To explore the clinical study of blood letting puncture combined with“Tongji”electroacupuncture in the treatment of lumbar disc herniation.

From January 2022 to January 2023，88 patients with lumbar disc herniation were selected from the acupuncture and moxibustion department of the hospital. According to the treatment method，the patients were divided into an observation group（48 cases）and a control group（40 cases）. The control group was treated with traditional conventional acupuncture，while the observation group was treated with blood letting puncture and“Tongji”electroacupuncture for lumbar disc herniation. The changes of pain visual analogue score（VAS），Japanese Orthopaedic Association（JOA）score，bradykinin（BK），substance P（SP），Fas-FasL factor in peripheral venous blood，clinical efficacy，and serum inflammatory factor interleukin-6（IL-6），tumor necrosis factor-α（TNF-α），C-reactive protein（CRP）and Oswestry disability index（ODI）before and after treatment between the two groups were observed and compared. There was no obvious difference in the levels of SP，BK or Fas-FasL between two groups before treatment（P>0.05）. After 7 and 14 days of treatment，the levels of SPand BK in the serum of the observation group were obvious lower than those of the control group（P<0.05）. After 7 and 14 days of treatment，there was no obvious difference in Fas-FasL between two groups（P>0.05）. There was no obvious difference in VASbetween two groups before treatment（P>0.05）. After 7 and 14 days of treatment，the VASscore of the observation group was obvious lower than that of the control group（P<0.05）. There was no obvious difference in JOA between two groups before treatment（P>0.05）. After 7 and 14 days of treatment，the JOA score of the observation group was obvious higher than that of the control group（P<0.05）. The total effective rate of the observation group（97.92%，47/48）was higher than that of the control group（82.50%，33/40），and the difference was obvious（P<0.05）. The levels of IL-6 and TNF-αin two groups before treatment. There was no obvious difference in CRP（P>0.05）. The levels of IL-6，TNF-αand CRPof the observation group after treatment were significantly reduced compared to those of the control group（P<0.05）. There was no obvious difference in ODI between two groups before treatment（P>0.05）. After treatment，the ODI score of the observation group was obvious lower than that of the control group（P<0.05）.

Acupuncture and blood letting puncture combined with“Tongji”electroacupuncture significantly improved the patients'quality of life，increased the levels of BK and SP，reduced treatment cycles and significantly lowered the levels of inflammatory factors.