Lumbar disc herniation, also known as lumbar disc fibrous ring rupture nucleus pulposus herniation, is a common and frequent disease in Chinese medicine orthopedics. It is a common and frequent disease in Chinese orthopaedics and traumatology. The disease mostly occurs in young and middle-aged people, which can cause great impact on patients’ life, work and labor, and even affect the self-care of life in serious cases. At present, there are various clinical treatments for lumbar disc herniation, including orthopedic manipulation, acupuncture, acupuncture knife release, lumbar traction and physiotherapy, internal and external use of traditional Chinese medicine and various forms of surgical treatment. Among them, traditional Chinese medicine occupies an important position in the treatment of this disease, and on the basis of accurate identification, Chinese medicine, acupuncture, manipulation, acupuncture knife and other Chinese medicine treatment methods are used to treat lumbar herniation, which has very good curative effect. In clinical evidence-based treatment of lumbar disc herniation, it is generally divided into four types of evidence: qi stagnation and blood stasis, wind-cold paralysis and obstruction, damp-heat paralysis and deficiency of liver and kidney. These are discussed separately below. The original QIHUANG TCM Forum contains health care, TCM academic, TCM Chinese medicine, medical cases, medical books download, etc. It is the first TCM Chinese medicine forum in China. Qi stagnation and blood stasis Clinical manifestations are mainly the patient’s back and leg pain like stabbing and stabbing, the pain is aggravated at night, the pain is fixed, the pain refuses to be pressed, the lumbar plate is straight and stiff, it is difficult to lie down and turn sideways, some patients have a recent history of trauma to the lumbar fall and flashing. The treatment for this type of pain is based on activating blood circulation, removing blood stasis, relaxing tendons and channels, moving Qi and relieving pain. The main addition and subtraction is Body Pain and Stasis Removal Soup or Di Long San of Shi’s Injury Branch, with emphasis on the use of blood-activating and stasis-removing drugs such as peach kernel, safflower, and Gui Wei, supplemented by blood-activating and qi-regulating or pain-relief drugs such as Chuan Xiong and Xiang Shen, and the addition of corrective drugs as appropriate according to whether the patient has deficiency symptoms. If this type of patient is supplemented with acupuncture and bone manipulation, the treatment will be more effective. Wind-cold paralysis Clinical manifestations are mainly cold pain in the waist, knees, legs and feet, aggravated by cold or rainy days, the patient feels cold in the waist, knees or limbs, and the pain and discomfort is aggravated by cold, and the pain is relieved by warmth, and the body is comfortable. The treatment of this type of evidence should be based on dispelling wind and dampness, warming menstruation and relieving pain, and harmonizing qi and blood. The main formula is Gan Jiang Ling Jie Tang, Ma Gui Wen Jing Tang, Dou Shuo Zai Sheng Tang and so on, with addition and reduction. The main ingredients are warming menstruation, dispersing dampness, dispersing cold and relieving pain, such as ephedra, pungent spice, ginger and gunpowder, etc. The effect of this type of patient will be better if combined with acupuncture, manipulation and cupping. The clinical manifestations are mainly pain in the waist, knees, legs and feet, irritable heat in the limbs or in the heart, increased pain and irritable heat in hot or rainy days, bad heat, sticky sweat or even yellow stained clothes, dry mouth and tongue or sticky and unrefreshing mouth, short and red urine and poor bowel movement. The original QIHUANG TCM forum, contains health care, TCM academic, TCM Chinese medicine, medical cases, medical books download and other content, is the first TCM Chinese medicine forum in China. The treatment of this type of evidence treatment should be based on clearing heat and relieving dampness. The main addition and subtraction is Si Miao San with added flavor. Emphasize the use of heat-clearing drugs such as Che Qian Zi, Yin Chen, Slippery Rock, Huang Lian, Zhi Mu and Scutellaria. It must be pointed out that this type has a long duration of illness due to damp-heat stagnation, so clinical care must be carefully regulated. Liver and kidney deficiency Clinical manifestations are recurrent lumbar and leg pains that do not heal, aggravated or recurring after exertion, numbness and coldness in the lumbar and knee extremities, heaviness and weakness in both lower extremities, or with muscle atrophy in the lower extremities. In the case of Yang deficiency, the face is pale, the hands and feet are not warm or the waist and legs are cold. The treatment of this type of disease should be based on the outline of yin and yang. For Yang deficiency, the main treatment is to warm the kidneys and strengthen Yang. For those who are Yin deficiency, the treatment is to nourish Yin and promote the circulation. The formula is based on Zuo Gui Wan and can also be taken orally with the Chinese medicine Liu Wei Di Huang Wan. This type of patients can also be combined with acupuncture, manipulation, acupuncture knife and other treatment, which is also beneficial to shorten the course of treatment and improve the efficacy. As mentioned above, there are many ways to treat lumbar synostosis in Chinese medicine, but accurate identification is the key to effectiveness, and this has been confirmed by a large number of clinical practices. It should be noted that the clinical manifestations of lumbar synostosis are varied, and in many cases several syndromes are intermingled and need to be improvised. For example, patients who have been ill for a long time can add worm medicine to pick out evil and search the ligaments; elderly people often have “kidney deficiency”, so clinical discretion should be used to add medicine that benefits the liver and kidney. Therefore, when the patient is not sure which type of lumbar synostosis he or she belongs to, do not just take Chinese medicine, it is best to go to the relevant hospital and find a professional doctor for consultation and treatment.