偏头痛为西医领域常见难治性疾病，病程较长，多发于青中年，以反复发作性、单侧搏动性头痛为特征。针刺疗法因其安全性高、疗效优、不良反应少易被患者接受。马铁明教授在传统中医理论基础上形成了独特的“风主动摇，肝为风脏”病机观，提出“细毫针调神，粗毫针调形”的创新针法理论，并与现代神经生理学机制相呼应，采用针药结合治疗偏头痛取得良好疗效。从学术思想理论和临床实践方面介绍马铁明教授治疗偏头痛的经验，为针药结合辨证施治治疗偏头痛提供新思路。

Migraine is a common and refractory disease in Western medicine, characterized by a prolonged course and frequent occurrence among young and middle-aged individuals. It is characterized by recurrent, unilateral pulsating headache. In contrast, acupuncture therapy has gained wider acceptance due to its high safety, solid efficacy, and few adverse effects. Based on the traditional Chinese medicine theory, Professor Ma Tieming has formed a unique pathogenesis view of "wind causes movement, and the liver is the viscus of wind", and put forward the innovative acupuncture theory of "fine-needle regulating the spirit, thick-needle regulating the form", which corresponds to the modern neurophysiological mechanism. By combining acupuncture and medicine and syndrome-differentiation and treatment, good curative effects have been achieved. Starting from the academic thought basis and clinical experience, this paper introduces Professor Ma Tieming's experience in treating migraine, providing new ideas for the modernization of traditional Chinese medicine and the treatment of migraine with the combination of acupuncture and medicine.