Acute lumbar sprain is an acute sprain of the lumbar muscles, fascia, ligaments, small intervertebral joints and lumbosacral joints, mostly due to improper posture or improper exertion of the lumbar force, and is a common and frequent disease in the department of massage. 1, clinical manifestations history of acute lumbar sprain; lumbar pain, limited functional activities; muscle tension on one side of the lumbar region or lumbosacral region, with limited pressure pain; no lower limb radiating pain, such as involving lower limb pain, although the straight leg elevation test is positive, but the strengthening test is negative; external drug treatment is ineffective. 2.Treatment methods 2.1 Tuina therapy The patient is in prone position, the doctor stands on the affected side, apply the rolling method to the lumbar pain area for 5 min, the technique requires that the face first and then the point, from light to heavy, the operation can be combined with the lumbar back extension movement; flick one side of the lumbar or lumbosacral lumbar cord-like or node-like reactions for 5 to 10 times, the technique requires that the first light and then heavy, uniform and strong, to the extent that the patient can tolerate; press and rub the kidney Yu, Wei Zhong and AY points, each point for half a minute, The patient should be able to tolerate it; press the Kidney Yu, Guizhong and A-Ye points, each point for half a minute, to the degree of soreness and swelling; palm vibration of the lumbosacral region, to the degree of heat; if necessary, apply the lateral lumbar spine oblique wrenching manipulation. 2.2 Exercise therapy The doctor presses the tarsal point on the affected side with one hand, holds his abdomen with the other hand, and asks him to brace both hands on the treatment bed, to make active knee flexion and hip flexion and lumbar forward flexion, rotation, back extension and other movements until the lumbar active movement is comfortable. The amplitude of movement is required to increase gradually, the passive movement is gentle and mild, and the active movement should be in place slowly. 3.Experience 3.1 Acute lumbar sprain belongs to the category of “blood stasis lumbago” and “lumbar tendon injury” in traditional Chinese medicine, mostly due to damage of the Directing Vessel and the foot solar bladder meridian. As the Su Wen? The “stabbing lumbar pain” says: “Heng injury of the vein people waist pain, can not stoop up, up is afraid to fall, get the lifting of heavy injury waist, Heng Luo extinction, bad blood to the”. The Golden Killing Wing? Volume VI” in the statement: “blood stasis lumbago, flash and strong weight lifting. If there is an injury, the blood vessels are coagulated, the meridians are stagnant, so that people have pain, can not turn side, the pulse is astringent, light day and night is also heavy”. It means that acute lumbar sprain is caused by external force and uncoordinated local activities, resulting in tearing of the muscles and fascia, blocking the flow of qi and blood, and causing pain if it does not pass. In “The Golden Guide to Medicine? The “Zhengbao Xinfa Essentials” says: “Because of the fall and flicker, resulting in the opening of the wrong bone, qi and blood stagnation, for swelling and pain, it is appropriate to use massage. Press the meridians to open the depressed qi, and massage the congestion to disperse the swelling of stasis, and the disease can be cured.” It is pointed out that the etiology of this disease is that the bone suture is wrongly opened, the meridians are blocked, the blood vessels are stagnant, and the pain is caused by the lack of circulation. 3.2 Tui-na manipulation treatment can unblock the meridians, activate blood circulation, relieve spasm and pain, regulate tendons, and smooth the joints, so that the bones and tendons can be corrected and tender, and the qi and blood can flow smoothly, so that there is no pain. The kidney point chosen for massage is the foot solar bladder meridian, the “back” point of the kidney; the committee is the foot solar meridian “joint” point; the tarsal point is the foot solar bladder meridian, the “Qie” point of the Yang stilts, and the waist is the The kidney is the capital of the kidney, and the foot sun meridian from the waist down, the spine, through the buttocks, into the moon country, out of the back of the outer ankle. Therefore, taking the Kidney Yu, Guizhong and Tarsus Yang points and using pain as acupuncture points is intended to match the local and distal acupuncture points to move the pain and set the will and stimulate the meridian qi, so as to benefit the kidney and strengthen the waist, dredge the meridians, harmonize the qi and blood, relieve spasm and pain, regulate the tendons, and smooth the joints. This method is a combination of gentle and rigid, passive and active, giving full play to the patient’s self-regulation ability, so that patients do not know their suffering, and often have immediate results. This treatment is simple, convenient, safe and effective, and easy to promote.