Abstract： Objective： Based on the idea of Chinese medicine chiropractic， to construct a chronic disease management model， and to observe the effect of this model on scores of Oswestry Disability Index (ODI) and Visual Analogue Scale (VAS) in patients with degenerative lumbar spinal stenosis (DLSS). Methods： A total of 80 DLSS patient clinical data undergoing conservative treatment of chiropractic were given a retrospective analysis， and divided into the control group and the observation group according to their different chronic disease management methods，with 38 and 42 cases in each group respectively. The control group was given routine follow- up management， and the observation group was given chronic disease management of Chinese medicine chiropractic. Both groups were given 6 months follow-up，and the scores of ODI and VAS were compared before and after enrollment between the two groups. Results： Before enrollment，there was no significant difference being found in the comparison of scores of VAS and ODI between the two groups (P＞0.05). Six months after enrollment， the scores of VAS and ODI in the observation group were lower than those before and after one month (P＜0.05)，and showed a downward trend， differences being significant (P＜0.05)， and the two scores were lower than those in the control group；there was no significant difference being found in the comparison of VAS scores before and after one month in the control group (P＞0.05)，and the ODI scores were decreased when compared with those before and after one month (P＜0.05). Conclusion： Constructs a characteristic chronic disease management model of Chinese medicine chiropractic and applies it to the follow-up management of DLSS patients，which has certain advantages in improving spinal function and reducing lumbar pain.