Menstrual headache is a common disease in women of childbearing age, and its periodic and recurrent characteristics seriously affect the quality of life of patients. This article is based on the theory of Qi ascending and descending in "circular movement", starting from the spatiotemporal perspective of "circular movement", and supported by the theory of differentiation of the five elements and six meridians in traditional Chinese medicine. It is proposed that the main pathogenesis of headache during meridian movement is excessive increase of Mu Wang, unfavorable rotation of Shaoyang pivot, and insufficient decrease of soil dampness. In terms of treatment, it should be divided into the principles of calming the liver and suppressing Yang, pivot rotation of Qi, strengthening the spleen and stomach, and restoring the ascending and descending of Qi and normal "circular movement", so that the headache will disappear on its own, This provides a new approach for the clinical treatment of menstrual headache.