Abstract: Objective To investigate the effect of superfine grinding “Xiaobi Zhitong San” hot compress and plus acupoint for treatment of degenerative lumbar canal stenosis in elderly patients with lumbar spinal canal stenosis and impact on the patient’s clinical symptoms,to provide reference for the clinical treatment of senile lumbar spinal stenosis. Methods From August 2013 to December 2014,60 elderly patients with lumbar spinal canal stenosis in our hospital were selected as the research object and were randomly divided into treatment group and control group with 30 cases in each group.The control group was given diclofenac treatment,the treatment group was given superfine grinding “Xiaobi Zhitong San” hot compress and plus acupoint treatment.After treatment for 4 courses,the clinical efficacy and the degree of pain were compared between the two groups. Results The total effective rate in treatment group was 86.67%,significantly higher than that (63.33%) in the control group(P＜0.05);After treatment,the two groups of patients with pain were significantly improved(P＜0.05),the degree of pain to improve the situation in the treatment group was better than control group(1.91±0.74 vs. 2.52±1.03)(P＜0.05);After treatment,the clinical symptoms in the two groups were improved significantly(P＜0.05),the treatment group of improvement of clinical symptoms was better than control group,the difference was statistically significant(P＜0.05). Conclusion The superfine grinding “Xiaobi Zhitong San” acupoint sticking therapy significantly compress with senile lumbar spinal canal stenosis and efficacy,can significantly reduce the clinical symptoms and pain levels of patients,it is worthy of attention.