Acute lumbar sprain refers to the soft tissue injury of the waist caused by various sudden stimuli, also known as "waist twisting and waist flashing". It is very common in clinic and is a common and frequently-occurring disease. If massage treatment is not carried out in time, it will easily turn into stubborn chronic lumbar muscle strain. The author will introduce the general clinical data, clinical manifestations, clinical examination, diagnosis and treatment of the disease. \ x0d \ x0d \ 1。 General clinical data? \ x0d \ x0d \ The lumbar spine is an independent pillar, which bears more than 60% of the human body's gravity and engages in complex sports. There are only some muscles, fascia and ligaments nearby, and there is no bone-like structure to protect them, so they are extremely vulnerable to weight-bearing and various sports. ? \ x0d \ x0d \ II。 Clinical manifestations? \x0d\\x0d\ Those who are seriously injured can immediately see severe pain in the waist, difficulty in sitting and lying, and even inability to get up. Coughing, sneezing and deep breathing all aggravate the pain. In addition, some patients can work for hours or days after onset, but the pain is getting worse, and similar patients can easily turn into chronic lumbar muscle strain. ? \ x0d \ x0d \ III。 Clinical examination and diagnosis? \x0d\\x0d\ The following signs can be seen during inspection:? \ x0d \ \ x0d \ 1。 Be sensitive. The vast majority of patients have obvious tenderness points, and the general pain points are located in the injury site. ? \ x0d \ \ x0d \ 2。 Muscle spasm. Mainly located in sacrospinous muscle and gluteus maximus. Muscle feels a little soft when lying prone, and muscle spasm occurs when pressing with your fingers. ? \ x0d \ \ x0d \ 3。 Changes of physiological curvature of spine. Pain can cause muscle protective spasm. At this time, asymmetric muscle spasm can cause the spine to tilt to the affected side, which is a temporary physiological change. Under normal circumstances, it is more common in unilateral onset. ? \ x0d \ \ x0d \ 4。 X-rays are often the same as tips. According to the above examination, the disease can be diagnosed as acute lumbar sprain. ? \ x0d \ x0d \ IV。 Clinical treatment and manipulation? \ x0d \ \ x0d \ 1。 Treatment principle: Shu Jing dredging collaterals, stopping bleeding and removing blood stasis, relieving spasm and relieving pain. ? \ x0d \ \ x0d \ 2。 Surgical site: lesion (waist) and its tenderness point. ? \ x0d \ \ x0d \ 3。 Main techniques: pushing, pressing, rubbing, poking, vibrating, etc. ? \ x0d \ \ x0d \ 4。 Acupoints: sprain, Renzhong, Shenshu, tenderness point, Dachangshu, Huantiao, Yinmen, Weizhong, Chengshan, Yanglingquan and Kunlun. Guanyuan, Qihai, Zusanli, Quchi, Shoujing and Hegu can be added. ? \ x0d \ \ x0d \ 5。 Operating sequence: prone position, lateral position and sitting position. ? \ x0d \ \ x0d \ 6。 Operation time: 20 minutes each time, not too long, so as not to cause new injuries. ? \x0d\\x0d\ Stimulation amount of therapeutic manipulation: push should be light, poke should be slightly heavy, vibration should be slow, and acupoint stimulation should be light to heavy. ? \x0d\\x0d\ V. Introduction of clinical technology? \x0d\\x0d\ Clinically, the author has observed and summarized this disease for a long time. It is considered that acute lumbar sprain is urgent and effective quickly. As long as it is treated in time, it is not easy to relapse, but patients should be advised to pay attention to protecting their waist and exercise more. ? \x0d\\x0d\ Because the etiology of acute lumbar muscle sprain mostly comes from external force, it is not appropriate to use strong stimulation in treatment. The reason is that the main feature of this disease is severe pain. If intense massage stimulation is used at this time, the tension of local muscle tissue ligament will increase. The patient lost his cooperation because of the severe pain. ? \x0d\\x0d\ In the course of treatment, patients should be classified according to their different reactions. ? \ x0d \ \ x0d \ 1。 Treatment of severe cases: \x0d\\x0d\( 1) Patients take the supine position, and use acupoint massage ventilation method to massage the midpoint of people first, so as to calm the nerves, regulate blood pressure and relieve patients' ideological pressure. Point Guanyuan and Qihai, activate qi and blood, and relieve severe pain in the waist. Press Zusanli to adjust the diet after illness, improve digestion and relieve constipation. Finally, press the sprained acupoint (the acupoint is located at a quarter of the connecting line between Yangchi and Quchi). If the patient has left low back pain, take the right acupoint. Ask about the reaction on time and ask them to do a slight abdominal lift, then they will feel relaxed. ? \ x0d \ x0d \ (2) The patient is prone. Massage is used to regulate the bones and muscles: the patient relaxes and the operator stands by. It is used to massage the tender part with the palm or thumb, so that he can take a deep breath to relax his muscles and relieve the pain. Manipulate from top to bottom and repeat several times. At this point, the soft waist muscles can be felt by touch. Acupoints: Dachangshu, Shenshu and tenderness points. Further promote blood circulation and buffer muscle spasm. \x0d\\x0d\(3) prone position. Use the method of pressing waist pain points to relax muscles and relieve pain and regulate qi. On the patient's tender point, the palms overlap and vibrate repeatedly, and press vertically downward with the patient's deep breathing (press straight when exhaling and lift when inhaling). ? \x0d\\x0d\(4) prone position. Adopt the massage method of reverse traction to relax muscles and relieve pain, so as to enhance the range of motion. Ask an assistant to help fix the armpit. The operator holds the operating part of the lower limb with both hands and leans to the healthy side, slowly stretches and pulls for one to two minutes, that is, pulls to the maximum, and then massages the waist, acupoints such as Diantiao, Yinmen, Weizhong and Chengshan to prevent soft tissue adhesion and quickly restore the elasticity of the lumbar muscles. ? \x0d\\x0d\(5) Horizontal position. Use the method of pinching the waist muscles and kicking, relax the muscles and strengthen the exercise. The performer stood in the back, holding the waist muscles with both hands. At this point, let the patient kick, as mentioned above, the effect is obvious, and the patient can quickly enter the state of motor coordination. \x0d\\x0d\(6) is sitting. Use the method of lifting shoulders and neck to regulate qi, expand chest and regulate qi, and eliminate tension. The performer stands behind his back, holds his shoulders and neck with both hands, and then takes the acupoint Quchi. At this time, the patient felt relaxed. \ x0d \ \ x0d \ 2。 For those whose pain is not obvious and aggravated after onset, the following methods can be adopted. \x0d\\x0d\( 1) prone position, the muscles are adjusted by pushing and kneading, so that the patient can relax, push and knead his hands or thumb from around the tenderness point to the tenderness point, and then roll back and forth several times along the muscle fiber in the direction of sacrospinous muscle, in coordination with the back extension movement of the waist. Stretching the waist is from small to large, and the manipulation is from light to heavy, which promotes local blood flow and relieves pain. ? \x0d\\x0d\(2) prone position. In order to relieve the pain, the waist-pinching exercise method was adopted. The operator stands next to him, applies corresponding force with the palm root or fingers, pinches the sides of the patient's waist, and makes him shake his sacrum and hip, asking if there is any pain in his waist. If there is pain, stop and shake his shoulder, so that you can understand qi and blood and promote the recovery of exercise. ? \x0d\\x0d\(3) In prone position, beat vibration and regulate qi to relax muscles and relieve pain. The surgeon asked the patient to cough hard. At this point, the patient can tap the tender point several times with his bare hands to feel relaxed. Houdian Huantiao, Yinmen, Weizhong, Chengshan, Kunlun and other points. \x0d\\x0d\(4) supine position. Kneeling posture, hip flexion and waist exercise are adopted to increase the range of activities and quickly restore exercise. The surgeon stood by to help the patient breathe evenly, holding the patient's legs with one hand and fixing the affected shoulder with the other, bending his knees and hips, swinging up and down, and acupoints Yanglingquan and Zusanli. ? \ x0d \ x0d \ (5) is sitting. Use the method of lifting shoulders and neck to manage qi, and broaden your chest to relieve tension. The performer stands in the back, exerting his hands accordingly, lifting the shoulder and neck qi-regulating method, and relieving tension by adjusting qi with wide chest. The performer stands in the back, hands