OBJECTIVE: To study the preventive and therapeutic effect and its mechanism of medicine pair decoction liquid of Curcuma phaeocaulis-Sparganium stoloniferum on rats with uterine myoma. METHODS: Rats were randomly divided into normal group, model group, positive group (mifepristone,2.25 mg/kg) and medicine pair decoction liquid group (C. phaeocaulis-S. stoloniferum decoction liquid, 6.0 g/kg), 10 in each group. Except for the normal group, rats in other groups were injected Estradiol benzoate injection (0.5 mg/kg) intramuscularly every Monday, Wednesday and Friday, for 12 weeks. From the 13th week, rats in modeling group were added Progesterone injection (5 mg/kg) intramuscularly as well as relevant medicines intragastrically, once a day, until the 16th week. After administration, uterine coefficient of rats was detected. HE staining was used to observe the pathological changes of uterus and determine the thickness of smooth muscle; immunohistochemical staining was adopted to detect the transforming growth factor β3 (TGF-β3), matrix metalloproteinase 11 (MMP-11) protein expressions in uterus tissue of rats. RESULTS: Compared with normal group, uterine coefficient was increased in model group, pathological changes were obvious in uterus, thickness of smooth muscle was increased, TGF-β3 and MMP-11 protein expressions were enhanced (P<0.05 or P<0.01). Compared with model group, above-mentioned changes were improved significantly in positive group and medicine pair decoction liquid groups (P<0.05 or P<0.01). CONCLUSIONS: Medicine pair decoction liquid of C. phaeocaulis-S. stoloniferum shows certain preventive and therapeutic effect on rats with uterine myoma. The mechanism may be associated with downregulating the TGF-β3, MMP-11 protein expressions in uterus tissue.