There are two small bumps on the head that become itchy when there's internal heat ("fire").

There may be two small bumps on the head that become itchy when "heatiness" (a traditional concept referring to internal heat or inflammation) occurs. This could be due to physiological factors, or pathological conditions such as folliculitis or seborrheic dermatitis. Treatment may involve general care measures or medications. Specific details are as follows:

I. Physiological Factors

If a person frequently consumes spicy or greasy foods, this may lead to bumps on the scalp accompanied by itching. Adjusting the diet and increasing intake of vitamin-rich foods is recommended.

II. Pathological Factors

1. Folliculitis

This may result from poor local hygiene and bacterial infection. When hair follicles become blocked and underlying tissue is damaged, bumps can form. Under medical guidance, topical treatments such as fusidic acid cream or ofloxacin gel may be applied.

2. Seborrheic Dermatitis

This condition is associated with increased sebaceous gland secretion, impaired skin immune barrier, and individual immune responses, leading to dilation of skin capillaries and accompanying itchiness. Under medical supervision, treatment may include topical application of compound acetic acid dexamethasone cream or oral administration of vitamin B2 tablets.

In addition to the above causes, conditions such as urticaria, eczema, or furuncles may also be responsible. Avoid scratching with hands and maintain cleanliness in the affected area.