[Overview] The soft tissues of the lumbar region mainly include the muscles and tendons that participate in and govern the movement of the spine, and the ligaments that connect the vertebral bodies, as well as the fascia and synovium of the lumbar back. Under normal circumstances, together they play the role of connecting the vertebral bodies and participate in the functional activities of the spine in a flexible and coordinated manner. Once directly or indirectly by the sudden stimulation of external violence, impact, twisting and flashing or excessive pulling, resulting in some soft tissue damage to the lumbar region, the normal physiological function of the lumbar region is disrupted, and symptoms such as lumbar pain and uncoordinated lumbar movement appear. Commonly known as twisted waist, flashing waist, forked gas, etc., mostly seen in young and strong people. Pain on one or both sides of the waist, lumbar muscle tension, stiffness and restricted movement. Patients often hold their hands on the lumbar region to prevent more intense pain from occurring due to activities, and the pain can be aggravated by activities, coughing and deep breathing. It may be accompanied by involvement pain in the lower extremities, or even inability to sit or stand. Except for violent impact, local swelling is not obvious. 1.Qi stagnation and blood stasis: severe pain in the lumbar region after flash and strong weight-bearing, lumbar muscle spasm, lumbar region cannot be straightened, pitching, flexing and extending with difficulty, dark red tongue or petechiae, thin coating, tight pulse. 2. Damp-heat internalization: pain in the lumbar plate after improper posture during labor or twisting and flashing, with burning sensation, may be accompanied by abdominal distension and pain, constipation, yellow and red urine, yellow and greasy tongue coating, moistened pulse. Diagnosis】 1. History of injury to the lumbar region, mostly in young and strong people. 2. Severe pain on one or both sides of the lumbar region, restricted movement, inability to turn over, sit, stand and walk, often maintaining a certain forced position. 3. Tension and spasm of the lumbar back and gluteal muscles, or palpable striated reactions, significant pressure points and rebound pain at the site of injury, and changes in the physiological curvature of the spine. Differential diagnosis】 1, lumbar disc herniation: low back pain with radiating pain in the lower extremities and limited functional activity of the lumbar region; straight leg raise test, lumbar percussion test, back extension test and abdominal jerk test are all positive; X-ray and CT can assist in the diagnosis. 2, lumbar compression fracture: history of fall from height or history of indirect violence to the lumbar region, may be accompanied by abdominal distension, constipation and other symptoms. x-ray shows wedge-shaped changes in the vertebral body. 3, renal colic: one side of the low back colic, radiating to the perineum, may be accompanied by urinary difficulties, hematuria, nausea, vomiting, sweating and other symptoms. (1) The patient takes a prone position, the doctor uses the palms of both hands and the root of the palm to do palm rubbing along the 1 and 2 lateral lines of the bladder meridian from the back to the transverse hip line, repeatedly applying the technique for 2 minutes. (2) The doctor uses both thumbs to do continuous pressure along the patient’s lumbar vertebrae on both sides of the “Hua Tuo Pinch Point” (0.5 inch from the side of the spine) in the lumbar 1 to sacral 1 section, with the painful area being the focus of the operation, repeatedly for 2 minutes. (3) The doctor uses multiple fingers or elbows to rub both sides of the patient’s lumbar muscles (mainly the sacrospinous muscles) and the gluteal muscles, focusing on the muscle tension, from light to heavy, repeatedly for 2 minutes. (4) The physician uses both thumbs to point and rub the kidney, upper ring jump, the middle of the committee, the Yongquan and the sensitive point (located 1 cross finger inside the Yongquan), each point point point rubbing for about 1 minute. (5) The patient is placed in a supine position and the physician uses multiple fingers to hold and rub the patient’s quadriceps for 1 minute. This is followed by pointing and rubbing Yanglingquan, Thigh Pass and the sprain point (1 inch below 1 inch next to the hand three miles) for about 1 minute at each point. 2, symptomatic treatment 1, the supraspinous ligament and interspinous ligament injury lumbar flexion and extension pressure method: the patient takes a sitting position, the doctor sits behind him, so that the patient’s lumbar forward flexion to the maximum, so that the spinous process gap is widened, while the doctor uses both thumbs to press at the injury, and then make the patient’s lumbar automatically straighten up to form a counteracting effect. Then press the acupuncture points such as DaZhi and Lumbar Yu. Lumbar traction method: the patient takes a sitting position, the doctor stands behind him/her, passes both hands under the patient’s armpit, encircles the chest, moves the waist slightly, relaxes it, and lifts his/her upper body violently, at which time the patient has a traction feeling in the waist and a loud sound appears. Supraspinous ligament and interspinous ligament injury, accompanied by distorted spinous process and small joint misalignment Sitting side lifting method (right side for example): the patient takes a sitting position, the doctor stands behind his right side, the left hand thumb against the right side of the distorted spinous process, the other hand reaches to the opposite side through his chest, wrench the shoulder, ask him to twist the waist to the right front to the maximum, the doctor does confrontation pushing and wrenching method with both hands at the same time, in order to make a sound in the waist. 3, lumbar muscle injury with scoliosis deformity lumbar rotation pushing and carrying method (right side for example): the patient takes a sitting position, the doctor sits behind him. The patient’s left hand rests on the right shoulder, the doctor’s right hand passes under the patient’s right axilla and holds the upper end of the patient’s left elbow. The doctor uses the root of the left palm to hold the highest point of the lateral bend, so that the patient automatically rotates to the right side to the maximum and the muscle relaxes. Then, the doctor, while pulling the right hand in a homeopathic manner, pushes and presses with the left hand toward the protrusion of the lateral bend, and the ringing sound of the small joints of the vertebral body can be heard due to the twisting error, and if there is a misalignment of the small joints, they can be returned to their position. This is followed by pressure on the ayurvedic point, renal point, upper circumferential jump, and stalking point. 4, posterior superior iliac tendon injury Flexion and extension extrusion method (right side as an example): the patient takes a sitting position, and the doctor sits behind him. The patient’s waist is flexed forward and rotated slightly to the left, while the doctor uses the thumbtips of both hands to press the posterior superior iliac tendon injury site, then make the patient’s waist do the dorsal extension to the right, to the extent that the patient feels a significant soreness at the injury site, this method is repeated 2-3 times. Then point and press the Chi chamber, lumbar eye, stalks and sprain points. 5, sacroiliac joint ligament injury lower limb posterior extension pressure method (to the right side for example): the patient to prone position, the doctor standing on his left side, with the left elbow tip press sacroiliac joint pain points, while the right hand moved the patient’s right lower limb above the knee joint to do the extension movement, hands coordinated with the pressure 3-5 times. Second, fumigation Take Sumac, Stretching Herb, Bonesetter, Tu Fu Ling and Sichuan Pepper, fumigate the lumbar area with water for 30 minutes each time, twice a day, for 5 days as a course of treatment. Or fumigate. Acupuncture point injection Mix 4 ml of angelica injection, 4 ml of wild papaya injection and 1100 ml of vitamin B, and inject into the acupuncture point, mainly at the A-Yi point, once every 2 days, 3 times for a course of treatment. Acupuncture: Take Houxi, Renzhong, Daecheng Yu, Lumbar Yangguan, Guangyuan Yu, Guizhong and Aye points, once a day for 20 minutes, 5 days for a course. If the pain is severe, inject 0.5-1 ml of prednisolone acetate plus 1 ml of 2% lidocaine at the painful point in the lumbar region, once every 1-2 weeks, 2-3 times in total. Physical therapy Chinese medicine ion introduction or laser therapy machine. 7.Medication 1.External medicine External rubs and adhesive pain relief creams, such as Futalin emulsion, 701 analgesic cream, Qizheng pain relief patch, etc. 2.Internal medicine Take blood-vitalizing and pain-relieving soup and add reduction. If dampness and heat are contained in the body, add Gentian and Liver Pill.