Lumbar muscle strain, as the name suggests, is a fatigue injury of the lumbar muscles. The pathological changes mainly involve local muscle spasms, adhesions, and tension in the lumbar spine, and sometimes there is some disorder in the small joints. Generally, in moxibustion treatment, the most important point is to apply moxibustion at the pain points. We can manually press to locate the most painful area or where the muscles are most tense, and apply moxibustion there, which is known as Ashi point therapy. Secondly, we can select specific acupoints in the lumbar area for targeted moxibustion. Commonly used acupoints include Mingmen, Shenshu, and Yaoyangguan. Targeted moxibustion at these points is usually quite effective.