Objective To observe the efficacy of subgaleal acupuncture for chronic tension headache.Methods Fifty cases of chronic tension headache were randomized into the treatment group of 26 cases and control group of 24 cases.The treatment group was given subgaleal acupuncture.The control group was given common acupuncture.The acupoints such as Baihui（ GV20）

Shenting（ GV24）

Touwei（ ST8

bilateral）

Taiyang（ EX-HN5

bilateral）

Fengchi（ GB20

bilateral） and Taichong（ LR3

unilateral） were selected as the main points in both groups.Both groups were treated 3 times weekly for 12 weeks.In the 24 th week

the patients were followed up.The headache severity score and headache duration score were observed.The headache index was calculated and the clinical efficacy was observed.Results The headache severity score

headache duration score and headache index were significantly decreased in both groups after treatment（ P < 0.05）

especially in the treatment group（ P < 0.05）.The total effective rate of the treatment group and control group was 92.3% and 83.3% respectively

with no significant difference between groups（ P > 0.05）.Conclusion Subgaleal acupuncture for chronic tension headache is superior to common acupuncture in relieving headache severity and headache duration.