Lumbar disc herniation is still one of the common intractable diseases in orthopedic surgery, and non-surgical treatment is the first choice for clinical treatment of this disease. The “common treatment” is the “common treatment” of the disease. On this basis, personalized comprehensive non-surgical treatment according to the specific conditions of specific patients is an effective way to improve the clinical treatment target and rehabilitation level. 1.Treatment from pain–Common treatment for the essential characteristics of the disease Lumbar disc herniation is an important cause of spinal-derived back and leg pain, and typical back and leg pain is the basic basis for the clinical diagnosis of the disease and the main claim of patients seeking medical treatment; changes in the degree of pain are significant signs of the evolution of the disease and an important element of rehabilitation evaluation. Therefore, “pain” is the main contradiction or the main aspect of the contradiction of lumbar disc herniation disease, and it is the “commonality” that reflects the essential characteristics of the disease, and active, appropriate, safe, effective and timely “pain removal” is the basic requirement of clinical treatment. Active, appropriate, safe, effective and timely “pain relief” is the basic requirement and common task of clinical treatment, and it is a feasible way and necessary stage to restore function and improve quality of life. Many therapies in the non-surgical treatment of lumbar disc herniation, such as bed rest, traction, tui na and manipulation, acupuncture, Chinese internal medicine and various physiotherapy, have certain pain-relieving effects, while anti-inflammatory analgesics, epidural closure, nerve block and acupuncture analgesia are even more direct methods of pain relief, only that there are certain differences in the effectiveness, quality, adverse effects and application options of these pain management methods. In recent decades, with the in-depth research on pain physiology and neurobiology, various new analgesic drugs have been developed and applied, but there is not yet a drug that can completely eliminate severe acute pain or lingering chronic pain, and besides, side effects caused by analgesic drug abuse are relatively common. “The problem of pain is the number one issue, and there are few issues as worthy of struggle as the relief of pain and suffering.” Pain therapeutics believes that the treatment of pain should include both etiologic and pain elimination treatments, emphasizing the important role of clear diagnosis and pain transmission modalities in eliminating pain. This questioned the previous treatment of lumbar disc herniation, which only focused on the “etiological treatment” of the disc herniation, and the treatment gradually changed from the initial open surgery to active non-surgical treatment, especially various “highly effective and low toxicity” In particular, various “non-pharmacological analgesic techniques” are gradually gaining attention. Acupuncture is an important part of traditional Chinese medicine, and “treating pain” is one of its main functions. Acupuncture analgesia is one of the main functions of acupuncture. It has the functions of blocking nociceptive conduction, raising pain threshold, anti-inflammatory and analgesic, repairing tissues and improving nerve function, and the analgesic law can reflect immediate effect, after-effect and cumulative effect, which can not only suppress acute pain but also suppress chronic pain; it can suppress body surface pain but also reduce and even eliminate deep pain and It can improve the pain threshold and pain tolerance threshold and reduce the emotional reaction to pain; it can reduce nociceptive discrimination and improve the standard of pain reporting, which can play the role of “treating both symptoms and root causes” for various acute and chronic pain diseases. There are always “more” (more alternative methods, more indications), “faster” (quicker pain removal, shorter total course of treatment), “better” (safety, good efficacy, good patient compliance), “save” (save money, save equipment, no side effects). characteristics. In the future, with the gradual deepening of the research on the localization, orientation, qualitative and quantitative analysis of the principle of acupuncture analgesia at multiple levels (from the overall level to the molecular and genetic levels) and multiple angles (nerve, body fluid and meridian, etc.), it is expected that there will be a more reasonable scientific explanation for the mechanism of acupuncture analgesia and a direction for the in-depth clinical treatment and research of acupuncture analgesia. Personalized treatment is the goal of human health in the 21st century, involving individualized disease diagnosis, clinical treatment and efficacy evaluation. Personalized diagnosis is a prerequisite for treatment. In general, mechanical and/or biochemical damage to affected tissues such as spinal nerve roots due to multiple factors is the basic pathology of lumbar disc herniation, and pain is the “common denominator”. However, there are certain specificities in individual patients or in the specific stages of the disease process of different patients. First of all, because lumbar disc herniation involves a variety of nerve categories, lesion sites and protrusion types, the etiology, location, nature, degree and accompanying clinical manifestations of pain vary greatly, and may even be accompanied by other spinal origin of lumbar pain; in addition, due to the individual’s previous pain experience, past treatment history, duration of disease, severity of the disease, physical constitution, systemic underlying diseases, living environment, lifestyle, social role, and the development of the disease, the patient’s pain may be different. In addition, the significance of pain to a particular patient varies due to differences in disease, psychological and social backgrounds such as previous pain experience, past treatment history, duration of disease, severity of disease, physical body type, systemic underlying disease, life environment, lifestyle behavior, social role, psychological status, personality factors, economic situation, cognitive level and treatment expectations. All of these uncertainties can make the objective clinical assessment of lumbar disc herniation back and leg pain more difficult, and as a result, directly affect the treatment orientation and disease regression. This must be analyzed and diagnosed in a comprehensive manner. Personalized treatment is an extension and refinement of the common treatment, reflecting the principle of overall comprehensive treatment from many different levels, and is a perfect combination of commonality and individuality, principle and target, under the premise of adhering to the common principle and clear “hierarchical diagnosis”. It is required that when formulating treatment plans for a specific patient’s specific condition stage, the patient’s condition and other related issues should be fully considered in the universality of the specificity, and the most targeted treatment plan should be selected and formulated according to the specific, special and individual characteristics of the disease. The ideal goal is the optimization of the expected therapeutic effect. Personalized treatment must also take into account the needs of medical ethics, and the implementation of medical interventions must fulfill the ethical obligation of prior informed consent and maintain the human dignity of patients. In principle, the non-surgical treatment of lumbar disc herniation in TCM focuses on a holistic concept, a human-oriented approach, the combination of evidence and disease identification, and the co-reference of typology and staging, while the specific treatment method emphasizes adherence to the disease mechanism, the right to change, the addition and subtraction of evidence, and the high degree of coordination and unity of principle and flexibility. It is also the pioneer and typical example of personalized medical treatment for this disease. At present, there are many types of non-surgical treatments for lumbar disc herniation. However, each treatment may only be able to solve part of the problems of some patients, and there is no single treatment that can solve all the problems of all patients as a whole, and it is impossible to hope that one or some so-called appropriate technology can cure all patients with lumbar disc herniation in the future. In this context, individualized treatment of lumbar disc herniation (including non-surgical, minimally invasive and open surgery) has been widely emphasized in recent years. The personalized efficacy evaluation should match the personalized treatment and should have special criteria and contents. The overall evaluation criteria should reflect the safety, effectiveness, patient compliance and health economics value of personalized treatment. Specifically, regardless of which method is used, the criteria should be whether the treatment is safe and reliable, whether the pain symptoms are relieved as soon as possible, whether the back and leg functions are restored as soon as possible, and whether the quality of life is gradually improved; the process and expected results of the proposed comprehensive therapy should reflect the most orderly, safe, and effective, while the principles of toxic side effects, medical source damage, and economic cost are the least; emphasize that reversible methods can be used to achieve the treatment When the purpose of treatment can be achieved by reversible methods, destructive or destructive medical measures are not used as much as possible to avoid re-injury to the patient’s body and mind and to influence the choice of other subsequent treatments. The evaluation of personalized efficacy should be adapted to the characteristics of clinical symptoms and signs of lumbar disc herniation and the regularity of disease development, including pain, activity function and quality of life, etc. The evaluation of patient’s autonomy and objectivity and its hierarchy should be emphasized, and the principles of recent efficacy, long-term prognosis and quality of life evaluation should be given equal importance, especially the evaluation of quality of life, so as to be compatible with the requirements of the holistic medical model. The evaluation of quality of life should be paid particular attention to in order to adapt to the requirements of the overall medical model. 3.Adapting to the change of medical model – from “treating patients with herniated discs” to “treating patients with symptoms of herniated discs” Personalized treatment is also an objective requirement to adapt to the change of medical model. Objective requirements. At present, the purely biomedical model has been replaced by the biopsychosocial medical model (holistic medical model). The holistic medical model overcomes the limitations of neglecting the psychological and social factors of human beings, and comprehensively and systematically understands human diseases and health from both biological, psychological and social factors, which leads to a change in the purpose of medicine. The new purpose of medicine is to continuously improve human beings and their living conditions, prevent and control diseases, restore, maintain and promote health, and improve the quality of life and social adaptability. Concretely reflected in clinical work, clinicians are required to see the patient not only as a mere natural creature, but also as a service object combining natural and social attributes, so as to meet the patient’s pursuit of health. The change of medical model and medical purpose has put forward new requirements for the future clinical medicine. For this reason, the future clinical medicine must take into account preventive medicine, social medicine, behavioral medicine and rehabilitation medicine and develop in a coordinated manner, and highlight the “patient-centered” “personalized medicine”. Clinicians should not only treat the disease, but also pay comprehensive attention to the patient’s whole body and mind, as well as the quality of life after treatment. It is known that patients with lumbar disc herniation, especially chronic patients, have not only physical but also psychosomatic disorders or perversions, which have not been given enough attention. In this regard, it is necessary to seek to mobilize all positive factors to improve the overall rehabilitation of patients under the guidance of the holistic medical model and the principles of individualized treatment. In terms of specific measures, we should not only pay attention to the screening of efficient analgesic techniques, emphasize the orderly application of various analgesic methods, achieve active, appropriate, safe, effective and timely “therapeutic” analgesia, and actively deal with pain-related complications, but also emphasize health education and explanation of the disease to improve patients’ awareness of the disease and their ability to deal with it on their own. We should not only enrich medical measures, but also strengthen humanistic care, spiritual encouragement and psychological guidance to help patients eliminate anxiety, relax their minds, stabilize their emotions and promote sleep; we should not only create a good medical and recuperation environment for patients, but also strive to establish a good doctor-patient relationship, so that patients can give their informed consent to the treatment process and actively cooperate with the treatment; we should not only give full play to the role of medical and nursing staff, but also We should not only give full play to the role of medical and nursing staff, but also mobilize social forces, especially the infusion and care effect of family members, which can help patients obtain the necessary spiritual support, thus eliminating loneliness and gaining comfort. If this is done, it will help patients gradually establish a correct view of the disease and self-confidence in self-rehabilitation, and gradually build up a complete physical and psychological state and social adaptability. Another issue worthy of attention is that for a long time, the phenomenon of “excessive passive treatment” of lumbar disc herniation is very prominent, and the self-repair, anti-disease, regulation and health ability of the patient’s body has been neglected for a long time, and even destroyed by medical sources. Therefore, only the combination of “passive treatment” and “active treatment”, and gradually reduce “passive treatment” at the appropriate time, teach patients the necessary exercise and labor protection methods, guide and Encourage patients to do moderate exercise, avoid bad life and work habits, achieve “three parts treatment, seven parts nourishment”, “doctors treat with all their heart, patients nourish with all their mind”, take “doctor-patient cooperation”, “doctor-nurse cooperation”, “doctor-nurse cooperation”, “doctor-nurse cooperation”, “doctor-nurse cooperation”, “doctor-nurse cooperation”. “This will not only help to “remove the cause of the disease”, relieve the patient’s pain as soon as possible, and continuously improve This will not only help to “remove the cause”, relieve the patient’s pain as soon as possible, and continuously improve the quality of life, but also help to enhance their own adaptability to the environment, and play a role in consolidating the curative effect and preventing relapse. 4. Conclusion Pain is the main disease characteristic of lumbar disc herniation. It is the main content of the common treatment, but the physiological, psychological and social factors related to the disease exhibited by specific patients at specific stages of the disease vary greatly, and individualized treatment measures must be selected for the specific conditions of specific patients. The combination of commonality and individuality is the objective need of modern medical model transformation, the objective need to improve the comprehensive level of clinical care and patient recovery standards, and the specific embodiment of standardized non-surgical treatment of the disease. In this regard, clinical treatment must be adjusted accordingly, emphasizing the timely “gradual change from treating patients with protruding discs to treating patients with protruding symptoms”, from “treating the disease” to “treating people “The concept of “patient-centered” and “treatment according to the person” should be implemented. At the same time, it is important to recognize the shortcomings of excessive passive clinical treatment in the past, and highlight the active role of fully mobilizing patients’ own recovery ability in disease recovery. This kind of treatment mode that unifies the overall and local, common and individual, principle and flexibility, and selects the most optimal treatment plan from the specific situation of a specific patient, and fully emphasizes the combination of prevention and treatment and the cooperation between doctors and patients, will be the main content and objective requirement of the personalized plan under the standardized non-surgical treatment mode of lumbar disc herniation in the future.