Summary of case history ,Patient Yang, female, 24 years old, unmarried, student. Chief complaint: premenstrual or menstrual lower abdominal pain for more than 10 years, aggravated for 6 months. In the last 6 months, the pain in the lower abdomen was more severe during the premenstrual period or menstruating period, accompanied by headache, vomiting, diarrhea and other symptoms, which needed to be relieved by analgesic, dark red tongue, white fur and astringent pulse string.,TCM diagnosis ,dysmenorrhea, cold coagulation and blood stasis syndrome,Western medicine diagnosis, primary dysmenorrhea,Therapeutic methods ,To rub the effect on the abdomen and lumbosacral, vibration abdominal manipulation effect on the abdomen. The local skin has the warm feeling, causes the heat to penetrate slowly to the uterus, promotes the local blood circulation. Assisted by massaging the specific acupoints, dredges the meridians, reaches the warm uterus to the effect of Qi and blood, treats both the symptoms and root causes.,Clinical outcomes ,To be treated with massage every 2 days in non-menstrual period. The next menstrual follow-up, the patient told the pain greatly reduced, the remaining symptoms have improved. After 6 menstrual cycles treatment, the symptoms basically disappeared.