surface anesthetics to the posterior external aspect of the middle turbinate and anterior anterior aspect of the middle turbinate, respectively, is an important basis for the diagnosis of rhinogenic headache if the headache is quickly reduced or even disappears. Rhinogenic headache is generally divided into two types: infectious and non-infectious. I. Infectious rhinogenic headache: It is often accompanied by acute infection of nose and sinuses, and the pain has a certain location and time. 1.Acute frontal sinusitis: The pain is located in the forehead, above the inner orbit or full headache; heavy in the morning, relieved in the afternoon and disappears in the evening. 2.Acute maxillary sinusitis: headache is light in the morning and heavy in the afternoon. 2. Non-infectious rhinogenic headache: seen in allergic rhinitis, atrophic rhinitis, nasal septal deviation, nasal and sinus tumors, etc.