Third: Tui Na massage therapy Tui Na massage therapy has a long history of treating lumbar and leg pain, and there are many schools of thought. The mechanism of massage therapy for lumbar disc herniation can be summarized as follows: ① prone pulling and rotating may make the protruding nucleus pulposus partially retracted. ② can release muscle spasm, correct lumbar scoliosis, spinous process distortion and small joint subluxation, so that the lumbar spine to restore the normal anatomical sequence. ③Adjust the positional relationship between lumbar intervertebral disc and nerve root, so that the intervertebral foramen can be opened to increase the volume of the area at the nerve root relatively, to avoid embedded pressure. ④Loosen the nerve root adhesion. ⑤ Restore the normal anatomical sequence of lumbar vertebrae, which is conducive to the subsidence of edema of intervertebral discs, ligaments and joint capsule, the improvement of venous return, and the promotion of the subsidence of inflammation around the nerve root. (6) In some cases, when the nucleus pulposus protrusion is about to rupture, the manipulation can induce it to break and be squeezed, eliminating the original tension of the protrusion and relieving the compression of the nerve root. At present, the treatment of lumbar herniation is mainly intervertebral rotational reset method, including fixed-point rotation method and side-lying position oblique trigger reset method. Acupuncture therapy Acupuncture analgesia has a history of three thousand years, can relax the tendons and collaterals, warming the cold, support the positive to dispel evil. The principle of acupuncture analgesia is summarized in the following aspects: (1) the analgesic effect of the central nervous system. (2) Unblocking the meridians and collaterals and their adjustment effect. (3) The role of central neurotransmitters and humoral factors in acupuncture analgesia. According to the different parts of the acupuncture points, there are body acupuncture, ear acupuncture, head acupuncture, hand acupuncture and other categories of treatment, and sometimes add pulse electrical stimulation, blood cupping therapy, water acupuncture and acupoints buried thread therapy and other methods V: traction therapy traction therapy can be vigorously horizontal brief traction, self-suspension traction, pelvic confrontation traction, mechanical control of traction and other methods of intervertebral disc origin of lumbar and leg pain is a non-surgical treatment methods, its mechanism is 1, to reduce the impact of the intervertebral disc on the back and leg pain. The mechanism is 1, reduce the pressure on the intervertebral disc, conducive to the absorption of tissue edema and congestion. 2.Expand the intervertebral space to increase the negative pressure, which is conducive to the different degrees of retraction of the protruding nucleus pulposus, reducing or eliminating the compression and irritation of the nerve root. 3.Relieve muscle spasm, reduce intervertebral pressure, eliminate the vicious cycle of pain. 4.Promote the retraction of disordered lumbar posterior joints and embedded synovium to restore the dynamic balance of the spine. Traction therapy should pay attention to the selection of indications before treatment, traction means should be used flexibly. For the first attack and a shorter duration of the patient, although the duration of the disease (more than 6 months), but the symptoms and signs of the disease is mild, as well as due to other diseases and is not suitable for surgery can be used traction therapy VI: Physiotherapy and acupuncture and knife therapy Physiotherapy has analgesic, anti-inflammatory, loosening the adhesions, softening the scar, excitation of neuromuscular effect, the current suitable for lumbar herniation of the physical therapy methods include direct current drug ionization introduction method, Low, medium and high frequency electrotherapy, laser therapy, hydrotherapy, wax therapy, magnetic therapy and other methods. Acupuncture and Knife Therapy organically combines the needles of acupuncture and the knife of surgery, and through internal and external manipulation, it loosens the adhesion, eliminates the twinning, corrects the disordered joint structure, and restores the dynamic balance of the body, so as to effectively eliminate the clinical symptoms of lumbar and leg pain. VII: Intravertebral drug injection therapy Intravertebral drug injection includes epidural injection, lateral saphenous fossa injection, sacral injection, etc. According to the different methods of drug administration and the different types and concentrations of the drugs chosen, the indications and efficacy of the drugs chosen are not the same. Sacral injection method, also called sacral therapy, is a conservative treatment for lumbar disc herniation. It is to inject drugs through the sacral canal via the epidural cavity, and the drugs act directly on the herniated disc and the compressed nerve root, so that the symptoms mainly caused by local aseptic inflammation and nerve root edema can be relieved. However, sacral therapy is not suitable for people with severe anemia, high blood pressure, and poor cardiac compensatory function. Epidural injection is a widely used clinical treatment for lumbar disc herniation. It is safe, reliable, easy to operate, and with certain curative effect, it can be used for both acute and chronic diseases. Injecting hormones and anesthetics into the epidural cavity can improve blood circulation, eliminate inflammatory reactions such as congestion and edema, and at the same time inhibit the excitability of the nerve endings, blocking the vicious cycle of pain. Some reports have confirmed that injecting enough drugs during closure can generate liquid pressure when the liquid spreads along the intervertebral foramen, so that the nerve root is peeled off from the protruding disc tissue, and the effect of “liquid peeling” lifts the compression, so as to achieve the purpose of relieving the irritation and compression of the nerve root and treating lumbar intervertebral disc herniation.