Typical case Patient: Ms. Du, 21 years old, unmarried. Symptoms: Dysmenorrhea for more than 6 years, aggravated for 6 months. The patient reported vague abdominal pain at the beginning of menstruation more than 6 years ago, with normal periods. Four years ago, she had abnormal menstruation due to excessive consumption of frozen watermelon in summer, and her monthly menstrual period was postponed for about 7 days, with significantly reduced menstrual volume, accompanied by menstrual pain in the abdomen and lumbago. Ultrasound examination was performed 4 years ago: anterior uterus, normal size, no pressure pain in bilateral adnexal area. Six months ago, the above-mentioned symptoms worsened, and the pain was not relieved and the treatment was ineffective after multiple Chinese and Western medical treatments. Now the patient has severe abdominal pain and lumbago during menstruation every month, which has been aggravated for six months, with a pale complexion, vague pains in the stomach and epigastrium, acceptable diet, poor sleep, easy to wake up, cold limbs, especially in winter. She has a pale white tongue, white and greasy moss, and a sunken and thin pulse. Diagnosis: primary dysmenorrhea Course of treatment First treatment: Acupuncture points: five acupuncture points (stellate ganglion, seventeen vertebrae, submammary process, subservient to the sagittarius, and Sanyinjiao). After treatment, the patient reported that her abdominal pain and discomfort were significantly less than before she was admitted to the hospital. Second treatment: Acupuncture points: stellate ganglion + seventeen vertebrae After treatment, the patient reported no significant pain during both periods, improved sleep quality, and smooth facial skin. Conclusion: The treatment of dysmenorrhea by stellate ganglion burying can inhibit sympathetic overexcitation and reduce prostaglandin release in the patient’s body, while playing a good regulatory role on the autonomic nervous system, endocrine system and immune system, which is conducive to the stability of the neurological environment in the hypothalamus. The normal menstrual cycle mainly depends on the functional coordination between the cerebral cortex, the hypothalamus, the pituitary gland, the ovaries and the uterus. Therefore, stimulation of stellate ganglion achieves better treatment of dysmenorrhea by blocking pain transmission pathways and pain vicious cycle, inhibiting sympathetic tension, suppressing the production of inflammatory mediators such as prostaglandins, improving blood circulation, and increasing hypothalamic blood flow, thus maintaining pituitary hormone balance.