The cause of menstrual headache should be analyzed according to the characteristics of the headache. If the menstrual headache is accompanied by low menstrual volume, light color and palpitations, shortness of breath, fatigue and white face, it is considered to be caused by weakness of Qi and Blood; if the menstrual headache or headache, low menstrual volume, bright red color, accompanied by heat in the hands and feet, irritability and irritability, waist acidity and other symptoms of kidney deficiency, it is considered to be caused by deficiency of kidney Yin and hyperactivity of Liver Yang; if the menstrual headache, stabbing pain is obvious, the color of menstruation is dark red and the period is accompanied by abdominal pain, it is considered to be caused by If it is caused by stagnation of blood and silt; if it is caused by menstrual headache, female body fat, light red color of menstrual flow and leucorrhea in plain, it is considered to be caused by phlegm and dampness. Therefore, according to the above different pathological mechanisms, different medications can be given, such as Bazhen Tang to tonify Qi and nourish Blood, Qiju Dihuang Wan to nourish Kidney Yin and relieve pain, Tong Qiao and Blood Tang to activate Blood stasis and relieve pain, and Han Xia Bai Zhu Tian Ma Tang to dry dampness and resolve phlegm and relieve pain. In addition, overexertion or mental tension can also cause headache, so usually pay attention to rest, maintain a good state of mind, eat less pickled food is beneficial to relieve the headache, you can also do a head CT to rule out any brain lesions. In conclusion, if brain lesions are ruled out, the main cause of menstrual headache is weakness of qi and blood, yin deficiency and hyperactivity of yang, stagnation of blood or phlegm and dampness, which can be regulated by taking oral Chinese medicine.