Acute lumbar sprains are one of the most effective conditions treated with acupuncture. It was first reported in the mid-1920s and has accumulated a wealth of experience over the past half century. In the past two decades, acupuncture and moxibustion treatment of acute lumbar sprain has several characteristics, one is, the wide application of various acupuncture point stimulation method, in addition to the traditional acupuncture and cupping, ear acupuncture, electroacupuncture, acupuncture point laser acupuncture, fire acupuncture, acupuncture point microwave acupuncture, etc. almost all used in the treatment of this disease, and achieved better results; second, in a large number of cases based on comparative observation, on the one hand, is the discovery of a number of effective points, on the other hand, the effective points and recipe for further screening. Recently, some people have analyzed and verified that the injury in the foot sun meridian after the stream has the best effect; injury in the Governor’s vein, Shuigou effect is obvious; injury in the foot sun and foot Shaoyang, take the lumbago point is the most ideal, emphasizing that acupuncture and moxibustion at the same time with their own exercise, take the same points, with their own exercise with the efficacy is significantly higher than those who do not cooperate. All of these make the effect of acupuncture for acute lumbar sprain continuously improved. Body acupuncture 1. Main acupuncture points: Shuigou (or 1cm from the left and right side), Houxi (or Miming), Lumbago, Tianzhu, Hand Sanli, Sprain. Supporting points: life-gate, yangguan, large intestine yu, hegu. Location of lumbago points: back of the hand, on both sides of the common extensor tendon, 1 inch below the transverse wrist dorsum, two points in one hand. Location of sprain points: Yangchi and Quchi points connected upper 1/4 and lower 3/4 junction. 2, treatment: generally take only one main point, the effect is not satisfactory when adding matching points. Main points are selected according to the injury site. Lumbar spine median injury: Shuigou, straight stabbing 1 minute to 2 minutes, repeated twisting for 2 minutes; or Shuigou side opening 1 cm, left thumb and index finger pinch the patient’s upper lip, right hand with a 2-inch milli-needle, from the left side into the needle, the opposite side out of the needle, pull back and forth strong stimulation for 5 to 10 seconds. At the same time as the above acupuncture, the practitioner stands behind the patient, holds the patient tightly at the junction of the waist and abdomen (near the Zhangmen and Jingmen points), and helps him/her move the waist 20 times, such as leaning forward and backward, rotating from side to side, etc. For lumbar soft tissue injury (small area): Houxi, take the opposite side or the painful side, enter the needle in the direction of Hegu, or penetrate from Hegu to Houxi, stab deeply 1 inch to 1.5 inches, twist and insert sharply, and stimulate strongly for 2 minutes; or Miming, take the painful side, enter the needle 0.5 inch to 1.0 inch (it is advisable to enter the needle slowly to prevent damage to the blood vessels), twist gently after obtaining qi, and do not lift and insert the pounding needle. At the same time, also as above method to move their waist. Lumbar soft tissue injury (larger area, pain induced by the wakefulness of the ribs): lumbar pain point, take the opposite side, both needles to the palm oblique stab, deep 0.8 inch ~ 1.0 inch, after obtaining the Qi, a large twist lifting plug, strong stimulation for 2 minutes. And move their lumbar region according to the above method. Tianzhu point, for lumbar soft tissue injuries (regardless of size). The patient is instructed to sit with the feet apart, shoulder-width apart, hands on the table, waist relaxed, with a No. 30 1-inch milli-needle, vertically and rapidly poking into the bilateral Tianzhu, inserting the needle first from the superficial fast twisting to the deep, and then from the deep slow twisting to the superficial, repeatedly pressing firmly and lifting slowly for several seconds, so that the patient has a downward feeling of soreness and heaviness in the neck, and at the same time, the patient is instructed to move the waist. Hand Sanli acupuncture, the patient first sit, both elbow joints flexed at right angles, one forearm on top, the other side on the bottom. After routine sterilization, a 1.5-inch milli-needle is inserted into the acupuncture point and a strong stimulation technique is applied to produce a strong local sensation of soreness, swelling and numbness, the patient is asked to hold his hands flat and rise slowly. The doctor faces the patient and teaches him/her to perform medical exercises for the lumbar region. Firstly, the patient should pitch and bend to the left and right, then step to the left and right and raise the waist. Rotate the waist, and finally perform hip rotation and squatting exercises. Movements with significant pain should be repeated more often, and the medical practitioner gives strong stimulation manipulation of the hand sanli at 5-minute intervals. After the lumbar pain disappears and mobility is restored, the milli-needle is withdrawn. The patient is instructed to avoid weight-bearing bending and to continue standing for 2 hours after the needle. The treatment should be given once a day, 3 times a day. The sprain point is used for all kinds of acute lumbar sprains, with crossed points taken from the right side for left-sided lumbar pain, the left side for right-sided lumbar pain, and both sides or both sides for median lumbar pain. The patient takes a sitting position, slightly bends the elbow, half clenches the fist, palm facing inward, and uses a No. 28 1.5″ to 2″ milli-needle to quickly enter 1″ to 1.5″, and then performs the diarrhea method for 1 minute to 2 minutes after obtaining qi, and instructs the patient to move the lumbar region. The above methods are retained for 15 minutes, during which the needles are transported 1 to 2 times. If there is still residual pain or pain relief is not obvious, deep stab the large intestine Yu, stimulate needle sensation radiating to the root of the foot, the vital gate, Yangguan and the most obvious pressure pain in the lumbar region, add cupping after the needle. 2. Body acupuncture 1. Companion points: Hua Tuo Pinnacle, Kidney Yu, Zhi Mou, Lumbar Eye. Location of the A-Ye point: the pressure point on the back of the waist is at the corresponding point in the abdomen. If the pressure point is in the Governor’s Vessel, the point is taken at the point corresponding to the painful point in the Ren Vessel. 2, treatment: first ask the patient to lie prone on a hard bed, hands on the head, the operator double right thumb and index finger, in the lumbosacral intervertebral and both sides of the lumbar muscle pressed one by one to find out the pressure pain point. Injury in the middle of the spine: the practitioner uses the root of the palm of the right hand to place it at the pressure point, the left hand overlaps the right hand on the bare back, gently press and knead, and when the patient exhales, press hard one to three times. Then first needling the Zhizhong, deep stabbing to 1.5 inches, twisting and lifting to make the needle feel to the foot; followed by needling the Huatuo Jijiao (take the pain point two sides of the Jijiao point) and the AYi point, both diarrhea method without leaving the needle. Lumbar soft-tissue injury: the same acupuncture method as above; the A-Ye point, with a diarrheal method; and the optional point, with deep stabbing and a flat complementary and flat diarrheal method. No needles are left in place. 1 time daily. C. Cupping 1. Points: Main point: A-yi point. Matching points: Guizhong and Guodao. 2, treatment: A is the point must be taken, cupping method. Can be divided into three methods: a needle cupping method: the patient to take a sitting or prone position, in the A is the point straight into the needle, after the gas, and then in its surrounding into several needles, after the gas, the needle slowly pulled out, leaving only the center of a needle, the use of the fire method (that is, in the end of the needle placed a cotton ball stained with 95% alcohol ignited), or vacuum cupping machine suction cupping. Leave the jar for 15 to 20 minutes. Once a day, 4 times as a course of treatment. Second, cupping method: in and around the A-Yi point, suction cupping 2 to 3 with the flash fire method, leaving the can for 30 minutes until local petechiae appear. After removing the can, massage the area with the palm side of the hand from light to heavy for several minutes. Daily or once every other day, without counting the course of treatment. The third is the cupping method, the treatment method is: the doctor first in the most obvious pressure pain of the A-Yi point, with the palm of the hand to press and push for a few moments, so that the surrounding veins anger. After disinfection, use a trigeminal needle to quickly puncture 3 to 5 times to make it bleed 2ml to 5ml, that is, the jar is adsorbed on it by the method of casting fire, and the jar is left for 10 to 15 minutes until a local redness appears. After removing the jar, apply gentle moxibustion with moxa strips for 5 to 7 minutes. Once every other day, without counting the course of treatment. The acupuncture point is taken one point at a time, and the pensioner point is twisted and twisted for strong stimulation without leaving the needle; the commissioning point is punctured with a trigeminal needle for bleeding 6-8 drops. Generally must be combined with cupping method. Pointers plus moxibustion 1, acupuncture points: the main point: the ayurvedic point. 2. Treatment: Press the A-Ye point with the belly of the thumb, from light to heavy, and continue for 1 to 2 minutes after the affected area has a sore and swollen feeling of Qi, and slowly relax, after 5 to 7 repetitions, apply the insert method, also from light to heavy, and continue for 0.5 to 1 minute after Qi and slowly relax, with finger rubbing method. Then apply 4 to 6 strokes of moxibustion with ginger, and after moxibustion, rotate and knead locally for a few moments. 1 to 2 times a day. V. Wrist and ankle acupuncture 1. Location of Zone 6 on the ankle: 3 inches above the ankle joint, lateral to the Achilles tendon. Location of zone 5 on the ankle: equivalent to the jade bone point. 2, treatment: the waist is sprained in the middle to take Zone 6, both sides of the sprain to take Zone 5. Unilateral pain acupuncture points on one side, bilateral pain acupuncture points on both sides. To 1.5 inch 30 milli needle, quick stab into the skin after the needle flattened, close to the skin surface upward into the needle, the patient does not feel sore, numb, swollen, painful feeling for the degree, otherwise the needle is too deep, should be withdrawn from the re-needle. Needle depth of 1 inch, retain the needle for 30 minutes. Remaining needles during the patient is asked to move the waist. 3, efficacy: this method to treat a total of 135 cases, the results were cured 117 cases, 10 cases of significant effect, effective 7 cases, invalid 1 case, the total effective rate of 99.3%. Other measures 1. Acute rest should be in a hard bed, and local hot compresses should be used. 2, acute symptoms are relieved but there is residual pain, in addition to continue acupuncture treatment, should also exercise the lumbar back muscle and with massage, physical therapy, etc..