Objective To observe the therapeutic effect of two-step six-method Tuina manipulation for lumbar disc herniation.Methods Sixty cases of lumbar disc herniation were randomized into treatment group and control group

with 30 in each.Two-step six-method Tuina manipulation was used in the treatment group and the common manipulation recorded in the 5th edition of Tuina Textbook was used in the control group.The manipulation lasted for 20 minutes each time

twice weekly

and 15 times as one treatment course.The main symptoms

signs and daily functional activities were observed before and after treatment.Results After treatment

the scores of main symptoms

signs and daily functional activities were significantly increased in both groups（P<0.05）

especially in the treatment group（P<0.05）.Conclusion Two-step six-method Tuina manipulation for lumbar disc herniation is effective

and is superior to the manipulation recorded in the textbook.