Objective To explore the clinical curative effect of treating chronic lumbar muscle strain with skin theory guidance of Acupuncture． Methods Selected 60 cases of patients with chronic lumbar muscle strain Xianlin area， 60 patients with chronic lumbar strain， who were in accordance with the accepting criteria， were randomly divided into trial group and control group. The control group was treated with conventional acupuncture treatment， trial group used along the prickles and Pinefa treatment， compared the effect of treatment in the two groups after four courses of treatment. Results After treatment， the control group total efficiency of 76.6%， trial group， the total efficiency of 93.3%. The comparison between the two groups， the trial group， the total effective rate was significantly higher than the control group， the difference was statistically significant（P<0.05）. Conclusion The cure rate using skin theory guidance of acupuncture in the treatment of chronic lumbar muscle strain is 16. 7% higher than that of routine acupuncture， the effect is more obvious， and the operation is simple and convenient， less pain， is worth the clinical promotion.