Before and after menstruation, women suffer from pain in the abdomen and lower back, or even severe pain, often accompanied by pale face, cold sweat, cold hands and feet, vomiting and other evidence, and with the menstrual cycle, called ‘dysmenorrhea,’ also known as ‘menstrual abdominal pain’. This disease was treated with 50 cases of Tuina with satisfactory results. The effectiveness rate: 95%, cure rate: 80%. 1. Etiology and clinical manifestations The disease is characterized by pain in the small abdomen during menstruation and attacks with the menstrual cycle, which seriously affects those who live with dysmenorrhea, which is divided into two kinds: primary and secondary. After detailed gynecological clinical examination, no obvious abnormality in the pelvic organs is found, which is called primary dysmenorrhea and also called functional dysmenorrhea. Primary dysmenorrhea is the scope of Tuina treatment. 2, treatment method (1) operation points; patient prone position, the doctor with thumb point press lumbar vertebra 1 – lumbar 5 spinal prominence, or pressure pain point, A is point, 5-10 minutes, pain significantly reduced for the degree; treatment time; each week before menstruation treatment 3-5 times, three months of continuous treatment for a course of treatment. (2) specific operation points; hand first in the patient’s lumbar back to apply the L method for 5-10 minutes, and then in the lumbar 1 – lumbar 5 spinal prominence under the point press for 5-10 minutes, or in the lumbosacral region using the rubbing method to make the local heat, degree. The patient is in supine position, and the doctor applies the vibration method on the patient’s abdomen for 20-30 minutes to make the abdomen hot, and presses the Qihai, Guanyuan and Sanyinjiao points for 2-3 minutes each to make it sore and swollen. 3.Discussion Because of the cold during menstruation, women suffer from pelvic vasoconstriction, which leads to ovarian dysfunction and secondary dysmenorrhea. On the other hand, women are especially fond of cold drinks, greedy for coolness, or for beauty, often wear exposed navel or thin clothing in winter, which makes the body cold, cold evil hurts Yang Qi, Yang Qi deficiency, Qi and blood do not run smoothly, stasis of blood in the uterus secondary to dysmenorrhea. After the application of manipulation treatment, the blood circulation in the pelvic cavity can be promoted, the blood speed is accelerated, the qi and blood run smoothly, especially the point pressing of lumbar vertebrae, through the nerve stimulation, increases the sacral nerve activity and excitability, which makes the blood vessels run smoothly, the contraction of the uterus and cervix is weakened, the frequency of muscle contraction is weakened, the duration is decreased, and the pain is reduced at the same time. In particular, abdominal vibration method, through clinical experiments, it can improve the secretion of adrenocorticotropic hormone, which makes the abdominal artery circulation increase, thus accelerating the blood circulation in the abdominal cavity, achieving the effect of activating blood circulation, resolving blood stasis, regulating qi and leading stagnation, eliminating stasis and relieving pain. Guiding the blood of Ying and Wei to run, encouraging the qi and blood of the meridians, nourishing the organs of the viscera, warming the skin and hair, so that the organs of the viscera can be invigorated, smooth the meridians, adjust the balance of yin and yang of the body, three months of continuous treatment (after a course of treatment) qi and blood, meridians, organs of the viscera can be adjusted, qi and blood to the extremities of the organs of the viscera, so as to achieve the effect of cure. 4, precautions for physical exercise, strengthen menstrual hygiene, avoid strenuous activities, overwork, prevent cold.