1. Overview: Clinical pain occurs on one or both sides of the waist as the main symptom. Lumbar pain often radiates to the legs and is often accompanied by symptoms of external or internal injuries. Lumbar pain can be caused by feeling cold and dampness, dampness and heat, or falling and trauma, stagnation of qi and blood stasis, or kidney deficiency. Its pathological changes often show a deficiency of the kidney as the basis, feel the external evil, fall and flash for the standard characteristics. There are many causes of lumbar pain, about dozens of reasons, the more common are kidney deficiency, lumbar osteophytes, bone spurs, intervertebral disc herniation, lumbar vertebral hypertrophy, spinal stenosis, lumbar fracture, vertebral canal tumors, lumbar acute and chronic trauma or strain, lumbar muscle strain, ankylosing spondylitis, and so on. Clinical manifestations: the main symptom is lumbar or lumbosacral pain, recurring, the pain can change with climate change or the degree of exertion, sometimes light, sometimes heavy, lingering. The lumbar region may have extensive pressure pain, spinal activity is not abnormal. During acute attacks, all symptoms are significantly aggravated, and there may be muscle spasm, scoliosis and functional activity limitation. Some patients may have pulling pain in the lower limbs, but there is no string pain or numbness of the skin. The nature of the pain is mostly dull, can be confined to one area, or spread throughout the back.3. Moxibustion therapy: 3.1 Acupuncture points: kidney Yu, vital gate, Yanglingquan, hanging bell, etc. 3.2 Moxibustion: warm box moxibustion, iron moxibustion, ginger moxibustion, moxibustion, prairie moxibustion method, etc. 4. Typical cases: 4.1 Warm box moxibustion lumbar pain: Du so-and-so, male, 29 years old, in March 26, 1993 first diagnosis. The patient three days ago due to cold caused by lumbar pain, local cold, turn side unfavorable, self-adhesive dampness pain relieving cream and other symptoms did not see obvious relief, this time to seek acupuncture treatment. Examination: normal lumbar movement, no obvious pressure pain, pale red tongue, thin white moss, tight pulse. Diagnosis: wind-cold lumbago (wind-cold paralysis blocking the bladder meridian). Because of his fear of needles, only moxibustion without needles. Acupuncture points to take the fate of the door, kidney Yu, Zhi room, the warm moxibustion box placed horizontally on the acupoints, each time moxibustion for 20 minutes, moxibustion after the first, that is to feel the waist warm and comfortable, a total of 3 times, back pain disappeared, did not reoccur. Warm box moxibustion is best suited for treatment in the chest, abdomen and lower back, can be used alone, can also be used with other acupuncture therapy, chronic, cold disease and lesions in a wide range of areas is particularly suitable. This method is easy to use, moxibustion treatment area, can be moxibustion at the same time more than one point, and safe and reliable, worth the clinical application. (Tian Yuliang, Wei Hongli. Warm box moxibustion and its clinical application[J]. Journal of External Treatment of Traditional Chinese Medicine, 1996, 2: 46.) 4.2 Treatment of Cold-Dampness Lumbago with Ginger Moxibustion: Patient, female, 59 years old, had lumbar pain 3 years ago after being exposed to cold, and then recurrent episodes. Symptoms: pain in the lumbar region, which is relieved by heat and aggravated by cold, with symptoms getting lighter and heavier, aggravated by exertion, cold and rainy days, ineffective in bed rest and oral antipyretic and analgesic, white and greasy coating on the tongue, and a sluggish pulse. X-ray examination of lumbar spine was not abnormal. The diagnosis was cold-dampness lumbago. Adopt ginger moxibustion treatment (the patient lying down position, take kidney Yu, large intestine Yu, lumbar yangguan, commission in the point, take fresh ginger cut 0.5cm thick ginger slice, with the injection needle in the ginger slice on a few small holes, will be placed in the ginger slice above the points, will be pinched into a peanut-sized cone wormwood column placed in the ginger slice, and from the top of the ignition, this is a 1strong, put 3~5strong, 10 times for a course of treatment, between the course of rest for 2~3 days. ) (Wang Mingjia, Zhai Xiuzhi, Zhai Xiuzhi), 10 times for 1 course of treatment, 2 courses of treatment after the disappearance of lumbar pain, follow-up for 1 year without recurrence. (Wang Mingjia, Zhai Xuling, Li Hong. Treatment of 32 cases of cold-dampness lumbago with ginger moxibustion[J]. Chinese folk therapy,2009,17(11):12.) 4.3 Prairie moxibustion for lumbago (ankylosing spondylitis): Male, 30 years old. The patient’s lumbar pain had been worsening day by day for 3 years. He was hospitalized in a specialized rheumatology hospital in Xi’an and diagnosed with ankylosing spondylitis, which was ineffective for half a year, and his condition gradually developed upward to chest and neck. She was referred to our clinic for treatment. The examination showed that the patient had anterior flexion of the spine, the angle between the trunk and the lower limbs was about 100°-120°, limitation of uprightness, enlargement and deformation of the lumbar and thoracic vertebrae, pain, and posterior flexion of the neck, and the pulse was slow and stringy, and the moss was thin and white. Liao moxibustion is a direct application of moxibustion with a 0.60mm diameter (20 gauge) thick metal needle with the tip of the needle burned red. Localized acupuncture points, prairie moxibustion of a point about 5-7s, each time 6-9 points, once a day, 10 times for a course of treatment. After 5 sessions of treatment, the waist was basically straightened and could participate in certain physical labor. (Chen Nan. Clinical application of prao moxibustion[J]. Shanghai Acupuncture and Moxibustion Journal, 2007, 26 (4): 43.) 4.4 Qi warm moxibustion method for the treatment of low back pain: 4.4.1 The method is based on the development of moxibustion and mild moxibustion method of the specific method of operation is the end of the moxa ignited, aligned with the moxibustion of the acupoints, about 1-2 centimeters away from the smoked, so that the patient localized warm and hot sensation without burning pain and then in the acupoints along the meridian line, each acupoint up and down the 1 centimeter and then Smoke moxibustion, generally about 5 minutes per point, in each point 1 cm above and below the moxibustion for another 5 minutes, the actual is about 15 minutes per point, so that the moxibustion place of the skin is appropriate for the reddish halo.4.4.2 Typical case: Valentina, female, 71 years old, a teacher. She lived in Krasnoyarsk, USSR, on May 21, 1990, when she was first diagnosed. Complaint: pain in the left side of the lower back, buttocks and legs for 12 years, aggravated in the last month. History: 12 years ago, pain in the left lumbar region, left thigh and calf due to wind-cold after exertion was ineffectively treated with medication and tended to worsen every year. In the past month, the pain has been aggravated at night, and she cannot walk independently. Examination: white face, fat body shape, pale tongue with few mosses and teeth marks, painful expression, no abnormal odor, pulse is dull and tight. Pulse is dull and tight. Pressure and pain at the left Yanglingquan and Chengshan points are obvious. Diagnosis: Wind-cold paralysis of the left leg. Acupuncture points: Jiemu, Yanglingquan, Chengshan, Hangzhong. The left side was treated with qiwen moxibustion once a day. After six sessions of qiwen moxibustion, the pain was relieved, and after a total of 30 sessions, all symptoms disappeared and the patient was cured. (Yang Yuande. Clinical application of Qi moxibustion[J]. Acupuncture and Moxibustion Clinical Journal, 1994,10(5):28.) 5. Clinical experience: low back pain is divided into two kinds of deficiency and reality in clinical treatment, and moxibustion has a unique therapeutic effect on deficiency-cold type low back pain. Such as warm needle moxibustion, moxibustion box moxibustion, iron moxibustion, etc. operation is convenient and the efficacy is reliable. Low back pain is often a complication of some diseases, before moxibustion, should be diagnosed clearly, so as not to delay the condition.