Abstract:Abstract: OBJECTIVE To explore the effect of traditional Chinese medicine(TCM) fomentation sack and auricular acupoint pressing pills therapy on primary dysmenorrhea with syndrome of blood-stasis due to cold coagulation. METHODS 80 cases of prima⁃ ry dysmenorrhea with syndrome of blood-stasis due to cold coagulation from March to December in 2021 were randomly divided into control group of western medicine(n=40)and treatment group of TCM （n=40） . The patients of control group of western medicine were given ibuprofen sustained-release capsules, and the patients of treatment group of TCM were given TCM fomentation sack and auricular acupoint pressing pills therapy. The clinical efficacy and safety of two groups were analyzed. RESULTS The total effective rate of the TCM external treatment group was significantly higher than that of the western medicine control group(80.00%VS55.00%, Z=-2.414, P＜0.05). VAS score and SAS score of TCM external treatment group were significantly decreased compared with western medicine control group ( t=2.772, 3.896, P＜0.05 ). The therapies of two groups had no toxic effects and side effects, they were safe and reliable for clinic. CONCLUSION The TCM fomentation sack and auricular acupoint pressing pills therapy are effective for pri⁃ mary dysmenorrhea with syndrome of blood-stasis due to cold coagulation, and improve pain and other related symptoms significant⁃ ly, relieve anxiety effectively .