Summary of case history,　The patient Li, female, 32 years old, visited the hospital on March 29,2022 due to "recurrent lower abdominal pain for more than 1 year and aggravation for 1 week". One year ago, the patient was diagnosed with "acute pelvic inflammatory disease" after curettage. After antibiotic treatment, abdominal pain was relieved, and it was easy to recur after fatigue, sexual intercourse or before and after menstruation. One week ago, the patient experienced aggravation of lower abdominal pain after fatigue, which was not relieved after rest. Ultrasound examination in another hospital showed possible teratoma and hydrosalpinx. The abdominal pain was not relieved after antibiotic treatment, so the patient visited our hospital. Symptoms and signs: The patient's menstrual cycle is approaching, with pain on both sides of the lower abdomen and pain in the lumbosacral region. After rest, there is no significant relief, with a large amount of vaginal discharge, yellow color, and no odor. Yellowish complexion, fatigue, and lack of appetite. Sleep is decent, stomach intake is poor, and breasts are slightly swollen and painful. The tongue is light and plump with teeth marks on the edges, the tongue base coating is white and greasy, and the veins are slender.,TCM diagnosis,　Abdominal pain in women (Qi deficiency and blood stasis).,Western medicine diagnosis,　Chronic pelvic inflammatory disease; hydrosalpinx; teratoma.,Therapeutic methods,　Traditional Chinese medicine uses the method of tonifying qi and strengthening the body, clearing heat and resolving blood stasis, and is treated with a self-designed Chinese herbal formula orally combined with a decoction enema of Fuwai No.4 formula.,Clinical outcomes,　The patient's abdominal pain disappeared without obvious hydrosalpinx