Cold pain in the lower abdomen for 10 years, aggravated for 3 months. Since the age of 14, the patient reported that she had been suffering from cold and unbearable pain in the lower abdomen under the umbilicus, accompanied by cold sweat,nausea,vomiting and diarrhea when the pain was severe, and had no systematic diagnosis and treatment until the lower abdomen was cold, so she came to the hospital. Regular menstruation is 7/30 days. LMP :2018.11.26, after 7 days, about 5-6 wet sanitary napkins (calculated by 240mm length of daily use sanitary napkins), dark red, with blood clots. Usually chills, limbs are not warm, easy to have a headache in winter, symptoms: complexion atrophic, hypoxia, abdominal distension, sleeping Ann, two stool normal.,TCM diagnosis,　dysmenorrhea spleen deficiency cold and wet type,Western medicine diagnosis,　primary dysmenorrhea,Therapeutic methods,　Psychological counseling, to invigorating the spleen and stomach, warming Yang and resolving dampness as the method, and take orally Chinese herbal decoction.,Clinical outcomes,　The six months of follow-up showed that the disease was cured and did not recur.