Low back pain and back pain during menstruation requires evidence-based treatment and cannot be generalized. The efficacy of acupuncture is related to the cause of the disease, the best efficacy of lumbar muscle strain and muscle rheumatism, lumbar spondylolisthesis, lumbar sprain efficacy is better, and ligament tear efficacy is worse. Low back pain caused by women’s pelvic disorders and renal disorders should be treated as the primary cause of the disease; low back pain caused by spinal tuberculosis, tumors, etc. is not part of the acupuncture treatment. During the menstrual period, if a woman has back pain, she can be treated with acupuncture, which can clear the meridians and promote the normal operation of the body’s qi and blood. Back pain can be clinically divided into cold and dampness, dampness and heat, blood stasis, kidney deficiency, etc., back pain during menstruation should first identify the cause of the disease, disease mechanism, and then treatment. Acupuncture can move qi to relieve pain (by regulating the body’s qi to relieve pain), soothe tendons and activate blood, and is generally more effective for stasis and blood stasis evidence of low back pain. If women experience back pain during menstruation, it is recommended that they go to the hospital in a timely manner, under the guidance of the doctor to carry out acupuncture treatment, and avoid unauthorized needling to prevent adverse consequences.