Abstract：Objective：To observe the clinical effect of warm needling and moxibustion combined with tuina for chronic lumbar muscle strain. Methods：A total of 100 cases of patients with chronic lumbar muscle strain were selected and divided into the study group and the control group according to the random number table method，with 50 cases in each group. The control group was treated with tuina. And the study group was treated with warm needling and moxibustion combined with tuina. Differences in clinical effects， physical sign scores， Chinese medicine syndrome scores， back muscle strength， lumbar endurance time，Oswestry dysfunction index(ODI) and Visual Analogue Scale(VAS) scores were compared between the two groups. Results： The total effective rates in the study group after one， two and four courses of treatment were higher than those in the control group，the difference being significant(P＜0.05). Before treatment，there was no significant difference being found in the comparison of physical sign scores，Chinese medicine syndrome scores，back muscle strength and lumbar endurance time between the two groups(P＞0.05). After treatment，physical sign scores and Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment，and the two scores in the study group were lower than those in the control group(P＜0.05)；back muscle strength and lumbar endurance time in the two groups were increased when compared with those before treatment， and the two indexes in the study group were higher than those in the control group(P＜0.05). Before treatment， there was no significant difference being found in the comparison of scores of VAS and ODI between the two groups(P＞0.05). After treatment，scores of VAS and ODI in the two groups were decreased when compared with those before treatment，and the two scores in the study group were lower than those in the control group，the difference being significant(P＜0.05). Conclusion：Warm needling and moxibustion combined with tuina has a significant effect in the treatment of chronic lumbar muscle strain，which can relieve lumbar pain and improve lumbar dysfunction.