Lumbar spondylolisthesis is equivalent to lumbago in traditional Chinese medicine, and the specific drugs prescribed in traditional Chinese medicine should be decided by the doctor according to the identification and typing, and the common types of evidence are cold-damp lumbago, damp-heat lumbago, blood stasis lumbago and so on. 1. Cold-dampness lumbago: cold pain in the lumbar region, turn side unfavorable, lying down pain does not diminish, cold or cloudy and rainy days aggravate; tongue pale, moss white greasy, pulse is sunken and slow. Commonly used Gan Jiang Ling Jiao Tang to dissipate cold and dampness, warming the meridians and collaterals. 2. Damp-heat lumbago: lumbar pain, heavy and hot, aggravated by summer dampness and rainy weather, or relieved after activity, with heavy body fatigue and short and red urine (small amount of urine, dark yellow in color); red tongue, yellowish greasy moss, and moistened or stringy pulse. Si-Miao Pills can be used to clear heat and relieve dampness, and relieve pain. 3. Lumbago with blood stasis: lumbar pain like stabbing, pain in a fixed place, refusing to be pressed, light day and heavy night, inconvenience in stooping and tilting in light cases, inability to turn to the other side in heavy cases; dark purple tongue or petechiae, astringent pulse. The tongue is dark purple, or there is petechiae, and the pulse is astringent. Body pain and blood stasis soup can be used to activate blood circulation, eliminate blood stasis, and clear the channels to relieve pain. Lumbar vertebral osteophytes need to be identified by the doctor according to the patient’s specific situation to choose specific Chinese medicine, not blindly self-medication, so as not to delay the condition.