Lumbar disc herniation has become a common and prevalent disease. It occurs mostly in young adults between the ages of 30 and 55, and is caused by degeneration of the intervertebral disc or trauma that causes the nucleus pulposus and annulus fibrosus to protrude into the spinal canal, compressing the spinal cord or nerve roots and causing a series of symptoms. There are many reasons for the onset of the disease, about 60% of patients have a history of lumbar sprains, most patients have a history of low back pain, especially those who work in a sitting position for a long time and have poor sitting posture are prone to this disease. Some patients may suffer from sudden onset of pain or even have their normal activities affected by severe pain in the lumbar region when they get cold, bend over with force or carry heavy objects, or carry excessive weight. The most typical symptom of lumbar disc herniation is lumbago, accompanied by pain and numbness in one or both lower limbs. The pain mostly radiates from the lumbosacral region and buttocks to the back of the lower limbs and the back of the feet, and is aggravated when doing bending and coughing. It is sometimes very difficult to differentiate lumbar disc herniation from other causes of sciatica, which may delay diagnosis and treatment. In general, history taking is of great significance for differential diagnosis. More than half of the patients with lumbar disc herniation have a history of chronic lumbar injury of varying degrees, while sciatica occurring after infection should often be considered as nerve root inflammatory damage, and patients with intravertebral tumors have an insidious onset and a long course. If the disease progresses rapidly and the pain increases at night and does not resolve after rest, the possibility of metastatic tumor should be considered. In addition, it is necessary to understand the location, nature, influencing factors and concomitant symptoms of pain, and the patient’s past medical history is also helpful for diagnosis. Physical examination is widely used in clinical practice because of its simplicity and diagnostic accuracy. The examination of lumbar pressure points can help to identify the location and nature of lesions; the examination of the range of motion of the lumbar spine can identify lesions of different nature. Nerve pull tests, including sciatic nerve pull tests (e.g., straight leg raise test, neck flexion test) and femoral nerve pull tests, are of great diagnostic value. In addition, imaging tests are objective and accurate for the diagnosis of the disease, but they should also be combined with clinical practice. The advantage of acupuncture therapy is the rapid relief of pain, regardless of the initial, recurrent, or after surgery still can not effectively relieve the symptoms, have significant effect. The acupuncture method has rapid pain relief, good pain relief, easy operation, and no side effects, without worrying about gastrointestinal irritation from long-term use of anti-inflammatory and analgesic drugs.