Lumbar disc herniation is still one of the common and frequent diseases in orthopedics and traumatology. The vast majority of patients can obtain satisfactory recovery after active, regular, systematic and timely non-surgical treatment, and some of them are considered “cured” according to the national standards of diagnosis and efficacy assessment as long as the pain disappears and the function is restored. Over the years, I have made some efforts and exploration in the field of non-surgical treatment of lumbar disc herniation in Chinese medicine, and have been recognized by my peers and some treated patients in the field of electro-acupuncture analgesia and analgesic treatment of lumbar disc herniation. 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 treatments, including electroacupuncture, have obvious or potential clinical indications, and cannot cure everything. In order to help the majority of patients to better “choose a doctor”, would like to the current level of knowledge, “single point electro-acupuncture therapy” clinical indications for the following shallow explanation. I. The best clinical indications 1. Patients with lumbar disc herniation within the scope of non-surgical treatment indications that meet the diagnostic criteria of Western medicine. 2.Most of the patients with acute stage lumbar disc herniation with obvious pain symptoms. 3, Patients with simple lumbar disc herniation without interference from other therapies, regardless of gender, especially young patients. The general rule of acupuncture analgesia for patients within the optimal indication 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 to 3 times a week, the majority of patients can obtain satisfactory recovery after 6 to 8 times, and those who are cured in one or two times at the shortest are often found. Practice has proved that the severity of pain and prominence is not the reason for surgery. Absolute non-indications 1. Patients who fall within the recognized indications for surgery: first, the so-called “lumbar disc herniation crisis”, that is, lumbar disc herniation combined with cauda equina syndrome, spinal cone syndrome and other manifestations of serious symptoms of one or bilateral low back and leg pain and combined with urinary and faecal and sexual dysfunction, front and rear genitalia Secondly, after 6 months of active, regular and systematic non-surgical treatment, the main symptoms such as pain do not improve significantly or even worsen progressively, or the symptoms increase progressively (such as the appearance of subsequent numbness and aggravation). 2.People who have received glucocorticoid treatment in the past, including intravenous drip, sacral drip, epidural closure, paravertebral nerve root block, etc. If they receive electroacupuncture again, it is generally difficult to get the effect, or even ineffective, especially those who have received hormone treatment recently, repeatedly and in large doses. The reason is: after high dose or repeatedly repeated systemic or local hormone therapy, the whole body “energy” has been “overdrawn”, local tissue has been “anesthetized” or “degeneration” has occurred. “degeneration”, and electroacupuncture treatment is also through the “stimulation of local”, the mobilization of the patient’s whole body inherent “energy” or “potential “(probably equivalent to the body’s “endogenous analgesic system”) to achieve the purpose of analgesia. If the “potential” has been overdrawn in advance or if the “sensitivity” of the local tissues, the material basis of acupuncture treatment, has been anesthetized or destroyed, the treatment will naturally be ineffective. Some of the patients we see in our clinics have been “turned down” for electro-acupuncture treatment precisely because they have received hormone therapy that is ineffective or have recently relapsed, and unfortunately, some of these patients have received hormone therapy without even knowing it. It is important to note that these hormonal therapies have not been abolished, and are even still a common treatment in clinical pain departments, and some patients can recover by this method, so there is nothing wrong with these therapies 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 improve the level of “health” awareness, strengthen the “screening” ability, preferably as a “research” patient, to maximize 3. Pregnant women are obviously not suitable for electroacupuncture treatment because the child is more important than the adult. Incidentally, female patients with a previous history of lumbar disc herniation must consider pregnancy after the condition has stabilized for a period of time, otherwise there are very limited ways to deal with back and leg pain symptoms during pregnancy, which can be very painful. 4, elderly and frail patients, especially those who have a combination of serious heart disease, hypertension and other diseases, acupuncture treatment has safety risks. In addition, those who are too sensitive to acupuncture treatment are not 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. The “absolute non-indications” are mainly due to “ineffectiveness” and “risk”, both of which are equally important for clinicians and patients, and for “ineffectiveness” and “risk”. The determination of “ineffective” and “dangerous” is mainly based on the clinical experience of the physician. The advantage of electroacupuncture treatment is “immediate analgesia”, so theoretically the heavier the pain, the better the effect, if the pain is not obvious, or if there is only soreness, swelling, numbness, especially the degree of not heavy or 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, still if reluctant to accept treatment is not only ineffective, but also may lead to pain aggravation, it is more than worth the loss; electro-acupuncture treatment on the course of the disease also has high requirements, that is, the shorter the course of the disease the better, simple lumbar disc herniation patients within 3 months of the disease generally have the hope of recovery, if the disease history of more than 6 months, the treatment is very difficult, because this already belongs to the need for If the history of the disease is more than 6 months, the treatment is very difficult because it is already in the scope of surgery. In a word, if the disease is treated early, it is more difficult for those who have been ill for a long time; pain is effective, but no treatment is needed if there is no pain. 2.Multi-source and complex lumbar pain: there are many primary diseases of lumbar pain in orthopedics, the more common ones are lumbar spondylolisthesis, lumbar spinal stenosis, ankylosing spondylitis, osteoporosis, lumbar back strain (fasciitis), femoral head necrosis, etc. In serious cases, there are also lumbar spine tumors or tuberculosis. These diseases are mainly manifested as different degrees of lumbar and leg pain, and they can appear individually or in combination in the same patient, which should be clearly diagnosed and treated differently, and treated symptomatically. Only in this way can the treatment be targeted, thus ensuring the efficacy. If the lumbar intervertebral disc herniation combined with one or some of the above diseases, in the choice of treatment must be considered, both to be treated differently, but also to be considered, the simple application of electroacupuncture to take effect is generally difficult, some even not suitable for electroacupuncture, and even not suitable for non-surgical treatment. 3, the patient’s underlying disease: lumbar disc herniation is mostly seen in young people, characterized by good health, less underlying disease, if not previously been bad treatment intervention, most electro-acupuncture treatment effect, short course of treatment, satisfactory prognosis. The majority of elderly patients with simple lumbar disc herniation are rare clinically, and most of them have a combination of diabetes, hypertension, heart disease and other serious primary disorders of organs or systems, or are accompanied by other spinal back and leg pain such as lumbar spondylolisthesis, lumbar spinal stenosis, osteoporosis, etc. Those who have had the disease for a long time or suffer from varying degrees of psychological or psychiatric disorders. These systemic or spinal primary acute and chronic painful disorders not only affect the patient’s description of pain, but also affect the diagnosis and choice of treatment. The application of electroacupuncture alone to take effect is generally difficult, and some are even not suitable for electroacupuncture at all. 4, previous treatment experience: electro-acupuncture therapy in the lumbar disc herniation “pyramidal” or “ladder” comprehensive non-surgical treatment “the bottom”, the advantage is a wide range of adaptations, the disadvantage is that the other treatment on the first stage of their pain. The disadvantage is that other treatments interfere more with it. Most of the patients seen in the outpatient clinic are no longer “simple” lumbar disc herniation, and if the initial “rough room” becomes a “sub-decorated room”, the efficacy of electro-acupuncture again There is a large uncertainty in the efficacy of electroacupuncture. For example, patients who have previously received laser vaporization, collagenase nucleus melting, radiofrequency thermal coagulation, myeloplasty, intravertebral disc electrotherapy, ozone intervention, percutaneous excision and suction and other minimally invasive therapies have had their local anatomical structure changed, and the material basis for acupuncture (such as various receptors near acupuncture points) has undergone structural, chemical or functional changes to varying degrees, or even destroyed by interference, making electroacupuncture The treatment is more difficult, or even ineffective. 5, body type and physique: it has been observed that the acupuncture efficacy, especially the long-term efficacy, is poorer in patients with lumbar disc herniation who are fatter or more l. The former is due to a heavier burden on the lumbar spine, and the latter is due to weakness of the lumbar muscles, and the common disadvantage of both is poor stability of the lumbar spine. For these two types of patients can be treated with electroacupuncture, but the efficacy, especially of a single electroacupuncture, is uncertain, and a more long-term and comprehensive comprehensive treatment plan is needed to consolidate the efficacy and prevent recurrence. In addition, because most patients are bedridden for a long time or wear lumbar braces after the complication of weakness of the lumbar back muscles, making the stability of the lumbar spine, which is already destabilized because of lumbar disc herniation, even worse, and later recovery will take a longer time. 6, recurrent lumbar disc herniation after surgery: recurrent lumbar disc herniation refers to lumbar disc herniation patients after surgery of the original surgical segment and site again protrusion or surgery segment contralateral protrusion, postoperative painless interval greater than 6 months, there are also scholars of other segments of the lumbar spine after surgery, especially adjacent segments occurring disc herniation is classified as recurrent protrusion, its incidence is 4% to 18%, is the lumbar intervertebral disc surgery It is an important complication in the long term after lumbar disc surgery, so it is also called “postoperative lumbar disc herniation”. The condition and treatment of recurrent lumbar disc herniation after surgery are complicated, and some patients have undergone surgery again or three times, and some of those who really do not want to operate again, mostly resort to non-surgical treatment, and electroacupuncture treatment can solve part of the pain of some patients, but it is not certain. Due to the objective existence of the above-mentioned circumstances, each specific patient’s specific situation becomes complex, therefore, all non-surgical treatment, including electro-acupuncture, can be said to be “individualized”. For the above-mentioned patients, although they fall within the scope of indications, it is also necessary to “dialectical treatment”, “according to the individual”. Specific practice is, in the case of informing patients, can first “trial treatment” 1 to 2 times, depending on the effect and the patient’s feelings to decide whether to continue. After years of summary, found that if the electro-acupuncture treatment is effective at the beginning, each subsequent time should be effective, and the total effect can be accumulated, after an average of 6 to 8 times of treatment most can get a satisfactory recovery. In addition, due to the theoretical existence of acupuncture analgesia “insensitive people”, even if they fall within the scope of indications, patients should generally be informed that the first “trial treatment” 1 to 2 times, depending on the specific situation to determine whether to continue. Since electro-acupuncture treatment has no side effects, even if it is not effective, it will not affect other subsequent treatments. This is also one of the characteristics and advantages of this treatment. Fourth, to ensure and increase the efficacy of measures 1, doctor-patient cooperation: “doctor-patient cooperation” is one of the four major treasures of the clinical treatment of traditional Chinese medicine orthopedics. Its significance to the clinical treatment of lumbar 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 the patients themselves. The patient’s participation and active cooperation is not only reflected in receiving treatment on time, but also in taking proper rest, avoiding wind chill and weight bearing, correcting posture, and exercising appropriately at the right time according to medical advice. In addition, the patients themselves should be good at learning, mastering basic preventive health care knowledge, establishing confidence in overcoming the disease, and always maintaining 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 nourishment”, only when both doctors and patients can actively cooperate and work together can we improve the quality of medical treatment, increase and consolidate the effectiveness of treatment, and promote the early recovery of patients. 2, comprehensive treatment: as we all know, lumbar disc herniation is still one of the common, multi-morbidity and difficult to treat diseases in the orthopaedic clinic, the orthopaedic clinical single treatment method is relatively rare, most of the current use of several or a combination of effective therapies of comprehensive therapy. This can achieve the purpose of increasing the therapeutic effect and shortening the course of treatment. After many years of exploration, we have added the “spinal fine-tuning technique” on the basis of the characteristic appropriate technology “single point electro-acupuncture therapy”, and appropriately combined with the blood circulation, relieving blood stasis, relieving spasm and pain, the combination of internal Chinese medicine is more effective. V. Summary and tips At present, there are many, many non-surgical treatments for lumbar disc herniation, each of which may be able to solve some of the problems of some patients, but none of which can solve all the problems of all patients, i.e. there is no one method that can cure all lumbar disc herniation! This fact explains at least two things: 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 patients; second, even methods that have been proven to be effective can only be effective if they are used by skilled operators and on the right patients. Second, even if a method is proven to be effective, it can only be effective if it is used by a skilled operator and in the right patient. Through years of repeated research, verification, summary and improvement, I now have a clear understanding of acupuncture techniques, parameter selection, mastery of indications, treatment cycles, etc. The total efficiency of treated patients should also be more than 70% to 80%, which is already considered relatively good in the industry! With the accumulation of experience, my understanding is also constantly revised and deepened, and the mastery of indications will become clearer and clearer, which is reflected in the “selection” of patients will certainly be “more and more demanding”! Only in this way can we better ensure the efficacy of the treatment, avoid unnecessary “trying”, and do not affect the patients who cannot be helped to choose other follow-up methods. In a word, the only scientific attitude to objective things is “seeking truth from facts”. The reason why some methods have a relatively high efficacy is that the technology is mature and the application of the right symptoms, and the so-called only in the “specialization”, the diagnosis of the disease and the indications to master better. Objectively speaking, I specialize in “electro-acupuncture therapy” no matter how hard I can only help some patients, get help and get a satisfactory recovery, of course, all happy, but also hope that which “disappointed” patients can correctly understand and treat, because everyone At the same time, I also hope that those “disappointed” patients can understand and treat the situation correctly, because everyone’s situation is different, and even the same person’s situation is different in different stages of the disease, not to mention that a small number of patients really need surgical treatment. After a long time of summary and planning, this article is finally available today, so I would like to thank the majority of patients for their support and expectations, and also hope that the majority of patients can understand a little bit before they visit the clinic, so that they can know each other, compare their choices, target, and increase the relevance and effectiveness of treatment, especially those patients who come from far away.