Lumbar intervertebral disc herniation is still one of the common and frequent diseases in orthopedics and traumatology. The vast majority of patients can obtain satisfactory recovery through active, formal, systematic and timely non-surgical treatment, and some of them can be “cured” as long as the pain disappears and the function is restored according to the national standard of diagnosis and efficacy evaluation of relevant diseases. Over the years, I have made some efforts and explored in the field of non-surgical treatment of lumbar disc herniation with Chinese medicine, and I have been recognized by my peers and some of the treated patients in terms of electroacupuncture analgesia and lumbar disc herniation analgesic treatment, and my own specialty of “single-point electroacupuncture therapy” has rehabilitated nearly 2,000 patients in nearly 10 years. However, due to the technical limitations of the industry, as well as the complexity of the patient’s disease, the therapy can only help some of these patients, because all non-surgical therapies, including electroacupuncture therapy, have obvious or potential clinical indications, and can not cure everything. In order to help the majority of patients to better “choose a doctor”, I would like to the current level of knowledge, “single-point electroacupuncture therapy” clinical indications for the following explanation. (1) Patients with lumbar disc herniation within the scope of non-surgical treatment indications in accordance with western medical diagnostic standards. (2) Most patients with acute herniated lumbar intervertebral discs with obvious pain symptoms. (3) Patients with simple herniated lumbar discs who have not been interfered with by other therapies, regardless of gender, especially young patients. For patients within the optimal indications, the general rule of acupuncture analgesia is that the heavier the pain, the faster the relief; the shorter the duration of the disease, the shorter the total course of treatment. Based on past experience, if 2~3 times a week, 6~8 times after the vast majority of patients can obtain satisfactory recovery, the shortest one or two times the cure is also often. Practice has proved that serious pain and protrusion is not a reason for surgery. Second, absolute non-indications (1) belongs to the recognized range of indications for surgery: First, the so-called “lumbar disc herniation crisis”, i.e., lumbar disc herniation combined with cauda equina syndrome, spinal cord cone syndrome, etc. manifested by one or both sides of the low back and leg pain symptoms are severe and combined with urinary and defecation and sexual dysfunction, anterior and posterior genitals Peripheral numbness; Second, after active, formal, systematic non-surgical treatment for 6 months, but the main symptoms such as pain have not significantly improved, or even progressively aggravated, or the symptoms progressively increased (such as subsequent numbness and aggravation). (2) Those who have received glucocorticoid treatment, including intravenous drip, sacral drip, epidural closure, paravertebral nerve root block, etc., if they receive electroacupuncture again, it is generally more difficult to get the effect, or even ineffective, especially for those who have received hormone treatment recently, repeatedly and in large doses. The reason is: after large doses or repeated multiple systemic or local hormone therapy, the whole body’s “energy” has been “overdrawn”, and the local tissues have been “anesthetized” or “denatured”. And electroacupuncture treatment is precisely to mobilize the inherent “energy” or “potential” of the patient’s whole body by “stimulating the local area” (roughly equivalent to the human body’s “energy” or “potential”). “(roughly equivalent to the body’s “endogenous analgesic system”) to achieve the purpose of analgesia. If the “potential” has been overdrawn in advance or the “sensitivity” of the local tissues, which is the material basis of acupuncture treatment, has been anesthetized or destroyed, it will naturally be ineffective. It is unfortunate that some of the patients in the clinic who have sought electro-acupuncture treatment after hormone therapy has failed or recently relapsed have been “politely rejected”, and some of them have received hormone therapy without any knowledge of the treatment. It should be noted that these hormonal therapies have not yet been abolished, and they are still a common treatment in clinical pain departments, and some patients may recover from these therapies, so there is nothing wrong with these therapies in and of themselves. The disadvantage is that, if they are not effective, they render other non-surgical treatments, especially local electroacupuncture, largely ineffective. Therefore, we would like to draw the attention of the patients concerned to the need to raise their level of awareness of “health”, to strengthen their “screening” ability, and preferably to become a “research-oriented” patient in order to protect themselves to the greatest extent possible. (3) Pregnant women are obviously not? are obviously not suitable for electroacupuncture because the child is more important than the adult. Incidentally, female patients with a history of lumbar disc herniation must be stabilized for a period of time before considering pregnancy, otherwise, if symptoms of low back and leg pain occur during pregnancy, the treatment is very limited, and it will be very painful. (4) For elderly and frail patients, especially those with severe heart disease and hypertension, acupuncture treatment is a safety hazard. In addition, those who are too sensitive to acupuncture treatment cannot be suitable for acupuncture treatment. A good treatment can only be effective if it is used on the right patient, and safety factors and patient compliance with acupuncture treatment must also be considered. Patients with “absolute non-indications” are mainly because of “ineffectiveness” and “danger”, both of which are equally important to clinicians and patients, while for “ineffectiveness” and “danger”, there is a need to consider “safety” and “patient compliance”. The judgment of “ineffectiveness” and “danger” is mainly based on the clinical experience of the physician. (1) Condition and course of the disease: the condition of lumbar disc herniation at different stages of the disease is different, or the difference is big. The advantage of electroacupuncture is “immediate analgesia”, so theoretically, the more severe the pain is, the better the effect is, if the pain is not obvious, or only have acidity, distension and numbness, especially the degree is not heavy or occasional, it is generally not suitable for electroacupuncture. If the pain is not obvious, or only soreness, swelling, numbness, especially the degree is not heavy or occasional people are generally not suitable for electro-acupuncture treatment, if you are reluctant to accept the treatment is not only ineffective, but also may lead to aggravation of the pain, which is not worth the cost; electro-acupuncture treatment of the course of the disease also has a higher demand, that is, the shorter the course of the disease, the better, simple lumbar disc herniation patients within 3 months of the disease generally have hope of recovery, such as the history of the disease for more than 6 months, then the treatment of the difficulty is very big, because it is already belong to the range of surgery is needed. If the history of the disease is more than 6 months, it will be very difficult to treat, because it is already in the scope of requiring surgery. In a word, if you have the disease, you should treat it early, but if you have the disease for a long time, it will be more difficult; if you have the pain, it will be effective, but if you have no pain, you don’t need to treat it. (2) Multi-source and complex low back pain: orthopedic low back pain has many primary diseases, the more common are lumbar spondylolisthesis, lumbar spinal stenosis, ankylosing spondylitis, osteoporosis, lumbar back strain (fasciitis), femoral head necrosis, etc., and in serious cases, there are lumbar spine tumors or tuberculosis, etc. These diseases are also mainly manifested in different ways. These diseases are also mainly manifested as different degrees of low back pain, they can be separate, can also be combined in the same patient’s body, which must be clearly diagnosed and differentiated, respectively, symptomatic treatment. Only in this way can the treatment be targeted to ensure the efficacy of treatment. If the lumbar intervertebral disc herniation is combined with one or some of the above diseases, the choice of treatment must be considered comprehensively, both differentiated, but also to be considered comprehensively, the simple application of electroacupuncture to get the effect is generally more difficult, and some are not even suitable for electroacupuncture, and even not suitable for non-surgical treatment. (3) Patient’s underlying disease: lumbar disc herniation is mostly seen in young and middle-aged people, characterized by good health, few underlying diseases, if the past has not been poor treatment intervention, most of the electroacupuncture treatment is effective, short course of treatment, and the prognosis is satisfactory. Elderly patients with simple lumbar disc herniation are rare in clinical practice, and most of them have diabetes, hypertension, heart disease and other organs or systems with serious primary diseases, or are accompanied by lumbar spondylolisthesis, lumbar spinal stenosis, osteoporosis and other spinal source of low back and leg pain, and those with a long course of the disease or suffering from different degrees of psychological or psychiatric disorders. These systemic or spinal primary acute and chronic pain disorders will not only affect the patient’s description of pain, but also affect the diagnosis and treatment choice. It is generally difficult to apply electroacupuncture alone to obtain results, and in some cases electroacupuncture is not even appropriate at all. (4) Previous treatment experience: electroacupuncture is at the “bottom” of the “pyramid” or “ladder” of comprehensive non-surgical treatments for lumbar disc herniation, with the advantage of a wide range of indications. The disadvantage is that other treatments in the early stage interfere with it more. Outpatient clinics to see the majority of patients are no longer initially “simple” lumbar disc herniation, if from the initial “rough house” to “subdecorated house”, the efficacy of electro-acupuncture again There is a great deal of uncertainty about the efficacy of re-acupuncture. For example, patients who have received laser vaporization, collagenase nucleus pulposus fusion, radiofrequency thermocoagulation, nucleus pulposus plasty, intravertebral disc hyperthermia, ozone intervention, percutaneous incision and suction and other minimally invasive therapies in the past, the local anatomical structure of the lesion has changed, and the material basis of the effect of acupuncture (such as the various receptors near the acupoints) has undergone structural, chemical, or functional changes of varying degrees, or even disturbed and destroyed, making the electro-acupuncture treatment more difficult, or even ineffective. The treatment is difficult or even ineffective. (5) Body type and physique: It has been observed that the acupuncture efficacy of lumbar intervertebral disc herniation patients with fat or l body type, especially the long-term efficacy, is poor, the former because of the heavy burden on the lumbar vertebrae, and the latter because of the lack of lumbar muscle, and both of them share the common disadvantage of poor lumbar vertebral stability. Electroacupuncture can be used for these two types of patients, but the efficacy, especially of a single electroacupuncture, is uncertain, and a longer-term and more comprehensive integrated treatment program is needed to consolidate the efficacy and prevent recurrence. In addition, most patients who are bedridden for a long period of time or wear lumbar support suffer from weak lumbar back muscles, which makes the lumbar spine, which is already destabilized due to lumbar disc herniation, even less stable and requires a longer period of time for recovery in the future. (6) Postoperative recurrent lumbar disc herniation: recurrent lumbar disc herniation refers to the lumbar disc herniation patients with the original surgical segments and parts of the original surgical segments and parts of the lumbar disc herniation after surgery or the opposite side of the surgical segments herniation, the postoperative pain-free interval is greater than 6 months, there are scholars will be the other lumbar spine after the surgery, especially adjacent segments of the disc herniation occurs in the recurrent protrusion, the incidence rate of 4% to 18%, is a significant complication of the lumbar disc after surgery in the long term. The incidence rate is 4%~18%, which is an important complication in the long term after surgery, so it is also called “postoperative lumbar disc herniation”. The condition and treatment of post-surgical recurrent lumbar disc herniation are relatively complicated. Some patients have undergone another or three surgeries, and some of those who really do not want to undergo another surgery resort to non-surgical treatments, while electro-acupuncture treatment can solve some of the pain in some of the patients, but it is not certain. Due to the objective existence of many of the above situations, each specific patient’s specific situation becomes complicated, therefore, all non-surgical treatments, including electroacupuncture, can be said to be “personalized”. For patients who fall within the scope of the above indications, it is also necessary to “diagnose and treat” and “tailor the treatment to the individual”. Specifically, in the case of informing the patient, you can first “trial treatment” 1 ~ 2 times, depending on the effect and the patient’s feelings to decide whether to continue. After many years of summarization, found that if the beginning of electroacupuncture treatment is effective, and then every time should be effective, and the total efficacy can be cumulative, after an average of 6 to 8 times of treatment can be satisfied with most of the recovery. In addition, due to the theoretical existence of acupuncture analgesic “insensitive people”, even if they belong to the scope of the indications, generally need to tell the patient first “trial treatment” 1 to 2 times, depending on the specific circumstances to determine whether to continue. As electroacupuncture treatment does not have any side effects, even if it is ineffective, it will not affect other subsequent treatments. This is also one of the characteristics and advantages of the treatment. Measures to ensure and increase the therapeutic effect (1) Doctor-patient cooperation: “Doctor-patient cooperation” is one of the four treasures of the clinical treatment of traditional Chinese medicine orthopedics and traumatology. Its significance to the clinical treatment of lumbar intervertebral disc herniation lies in the fact that treatment and rehabilitation is not only a matter of doctors or medical treatment, but also requires the participation and active cooperation of patients. The participation and active cooperation of the patient not only reflects in the timely consultation and treatment, but also requires proper rest, avoidance of wind-cold and weight-bearing, proper posture, and timely and appropriate exercise according to the doctor’s instructions. In addition, patients themselves should be good at learning, mastering the basic knowledge of preventive health care, establish confidence in overcoming the disease, and always maintain a positive and optimistic attitude towards life, which is also extremely important for the recovery of the disease. As the saying goes, “three parts treatment, seven parts maintenance”, only doctors and patients can actively cooperate and work together to improve the quality of medical treatment, increase and consolidate the efficacy of treatment, and promote the early recovery of patients. (2) Comprehensive treatment: As we all know, lumbar intervertebral disc herniation is still one of the common, frequent and intractable diseases in orthopedics and traumatology clinic, and it is rare to find a single clinical treatment for orthopedics and traumatology, and most of them are using the combination of several kinds of effective therapies or multiple effective therapies at present. This can achieve the purpose of increasing therapeutic effect and shortening treatment course. After years of exploration, we feature appropriate technology “single-point electroacupuncture therapy” on the basis of “spinal fine-tuning manipulation”, and appropriate with the blood circulation and eliminate blood stasis, antispasmodic and analgesic traditional Chinese medicine internal combinations of methods more effective. V. Summary and tips At present, the lumbar intervertebral disc herniation non-surgical treatment methods are many, many kinds of each kind of therapy may be able to solve some of the patient’s part of the problem, and there is no method to solve all the patients of all the problems, that is, at present there is no one method can cure all the lumbar intervertebral disc herniation! This fact can illustrate at least two problems: first, the intractability of lumbar disc herniation, “the more methods there are, the less good methods there are,” and even surgical methods cannot solve all the problems of all the patients; and second, even if the methods are proved to be effective, they can only be effective if they are used by skillful operators and on the right patients. The second is that even proven effective methods can only be effective if they are used by a skilled operator and on the right patient. Through years of repeated research, verification, summarization and improvement, I now have a clearer understanding of acupuncture techniques, parameter selection, mastery of the indications, treatment cycle, etc., and the total effective rate of the treated patients should also be more than 70 to 80 percent, which is considered to be relatively excellent in the industry! With the accumulation of seniority, my understanding is also constantly revised and deepened, the mastery of the indications will become clearer and clearer, which is reflected in the “selection” of patients will inevitably be “more and more demanding”! Only in this way can we better ensure the efficacy of treatment, to avoid unnecessary “try”, and also not to affect which can not be helped by the patients of other follow-up methods of choice again. In a word, the only scientific attitude towards objective things is to “seek truth from facts”. The reason why certain methods have higher efficacy lies in the maturity of the technology and the application of the right symptoms, and the so-called also lies in the “specialization”, the diagnosis of the disease and the indications of a better grasp. Objectively speaking, I specialize in “electroacupuncture therapy” no matter how hard I can only help some patients, get help and get satisfied with the recovery of course all happy, but also hope that which “disappointment” patients can be correctly understood and treated, because everyone’s situation is different, even if the same patient’s condition is not the same, the same patient’s condition is not the same. At the same time, we also hope that those “disappointed” patients can understand and treat the situation correctly, because everyone’s situation is different, even if the same person at different stages of the disease is not the same, not to mention that a few patients really need surgical treatment, and please do not believe that there is a miracle cure for all diseases in the world and 100% efficacy of the special effects of the method. After a long time of summarizing and planning, this article can finally come out today, to thank the majority of patients for their support and expectations, but also hope that the majority of patients in the clinic before you can understand a little bit to do to know your own self, against the selection, targeting, increase the relevance and effectiveness of treatment, especially those who traveled a long way to the foreign patients.