Study aim: Determining the effectiveness of manual acupuncture and electroacupuncture on intensity and number of days of tension headaches, the amount of painkillers used in acute headaches, anxiety, depression and quality of life. Design: Clinical trial with control group, with parallel groups, single-blind study, randomized, phase 3 on 75 patients. The online site https://www.sealedenvelope.com was used for randomization. Settings and conduct: Patients visit the acupuncture clinic of Imam Reza Hospital 3 times a week for 4 weeks. Disposable sterile needles, size 0.25 x 25 mm, are placed in the specified place and depth according to Chinese medicine reference books.. Both groups Patients receive 12 treatment sessions. The follow-up period is 8 weeks Participants/Inclusion and exclusion criteria: Patients with tension headaches aged 18 to 65 years with the onset of headache under the age of 50, whose treatment started 3 months before the study and continued without any changes during the study. Exclusion criteria: Migraine headache more than one day a month or secondary headaches; severe physical or mental illness; pregnancy; breastfeeding; any type of addiction, acupuncture treatment in the last 6 months and continuous use of headache pain relievers more than 10 days a month for more than 3 months. Intervention groups: Needles will be inserted in these points for both intervention groups: GB20-GV20-LI4-LV3-EX HN 5-ST8-GB8-SP6-ST36-EX HN 3-SJ 5-LU 7-ST40-REN12-PC6-HT7-BL60. In the electro-acupuncture group, the needles are stimulated with an electro-acupuncture device at points DU 20/EX-HN3-LI4/PC 6-LIV 3/SP 6. Participants in the usual care group (control) continued their previous treatment and completed the questionnaires similarly to the two intervention groups. Main outcome variables: Pain intensity