Objective To observe the clinical effect of copper hammer therapy combined with traditional Chinese herbal medicine on alleviating dysmenorrhea caused by endometriosis. Methods A total of 71 endometriosis patients with dysmenorrhea visiting the gynecology outpatient department of Fangcun Hospital, Guangdong Provincial Hospital of Traditional Chinese Medicine from January to August 2023 were selected and divided into a control group of 32 cases and an intervention group of 39 cases chronologically. The control group received routine care and traditional Chinese herbal medicine decoction,while the intervention group additionally received copper hammer therapy, starting from the third day after menstruation, q3d, avoiding the menstrual period and lasting 3 months. Results Thirty-two patients in the intervention group and 31 patients in the control group completed the study. After the intervention, the Visual Analogue Scale score assessing menstrual abdominal pain, the quality of life score for endometriosis patients, and the dysmenorrhea symptom score in the intervention group were significantly lower than those of the control group, and the treatment efficacy of the intervention group was significantly better than that of the control group (all P<0.05). There was no statistically significant difference in recurrence rate between the two groups during the 6 months after the intervention (P>0.05). Conclusion The combination of copper hammer therapy and oral administration of traditional Chinese herbal medicine is beneficial for alleviating dysmenorrhea symptoms in endometriosis patients, improving clinical efficacy, and enhancing patients′ quality of life.