There are many causes of acupuncture-like pain in the temples, the common causes are mainly the following: first, trigeminal neuralgia, the disease is mainly manifested as paroxysmal, acupuncture-like pain in one temple, the symptoms last for a few seconds to tens of seconds, usually no more than a minute, taking gabapentin capsules can symptomatically relieve pain; second, herpes zoster, the disease is due to herpes virus invasion caused by impaired nerve function, also This disease is caused by impaired nerve function due to herpes virus attack, and can also cause pins-and-needles pain on one side of the temple, and the skin often has characteristic clusters of blistering rashes, which can be symptomatically relieved by antiviral and nerve-nourishing treatment; thirdly, neuropathic headache, which is mostly seen in patients with emotional tension and mental stress, and can cause a feeling of heaviness, dullness and pins-and-needles pain in the head, which can also lead to insomnia and depression in severe cases, Adenosylcobalamin can be used as symptomatic treatment.