In this work, a simple, rapid, solvent-free, and low-cost method was developed for the determination of ligustilides in traditional Chinese medicines (TCMs), which was based on pressurized hot water extraction (PHWE) followed by headspace solid-phase microextraction (HS-SPME) and gas chromatography-mass spectrometry (GC-MS). The two bioactive compounds Z-ligustilide and E-ligustilide in two common TCMs, viz. Ligusticum chuanxiong and Angelica sinensis, were extracted by water at 150 degrees C and 40 bar, followed by concentration with HS-SPME and detection by GC-MS. PHWE and HS-SPME parameters were investigated and method validation (precision and recovery) was studied. It has been shown that the proposed method provides a powerful approach for quantitative analysis of ligustilides in TCMs. The method was applied to determination of ligustildes in the TCMs from different growing areas. The results indicate that PHWE-HS-SPME-GC-MS is a potential tool for TCM quality assessment.