Lumbar intervertebral disc herniation is more common in young adults, 20 to 45 years old, and more in men than women. It is caused by the degeneration of the lumbar intervertebral disc and the partial or complete rupture of the fibrous ring due to trauma, strain, cold, etc. The nucleus pulposus bulges outward, protrudes or prolapses, stimulating and compressing the nerve roots or spinal cord (cauda equina), causing lower back pain and sciatica of the lower limbs. According to Chinese medicine, the internal cause of this disease is liver and kidney deficiency and lack of qi and blood, while the external cause is carelessness in living, weight bearing and flashing, injuring the tendons and bones, or wind, cold and dampness visiting the meridians, blocking the meridians, prolonging for a long time, resulting in qi stagnation and blood stasis and loss of nourishment of the tendons and veins, thus causing the disease. Clinical manifestations】 History of lumbar trauma, chronic strain or cold, some patients have a history of chronic lumbar pain. Lower back pain and pain radiating along the sciatic nerve to the lower extremities, the symptoms are aggravated by activity, and can be aggravated by bending, squatting, lifting, coughing, sneezing, and straining during bowel movement, and alleviated after rest. CT scan and MRI of the lumbar spine can make a clear diagnosis. Tui-na treatment can reduce the intradiscal pressure and increase the extradiscal pressure to create favorable conditions for the repair of the fibrous ring. The most important thing is to change the relationship between the position of the protrusion and the nerve, loosen the adhesions, release or reduce the pressure on the nerve root, enhance blood circulation, and promote the recovery of the damaged nerve function. Self-tui na】 1, mo kidney benefit essence: hands hard friction rubbing hot, hands placed on the back side of the body, hands palms clockwise rubbing bilateral lumbar kidney acupuncture, large intestine acupuncture 30 to 50 times. 2, press and rub the waist and lower limbs: hands placed on the back side of the body, the index, middle and ring three fingers together, from top to bottom forcefully press the affected side of the lumbosacral, buttocks and lower limbs after the lateral muscles 3 to 5 times. 3.Knock on the waist and buttocks: hold a fist with both hands on the back side of the body and knock on the bilateral kidney acupoints, large intestine acupoints, ring jump, and rank side with the back of the fist, first lightly and then heavily, alternating light and heavy, 30 times each. 4, rub the waist and lower extremities: one hand on the back side of the body, with the large fish interval or palm root rub the affected lumbosacral region, buttocks and lower extremities after the lateral, to local heat. 5.Supine waist swing: take the supine position, hold both sides of the bed with both hands, swing the waist from left to right, the amplitude from small to large, swing from left to right 30 times. 6, traction lumbar spine: pull the door frame or double bar with both hands, using their own weight to pull and stretch traction lumbar spine 3 to 5 minutes. Chinese medicine protection] 1, pay attention to the lumbar warmth, avoid cold. Patients in the acute stage should try to rest in bed, both before and after treatment, it is advisable to sleep on a hard bed to rest. 2, during the treatment period, the waist should be protected with a waist brace, in order to protect, support and keep warm, and consolidate the therapeutic effect. 3, pay attention to the posture during labor, such as bending, squatting, rising or lifting heavy objects and other movements, to maintain the balance of gravity to prevent lumbar injury and the recurrence of this disease, and should adopt the correct posture when working and living, not only to save energy, but also to prevent back pain. Here are some representative correct and incorrect postures for reference. The main points of these postures are as follows. (1) lifting heavy objects from the ground when lifting, to hip and knee bend, body squatting, back straight, objects as close to the body as possible, rely on hip and knee force to get up. (2) standing work, feet as far forward as possible, preferably with one foot forward, the other foot slightly behind, knees slightly bent, waist as little as possible to bend forward, stand for a long time, to stretch from time to time, bend the hips and knees. (3) when carrying heavy objects, chest and waist slightly bent forward, hips and knees slightly flexed, step should be steady, not too big step. (4) sitting work, chest upright, waist slightly bent forward a little, so that the waist can lean on the back of the chair. Sitting for a long time, from time to time, straight has been the body, spreading the two arms, so that the chest expansion. (5) when carrying, lifting heavy objects, the waist should be straight, the chest should be straight, get up to rely on lower limb force. After getting up, stabilize your body and then take a step. When carrying heavy objects collectively, to unify the action, step to shout a horn, the pace should be consistent. Rainy days, slippery roads, downhill to walk slowly, take small steps, over the ditch, over the hurdles to greet, step by step to walk steadily. 4, the recovery phase should be carried out lumbar back muscle functional exercise, such as arch bridge, fish leap, taijiquan, etc., while and gradually cancel the waist circumference. The lumbar functional exercises should be performed 1 to 2 times a day for 10 to 15 minutes each time. (1) Forward flexion, back extension, lateral flexion and rotation of the waist, 10 times each. (2) Five-point support: the patient lies on his back on a plank bed, uses his head, elbows and feet to support his whole body, makes his back try his best to lift up and stretch back, insists for a moment and then lies flat slowly. Repeat the exercise for 3 minutes. (3) Three-point support: five-point practice and then practice three-point practice. Lie on your back, hold your hands in front of your chest, take your head and feet as the fulcrum, lift up your waist and abdomen with force, insist for a moment, then lie flat slowly, and repeat the exercise for 3 minutes. (4) arch bridge support: lying on the back, the patient’s hands and feet to support the whole body in the shape of an arch bridge, adhere to a moment, and then slowly lying flat, repeated practice for 3 minutes. (5) flying swallow pointing water: prone position, head, hands, legs at the same time efforts to reach back, and finally the whole body cocked, only the chest and abdomen on the bed, forming a flying swallow style. Insist for a moment, slowly relax, reprone in bed, rest for a moment, and then practice for 3 to 5 minutes. (6) Walking backwards: The patient chooses a wide place and walks backwards naturally. The whole body is required to relax, both hands swing naturally, both lower limbs swing alternately, with the hip joint movement as the main, and the knee joint as straight as possible.