To compare the clinical efficacy between “Zhen-Shang-jiu” and “Wen-Zhen-jiu” through the treating cold coagulation of blood stasis dysmenorrhea. Methods: Patients were randomly divided into the “Zhen-Shang-jiu” group and the “Wen-Zhen-jiu” group to perform appropriate treatment. Curative effects were observed afterwards. Results: The total efficiency of the “Zhen-Shang-jiu” group was 94.44%, and the “Wen-Zhen-jiu” group 82.86%. Through χ2 test analysis, two groups had no significant difference in terms of efficiency (P>0.05). Comparing the pain score data of two groups before and after the treatment, “Zhen-Shang-jiu” group's efficacy was better than that of the “Wen-Zhen-jiu” group. Long-term efficacy of the two methods is yet to be improved. Conclusion: Both “Zhen-Shang-jiu” and “Wen-Zhen-jiu” show clinical efficacy, but the former: 1) has a faster warm effect and is easy to manipulate; 2) gives full play to moxa and moxibustion oil; 3) avoids patients or bed sheets to get burnt to the greatest degree possible, so that patients can always have the best therapeutic effect by relaxing completely.