Objective To investigate the application effect of pestle needle combined with packets for hot compress on patients with blood stasis type lumbar disc herniation. Methods A total of 65 patients with blood stasis type lumbar disc herniation who were treated at the Suining Municipal Hospital of TCM,Daying Hospital of TCM and Shehong Municipal Hospital of TCM from December 2022 to April 2024 were selected, and randomly divided into the control group (n=21), the observation group 1 (n=22) and the observation group 2 (n=22). All groups were given conventional treatment. On this basis, the observation group 1 was treated with traditional Chinese medicine packets for hot compress, and the observation group 2 was treated with pestle needle on the basis of the observation group 1. All were treated for 2 weeks. Clinical effects and changes in pain degree, condition of lumbar vertebra and activities of daily living were analyzed. Adverse events in the three groups were statistically analyzed. Results The total clinical effective rates of the three groups were 66.67%, 86.36% and 95.45% (P＜0.05). After 2 weeks and 3 months of intervention, the Visual Analogue Scale (VAS) scores of all groups decreased. The Japanese Orthopedic Association (JOA) scores for low back pain and Barthel Index (BI) scores increased. Meanwhile, VAS scores of the observation group 2, the observation group 1 were lower than in the control group(P＜0.05) while BI and JOA were higher than in the control group(P＜0.05). VAS scores in the observation group 2 were lower than in the observation group 1 and BI scores and JOA scroes were higher than in the observation group 2 (P＜0.05). No adverse events occurred in either group during treatment.Conclusion The packet for hot compress is effective to treat blood stasis type lumbar disc herniation. Its combined use with pestle needle can alleviate pain, restore lumbar function, and improve activities of daily living more effectively, with good safety