In women, headaches occur during or around the time of menstruation and are called “menstrual headaches”. Severe headaches are accompanied by nausea and vomiting, and are common in women of childbearing age, but also in menopausal women. Zhang’s Medical General says: “Whenever there is menstrual headache, the head is full of gas, the heart is full of anxiety, the food is reduced, and the skin is not lustrous, this is also a problem of phlegm and dampness.” Also said: “Whenever the menstrual flow of the head often pain, this qi deficiency and blood weakness. When the menstrual flow of yin and blood down to the punch, the sea of marrow loss of nourishment, resulting in headache.” Modern medical research suggests that women’s menstrual headaches may be caused by estrogen (including estradiol) stimulating the secretion of lactogen, which in turn directly or indirectly stimulates the secretion of prostaglandins, which act on blood vessels, causing vasoconstriction and dilation, and this change also shows cyclic changes due to the influence of estrogen, thus stimulating headache attacks. It may also be related to endocrine disorders, ovulation disorders, endometriosis or inflammation, etc., which all belong to the category of “menstrual headache” in Chinese medicine. They are classified into four types, including blood deficiency, liver-yang hyperactivity, phlegm-damp accumulation and blood stasis. Menstrual blood deficiency headache is characterized by dizziness and pain in the head during or after menstruation, soreness and pain in the eyes and eyebrow bones, sometimes dizziness, light red menstruation, and the more menstrual flow, the worse the headache. Treatment and conditioning to nourish Qi and blood, can use astragalus 15 grams, angelica 10 grams, rehmannia 10 grams, Chuanxiong 10 grams, white peony 10 grams, Yanhuosuo 15 grams, Chinese wolfberry 10 grams, roasted licorice 5 grams. Led by ginger and dates, taken with water decoction. Menstrual hyperactivity of liver and yang headache is manifested as severe pain in the head such as cracking and cone drilling whenever the menstrual flow comes, which is unbearable. When the pain is very severe, the head is only slightly comfortable when the head is tightly bound with a scarf, often accompanied by elevated blood pressure and irritability, with regular monthly attacks. The main treatment is to nourish Yin and soften the liver. 10 grams of asparagus, 10 grams of hooked vine, 10 grams of white peony, 10 grams of Chuanxiong, 10 grams of chrysanthemum, 10 grams of Chuan Niu Knee, 10 grams of Eucommia, 10 grams of mulberry, and 30 grams of raw stone cassia. Take with water decoction. Headache caused by accumulation of phlegm and dampness during menstruation is characterized by heavy headache, chest tightness and generalized evil, loss of appetite, and a light and sticky mouth. Treatment and conditioning to strengthen the spleen, dry dampness and dissolve phlegm, can be used to use Fructus Panax 10 grams, Atractylodes Macrocephala 10 grams, Poria 10 grams, Manzanita 10 grams, Chen Pi 5 grams, roasted licorice 5 grams. It is induced by ginger and dates and taken with water decoction. Menstrual blood stasis blocking headache manifests as headache before or during menstruation, with pain like stabbing, pain with a fixed location, unpleasant menstruation, small amount of purple and dark, or with blood clots and pain in the lower abdomen. Treatment and conditioning to invigorate blood circulation and eliminate blood stasis, can use red peony 10 grams, Chuanxiong 10 grams, peach kernel 10 grams, safflower 5 grams, Chong Wei Zi 10 grams, San Qi 5 grams, ginger and onion lead, can add appropriate yellow wine, water decoction.