The patient is a 47-year-old male with a history of chronic low back pain for more than ten years and a history of prostate disease for three years, who frequently experienced soreness and pain in the lower back in the latter part of the night and in the morning, which was relieved by a little activity, without discomfort in the lower limbs. In the evening before the consultation, after taking a bath, he was conscious of the pain and stiffness in the lumbar region, and then he was treated with tui-na, acupuncture, traction and physiotherapy in the community clinic, after which the lumbar pain was aggravated, the lumbar activity was completely limited, and there was urinary occlusion, and the bowel movement was not defecated for 5 days. Clinical specialty examination: lumbar activity was limited, straight leg raising test were over 80°, knee tendon reflex +++, Achilles tendon reflex +++, abdominal wall reflex, tibial reflex were normal, trunk sensation was normal, lower limb sensation and muscle strength were normal, and the rest of the patient couldn’t be examined because of the severe pain. Lumbar spine CT suggested L4-S1 disc herniation, urinary ultrasound showed prostate 42*37*27mm, urine routine latent blood 2+, protein 3+. He was admitted to the emergency department with a diagnosis of lumbar disc herniation. Initially, he considered lumbar disc herniation and suspected that it was caused by spinal cord injury during community treatment, but the clinical symptoms and signs did not match. To treat the symptoms urgently, indwelling catheterization was given; to treat the root cause slowly, activating blood circulation and removing blood stasis, and microwave, TDP, traditional Chinese medicine external treatment and nerve block treatment were given to alleviate the condition very quickly. Wang Dehui, Department of Traditional Chinese Medicine, The First Affiliated Hospital of Xinjiang Medical University, Changji Branch, Xinjiang, China Case Analysis: 1. What confuses us most is the problem of lumbar pain and fecal and urinary occlusion. How did the problem of fecal and urinary occlusion occur? Was it a spinal cord injury or a coincidental attack of urinary tract disease? Finally, through careful observation and questioning, we found that the patient used to have to make a lot of effort to relieve himself when urinating, and due to the pain in the lower back, he could not make any effort, so there was an occlusion of urination. Due to the patient’s pain in the lower back, he did not have an appetite, and he did not have any obvious food for a few days, and there was nothing in his stools. 2. Rule out lumbar disc herniation or spinal cord lesions. The patient always had no neurological localization signs and symptoms during the course of the disease; the pain was closely related to lumbar activity, and there was no lumbar pain while lying down; the symptoms were relieved soon after the TCM and lumbar spinal nerve posterior branch block. The patient was initially considered to have a lumbar soft-tissue injury, and the scope and extent of the lumbar soft-tissue injury was aggravated by violent massage and traction. 3. Diagnosis of lumbar disc herniation. Lumbar intervertebral disc herniation and lumbar intervertebral disc herniation are two different concepts, and the diagnosis of the disease is often not based on the results of auxiliary examinations, but on clinical diagnosis and treatment specifications to prevent misdiagnosis. 4. Carefully analyze the relationship between clinical symptoms and pay attention to the relationship between past and present medical history. 5. Avoid clinical diagnosis of one cause theory, many times patients are not a single disease to the consultation, especially the economic status of patients. Soft injuries and pain in the Department of lumbar soft tissue injuries combined with knee joint lesions, a large proportion of patients were diagnosed as lumbar disc herniation.