The five combinations are: hanging back pressure style, oblique pull push waist style, knee top three methods, side position three methods, point collection. I. Five combinations of techniques: 1. Suspension and back pressure (1) operation of the technique Patient prone position, first relaxation techniques, then in front of the patient’s chest, thighs under the pillow, so that the abdomen, waist suspension. The operator mainly pushes and presses the technique, and the assistant cooperates with the rhythm of the operator and presses the patient’s ankle. The time is three to ten minutes. (2) Action elements If the lesion is in the spinal canal, put the palm root in the corresponding such as L3-4, L4-5, L5-S1 gap; if the lesion is outside the spinal canal, put it in the corresponding paravertebral area and do the manipulation while the assistant presses. (3) Manipulation mechanism It is in the up and down movement of the articular eminence joint, the penetration force more effectively penetrate into the vertebral canal and outside, promote the lumbar intervertebral disc back, reduce the pressure in the vertebral canal, eliminate the adhesions in the vertebral canal, loosen the paravertebral muscles and fascia, can correct the posterior joint disorder, and repair its damage. 2, oblique pulling pushing lumbar style (1) manipulation patient under the abdomen pillow, the affected limb hanging outside the bed, the operator to the palm root pushing and pressing the main, the assistant sitting low stool, with the rhythm of the operator oblique down pulling the affected limb. Time: three to ten minutes. (2) The main points of action Positioning as above, the tension should be in the direction of oblique downward. (3) Manipulation mechanism It is in the synovial joint oblique downward and under intermittent traction to do manipulation, easier to correct the posterior joint disorder, reduce pressure, more suitable for unilateral lesions. 3, knee top three methods (1) manipulation operation The first step, the patient under the abdomen pillow, the affected limb suspended outside the bed flexion, the operator side knee top affected limb N fossa, while pressing, point, pressure manipulation. Three minutes. The second step, if it is on the high side, let the patient’s upper limb support the upper body, while doing pushing and pressing three times, and then let the patient down at the same time, pushing and pressing three times, the patient rise and fall three times, do the technique three times. If it is partial to the lower position, after doing the knee top maneuver, one hand presses the disease position, one hand quickly turns the affected limb to the healthy limb and presses hard against it at the disease position, while rotating the lower limb to the normal position again, one to three times. (2) action essentials the first two steps, while the top knee manipulation, the third step in the backward leg turn must be coordinated force. (3) The mechanism of the maneuver is convenient to distinguish between high and low position treatment, and can make the synovial joint rotate backward and upward in the back and forth movement, which is more conducive to correcting the disorder and reducing the pressure. 4, lateral three methods (1) manipulation operation dorsal lateral position, in the paravertebral, transverse process, lumbar muscle groove with point, press, knead, push, take, pluck, mainly. Ventral position, available finger, palm root, elbow to pressure, push, paddle, knead. In the supine position, press and press the lateral abdomen and lightly knead the femoral trochanter. (2) the main action position in the vertebral side, double thumbs put vertebral side, easy to increase penetration, in the transverse process, the technique to the lateral part of the transverse process is the main, in the lumbar major muscle groove, to deep touch is the main, in the ventral side to deep pressure is the main, the small rotor of the femur, to gentle. (3) Mechanism of manipulation Eliminate the extra-vertebral canal adhesions and edema, and repair the injury. And can put the lumbar major muscle starting point end of the whole segment treatment. (1) Operation of the maneuver Point shoulder well, Tianzong, lumbar yangguan, ring jump, Chengshan, Zhizhong, special local femoral nerve and other points. (2) action points point to force, can also be two points at the same time point. (3) the mechanism of the technique strong stimulation has a very good pain relief, but also can promote the nerve root to avoid compression. The five combinations of manipulation characteristics 1, seemingly large and scattered, but the force is soft and clever, in the movement of the whole complex, in the movement of the most effective penetration from multiple angles, directly to the disease. 2, simple and clear positioning, both inside and outside the vertebral canal, can both rectify and repair. 3, still follow the essence of diagnosis and treatment, according to the different causes, pathology, location and course of lumbar disease, to use the combination of massage, point point techniques. Clinical application 1.If acute onset, after the nerve root edema is eliminated, more than two or five combinations are used, if chronic, distinguish inside and outside the vertebral canal, one group alone, or more than two groups can be used in combination. 2, five groups of techniques for acute and chronic posterior joint disorders, lumbar muscle disorders, the efficacy is particularly good, immediate results. For the third lumbar transverse synovitis, gentle manipulation and longer treatment course are required. The effect on lumbar disc herniation is remarkable. For lumbar disc herniation, it has obvious effect on the adhesions in the spinal canal after surgery, but the course of treatment is longer. For lumbar spinal stenosis, it can gradually improve and gradually reduce the symptoms. 3, clinical still according to the condition, age, physical fitness and other elaborate combination of techniques, generally speaking, the safety is stronger. 4. According to my seven years of clinical observation, the five combined techniques are mainly used for soft tissue diseases of the lumbar region. Fourth, after the manipulation, and then fire power therapy Fire power: with Chinese medicine soaked in white wine, soaked in wine gauze ignited and quickly buckled in the affected area. Principle: The wine is used for fire power, the medicine is used for wine power, adjusting the technique and buckling on the affected area, which can quickly open the coup, strongly penetrate and reach the disease body. Effects: activating blood circulation, removing blood stasis, relieving swelling and pain, and repairing damage. After tui na, with fire power therapy, there is a good synergistic effect to increase the healing effect.