Summary of case history,　The patient underwent surgical treatment for "left chocolate cyst" 5 years ago, and was treated for 6 courses of "pseudomenopause" after operation, and then did not have a standardized follow-up. Two years ago, there was a lot of menstruation, Adult diapers should be used for 3 days, with fresh color and large blood clots, Then dripping to 6-8 days. Abdominal pain, severe pain, and traction to the anus, need to take painkillers for 3 days, And rest in bed, abdominal pain continues for 5-7 days after menstruation. B-ultrasound in the local hospital suggests that the chocolate cyst on the right side may be (specific is unknown), and give symptomatic treatment such as correcting anemia and menstrual pain relief. The patient did not pay attention, and the B-ultrasound examination on December 3, 2021 showed: adenomyosis with leiomyoma; Right ovarian cyst. The patient was unwilling to operate and sought traditional Chinese medicine treatment.,TCM diagnosis,　zheng jia; secondary dysmenorrhea; menorrhagia,Western medicine diagnosis,　chocolate cyst of right ovary; adenomyosis; myoma of uterus,Therapeutic methods,　Oral treatment with traditional Chinese medicine decoction.,Clinical outcomes,　After half a year of treatment, the menstrual volume of the patient decreased, the normal volume and abdominal pain gradually disappeared, the menstrual net within 7 days, the fatigue, lumbar acid, sleep and other conditions were significantly improved, the right ovarian cyst was significantly reduced, from 42 mm×38 mm and 35 mm×31 mm at the initial diagnosis to 34 mm×28 mm and 26 mm×24 mm, and the CA125 index was also reduced from 204.5 U/ml to 114.6 U/ml.