原发性痛经是指月经前后的下腹部痉挛性疼痛、坠胀感,并伴有恶心、头晕、倦怠乏力等不适症状,生殖器官无器质性病变的类型。给女性的身心健康和工作学习带来了严重的影响,因此有效防治原发性痛经已成为医学界面对的问题。近年来关于原发性痛经的治疗方法研究越来越多,其中中医凭借其简、便、效、廉的特点在原发性痛经治疗方面显示出独特的优势,受到了人们的广泛关注。通过查阅近几年原发性痛经的文献,归纳总结了原发性痛经中医药治疗方法的研究进展,以期为原发性痛经的临床治疗提供思路和参考。Primary dysmenorrhea refers to the spastic pain and distension in the lower abdomen before and after menstruation, accompanied by nausea, dizziness, fatigue and other discomfort symptoms, without organic lesions in the reproductive organs. It has a serious impact on women’s physical and mental health, work and study. So effective prevention and treatment of primary dysmenorrhea has become a problem facing the medical community. In recent years, there are more and more studies on the treatment of primary dysmenorrhea, among which traditional Chinese medicine (TCM) has shown its unique advantages in the treatment of primary dysmenorrhea with its characteristics of simplicity, convenience, efficiency and low cost, and has attracted widespread attention. The paper summarizes the research progress of traditional Chinese medicine treatment of primary dysmenorrhea by reviewing the literature of primary dysmenorrhea in recent years in order to provide ideas and reference for the clinical treatment of primary dysmenorrhea.