Low back pain is a symptom (syndrome) that belongs to the scope of “paralysis” in Chinese medicine, which is equivalent to lumbar disc herniation, lumbar spinal stenosis, lumbar hyperplastic spondylosis, acute lumbar sprain, lumbar dorsal myofasciitis, third lumbar transverse synovial syndrome, superior gluteal nerve injury, and plow muscle injury. In the treatise on paralysis of the Inner Classic Suwen, it is said that wind, cold and dampness are mixed, either stagnating in the joints or blocking the meridians and channels and causing pain. Etiology and pathogenesis: Various causes lead to stagnation of the meridians and blockage of blood and Qi. Sensation of cold and dampness; sensation of dampness and heat; stumbling and flashing; deficiency of liver and kidney. Identification and treatment: 1. Cold and damp stagnation: main evidence: cold pain in the lower back and legs, unfavorable activity, preference for heat and fear of cold, aggravated by pain on rainy days, light tongue, white greasy coating, sunken pulse or sunken tight pulse. Treatment: Expel cold and dampness, warming and clearing the meridians. Prescription: Duluxiaosheng Tang plus or minus. In case of severe cold, Wu Tou Tang can be used. Chuan Wu 10, Dou Shu 12, Cang Zhu 10, Fu Ling 15, Ze Di 15, Fang Feng 12, Gentiana Macrophyllae 12, Hossein 3, Qian Nian Jian 15, Chuan Xiong 10, Du Zhong 15, Niubizi 15, Hai Feng Vine 15, Chuan Mu Gua 10, Roasted Licorice 10 Add and subtract: For swollen joints, add Gentiana Macrophyllae, Ge Moss, Fang Ji, Mu Tong, Jiang Huang to remove dampness and open the channels. If the skin is not benevolent, add Haifengpi and Xiejiancao to dispel wind and clear the ligaments, or add Huangqi and safflower to benefit qi and clear paralysis. Chinese patent medicine: small live-loop dan, cold damp paralysis punch, tiger power san, etc. 2.Dampness and heat blockage: Main evidence: pain in the lower back and legs, accompanied by heat sensation, aggravated by summer and humid weather, hot and humid environment, red urine, yellow and greasy moss, moist pulse. Treatment: Clearing heat and dampness, relieving tendons and pain. Prescription: Xuan Piao Tang combined with Si Miao San plus or minus Fang Ji 12, Coix Seed 15, Huang Bai 15, Atractylodes Macrocephalae 12, Chuan Niu Kne 12, Zhi Mu 10, Radix Angelicae Sinensis 12, Bai Shao 10, Dilute Signed Herb 15, Loxodendron 15, Ze Di 15, Raw Licorice 10 Chinese herbal medicine: Damp-Heat Paralysis Punch, etc. 3.Stasis of blood stasis: Main symptoms: lumbar pain and legs, stiffness of lumbar vertebrae, unfavorable movement, lumbar muscle tension, lumbar pain refusing to press, pain with a fixed location, dark red or purple tongue, or petechiae, thin and astringent pulse. Treatment: Promoting blood circulation to resolve blood stasis, promoting circulation and relieving pain. Prescription: Body pain and stasis removal soup, or activation of ligament effecting elixir, or peach and red four-item soup with addition and reduction. It can also be reduced by adding and subtracting from the Lumbar Synapse No. 1 formula (agreement formula). Gentiana macrophylla 12, Chuanxiong 10, Momordica charantia 12, Safflower 10, Qiangwu 12, Myrrh 12, Wu Linglip 12, Xiangxian 12, Niu Kne 15, Di Long 15, Angelica sinensis 12, Licorice 10 With: Lumbar Prolapse No.1 Formula (g) Momordica charantia 10, Safflower 10, Chuanxiong 15, Angelica sinensis 10, Red peony 10, Lingxian 10, Chicken blood vine 10, Milk and myrrh 10, Dioscorea Z 10, Poria 15, Zedoaria 10, Hosanna 3, Jiang Huang 10, Xiangxian 10, Roasted Glycyrrhiza glabra10 is suitable for the acute stage of lumbar disc herniation and obvious radicular symptoms, especially for pain. Chinese patent medicine: root pain flat, paralysis capsule, blood circulation and pain relief capsule, healing wound capsule, etc. 4, liver and kidney deficiency: main evidence: back and leg pain, leg weakness, pain like pressing, aggravated by labor, lying down, the pain decreases, delayed and repeated, lingering. In Yang deficiency, the limbs are cold and painful, with heat and cold, light tongue, white fur, sunken and weak pulse. For Yin deficiency, low fever in the afternoon, poor thirst and sleep, slightly red tongue, slightly yellow and dry moss, sunken and fine pulse. Treatment: Tonify the liver and kidney. Prescription: Liu Wei Di Huang Wan combined with Qing E Wan plus or minus. For Yang deficiency, combine with Right Return Pill; for Yin deficiency, combine with Left Return Pill. The prescription is to strengthen the liver and kidney by combining the Six-flavor Dihuang Pill, Jin Kui Kidney Qi Pill and Jian Bu Hu Qian Wan. Commonly used herbal medicines: for wind: add Fengfeng, Gentiana Macrophyllum, for cold: use Ephedra, Chuanwu, Hossein, for damp: use Fangji, Atractylodes, Coix Seed, Silkworm, for heat: Zhi Mu, Huang Bai, Scutellaria, Loxodendron, for lower extremities: Niubizi, Papaya, Sequoia, for upper extremities: Ginger, Tribulus terrestris, for prolonged illnesses: Dan Shen, Angelica, for detention: Sangzhi, Papaya.