Prolapse lumbar intervertebral is the rupture of the lumbar intervertebral disc and the protrusion of the residual nucleus pulposus and the posterior longitudinal ligament covering it into the spinal canal, compressing the nearby spinal nerve roots and causing a series of clinical symptoms and signs. Because the lumbar spine area is more weight-bearing, more activities, and more opportunities for trauma, this disease is the most common and frequent disease in the clinic. 1.Manipulation treatment According to the distinction of the affected joint mechanics, generally divided into the following kinds of manipulation treatment. (1) Joint rotation method. Including precise segmental positioning, requiring the concentration of light mechanical effect of Feng’s sitting spinal fixed-point rotational repositioning method, focusing on segmental repositioning and increase the traction effect of Wang’s prone traction maneuver, regional positioning (vague segmental positioning), spinal manipulation of physical therapy and osteopathic and chiropractic treatment popular in Western countries, also includes the basic non-positioning of traditional Chinese medicine lateral lying inclined plate method. (2) Joint flexion method. Such as single (double) leg posterior extension massage method, knee flexion and hip rotation method. (3) joint lateral flexion method. Such as side-lying trunk lateral orthopedic compression method. (4) joint extraction and extension method. Such as prone (supine) position lower limb shaking method. (5) Compound techniques. Such as general anesthesia large push-up, three whole a pad (supine press waist, lateral recumbent oblique tug, supine leg lift and postoperative lumbar pillow). 2.Traction therapy Mainly using jaw occipital belt traction method, traction bed, pelvic traction, electro-mechanical traction, etc. for treatment. Continuous traction effect is better, daily traction time is not less than 3h, 3 ~ 4W for a course of treatment, even if the symptoms are relieved or soon disappear, should not be prematurely interrupted traction, but to prevent relapse. General symptoms are light, can be performed at home pelvic belt traction, so that muscle relaxation, restore the normal position of the lumbar spine; traction open lumbar space, intervertebral foramen, conducive to the protruding disc reset, so that the symptoms significantly improved or healed. The effect is even better if it is combined with intra-vertebral or nerve block treatment. 3.Surgical treatment (1) Indications. The diagnosis is clear, and the conventional non-surgical treatment is ineffective; the treatment is ineffective for a long time, the pain affects life and work, and the patient actively requests surgery, and the condition is serious and belongs to the central type of herniation. (2) Surgical methods. ‘ a. Simple nucleus pulposus removal method. b. Decompression of the spinal canal and nerve root canal. c. Spinal fusion. (3) Surgical misconceptions. Do not treat the disc bulge as a symptom of disc herniation for surgery. 4, minimally invasive treatment (1) percutaneous puncture laser vaporization disc decompression. (2) Percutaneous discoscopic lumbar disc nucleus pulposus removal. (3) Percutaneous puncture disc herniation excision and aspiration. (4) Percutaneous puncture laser vaporization and injection of collagenase treatment. 5.Anesthesia treatment (1) Epidural therapy. This method is the most commonly used method to treat this disease, and is also the most effective method. . (2) Sacral canal therapy. (3) Epidural therapy and sacral therapy. The two methods are alternated, alternating on the same day or at intervals of 3 to 5 days. For multiple lesions or for recurrence after surgery and other treatments. Epidural therapy is performed first, choosing L2-3 or L3-4. The sphenoid space is punctured, and the needle notch is injected downward after successful puncture. Medication: hormonal drugs, vitamin drugs, cytidylcholine and chuanxiongzine, etc. After 2-3d or 1W of epidural therapy, sacral canal therapy is then performed. If continued treatment is required, epidural therapy will be administered 2-3D or 1W after sacral canal therapy. Treatment with the above two methods is more effective than single method treatment. (4) Epidural gap lateral saphenous injection therapy. 6, nucleus pulposus chemolysis treatment (1) intra-disc injection of collagenase therapy. (2) extra-disc injection of collagenase therapy. (3) Lateral saphenous fossa injection collagenase therapy. 7.Trioxane therapy (1) Intradiscal laser vaporization and injection of trioxane therapy. (2) Intradiscal injection of trioxane and collagenase therapy.