Lumbar spine strain is actually commonly known as lumbar muscle strain. It refers to local aseptic inflammation caused by injury to soft tissues such as muscles, fascia and ligaments in the lumbosacral region, resulting in diffuse pain on one or both sides of the lumbosacral region, also known as “lumbar dorsal fasciitis”. Most cases of lumbar muscle strain are caused by bad habits in life. If overuse such as sedentary or standing, patients with lumbar muscle strain should pay attention to bed rest in daily life and not to sit and stand for a long time. The treatment of Western medicine is based on internal and external non-steroidal anti-inflammatory drugs, can be combined with physical therapy, the more severe cases can be closed steroid drug treatment, easy to recur. This disease belongs to the category of “back pain” and “paralysis” in Chinese medicine. Chinese medicine believes that this disease is mostly caused by old age and physical weakness, lack of endowment, or excessive strain or internal injury, resulting in deficiency of qi and blood, loss of nourishment in the lumbar region, and astringency due to poor operation of the meridians. The evidence belongs to qi stagnation and blood stasis, paralysis and obstruction of the vasculature. Treatment is based on the principle of relaxing the tendons and activating blood, benefiting the kidneys and strengthening the waist. Commonly used external treatment methods include acupuncture, massage, fumigation, cupping, gua sha and other therapies. Acupuncture can be used to warm acupuncture and fire acupuncture, to achieve the effect of moving qi and blood, unblocking the tendons and veins. Tui Na can relieve the fatigue of lumbar muscles and relieve the symptoms. Chinese medicine fumigation can dredge the meridians and activate blood circulation to remove blood stasis. Cupping and gua sha can effectively improve local microcirculation and promote tissue metabolism.