Objective To compare the clinical efficacy of rehabilitation care combined with acupuncture and monotherapy with moxibustion in treating lumbar disc herniation (LDH) with a view of providing evidence for clinical application of acupuncture combined with rehabilitation care for LDH. Methods The Cochrane systematic review was used to search for and retrieve the literature on the clinical efficacy of rehabilitation care combined with acupuncture and moxibustion for LDH in the databases of CNKI, VIP, SinoMed, PubMed and Cochrane Library as of February 2019. The literature was screened and the data were extracted independently by 2 researchers according to the inclusion and exclusion criteria. A meta-analysis was conducted using Comprehensive Meta-Analysis V2. Results A total of 16 randomized controlled studies were included, involving 1504 patients. The meta-analysis with fixed effect model showed that, compared with monotherapy, rehabilitation care combined with acupuncture resulted in a higher total effective rate and cure rate for LDH, the difference being statistically significant (RR total effective rate =1.197,5%CI 1.151-1.245, P<0.001; RR cure rate =1.347,5%CI 1.225-1.541, P<0.001). Egger test and Begg test suggested no significant publication bias. Conclusion Rehabilitation care combined with acupuncture has definite efficacy for LDH and can significantly improve the quality of life of the patients. It is worthy of clinical application.