Acute lumbar sprain is a clinical emergency in Chinese medicine, which refers to an acute injury to the muscles, fascia, ligaments, joint capsule, synovial membrane and other soft tissues on both sides of the lumbosacral, sacroiliac and lumbar back, causing lumbar pain and activity dysfunction. Commonly known as “flashing waist fork”, mostly in male young and middle-aged manual labor. If the treatment is inappropriate or out of treatment, the injury can be aggravated and turn into chronic lumbago. 1.Step-by-step treatment method 1.1 Basic massage therapy The patient takes a prone position, the doctor uses both hands palm and palm root along the bladder meridian 1, 2 lateral line from the back of the shoulder to the lumbosacral area to do palm rubbing method, repeatedly apply the operation for 3 min; the doctor uses both hands thumb along the patient’s lumbar vertebrae on both sides of the “Huatuo pinch point” (0.5 inch from the side of the spine) to do continuous pressure The painful area is the focus of the operation. Repeat the procedure. The doctor uses the elbow to rub both sides of the patient’s lumbar muscles (mainly the sacrospinous muscles) and the gluteal muscles, focusing on the muscle tension, from light to heavy, from superficial to deep, repeatedly for 3 min. 1.2 Meridian point treatment The doctor uses both thumbs to rub the kidney, large intestine, Yangguan, liver, commission, Jus, ring jump, Chengzhi, Yanglingquan, and twist each point for about 0.5 min. At the Daheng, Shenqu, and Guanyuan points, use the two-finger vibration method, pushing down with the patient’s deep breathing until the pressure vibrates 5-7 times (press and vibrate during exhalation. Lift up when breathing in). The practitioner uses the palm of one hand and the root of the palm to push along the bladder meridian from Cheng Fu point to Tarsal Yang point, three to five times on each side. 1.3 Oblique pulling method Adjustment of the posterior small joint: The patient is lying on his side (the affected side is on top), the upper lower limb is flexed at the hip and knee, the lower limb is naturally straightened, and the practitioner is standing facing the patient. The physician places one hand on the anterior shoulder of the patient, while the other hand is placed on the hip-iliac region with the elbow bent and the fingers can be placed on the diseased segment. The lumbar region is first gently rocked in the same direction and gradually transitioned to rotating the lumbar region in opposite directions with both hands. When the waist is rotated to a certain angle, the lesioned segment is at the fulcrum point of wrenching, and only a lighter force is needed to wrench the fulcrum point (lesioned segment) relatively. The technique requires skillful and light, often hear the “click” joint popping sound, indicating the success of rectification. 1.4 Three palm strikes The patient was asked to do three push-ups, and when the abdomen was about 10 cm from the bed surface on each drop, the lumbosacral area was tapped with the palm strike method for three times. 2, case example Patient Liu, male, 35 years old, had been seen by director Cui Shusheng for cervical spondylosis since early 2012. On September 2, 2012, he suddenly felt pain in his lumbar region when bending over to carry heavy objects and could not stand upright, and the pain increased during lumbar activities and walking, so he called the 120 emergency vehicle to transport him to director Cui’s clinic. Investigation: lumbar muscle tension, lumbar anterior flexion and lateral flexion restriction is obvious, lumbar 4-5 paravertebral right pressure pain (+), femoral nerve pull test (-), straight leg raise test and strengthening test (-), no abnormal sensory movement of both lower limbs. The diagnosis of acute lumbar sprain was made, and the lumbar spine X-ray was taken to see: lumbar scoliosis, right deviation of L3 and 4 spinous processes, and no abnormality in bone quality; after one treatment by the above method, the patient walked home independently. 3. Discussion 3.1 Massage can relieve spasm, relieve tendons and channels, activate blood circulation and remove blood stasis. The kneading method has the effect of loosening, relaxing muscles, relieving spasm, and making qi and blood flow smoothly; the plucking method can regulate tendons and smooth tendons, making meridians and channels flow smoothly and relieving tendons and pain; the wrenching method has the effect of moving, restoring the misaligned small joints to normal position and making qi flow smoothly. 3.2 Acute lumbar sprains are treated with local acupuncture points, combined with meridian points and experience points. Local acupuncture points can help to dissipate congestion and relieve pain. Meridian acupuncture points can dredge the meridians and smooth the flow of Qi and blood. The bladder meridian travels through the lower back and lower extremities; the waist is the capital of the kidney, and the liver collects blood for the tendons. The Wei Zhong and Cheng Tendon both belong to the bladder meridian upward can reach the lumbar region, the lumbar and back committee seek, this point has the role of channeling and relieving pain. Jus, Huanjiao, Yanglingquan, are all points of the bile meridian, which travels on both sides of the waist and has the effect of relieving pain. 3.3 “Waist is the house of kidney”, three palm strikes on the waist can stimulate the kidney qi, a short period of time to make the body Yang Qi rise, to achieve the effect of strengthening the waist and knees. 4.Summary Acute lumbar sprain is a clinical emergency of Chinese orthopedic massage, western medicine lacks effective methods, mostly oral non-steroidal anti-inflammatory and pain-relieving drugs, or physiotherapy treatment such as medium frequency microwave, but it is often difficult to immediately relieve the patient’s pain. The standardized and accurate operation of massage can directly affect the clinical efficacy of massage, which requires diligent study and practice to strengthen the strength and accumulate experience, under the premise of ensuring the safety and effectiveness of the technique, the operation of the technique should be light but not floating, heavy but not stagnant, soft in the rigid, soft in the rigid, rigid and soft, so that patients feel soft and comfortable. From the clinical point of view, the treatment of acute lumbar sprain should focus on solving the acute lumbar pain and dysfunction, while from the perspective of anatomy and injury, the recovery of injured tissues and the stimulation of corresponding nerves should be solved, and the latter requires comprehensive treatment such as functional training of lumbar back muscles.