Lumbar disc herniation is a common clinical disease in orthopedics, with lumbar and leg pain being the most common, often occurring in the lower back. For some reasons such as trauma or degeneration, the fibrous ring ruptures and the nucleus pulposus protrudes with it, compressing the nerve or spinal cord and causing a series of lumbar and leg pain and neurological symptoms. Under the leadership of Mr. Wen Jianmin, our department has explored a unique method for the diagnosis and treatment of lumbar disc herniation using traditional Chinese medicine conservative therapy combined with modern surgical therapy, and achieved good results through long-term clinical practice and scientific research exploration, which is well received by patients. Diagnostic criteria: 1. Low back pain with radioactive lower extremity pain, numbness and chill sensation. In mild cases, the pain can persist in work, but cannot be engaged in labor. In severe cases, the pain is unbearable, bedridden and difficult to turn over, and even taking analgesics can hardly relieve the pain. The pain usually spreads along the buttocks and the back of the thigh to the calf or foot. Coughing, sneezing, defecation, or even laughing or talking loudly can aggravate the back pain and radiating pain. It is usually worse after activity or labor, and relieved after bed rest. -It is lighter in the morning and heavier in the afternoon. It is heavier in the afternoon. 2. Limping gait. The gait often has a limp, and in severe cases, the patient needs to hold a crutch or cannot walk. The patient appears to have a stiff trunk when walking, leaning forward or to a case, and the affected limb cannot stride and bear weight normally. 3.Lumbar muscle spasm, spinal deformity and restricted movement. There is often spasm of one or both sides of the lumbar muscles, scoliosis deformity, spinal forward flexion and back extension movements are limited, especially when forward flexion of the affected limb pain increased. 4. Nerve function damage. When combined with nerve root and cauda equina injury, neurological dysfunction occurs, such as muscle atrophy, muscle strength loss, sensory hypersensitivity, hypoesthesia or loss of sensation in the affected nerve distribution area, and in a very few severe cases, there may be widespread muscle atrophy and weakness in the calves and feet, or even complete paralysis, and sensory loss or loss in the buttocks, lateral thighs, calves and feet, and perineum area. Impaired bowel and urinary function and sexual function, such as constipation, frequent urination, urgent urination, difficulty in controlling urination, leakage of urine when coughing or straining, etc. There is often wet pants bedwetting, etc. 5, imaging. x-ray: lumbar vertebral body surface bone sclerosis, vertebral body posterior edge bone up. ct, mri disc protrusion. Conservative treatment: I. Conservative methods: 1. traction (herniated disc is of supra-shoulder type); 2. lumbar disc herniation manipulation; 3. physiotherapy; 4. nerve block therapy; 5. medication (Chinese herbal soup identification + Western medicine symptomatic treatment); 6. Chinese herbal foot soak; 7. guidance of daily life activities. To avoid injury in case of physiological degeneration of intervertebral disc, attention should be paid to labor protection. Change the poor labor posture, avoid long-term bending and excessive weight-bearing, so as not to accelerate intervertebral disc lesions. 2, lying on a hard bed: disc herniation patients, to rest on a hard bed, avoid lying on a soft bed, in order to reduce the pressure on the intervertebral disc. 3, pay attention to warmth: avoid catching cold and eating cold things, strengthen the protection of the back, wear lumbar protection, and under the guidance of doctors to carry out functional exercises. 4.Massage treatment: The less severe cases can recover with proper rest or massage. Surgery: 1. Indications: 1. Heavy symptoms, affecting life and work, ineffective by systematic non-surgical treatment or serious symptoms, unable to accept traction, massage and non-surgical treatment. 2. Extensive muscle paralysis, hyperalgesia and cauda equina damage, partial or complete paraplegia. 3, central type herniation or suspected free masses prolapse into the spinal canal to produce cauda equina symptoms, the disc should be removed surgically as soon as possible. 4, disc herniation accompanied by lumbar spinal stenosis or combined with lumbosacral “processional vertebrae” or spinal slippage, the need for simultaneous lumbosacral fusion. Second, the surgical program: 1, lumbar plate opening decompression nerve root canal enlargement; 2, lumbar half and full laminectomy; 3, lumbar arch root system internal fixation.