Summary of case history ,Mr. CHEN, male, 63 years old, waist soreness, pain 10 years, aggravated 1 week. Ten years ago, the patient developed soreness and pain in the waist after fatigue. The lumbar CT examination in the local hospital showed 'lumbar disc herniation', and the symptoms were relieved after acupuncture, massage and other treatments. After that, the symptoms were aggravated in every case of labor, and relieved after rest. One week ago, the symptoms recurred due to bending and weight-bearing, with numbness of both lower extremities. After receiving the patient on December 8, 2021, he saw the patient 's waist soreness, pain, numbness of both lower limbs, insomnia, general appetite, pale red tongue and fat, white and thick moss, pulse string.Professor ZHANG Xikui identified this case as the syndrome of deficiency of Qi and collaterals and deficiency of liver and kidney. The treatment was based on the method of Invigorating Qi and dredging collaterals and supplementing liver and kidney. He proposed to add and subtract the prescription of Invigorating Qi and dredging collaterals, and all the symptoms were removed after treatment.,TCM diagnosis ,lumbago (Syndrome of Qi deficiency, collateral stasis, and deficiency of liver and kidney),Western medicine diagnosis ,Lumbar disc herniation.,Therapeutic methods ,Modified Buqi Tongluo Prescription for 42 days.,Clinical outcomes ,All symptoms such as low back pain have disappeared and no recurrence has occurred.