Endometriosis is a disease caused by the growth of the endometrium, which normally grows in the uterine cavity, in other parts of the body outside the uterine cavity. Originally, the endometrium is a layer of epithelium covering the inside of the uterine cavity with a strong regenerative and transformative capacity that undergoes cyclic changes under the regulation of estrogen and progesterone. It is either shed periodically and mixed with menstrual blood and excreted from the body, or it becomes a breeding ground for the development of fertilized eggs. Some of the “rebellious” endometrium escapes from the uterine cavity headquarters and sets up camp in the pelvic peritoneum, ovaries, uterine surface, uterosacral ligament, intestines, bladder, ureter, and even nasal mucosa and respiratory tract, causing pain, masses, abnormal bleeding, infertility, and a series of symptoms in the affected organs, collectively called uterine Endometriosis (referred to as endometriosis). Clinically, endometriosis is classified into peritoneal type, ovarian type and deep nodal type according to the location and severity of the lesion. I. Chronic pelvic pain, 80% of patients have different degrees and different types of pelvic pain 1. dysmenorrhea: a common and prominent symptom, some patients have primary dysmenorrhea, i.e. abdominal pain and abdominal cramps from the beginning of menarche. Most patients have secondary dysmenorrhea, with normal menstruation at menarche and cyclic abdominal pain from a certain period, which can occur during, before or after menstruation, requiring bed rest or medication for pain relief in severe cases, affecting patients’ life, study and work. 2, painful intercourse: If the endoheterosis lesion occurs in the posterior vaginal fornix and uterosacral ligament area, it will thicken the sacral ligament, shorten the sclerosis, adhere the pelvic floor peritoneum to the surrounding tissues or involve the nerves, and pain will be felt during intercourse, affecting the sexual life. 3, stool pain: Patients often feel pain when passing stool through the rectum during menstruation, which is a typical symptom of uterine rectal fossa, vaginal rectal septum and rectal endometriosis. If the lesion invades the rectum, it will cause narrowing of the intestinal lumen and symptoms of urgency, constipation and obstruction, and if the lesion invades the rectal mucosa, there will be menstrual blood in the stool. It is often misdiagnosed as rectal cancer 4. Periodic urinary frequency, painful urination and blood in urine are the symptoms of bladder endometriosis. 5.Endoheterosis at the abdominal wall caesarean incision and perineal incision scar is associated with periodic local mass enlargement and pain around the incision. 6. Acute abdominal pain: endometriotic cysts of the ovary during menstruation or late menstruation often increase in size and are prone to rupture, resulting in sudden severe pain in the lower abdomen with anal swelling. Menstrual disorders: endometriosis is often associated with ovarian dysfunction, resulting in increased menstrual flow and prolonged menstrual periods. Infertility The causes of infertility due to endometriosis include: adhesions around the fallopian tubes that affect the picking up of oocytes or lead to fallopian tube inaccessibility; ovarian chocolate-like cysts that affect ovulation; increased inflammatory factors in the pelvis that affect conception. How to know if you have endometriosis Women of childbearing age who have the above symptoms should go to the hospital promptly for gynecological pelvic examinations and, if necessary, the doctor will recommend the following tests to assist in the diagnosis: 1. Endometriosis often invades or compresses the ureter, leading to hydronephrosis and even loss of kidney function due to atrophy. Ultrasound of both kidneys and ureters should be done if necessary. Rectal ultrasound can clarify the invasion of the rectum. However, ultrasound cannot confirm the diagnosis of endometriosis. The first discovery of ovarian cysts should also exclude the possibility of physiological cysts, which need to be rechecked at an interval of 2-3 months. 2.CA125: It is not a specific indicator for cancer, but can be elevated in endometriosis and adenomyosis. 3.Nuclear magnetic resonance: For endoheterosis with extensive and severe lesions, it can help to identify malignant tumor, tuberculosis and inflammatory masses. 4.Cystoscopy: those with periodic painful urination, frequent urination and blood in urine 5.Rectoscopy: those with periodic blood in stool and painful defecation 6.Laparoscopy is the most effective way to diagnose endo. It can not only make a clear diagnosis, but also remove the lesion of endoheterosis. Of course the most accurate diagnosis depends on the postoperative pathological examination to achieve. Drug treatment, no drug has been developed to cure the disease So, if patients see small advertisements or any secret recipes to cure the disease, do not follow them blindly. Patients with mild symptoms can take non-steroidal anti-inflammatory drugs, commonly used such as Fenbid, Fotatec, if there are no contraindications to the use of drugs (gastrointestinal ulcerative diseases, serious liver and kidney disease, platelet agglutination disorders), under the guidance of doctors for long-term use, are relatively safe and mature drugs. However, these drugs ultimately treat the symptoms and are difficult to remove the root cause. Chinese medicine treatment for endometriosis is holistic, macroscopic and active, with long-term efficacy and no obvious toxic side effects. It is effective for mild patients, while moderate and severe patients can improve their symptoms and reduce their pain. The main symptom of this disease is blood stasis evidence, and throughout the course of the disease, the initial stage is dominated by actual evidence, and the disease is prolonged and injures the righteousness, resulting in deficiency due to actuality and manifesting mixed evidence of deficiency and actuality, and pure deficiency evidence is rarely seen. According to the characteristics of dysmenorrhea, menstrual flow, duration of the disease and concurrent evidence, we can identify the symptoms in Qi and blood, cold and heat, kidney deficiency and liver depression, and treat the whole body by draining liver and Qi, clearing heat and cooling blood, warming menstruation and dispersing cold, tonifying kidney and benefiting Qi, resolving phlegm and softening hardness. The aim is to regulate immune function, endocrine regulation, control inflammation, and improve blood rheology. The treatment is mainly based on evidence-based treatment supplemented by Chinese herbal medicine, and the course of treatment is generally three months, and one to two courses of treatment are needed to see the effect. It can play a good role in treatment. It is worth emphasizing that adenomyosis is a clinically difficult disease, and the long-term results are not very satisfactory, regardless of whether it is treated by Chinese medicine alone or Western medicine alone. The organic combination of Chinese and Western medicine, giving full play to their respective advantages, complementing each other’s strengths and weaknesses, can improve the efficacy.