痛经是妇科的常见疾病，近年来关于痛经治疗方法的研究越来越多，中医凭借其辨证论治、标本兼治的特点在痛经治疗方面显示出独特的优势，受到了人们的广泛关注。中药单体、单味药、中药复方的不同的药理作用及作用机制显示出中医药治疗痛经方法的多样性，目前中医多采用中药复方汤剂、中成药、针灸、耳穴及穴位敷贴等方式治疗痛经，疗效显著，不易复发。因此，从病因病机、证型分类、中医药治疗痛经的基础研究及临床应用方面进行综述，以期更全面地了解中医药治疗痛经的研究进展，为临床治疗痛经提供参考，也为更好的发挥中医药的作用，提高女性生活质量。

Dysmenorrhea is a common disease of gynecology. In recent years, more and more research has been done on treatment of dysmenorrhea. Traditional Chinese medicine (TCM) has shown its unique advantages in treatment of dysmenorrhea by virtue of its characteristics of syndrome differentiation and treatment of both symptoms and root causes, and has been widely concerned by people. The different pharmacological effects and mechanisms of single TCM, single medicine and TCM compound show the diversity of TCM in treatment of dysmenorrhea. At present, TCM mostly adopts TCM compound decoction, Chinese patent medicine, acupuncture, ear point and acupoint application to treat dysmenorrhea, which has significant curative effect and is not easy to relapse. Therefore, mechanism of TCM in treatment of dysmenorrhea and clinical applications were reviewed from the etiology and pathogenesis, syndrome classification, in order to more comprehensive understanding of research progress on TCM in treatment of dysmenorrhea, to provide reference for clinical treatment of dysmenorrhea, also for better play the role of TCM to improve women’s quality of life.

R287.4

国家中医药管理局国际合作专项（0610-2140NF020630）