At present, the main non-surgical treatments for lumbar disc herniation are bed rest, traction, massage techniques, acupuncture, and closure. Theoretically, each method has its own operating skills and scope of application, and there is no one method that has absolute advantages and treats all patients, which is why many methods coexist nowadays. For this reason, the orderly and combined use of multiple non-surgical treatments has gradually become the actual clinical treatment of lumbar disc herniation today. This optimized combination of comprehensive treatment can play a complementary role in promoting each other, so that the advantages of the group can be given full play, and is considered to be a necessary way and development trend to improve the efficacy and shorten the course of treatment. However, the reality is often complex and unsatisfactory, for example, high-dose multi-angle prolonged traction, heavy manual massage and epidural closure are still commonly combined and repeatedly used in the acute phase of the disease, so that after failure to bring difficulties to other non-surgical treatment. Therefore, it is important to pay attention to the practical problem of how to combine various non-surgical therapies in a reasonable way and which one should come first, i.e., the programmed (or ladder) use of alternative “systemic non-surgical therapies” must be emphasized. By systematization, we mean, first, the variety of alternative methods and, second, their orderly application. Programmatic refers to the order and timing of the combined use of multiple methods, mainly based on a comprehensive weighing of the safety, effectiveness, and operability of the alternative methods, as well as health and economic factors and patient compliance, etc. The program is specifically designed for a specific patient at a specific time based on the actual situation of the patient’s disease duration, condition, major symptoms, physical endowment and concurrent diseases. The principle of systematization and programmatization embodies the selectivity and extensibility of the joint application of multiple methods of clinical advance and follow-up treatment of lumbar disc herniation, reflects the principle of personalization and humanization of clinical treatment, improves the target of clinical application of specific therapies, thus optimizes the rationality of the treatment plan, maximizes clinical efficacy and minimizes potential harm. The programmatic use of systematic non-surgical therapy is mainly reflected in the key aspects of disease urgency and staging.