To observe the clinical effects of massage combined with acupuncture on blood stasis type lumbar disc herniation. Methods:A total of 100 patients with blood stasis type lumbar intervertebral disc protrusion were randomly divided into a control group (n＝50) and an observation group (n＝50). The control group received simple acupuncture treatment,the observation group on the basis of the control group recieved spinal massage manipulation,both groups take 10 times as a course of treatment,2 consecutive courses of treatment. The changes of JOA score system (Japanese Orthopaedic Association Scores JOA),Oswestry dysfunction index,platelet count,plasma prothrombin time (PT),activated partial prothrombin time (APTT),thromboelastogram and clinical total effectsive rate,lumbar pain score (VAS),serological index and inflammatory factors were compared between the 2 groups before treatment,3 days and 10 days after treatment. Results:Massage manipulation combined with acupuncture could significantly improve the JOA score,Oswestry dysfunction index and blood coagulation state of blood stasis lumbar disc herniation,and reduce the levels of SP,NPY,IL-1 β and TNF-α in peripheral blood in a time-dependent manner. Conclusion:massage combined with acupuncture can obviously improve the symptoms of blood stasis lumbar disc herniation and regulate the hypercoagulable state of patients,which is time-dependent.