The pathogenesis of endometriosis is the accumulation of accumulated blood stasis. Professor Cai xiaosun usually adopts the method of clearing blood to promote blood circulation and remove blood stasis. As for concurrent infertility,Professor Cai xiaosun thinks it is also due to insufficient kidney qi and blocked collaterals. According to the menstrual cycle, Cai's traditional Chinese medicine is used to regulate the cycle. Dysmenorrhea disappears, pregnancy occurs, and the stubborn disease is cured.,Summary of case history,　Severe menstrual pain accompanied by infertility for 4 years. 17 years old menarche, cycle 25-27 days, menstruation 5 days, severe dysmenorrhea, blood clots, married without children, 0-0-0-0. She has a history of primary dysmenorrhea, and every attack has severe abdominal pain, paroxysmal tattoo pain, lasting for half a day, accompanied by nausea and vomiting, fear of cold before menstruation, backache and stomach discomfort. He needs to rest in bed on the first day of menstruation. She likes hot compress when she feels cold in the abdomen during menstruation. She feels weak and extremely tired after pain, and needs to rest for 3-4 days, which affects his life and work. Once taking APC, metamizole, belladonna tablets, and traditional Chinese medicine Wuji Baifeng pill, Aifu warm palace pill, motherwort and so on, the efficacy was not significant. After taking indomethacin, it is effective in relieving pain and can be used for 3-4 years. They got married in 1992 and settled in the United States in 1993. They stopped taking painkillers and still suffered from menstrual pain. From October to December 1994, three times of artificial insemination were unsuccessful. After two years of marriage, she was not pregnant and was examined. In December 1995, laparoscopy showed that "endometriosis" was serious. It was recommended to perform laparoscopic surgery. The operation was performed in April 1996. After the operation, the doctor informed that most of the adhesion scar tissue ectopic in the ovary and fallopian tube had been removed by laser. However, In July 1996, habitual abortion recurred. In September of the same year, the emergency ultrasound showed that the "left ovarian cyst" was about 3cmThe doctor explained that the operation failed because of the serious lesion. In April 1997, IVF failed and ovarian cyst drainage was performed in May 1997. At the end of July 1997, Mr. Cai was invited for remote diagnosis and treatment (telephone and fax). Engraved: the basic temperature is monophasic, the menstrual pain is intense, and the left waist is sore.The tongue is red, the moss is thin and white, and the pulse is absent.,TCM diagnosis,　Dysmenorrhea, Infertility, accumulation of blood stasis, deficiency of kidney qi.,Western medicine diagnosis,　endometriosis, female infertility.,Therapeutic methods,　Treatment principle: promoting blood circulation, removing blood stasis and eliminating symptoms, participating in kidney cultivation and promoting pregnancy. Cai's cycle therapy is used, that is, after purification, the treatment is based on the formula of "Neiyi No. III", which is used for invigorating blood circulation, removing blood stasis and eliminating symptoms, nourishing kidney and unblocking collaterals. The medicines contain: Poria cocos 12 g, Cinnamomum cassia 3 g, Red peony 10 g, Paeonia moutan 10 g, Peach kernel 10 g, Prunella vulgaris 20 g, Saponins corniculatum 30 g, Pangolin 9 g, Beartiful Sweetgum Fruit 10 g, Epimedium 12 g, Morinda officinalis 10 g, fried Eucommia ulmoides 12 g, 7 doses.During the ovulation period, take the "pregnancy Ⅱ formula" to nourish the kidney and Peiyuan again. The medicines contain : Poria cocos 12 g, Salvia miltiorrhiza 12 g, Rehmannia glutinosa Libosch 12 g, and Chinese Foxglove 12 g, Curculigo orchioides Gaertn 10 g, Epimedium 12 g, antler cream 10 g, Cistanche 10 g, Morinda officinalis 10 g, refined polygonatum 12 g, amethyst 12 g, Ligustrum lucidum 10 g, 8 doses, and 2 bottles of Heche Dazhao pills. After taking above Chinese medicine, stop taking it for 2-3 days, and then take Siwu Tiaochong Decoction for addition and subtraction. Take it three days before menstruation. The medicines contain: fried Angelica sinensis 10 g, Rehmannia glutinosa Libosch 10 g, Ligusticum wallichii 6 g, red peony 10 g, Patrinia villosa 20 g, Trogopterus Dung 10 g, Cyperus rotundus 10 g, Achyranthes bidentata 10 g, Rhizoma Corydalis 12 g, frankincense 6 g and myrrh 6 g, raw Typhae 12 g, mugwort leaves 3 g. Take 10 doses.,Clinical outcomes,　In May, the menstruation was not performed, the basal body temperature was not falling, and the urine HCG (+) was diagnosed as early pregnancy. The follow-up showed that the mother and fetus were normal.