CHINESE JOURNAL OF MEDICINAL GUIDE >
Research Progress on Non-Pharmacological Traditional Chinese Medicine Therapies for Menstrual Headache
Received date: 2025-06-09
Revised date: 2025-10-24
Accepted date: 2026-03-18
Online published: 2026-04-21
Menstrual headache is a common cyclical headache syndrome in women, significantly impacting daily life and work. Its etiology and pathogenesis are complex. In traditional Chinese medicine (TCM), it is mainly attributed to liver qi stagnation, imbalance of qi and blood, obstruction of collaterals by phlegm-dampness, and deficiency of yin and blood. Modern medicine explains it from aspects such as decreased estrogen levels, increased prostaglandin synthesis, and neuroendocrine imbalance. Although Western pharmacological treatments can alleviate symptoms during the acute phase, their efficacy is often limited and accompanied by various side effects, thus drawing increasing attention to non-pharmacological interventions. Recent studies indicate that TCM external therapies, such as acupuncture, moxibustion, tuina massage, auricular acupressure, and pricking bloodletting, as well as complementary approaches like music therapy and aromatherapy, can effectively reduce the frequency and intensity of headaches with favorable safety profiles. The mechanisms may involve modulation of the neuro-endocrine-immune network, improvement of cerebral hemodynamics, and regulation of qi and blood circulation. However, current studies remain limited by small sample sizes, short follow-up durations, a lack of objective efficacy evaluation indicators, and non-standardized operational protocols, all of which restrict the reliability and generalizability of existing evidence. Future studies should emphasize evidence-based research with multicenter, large-sample, and long-term follow-up designs, and integrate modern techniques such as imaging and molecular biology to further elucidate the “meridian–nerve–endocrine” mechanism and promote the establishment of standardized treatment protocols. This article reviews and summarizes the research progress in non-pharmacological TCM therapies for menstrual headache over the past decade, aiming to provide references for clinical diagnosis and treatment as well as further research.
LI Yilin, ZHANG Ping
.
Research Progress on Non-Pharmacological
Traditional Chinese Medicine Therapies for Menstrual Headache
[1] 冯晓玲,张婷婷.中医妇科学[M].北京:中国中医药出版社,2021:113-116.
[2] Vetvik KG, Macgregor EA. Menstrual migraine: a distinct disorder needing greater recognition[J].Lancet Neurol, 2021,20(4):304-315.
[3] 中国医师协会神经内科医师分会,中国研究型医院学会头痛与感觉障碍专委会.月经性偏头痛诊断和治疗中国专家共识(2025版)[J].中国疼痛医学杂志,2025,31(1):2-12.
[4] 何品豪,罗志娟,吴媛媛,等.罗志娟“桂罗氏三分法”辨治经行头痛经验[J].河南中医,2020,40(11):1673-1678.
[5] 刘春梅,刘明照.崔玉衡教授疏肝止痛汤治疗经行头痛经验[J].中医学报,2012,27(10):1275-1276.
[6] 史俊英,陈莹.陈莹教授治疗经行头痛经验总结[J].辽宁中医药大学学报,2013,15(7):247-248.
[7] 宗利平,张爱华.王希浩主任中医师治疗经行头痛经验[J].中医研究,2020,33(10):43-45.
[8] 李慧,吴艳华,陈宝田,等.正天丸治疗经期头痛对比研究[J].中医临床研究,2012,4(1):5-6.
[9] 袁世红,李灵芝.李灵芝治疗经行头痛经验[J].湖南中医杂志,2018,34(5):44-45.
[10] 曾超楠,樊莉.从灵龟八法论治经行头痛的理论探析[J].中医药导报,2020,26(12):53-55.
[11] 罗文秀,杨皓迪,赵佳玉,等.月经性偏头痛的研究进展[J].河北医科大学学报,2022,43(4):484-488.
[12] Nagarakanti S,Vegunta S,David PS.Migraine management in women: exploring the impact of combined hormonal contraceptives on menstrual migraine[J].J Womens Health, 2024,33(7):991-992.
[13] 张祥伟,韩亚翠,钟向阳,等.黄帝内针治疗经行头痛急性发作的临床疗效观察 [J]. 中国现代药物应用,2023,17(16):154-158.
[14] 李金隆,晁宇翾,樊丽娟,等.“老十针”配合揿针治疗经行头痛23例[J].中国针灸,2020,40(6):669-670.
[15] Zhang Y, Wang Z, Du J, et al. Regulatory effects of acupuncture on emotional disorders in patients with menstrual migraine without aura: a resting-state fMRI study[J].Front Neurosci, 2021,15:726505.
[16] Liu L, Zhang CS, Liu HL,et al.Acupuncture for menstruation-related migraine prophylaxis:a multicenter randomized controlled trial[J].Front Neurosci, 2022,16:992577.
[17] 李金牛,李佳,刘洁,等.调冲疏肝法分期辨证针刺治疗经行头痛:随机对照试验[J].中国针灸,2022,42(10):1108-1112.
[18] 马文君,崔韶阳,宁艳,等.针药结合治疗肝火旺盛型经行头痛36例临床观察[J].湖南中医杂志,2020,36(7):65-67.
[19] 王璐,黄晓桃,梁少荣.头针联合中药分期治疗血虚肝郁型经行头痛的临床观察[J].湖北中医药大学学报,2018,20(4):90-93.
[20] 刘姣,梁弘,赵明阳,等.针刺调周序贯疗法联合壮医药线点灸治疗经行头痛48例[J].中国针灸,2023,43(6):627-628.
[21] 蒋芳幸.“调气法”针刺结合麦粒灸治疗气滞血瘀型经行头痛的临床研究[D].桂林:广西中医药大学,2022.
[22] 匡丽萍.热敏灸治疗经行头痛临床疗效观察[D].南昌:江西中医药大学,2022.
[23] 石萱.基于“以通为和”理论应用齐鲁脏腑推拿治疗经行头痛(气血瘀滞型)的临床研究[D].济南:山东中医药大学,2023.
[24] Yu X, Salmoni A. Comparison of the prophylactic effect between acupuncture and acupressure on menstrual migraine: results of a pilot study[J].J Acupunct Meridian Stud, 2018,11(5):303-314.
[25] 汪国翔,陈日兰,朱英,等.针刺结合耳穴贴压对经行头痛临床疗效及血液生化指标的影响[J].扬州:扬州大学学报(农业与生命科学版),2020,41(4):59-63.
[26] 卢文辉,李西忠,王亚军,等.《针灸大成》刺络放血探析[J].吉林中医药,2010,30(9):784-786.
[27] 唐之焱,陈浩波.从“风”论治经行头痛[J].时珍国医国药,2024,35(6):1447-1449.
[28] 张会莲,王国书,赖秀娟.刺络放血治疗经行头痛疗效观察[J].上海针灸杂志,2014,33(8):736-737.
[29] 邢蓉,张松兴.针刺联合放血治疗肝火证经行头痛的疗效观察[J].吉林中医药,2020,40(12):1659-1662.
[30] 翁清峰.头维放血治疗气血瘀滞型经行头痛疗效观察[J].按摩与康复医学,2015,6(7):28-29.
[31] Koenig J, Oelkers-Ax R, Kaess M, et al. Specific music therapy techniques in the treatment of primary headache disorders in adolescents: a randomized attention-placebo-controlled trial[J].J Pain, 2013,14(10):1196-207.
[32] Levin M. Herbal treatment of headache[J].Headache, 2012,52(2):76-80.
[33] 汪耳迪,李霞,伍睿昕,等.基于芳香中药探讨芳香疗法在偏头痛中的应用[J]. 香料香精化妆品,2024,(4):32-37.
[34] 张书鸣,王津涛,邓伟.音乐治疗的临床应用与挑战[J].医学与哲学(B),2017,38(9):69-74.
[35] 邓旭阳,刘取芝,张伟.音乐疗法在疼痛干预治疗中的应用进展[J]. 临床麻醉学杂志,2013,29(12):1232-1234.
[36] 李航,郭德步,柳灵芝.传统音乐疗法的中医理论分析[J].中医文献杂志,2010,28(3):30-31.
[37] Reis D,Jones T. Aromatherapy: using essential oils as a supportive therapy[J].Clin J Oncol Nurs, 2017,21(1):16-19.
[38] 方婷,马红梅,王念,等.芳香疗法应用研究进展[J].护理研究,2019,33(23): 4093-4095.
[39] Lakhan SE, Sheafer H, Tepper D.The effectiveness of aromatherapy in reducing pain: a systematic review and meta-analysis[J].Pain Res Treat,2016, 2016:8158693.
[40] 穴位刺激围术期应用专家共识[J].中华麻醉学杂志,2017,37(10):1153-1158.
[41] 李珊,陈爱社,刘海云.针刺镇痛机制的研究进展[J].中国当代医药,2015,22(32):24-27.
/
| 〈 |
|
〉 |