经行头痛
Alias经期头痛
Traditional Chinese Medicine Definition
In traditional Chinese medicine, Menstrual Headache, also known as Menstrual Migraine, falls under the category of gynecological diseases. It refers to a condition where women experience headache as the primary symptom during the premenstrual period, menstrual period, or postmenstrual period. According to the "Internal Medicine of Traditional Chinese Medicine," menstrual headache is often caused by liver qi stagnation, blood stasis obstructing the meridians, or liver-kidney yin deficiency with liver yang hyperactivity.
In clinical practice of traditional Chinese medicine, the core pathogenesis of menstrual headache is often related to the liver, kidney, and blood. Common precipitating factors include emotional disturbances, irregular diet, excessive fatigue, etc. During diagnosis, attention should be paid to the following key points:
1. Liver fire syndrome: Headache during the menstrual period, more severe on both sides or at the vertex, often accompanied by irritability, easy anger, bitter taste in the mouth, and dry throat.
2. Blood stasis syndrome: Headache during the menstrual period feels like a needle, with a fixed pain point, dark menstrual blood with clots, and symptoms such as irregular menstruation and lower abdominal pain.
During diagnosis, it is also important to differentiate between cold and heat, as well as deficiency and excess, such as liver yang hyperactivity, which often manifests as dizziness, blurred vision, red face, and red eyes; and liver-kidney yin deficiency, which often presents with dizziness, tinnitus, and weakness in the lower back and knees. The overall direction of treatment suggests that for liver fire syndrome, it is advisable to clear heat, calm the liver, and stop the wind and pain; for blood stasis syndrome, it is recommended to activate blood circulation, resolve stasis, and relieve pain. In clinical practice, the treatment of menstrual headache often involves internal medication with traditional Chinese herbs, acupuncture, and other methods to harmonize Qi and blood, balance Yin and Yang, and alleviate symptoms. Traditional Chinese medicine believes that through reasonable adjustment, most patients can achieve effective relief.
Common Syndrome Types and Key Points of Differentiation
肝火证
Main Manifestations：经期头痛，以两侧或巅顶为甚，烦躁易怒
Management Approach：清热平肝，息风止痛
血瘀证
Main Manifestations：经期头痛如刺，痛点固定，经色暗有块
Management Approach：活血化瘀，通络止痛
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
Patients with menstrual headache often suffer from liver qi stagnation, and the key to treatment lies in soothing the liver and resolving depression, as well as activating blood circulation and relieving pain.
— 唐玉兰 中医执业医师（师承）
Related Popular Articles
Guidance for Nearby Treatment
登云路社区、小河社区、广运社区等周边居民可就近到正规中医医疗机构就诊，具体地址、电话及营业时间请查看关于我们。
This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)