I. Clinical data There were 43 patients in this group, 27 males and 16 females. The maximum age was 69 years old, the minimum age was 15 years old, with 40–60 years old being the most common. There were 16 cases of workers, 14 cases of farmers, 7 cases of drivers, 4 cases of civil servants, and 1 case of students. The longest duration of the disease was 20 years and the shortest was 3 days. Lesion site: L3, 4 right protrusion 11 cases, left protrusion 8 cases, central type 2 cases; L4, 5, L5, S1 right protrusion 9 cases, left protrusion 6 cases, central type 2 cases; multi-disc herniation 6 cases. Clinical manifestations: 28 cases with obvious history of trauma and exertion, 41 cases of lumbar pain, 35 cases of lower limb pain, 13 cases of straightening of lumbar arches, 11 cases of obvious lumbar muscle spasm, 3 cases of positive straight leg raising test and strengthening test. Diagnosis based on medical history, symptoms, signs and CT examination. The patient was lying prone, and the operator was standing beside him/her, starting from the back of the patient’s shoulders, and carrying out massage from top to bottom along the foot solar bladder meridian. Each method is repeated 2–3 times to dissipate the abnormal accumulation of energy points in the lesion and to open up the blockage; to make the qi and blood flow, warm up the self-pulse, dissipate stagnation and unblock the meridians. The patient’s muscles will be relaxed, the meridians will be relaxed, the qi and blood will be harmonized, and the release of histamine-like substances will be promoted, which will expand the capillary blood passenger, improve local blood circulation and promote the absorption of inflammatory edema. At the same time, it prepares for the second step of manipulation. The second step: knead the back to seal the waist, oblique trigger shaking technique: loosen the lumbar tissue, improve the relative physiological position between the vertebrae, intervertebral discs, nerve roots, muscles and ligaments. Thus, the pressure on the nerve roots can be relieved, the misalignment of the intervertebral joints, the misalignment of the tendons and other small joint disorders can be corrected, the normal physiological mechanical balance of the spine can be restored, the deformed and displaced herniated intervertebral disc can be retracted, and the compression of the spinal nerve can be relieved. The third step: tendon manipulation: has the effect of relaxing the tendons, blood circulation, restore the tendons, tendons strong flexibility and moistening, so that the muscles of the low back each according to its position, in order to consolidate the results of treatment. 2, exercise therapy: (1) bending knees and hip rotation waist method: the patient lies on his back, both lower limbs together, bending knees and hips, the whole body relaxed, intention to keep the Dantian, regulate the breath. Double knees to one side, while driving the waist rotation, keep the back and shoulders do not leave the bed, left and right sides alternately three times each. The knees and hips rotate at the same time, so that the lumbar muscles are exercised and the stretching and contraction of the lumbar muscles on both sides are coordinated. So as to achieve the role of Shujin Tongluo, harmonize Qi and blood, and relieve the lumbar muscle spasm. (2) Side lying rotation method: the patient lies on his side, with both lower limbs crossed forward and backward, with the upper lower limb forward and the lower limb slightly backward. Make the hips rotate forward and twist backward above the waist to counter-rotate. This method makes the patient’s waist rotate, coordinates the lumbar and abdominal muscles, improves the symptoms of compression, and helps consolidate the results of manipulation. (3) prone thorax method: the patient lying prone, double upper limbs force support, thorax, so that the parts above the chest leave the bed, repeated three times. This method to exercise lumbar and abdominal muscle strength. It also helps to correct the flat waist deformity of patients with lumbar disc herniation and restore the patient’s normal waist curve. Manual massage therapy and exercise therapy should be combined with each other. Manual massage once every other day, three times for a course of treatment. Exercise therapy is done 2 – 3 times a day in the morning and evening. Fourth, the treatment effect 1, efficacy standards: refer to the “Chinese medicine disease diagnosis efficacy standards”. Cured: disappearance of lumbar and leg pain, straight leg elevation of more than 70 degrees, and participation in the resumption of original work. Improving: lumbar and leg pain is reduced, and the function of lumbar activities is improved. Ineffective: no improvement of symptoms and signs. 2. Treatment results: 43 patients in this group were treated for 2-3 courses, 30 cases were cured, 8 cases were improved, 4 courses were treated, 5 cases were invalid, 2 of them received surgery. The total effective rate was 88.4%. V. Experience The treatment of lumbar intervertebral disc herniation and its long-term efficacy is a problem that has long troubled patients and doctors. After treatment, many patients’ clinical symptoms disappear, but they relapse after a period of time for various reasons. How to solve this problem, the author believes that the responsibility lies not only in the treatment of the disease, but more importantly in imparting knowledge of disease prevention to patients. The author has been exploring the application of manual massage combined with exercise therapy for the treatment of lumbar disc herniation for many years, and it is based on this purpose. The treatment of lumbar disc herniation by manual massage, so that the protruding disc or nucleus pulposus deformation back into or into position, release the spinal nerve root compression, eliminate or relieve clinical symptoms, is only the first step in the treatment of disc herniation. Because, the pathological basis of disc herniation is not only the hardening and atrophy of the disc and the rupture of the fibrous ring, but also the loosening or atrophy of the lumbar muscle strain, the change of the physiological curvature of the lumbar region, and the weakening of the stability of the lumbar spine leading to recurrent attacks of the disease, which are also important causes. Therefore, only by eliminating the pathological basis of the disease can the long-term efficacy of lumbar disc herniation be guaranteed. The bending knee and hip rotation method, side lying rotation method, prone thoracic method and exercise therapy explored by the author in the treatment can not only promote the recovery of lumbar injury, but also play the role of health care and prevention of lumbar injury, and improve the long-term efficacy of the treatment of lumbar disc herniation.