Chinese medicine is effective in the treatment of lumbar spinal stenosis. Lumbar spinal stenosis itself is a serious lumbar spine disorder that often leads to intermittent claudication, pain, and limited activity function, which seriously affects the quality of life. Western medicine often adopts surgical treatment, which is traumatic, costly and risky. In contrast, the treatment of lumbar spinal stenosis by Chinese medicine is increasingly recognized and accepted because of the characteristics and advantages of low cost, easy operation, small side effects, and remarkable efficacy, especially the comprehensive therapy of Chinese medicine can show a wide range of application prospects. Chinese medicine has obvious effects in improving the local microcirculation of lesions, promoting the absorption of inflammatory factors, eliminating edema, loosening adhesions, and reducing nerve root compression, which can be used not only as an important treatment tool in preoperative conservative treatment, but also widely used in postoperative rehabilitation treatment, giving full play to the specific treatment characteristics of Chinese medicine in terms of evidence-based treatment. For lumbar spinal stenosis with mainly soft tissue stenosis, TCM should be adopted decisively. However, for severe spinal stenosis caused by bone alteration, lumbar disc protrusion and lumbar spondylolisthesis, surgical measures are required to avoid delaying the condition.