Summary of case history, Recurrent headache for more than 20 years, more than premenstrual attacks, mainly dull pain, fatigue or cold pain aggravating, severe pain accompanied by vomiting, palpitations, post-menstrual headache is not obvious, limbs free movement, no loss of vision, no fever, cough and other discomfort. The head MRI examination in the other hospital showed no obvious abnormality, and the intermittent use of painkillers had poor effect. Mark the time of menstrual period, headache, tired face, no nausea and vomiting, no fever, no cough and sore throat, menstrual volume, light color, slight abdominal pain, pale tongue, white moss, heavy and fine pulse.,TCM diagnosis ,Menstrual headache, weak qi and blood, cold coagulation and blood stagnation syndrome,Western medicine diagnosis ,Premenstrual syndrome menstrual migraine,Therapeutic methods ,Traditional Chinese medicine decoction, active use of the formula ,huangqi Guizhi wuwu, decoction to nourish blood and blood temperature, combined with ,Mahuang fuzi xixin , decoction to warm up Yang, cold pain relief, comply with the menstrual cycle, menstrual period to ,Chenmu fan female safflower peach kernel decoction, toactiviated the bloodcirculationto remove the blood stasis.,Clinical outcomes ,After medication, the patient's headache stopped, and after 3 months of follow-up, the patient complained that the headache did not recur.