Objectives The purpose of this study is to evaluate the effects of chuna with and without acupuncture, and compare the effect of both group by VAS (visual analogue scale) and Cox menstrual symptom scale. Methods This study was carried out on 24 dysmenorrhea patients. 24 patients were divided into single treatment group(Group A) and combined treatment group (Group B). Group A treated with chuna. Group B treated with chuna and acupuncture. After performing chuna and acupuncture 8 weeks, we compared both in terms of VAS and Cox menstrual symptom scale. Results 1) Both group A and group B showed significant improvement in abdominal pain and lumbago after treatment. 2) Both group A and group B showed significant improvement in Cox menstrual symptom scale for both frequency and severity after treatment. 3) There were no significant differences between both groups. Conclusions According to above results, we found out that performing chuna with and without acupuncture has effect in terms of VAS and Cox menstrual symptom scale. But, we can``t found out difference between single treatment and combined treatment. (J Korean Med Rehab 2014;24(3):157-164)