To observe the clinical effects of traditional Chinese herbal medicine combined with acupuncture in treatment of patients with degenerative lumbar spinal stenosis. Methods:A total of 129 patients with degenerative lumbar spinal stenosis who were diagnosed in our hospital from September 2015 to August 2016 were randomly divided into control group and 3 treatment groups including TCM treatment group, acupuncture treatment group and combination therapy group. The control group was treated with anti-inflammatory and analgesic medicines, and the Chinese medicine group used the syndrome differentiation treatment of traditional Chinese medicine. The acupuncture group was treated with ordinary acupuncture, and the combination group accepted the both treatments above. Therapeutic effects of each group were compared. Results:The efficacy rates of all the 3 treatment groups were better than the control group, and the differences were statistically significant. Combined treatment group was superior to single therapy. The acupuncture was suitable to the qi deficiency and blood stasis. As for Yin deficiency or Yang deficiency people, traditional Chinese medicine is better than acupuncture. Conclusion:Traditional Chinese herbal Medicine and acupuncture can significantly alleviate the symptoms of patients with degenerative lumbar spinal stenosis, and combination therapy is superior to single therapy. According to the specific circumstances of patients, the appropriate treatment can be used to improve the efficacy, and reduce the side effects.