Abstract： This article introduces Professor WU Shan's clinical experience in treating lumbar disc herniation （LDH） in the elderly based on precise massage. In the view of Professor WU Shan，the root etiology and pathogenesis of LDH in the elderly lie in liver-kidney deficiency，and biomechanical imbalance of tendons and bones， and the main contributors include stumbling and exhaustion， and invasion of pathogenic wind-cold-damp into the meridians and collaterals. In clinical practice，he advocates precise massage，precise diagnosis to identify indications and contraindications for treatment， and Chinese herbal medicinals taken orally and externally for precise treatment， which can render favorable clinical outcomes.