Lumbar disc herniation occurs in young adults aged 20 to 40 years old, accounting for about 80% of patients with lumbar disc herniation. This may be related to the fact that the young adults are the main practitioners of greater labor intensity, which can easily cause damage to the lumbar spine. The pathological changes are mainly in the parts of the lumbar intervertebral disc (nucleus pulposus, fibrous ring and cartilage plate), especially the nucleus pulposus, which has different degrees of degenerative changes, and under the action of external factors, the fibrous ring of the intervertebral disc ruptures, and the nucleus pulposus tissue protrudes (or prolapses) from the rupture in the posterior or vertebral canal, resulting in stimulation or compression of the adjacent spinal nerve roots, thus producing lumbar pain, numbness and pain in one or both lower limbs, etc. A series of clinical symptoms. It is also these common clinical symptoms that lead both doctors and patients to largely ignore some not particularly common but not uncommon symptoms, today we will introduce you to two cases of “waist” and “sexual well-being”. A lumbar disc herniation and premature ejaculation patient Li, married for a year, normal libido and erection, the first time that night, 10 seconds ejaculation, the second intercourse extended to 2 minutes, sexual life 2-3 times / week. Usually no lumbago, no lower limb discomfort, no perianal swelling, dry mouth, can, two stool regulation, red tongue, greasy slightly yellow coating, string pulse. Physical examination: slightly long prepuce, 18 ml of left testicle, 15 ml of right testicle, remaining (-). CT of lumbar spine showed: lumbar 5-sacral 1 central type lumbar disc protrusion. Prescription: Chuanjian 10g, Eucommia 10g, Sangxis 10g, Qianglong 10g, Doklam 10g, Dried Centipede 3g, Chuanniu Knee 10g, Huainiu Knee 10g, Gui Zhi 10g, Hessian 3g, Sha Yuan Zi 10g, Gorgonian 10g, Lianxin 10g, Lianshu 10g, Calcined Dragon Bone 20g, Calcined Oyster 20g. He was instructed to traction the lumbar spine, backward walking exercises and sleep on a hard bed. Three weeks later, the duration of intercourse was extended to 3-5 minutes. Press: Ejaculation is a neurological reflex, sexual stimulation signal through the peripheral sensory nerves to the spinal cord and the higher centers of the cerebral cortex, stimulation gradually accumulates, once the ejaculation threshold is reached or exceeded, under the action of the cerebral cortex, the action signal is released and ejaculation occurs. Abnormalities in any of the links involved in the ejaculatory reflex may cause a lowering of the ejaculatory threshold and induce premature ejaculation. The cauda equina is a mixed nerve composed of four nerve fibers: somatic, visceral, motor and sensory nerves, and is an important part of the ejaculatory reflex arc. Damage to the cauda equina nerve will inevitably cause abnormalities in the nerve reflex arc, which will manifest itself in the ejaculatory reflex, which can lead to a lowering of the ejaculatory threshold and cause premature ejaculation. In patients with central lumbar disc herniation, the intervertebral disc protrudes to the posterior and compresses the dural sac, which may cause physical compression of the cauda equina nerve and may also affect cerebrospinal fluid circulation, causing congestion and edema of the cauda equina nerve and abnormal sensory transmission. In this case, the patient had premature ejaculation and imaging manifestation of lumbar disc protrusion. Although it could not be confirmed that there was a necessary connection between the two, however, according to its theoretical possibility, based on Sun Simiao’s Duluxiaosheng Tang, combined with his tongue and pulse, he added and subtracted with the evidence, and was instructed to traction on the lumbar spine and reverse the walking connection in order to enhance the function of the lumbar muscles and restore the normal lumbar spine anatomy, thus achieving a better clinical effect. Second, lumbar disc herniation and impotence Patient Chen, 37 years old, married, erectile weakness in the past six months, normal libido, occasionally able to enter, 4-5min ejaculation, sexual life 2-3 times / month, not durable standing, long then lumbar acidity and weakness. Dry mouth, can, two bowel movements, occasional night sweats, red tongue with thin white coating, string pulse. Physical examination: slightly long foreskin, bilateral testicles 18ml, remaining (-). CT of the lumbar spine showed: lumbar 4-lumbar 5 disc bulge changes, the corresponding dural sac compression. The prescription: 10g of asparagus, 10g of maitake, 10g of southern ginseng, 10g of northern ginseng, 10g of raw earth, 10g of rehmannia, 10g of purple heliotrope, 20g of liu xingzi, 10g of lychee kernel, 3g of dried centipede, 10g of Chuanjian, 10g of mulberry, 10g of wolfberry, 20g of floating wheat, 20g of calcined oyster, 20g of raw astragalus, and was instructed to tractor the lumbar spine, walk backwards and sleep on a hard bed. After one month the symptoms improved, erections improved significantly, basically all can enter. Press: The initiation of erection requires a perfect blood transport system, sound nerve reflexes, normal endocrine function and normal anatomical structure, of which innervation occupies an important position. Stimulation from penile receptor nerve endings and conditioned reflex stimuli established later in life (association, sight, smell, hearing, etc.) can cause cortical excitation and induce the penile erectile reflex through efferent fibers. Thus, it can be seen that receptor afferent nerve disorders or damage to erectile efferent nerves can cause abnormal penile erectile reflexes. Like the ejaculatory reflex, the cauda equina is also an important component of the erectile reflex, and damage to the corresponding fibers in the cauda equina can result in symptoms. Lumbar spine lesions can affect the cauda equina, which in turn can affect erections. This is the possible mechanism of impotence caused by lumbar spine lesions. In this case, the patient took measures such as traction, walking backwards and sleeping on a hard bed to relieve the pressure of the lumbar spine lesion on the cauda equina. Combined with his clinical symptoms, the overall dialectic, nourishing Yin and benefiting the kidney as the main method, achieved better clinical results.