Summary of case history,　The main reason of the patient was " Dysmenorrhea for 5 years and more menstruation for 4 months". In 2015, the patient suffered from menstrual abdominal pain. Ultrasound at Beijing Friendship Hospital suggested adenomyosis, and then the dysmenorrhea gradually worsened. The lower abdomen was swollen and painful 3 days before the menstrual period. VAS: 8-10 points. The menstrual volume in recent 4 months doubled compared with the previous one, secondary to anemia. Menstrual pain should be relieved by taking tablets every day for more than 3 days, and vas should be taken for more than 4 days before menstruation,. She is usually impatient, weak and sleepy. She is usually prone to colds, chills and cold feet. Occasionally, she has hidden pain and discomfort in the lower abdomen during the non-menstrual period. she is easy to induce and aggravate after catching cold, and her stool is normal. The tongue is light red, with tooth marks, the moss is white and slightly thick, and the pulse string is smooth. Past hepatitis B mistress for 15 years. Qingkailing allergy history. 4 pregnancies, 2 births, 2 induced abortions and 2 spontaneous births. Family history: her sister has a history of adenomyosis. Specialized examination showed that the uterus was enlarged and plump. Guang'an hospital Ultrasound: uterus 8.2×7.5×7.5 cm, uneven echo of muscular layer, 2.4cm thick anterior wall and 4.2cm thick posterior wall. It is suggested that adenomyosis with adenomyoma is not excluded.,TCM diagnosis,　Dysmenorrhea, Zhengjia, Menorrhagia Qi stagnation, blood stasis and cold coagulation. TCM treatment Regulating Qi, activating blood circulation and dispersing blood stasis, warming Yang, dispersing cold and eliminating symptoms.,Western medicine diagnosis,　Adenomyosis.,Therapeutic methods,　The intervention measures are based on the ideas of "sticking to the middle and causing harmony" and "treating diseases before they are cured", combining disease differentiation with syndrome differentiation and treatment. The traditional Chinese medicine prescriptions are Xiaoyao Powder, Guizhi Decoction and Sini Decoction, or Liuhe Dingzhong decoction, Guizhi Decoction and Sini decoction. At the same time, they adjust life and emotional management.,Clinical outcomes,　After more than 10 months of follow-up, the patient's dysmenorrhea was basically relieved.The amount of menstruation was normal, the physique was improved, and the symptoms did not recur.