Typical case Song, male, 65 years old, company manager. Date of first consultation: September 8, 2006. Complained of right side lumbar and leg pain and numbness for more than 1 month, no history of trauma, unable to stand much, walking about 30 meters to feel the right side lumbar and leg pulling numbness, the pain and numbness when lumbar posterior extension is even more, can not completely lying down, daily work and life obstacles are obvious. Examination: lumbar physiological arc is straight, lumbar spine is left curved, pressure pain is obvious in the right paravertebral area of L4-5 and L5S1 with radiating pain to the N fossa, pressure pain is obvious in the right hip, straight leg raising test is 45° on the left and 30° on the right, strengthening test is positive, left lateral calf sensation is decreased, left flexion and extension of the big toe muscle strength is decreased, lumbar mobility is 30° in forward flexion and 5° in back extension, 10° in left bend and 30° in right bend. The tongue is pale, the moss is thin and white, and the pulse is thin. CT film shows that the L5S1 intervertebral disc protrudes posteriorly on the right side and significantly compresses the right nerve root and dural sac. Diagnosis: Chinese medicine for lumbar leg pain, partial cold and dampness with stasis type; Western medicine for lumbar disc herniation, right posterior protrusion of L5S1. The diagnosis is that wind-cold-damp paralysis obstructs the lumbar leg, holding stasis and blocking the meridians, and the qi and blood do not run smoothly, which causes pain. The treatment is to dissipate wind and cold, resolve blood stasis and clear the channels. Di Long Shu Waist Soup with Addition and Reduction. Prescription: 3 pure ephedra, 12 fengfenhexi, 12 wei lingxian, 9 Chuan Di Long, 5 Sichuan cao wu, 4 Panax notoginseng, 5 herb snake, 9 Sichuan cow knee, 9 Chuan papaya, 9 roasted silkworm, 20 white peony, 9 Nanxing, 9 burdock, 9 angelica, 9 red peony, 5 Chuanxiong, 5 Chen Pi, total 7 post. At the same time, he applied hot compresses and traction with the Chinese herbal medicine Shujin and Blood Activation San, twice a week for 30 minutes each time; together with the three steps and five methods of Lu Wen School of Osteopathic Tui Na, twice a week for 20 minutes each time. Second consultation: September 15, 2006. The patient complained that the back and legs were easier than before, but the pain and numbness were still obvious, and walking and posterior lumbar extension activities were still restricted. The tongue is pale, with thin, white greasy coating and thin pulse. He continued to take 7 patches and applied Shi’s wound ointment to the sciatic nerve twice a week, as well as hot compresses and traction before manipulation. In the third and fourth consultation, the patient’s condition gradually improved, the pain and numbness were reduced, and the scoliosis and the limitation of leg lifting were improved, the treatment prescription remained unchanged, and the external treatment method was the same as before. Fifth consultation: October 6, 2006. The patient’s back and leg pain and numbness are no longer obvious, scoliosis has basically recovered, paravertebral pressure pain is not obvious, left and right leg lifts are greater than 60°, lumbar back extension has also significantly improved, calf numbness is slight, muscle strength is still slightly poor, complaining of soreness and swelling in the back and legs after prolonged walking, which can be relieved after rest. The tongue is light, the fur is thin, and the pulse is thin. The original method is different, and discretion is added to tonify the kidney and strengthen the waist. The original prescription was removed from Sichuan Cao Wu 5 each, and the treatment was continued for two weeks, with the addition of Shu Di 9, Qian Qian Jian 9, Fried Eucommia 9, Chuan Xing Guan 9, Boneset 9, Dog’s spine 9, Sandy seed 3, and Jiao Cha Qu 9. Follow-up: After half a year of follow-up, the lumbago and leg pain and numbness were not obvious, and he resumed his original work, and occasionally had lumbago after exertion. It is recommended to follow up regularly.