Exploring the Distribution Patterns and Infrared Characteristics of Force-sensitive Acupoints in Different Lumbar Nerve Segments in Patients With LDH Based on "Press Quickly" Theory

Inclusion Criteria:

• Age range of 18 to 65 years, regardless of gender.
• Radiological confirmation of central type L4~L5 intervertebral disc herniation.
• Meeting the diagnostic criteria for lumbar disc herniation, primarily manifesting aslower back pain, radicular pain, and numbness or weakness in the lower limbs, withimaging findings consistent with neurological localization.
• Patients in the non-acute phase of mild to moderate pain and functional impairment (onset more than 2 weeks ago), with a visual analog scale (VAS) score greater than 4points and a Japanese Orthopaedic Association (JOA) score less than 15 points.
• No consumption of analgesics, neurotrophic drugs, or sedatives, and no systemictreatment in the past week.
• Willing participants in the study who have signed an informed consent form.

Exclusion Criteria:

• Concomitant internist and gynecological diseases that can cause lower back pain, suchas nephritis, urinary tract stones, gynecological inflammations, and uterinepathologies.
• Individuals with severe primary diseases of the cardiovascular, cerebrovascular,liver, kidney, etc.
• Patients with neurosis or psychiatric disorders, or those with a history of cranialtrauma or coma.
• Patients with primary or ankylosing sciatica.
• Individuals with concomitant lumbar spondylolisthesis.
• Patients with lumbar spine tumors or tuberculosis.
• Individuals with consciousness disorders, severe impairments in vision, hearing, orspeech, or any other condition that prevents the completion of a health assessment.