The most common cause is scalp herpes zoster, typical herpes zoster manifests as scalp pain, pain will be more obvious when wearing a hat stimulated, accompanied by low fever, fatigue, loss of appetite, local visible old and new blisters, blisters appear in pairs, fresh bubble fluid is clear, with time the bubble fluid gradually cloudy, crusting, fall off. Patients should pay attention to scalp hygiene, do not intentionally break the blisters to prevent secondary infection, pay attention to rest, preserve physical strength, light diet, oral or topical application of antiviral drugs. Tension headache, also known as muscle contraction headache, has a high incidence in clinical practice and is mainly characterized by tight band-like pain in the head, which is more pronounced when wearing a hat. Due to daily mental stimulation and anxiety and depression, patients should pay attention to rest and avoid mental tension, and patients with significant headaches can be treated with temporary non-steroidal anti-inflammatory drugs, such as acetaminophen.