The majority of patients who experience neuralgia in the buttocks and legs have a lesion in the lumbar spine. The lumbar spine has old injury or bone proliferation or degeneration, which makes the patient suffer from lumbar disc herniation, which will lead to traditional tingling pain in the area innervated by the nerves, legs and buttocks, and will also be accompanied by weakening of leg muscles, localized loss of skin sensation, and the patient has difficulty bending over. The diagnosis can be clarified by electromyography or by taking CT or MRI films of the lumbar spine. If the patient suffers from a more severe form of pear-shaped muscle syndrome, it can also compress the sciatic nerve, resulting in pain in the buttocks and legs. Symptomatic treatment, acupuncture, moxibustion, and closed disposition can be taken after this clinical manifestation occurs, which can relieve the clinical pain manifestation.