Acupuncture can treat the clinical symptoms caused by cauda equina injury, acupuncture needs to choose the lumbar local acupoints with the distal meridian points for treatment. Cauda equina injury is due to a variety of congenital or acquired causes of lumbar spinal canal absolute or relative stenosis, compression of the cauda equina nerve and produce a series of neurological dysfunction, the main manifestation of the anus perineum and the lower extremities of the sensation, burning pain, and in some cases, urinary and fecal disorders. Because the disease is closely related to lumbar spine injury, so in acupuncture treatment, you need to choose lumbosacral acupoints, small abdominal acupoints with the distal meridian to take points to form an acupoint prescription. Acupuncture points are mainly Changqiang, Lumbar Yangguan, Vital Gate, Kidney Yu, Large Intestine Yu, Huanjiao, Baresha points, and Commissure Center of the leg. Acupuncture treatment involves treating a wide range of disorders caused by nerve damage to help restore and revitalize the damaged nerves. Acupuncture can play a role in the treatment of a range of syndromes caused by cauda equina injury, but it needs to be coupled with rehabilitation and medication to achieve the best results for nerve damage disorders. It is recommended that patients with cauda equina injury who want to undergo acupuncture treatment should go to the acupuncture department of regular hospitals as soon as possible to avoid delaying their condition.