The most common reason for considering a patient with a pins and needles pain in the left temple is migraine. There are primary migraine and secondary migraine. Primary migraine is a recurring headache that occurs in patients, mostly with a family history of headaches. It can be caused by triggering factors, such as the patient’s emotional stress, overexertion, and drinking stimulating beverages, all of which can lead to the occurrence of migraine symptoms. Secondary migraine patients mostly suffer from cerebral atherosclerosis, which causes migraine symptoms due to insufficient blood supply to the brain, and it is recommended that patients be treated with medications to improve blood circulation. Patients with pain like pins and needles in the left temple should consider whether they have recently suffered from vegetative nerve disorders, such as chronic insomnia or excessive dreaming.