Objective To verify the clinical efficacy of anesthetic massage in the treatment of acute radiculitis pain. Methods Seventy-eight patients with lumbar disc herniation combined with acute radiculitis pain were retrospectively analyzed and divided into 44 cases in the anesthesia massage group and 34 cases in the control group (conventional massage) for clinical comparison and observation. Results The CR+PR rates were 90.9% and 26.4% in the anesthesia massage group and the control group, respectively, and the difference between the two groups was statistically significant. Conclusion Anesthesia massage is an effective and quick treatment method to relieve acute nerve pain of lumbar disc herniation. Lumbar disc herniation is a common orthopaedic disease, with multiple morbidities, and it occurs in young adults aged 25-45 years old. Once combined with acute radiculitis, it causes severe radiating pain in the lumbar and lower extremities, which causes great pain to patients. The author used epidural massage treatment under anesthesia from May 2006 to May 2007 to solve this problem and observed 78 cases, and achieved satisfactory results in relieving pain, which are reported as follows: Data and methods I. Clinical data 1. The age of the two groups was 22-55 years old, the average age was 38 years old, the longest duration of the disease was 3 weeks, the shortest was 2 days, the age, sex, location, X-ray and CT staging before treatment in the two groups were not statistically significant by ANOVA, and the difference in pain classification between the two groups was not statistically significant. 2. Case selection criteria 2.1. The diagnosis of lumbar disc herniation was confirmed according to the diagnostic criteria of Chinese medicine issued in 1994 [2]: ① radiating pain in the lumbar and lower extremities, ② decreased sensation in the distribution area of the skin stage of the compressed nerve root, abnormal tendon reflexes, ③ positive straight leg raise test. x-ray examination: all patients had positive and lateral, hyperextension and hyperflexion x-ray, no intervertebral instability and slippage, CT scan had different degrees of herniation. 2.2, exclusion criteria ① lumbar instability and lumbar slippage ② obvious lumbar spinal stenosis ③ lumbar spine and intravertebral canal tumor; bone tuberculosis; senile osteoporosis ④ serious cardiovascular and cerebrovascular disease, age 55 years or older ⑤ mental disorders and unclear language expression. After successful puncture, inject 2% lidocaine 10-12ML at one time, or push in 5ML first, and then add 10ML after the plane of anesthesia appears, so that the plane of anesthesia rises to 10-12 intercostal spaces in the chest is the best. After extubation, observe for 5-10 minutes, and then implement pushing and holding. 2.Tui-na technique The patient is in prone position, one assistant use sterile middle sheet from the back through the two axillae, fix the upper body, the other two assistants respectively hold the patient two ankles, do confrontation traction three times, each time 1 minute, traction process, the doctor stand on the patient’s side, double palm root overlap with traction synchronous force downward pressure on the prominent parts, the action should be clear rhythm, rigid and flexible. Then the doctor presses the lesion with the palm root of one hand, the other hand encircles the upper part of the two thighs and stretches backward with force, while rotating and shaking the pelvis, three circles each. The patient lies on his side, the affected limb is on top, the healthy limb is on the bottom, facing the doctor, the upper leg is flexed, the lower leg is straightened, one assistant holds the patient’s shoulder, the doctor holds the elbow against the patient’s inner shoulder joint and the other elbow against the patient’s iliac wing, slowly counteracts the force and rotates to the maximum, when the waist can no longer continue to rotate, the doctor uses the waist to drive the two elbows to counteract the force, so that the patient’s waist rotates 5-10 degrees, during the operation you can hear the small The patient changes the position to supine, firstly, continues to confront the traction 3 times for 1 minute each time, an assistant fixes the patient’s pelvis with both palms, and the doctor raises the patient’s lower limbs to 90-120 degrees in the order of the affected side first and then the healthy side, and at the same time, the ankle joint is dorsally extended with force, and the patient is still in the supine position, an assistant fixes the patient’s upper body, and the doctor makes the patient The patient is still in the supine position, an assistant fixes the patient’s upper body, and the doctor makes the patient flex his knees and hips, and rotates each of them 3 times. After the massage, observe the patient’s blood pressure and pulse, and push the patient back to the ward with a flat cart after stabilization. (3) Efficacy criteria: VAS [3] pain relief efficacy assessment criteria were used: (1) complete relief (CR) means pain disappears; (2) partial relief (PR) pain is significantly reduced, does not affect sleep, and does not require painkillers; (3) mild relief (MR) pain is reduced, but still obviously requires painkiller treatment; (4) not effective (NR) pain is not reduced or aggravated after treatment, total effective rate = CR + PR, total effective rate of pain relief for both groups The total effective rate of pain relief of patients was compared by chi-square test , the number of effective days of pain relief started was expressed as mean + standard deviation (X+S), and t-test was used for statistical comparison Results 1. Subjective satisfaction Statistics were conducted according to satisfaction, general and dissatisfaction. Satisfied refers to patients who think their symptoms improved significantly after surgery, average refers to patients whose symptoms did not improve significantly after surgery, and unsatisfied refers to patients who were not satisfied with the surgery or still had obvious symptoms. There were 51 satisfied cases (87.7%), 6 average cases (10.3%) and 1 unsatisfied case (1.7%) in the anesthesia pushing group. 2. Treatment results Table 1 Efficacy of anesthetic massage for pain relief Group Number of cases CR PR MR NR Total effective rate % (CR+PR) Anesthetic massage group 44 20 20 3 1 90.9＊* Control group 34 3 6 14 11 26.4 ** Compared with the control group, P＜0.05 Table 2 Comparison of the beginning days of treatment efficacy Group Total effective cases (people) Mean days of efficacy Anesthetic massage group 40 1.8 +The application of manipulative treatment is one of the significant clinical features of injury medicine, which has a long history in China, as early as in the official medical book of the Qing Dynasty, “The Golden Guide of Medicine, the Essentials of Orthopaedic Heart Method” [4]: “Because of the fall and pounce, the bones are wrongly opened, the blood is stagnant, and the swelling is painful. Press touch method, press its meridians, in order to pass the silt closed gas, and its yong gathering, in order to disperse the swelling of the silt knot, its suffering can be cured.” Also said: “push, said to push the hand, so that the old place also. Take, or two hands pinch the patient, discretionary its appropriate light and heavy, slowly Yan to restore its position. It is evident that the action of tui na on the skin and muscles can unblock qi and blood, relieve spasm, and relieve swelling and pain. With the development of medical science and technology, the understanding of the therapeutic effect of tui na has been deepened. Zheng Xiaowen et al. observed and investigated the manipulation of tui na under the direct vision of cadaveric specimens and surgery, and found that the manipulation could rotate the lumbar spine, and during the rotation process, the protrusions pressing the nerve root could be about 1 cm away from the nerve root [5]. It can be seen that the pushing plays a role in loosening the adhesions of the nerve root in relation to the change of the protrusion. The literature reports that manipulation can regulate the patient’s neurohumoral system and increase the pain threshold, and also reduce the blood erythrocyte pressure product, improve microcirculation, promote the excretion and absorption of the pain-causing substance 5-hydroxytryptamine, and stimulate the secretion of the analgesic substance β-endorphin, which has a good analgesic effect. [6] Although tui na is good, but in clinical use, not all patients can accept it, many patients due to nerve root adhesions, heavy pain, low back muscle in a state of stiffness, conventional tui na in actual operation is difficult to achieve satisfactory results, as pointed out by the medical Zong Jin Jian, once the symptoms, the machine is outside, skillful born inside, the hand with the heart, the law from the hand out, the law of the application, so that the patient does not know its suffering, the party called the technique also, said the tui na The method must be equivalent to the power of the law, that is, the practitioner must have good skills, but also prudent patient’s own situation, rigid and soft, do not be rough. On the one hand, after the injection of anesthetic drugs, the epidural cavity can be expanded, thus separating the adhesions between the nucleus pulposus and the nerve root. On the other hand, when pushing under anesthesia, the patient’s back and lower limb muscles are fully relaxed and the pain disappears, which creates good conditions for the implementation of the manipulation [7]. At this time, when pushing is performed, the external force can fully widen the vertebral space and increase the amplitude, which generates a strong negative pressure in the fibrous ring, which can make the nucleus pulposus absorb back and release the adhesions to the nerve roots, which is conducive to the release of adhesions and the elimination of radicular edema [8] [9]. hutton et al. found that changes in the concentration of the strongly inflammatory substance prostaglandin E2 were related to the degree of radicular pain, while the duration of stress action had a significant effect on the changes in prostaglandin content [10]. Pushing under anesthesia improves the stress on the intervertebral disc, blocks the vicious cycle of pain, and eliminates the extrinsic interference of conventional pushing because the patient’s pain disappears and the pain is reduced. It can be seen that the use of anesthetic drugs combined with manipulation for the treatment of lumbar disc herniation can be more effective and faster in eliminating the edema and pain symptoms of the nerve and achieving the treatment purpose. However, the indications should be strictly controlled, such as not applicable to patients with spinal stenosis, bone tuberculosis, and bone tumors. Because the cause cannot be completely removed and the normal anatomy restored, the long-term results are poor and surgery should be performed if necessary.