Combined Chinese and Western medicine orthopedic therapy is a therapy based on a large number of clinical practice, using modern scientific knowledge and methods, collating and researching the experience of Chinese medicine orthopedics and summarizing it. It presents a unique perspective on the pathogenesis, diagnosis and treatment of soft tissue injuries and creates a unique method. It believes that the achievement of spinal stability depends on the balanced coordination of the internal and external scaffolds of the spine. The internal scaffold refers to the vertebral structures, intervertebral discs, posterior joints and surrounding ligaments, and the external scaffold refers to the muscles in the anterior, posterior and lateral regions of the spine. When injury and degeneration cause changes in the internal and external scaffolds, such as changes in vertebral body morphology, disc degeneration, posterior joint hyperplasia, ligament injury or muscle strain, atrophy, or hypertrophy, the internal and external scaffolds become unbalanced in a specific position or during a rapid change in position, and the spine is in a state of instability. This is manifested by mild displacement of a single (or several) vertebral body and misalignment of the articular facets, which changes the tension of the articular joints, intervertebral ligaments and intervertebral discs, resulting in a concentration of local stress and a reduction in the corresponding intervertebral foramen and canal. In order to alleviate pain, the organism has compensatory changes such as lumbar stiffness, muscle spasm, spinal rotation scoliosis and curvature changes, and over time, compensatory osteophytes and ligamentous hypertrophy, these compensatory factors such as maintaining the spine in a relatively stable state, it does not develop. If stability cannot be maintained or destabilized by re-injury, the disease develops. The onset of the disease is characterized by lumbar pain or lumbar leg pain. Palpation of the spine reveals distortion of the spinous process of the affected vertebra, unequal width of the spinous process gap, paraspinal pressure pain or radiating pain in the lower extremities, and swelling and peeling of the supraspinal ligament. Microscopic changes in the anatomical position of the muscles and fascia at the tip of the three transverse processes of the lumbar region, the gluteal epicutaneous nerve, and the pear-shaped muscle occur, which can be summarized as “bone misalignment and tendons out of the groove”. Among the many pathological changes, displacement of the vertebral body is the main pathological change. The displacement of the vertebral body can be corrected by rotational repositioning of the spine and, if necessary, by closing the posterior lumbar joints and paravertebral muscle injury points.