In real life, the occurrence of lumbar disc herniation is increasing. Therefore, in view of the pathological changes of lumbar disc herniation and the changes of lumbar intervertebral disc, spinal force balance, nerve root and peripheral blood vessels by Tui Na therapy, we have reviewed a large amount of relevant information and conducted relevant summaries and researches in combination with clinical practice, and concluded that the combination of traditional Tui Na techniques and restoration-type techniques for the treatment of lumbar disc herniation is also effective in clinical practice. This is a great advantage of TCM. This is one of the advantages of TCM, and we should use it flexibly and promote it. Lumbar intervertebral disc herniation, also known as lumbar fibrous ring rupture nucleus pulposus herniation, belongs to the category of “lumbar and leg pain” and “paralysis” in Chinese medicine. It is a degenerative change in the lumbar intervertebral disc, or external forces that cause an imbalance in the internal and external pressure balance of the lumbar intervertebral disc, can cause the rupture of the fibrous ring, resulting in the protrusion of the nucleus pulposus of the lumbar intervertebral disc, stimulating or compressing the nerve roots, blood vessels or spinal cord and other tissues caused by low back pain, and accompanied by symptoms such as reflex pain of the sciatic nerve, as a characteristic lesion. At present, it is one of the most common low back pains in clinical practice. In order to deepen the further understanding of massage therapy for the treatment of this disease, the following aspects are summarized according to the reports on the pathology of this disease and massage therapy at home and abroad: 1. The study of the pathological changes of lumbar disc herniation The pathology of lumbar disc herniation is mostly due to the degenerative changes of the lumbar spine, the aseptic inflammation resulting from the lesions formed by the sequelae of soft tissue injuries inside and outside the spinal canal, stimulation or under the action of external forces and chronic strain, easily The lumbar muscle spasm, stimulation, traction or compression of the corresponding spinal nerve, autonomic nerve and the arteries and veins within and outside the spinal canal, and even the spinal cord, are caused by displacement of the small joints of the lumbar spine. The specific pathological changes are: (1) degenerative changes of the lumbar intervertebral disc; (2) changes of the spinal force balance; (3) changes of the peripheral blood vessels; (4) changes of the autonomic nerves; (5) changes of the nerve roots. 2, the influence of massage therapy on lumbar disc herniation and research It is generally believed that the basic pathological changes of lumbar disc herniation are degenerative changes of the intervertebral disc, reduction of water content of the nucleus pulposus and swelling and thickening of the annulus fibrosus, followed by glassy degeneration and even rupture. It is believed that tui na therapy is a much used technique and method to improve microcirculation in dealing with degenerative changes of intervertebral disc. For example, Liu Bo-ling [3] believes that the application of manipulative treatment for this disease can make the meridian qi and blood to be unified, and the pain will stop when the bone is correct and the tendon is soft. The main cause of this disease is the compression of the spinal nerve roots by several intervertebral disc protrusions, only the method of massage, the treatment of this disease is still afraid of less than the shaking, shaking and other techniques can change the position of the intervertebral discs, widen the vertebral space; disc, transport and other techniques, to separate the adhesions and several pressed nerve roots is its important role, especially the side trigger technique, can make the upper and lower vertebrae rotate and twist each other wrong, can bring the protrusions back to their original position or It is the fundamental method of treatment. Qian Weimin [4] treated 18 cases of central type lumbar disc herniation with a total effective rate of 95%, mainly by rubbing and pressing the lumbar vertebrae, pulling and stretching the fist and palm shocking the upper limbs passively. Ding Minghui et al [5] applied simple traction (control group) and rotational repositioning manipulation with traction (treatment group) for the treatment of lumbar disc herniation, and the treatment group performed rotational repositioning manipulation with traction for the case of spinous process deviation, and the results showed that the total effective rate of the simple traction group was 57,14% after 6 weeks, and the total effective rate of the rotational repositioning manipulation with traction group was 85,71%, and there was a significant difference between the two groups (P< 0,05). After 12 weeks, the total effective rate was 52, 38% in the simple traction group and 80, 95% in the rotational repositioning manipulation with traction group, with the same significant difference (P<0, 05). Thus, the conclusion that the rotational repositioning technique with traction is better than traction alone is obtained. 3, tui na therapy on the spinal force balance change study normal physiological activities of the lumbar spine muscle stretching and contraction of the propulsion and intervertebral discs, ligaments, synovial joints under the role of stability, adjust the internal and external balance of the spinal canal and root canal, strengthen the stability of the spine, improve compensatory capacity. Protruding discs are the basis and condition for the occurrence of lumbar disc herniation, but only once the above related structures are damaged and cannot compensate for the spinal balance is clinical symptoms appear, which is one of the reasons why the degree of protrusion and clinical manifestations are not synchronized. The stabilizing factors of the spine include the vertebrae, intervertebral discs, upper and lower joints and ligaments, and also the muscles around the lumbar spine and its fascia. 4.Tui-na therapy on lumbar peripheral vascular alteration research The peripheral vascular alteration of lumbar disc herniation is usually compressed to produce blood circulation disorder or cause spasm, and it is believed that tui-na therapy has an irreplaceable role in the treatment of lumbar peripheral vascular alteration. It is believed that the effect of manipulative therapy initially acts with respect to microcirculation, through massage can eliminate metabolites and promote healing of injured tissues, massage of edematous limbs can increase lymphatic fluid return and reduce non-edema, with indirect evidence of improved cerebrospinal fluid return and rebound of intervertebral disc water content [8]. 5, research on the alteration of nerve roots by massage therapy A herniated disc, foraminal stenosis or bone spur formation can compress the nerve roots in the spinal canal and cause a series of related diseases, and it is usually believed that massage therapy combined with related therapies has good efficacy for the causes of nerve root compression. Zhao Mingshan [10] used traction to treat the experience of lumbar disc herniation, the purpose of traction is to make a slight widening of the vertebral space to eliminate the compression and irritation of the spinal cord, blood vessels and nerve roots. Traction, such as head low foot high position using their own weight traction to play the purpose of pain relief, reset, manipulation therapy in the relaxation of tendons and blood circulation and pain relief loosen adhesions, so that the affected part of the blood flow smoothly, loosen the local muscle spasm to restore the nerve channel. 6.Problems and Prospects Tui na therapy is an important part of Chinese medicine and has a long history in China for the treatment of back and leg pain. In the past hundred years, especially since the establishment of New China, Tui Na has been greatly developed. The treatment of lumbar disc herniation by Tui-Na has achieved good efficacy. Because of the advantages of easy, comfortable and effective method and less complications, it has been used as one of the main methods to treat lumbar disc herniation. It not only treats the symptoms and the root cause, but also improves local blood circulation, enhances metabolism, and returns the herniated nucleus pulposus, which is fast, has no side effects and is readily accepted by patients. At present, Tui Na medicine is said to stay in empirical medicine, and the standardization of compliance has been a problem in the development of Tui Na discipline. However, at the same time, we can also see that there are shortcomings in clinical research on lumbar disc herniation. First of all, the current research is based on the observation of clinical efficacy, and there is not yet a unified standard of efficacy, and different treatment standards are used in various reports, so it is difficult to select an optimal treatment for lumbar disc herniation from many methods. As for the combination therapy, it cannot be simply assumed that more methods are better, but the current study does not produce an optimal combination. Secondly, the literature contains mostly efficacy observations and a lot of repetition, and lacks in-depth experimental studies, which also influence the screening of the best modality, and the reports vary from one to another and do not make the best use of the potential of the modality. Finally, the range of case inclusion criteria is too large, which also affects the objectivity of the final study conclusions. In the author's opinion, tui na occupies an irreplaceable and important position in the conservative treatment methods for lumbar disc herniation. Future studies should further enrich the treatment methods, but also establish uniform efficacy criteria, strengthen prospective studies according to randomized, controlled, and blinded requirements, experimental studies and other objective index studies, and strict case inclusion criteria.