Traditional medicine’s understanding of spinal injuries can be traced back to the Spring and Autumn and Warring States Periods’ “52 Disease Formulas” and the Qin and Han Periods’ classical medical masterpiece “Yellow Emperor’s Classic of Internal Medicine”, which alone described symptoms and signs similar to those of what are known today as cervical spondylosis and lumbar intervertebral disc herniation, as well as introduced massage, acupuncture and internal and external medication, and the treatment of rotational and traction-based treatments began during the Sui and Tang Dynasties (AD) and matured in the Ming Dynasty. As for the treatment methods based on rotation and traction, they began in the Sui and Tang dynasties, matured in the Ming dynasty, and began to be introduced to Japan in the 18th century. The emergence of chiropractic treatment in foreign countries began in 1895, when D.D. Palmer, the originator of chiropractic in the U.S., performed manipulative treatment of rotating joints and relaxing muscles for a patient who was suffering from deafness, and inadvertently solved the patient’s problems and gradually developed the treatment. Since then, due to the combination of Chinese and Western medicine chiropractic manipulation treatment of spine-related disorders clinical efficacy is accurate, reliable, in Europe and the United States has been widely used and development. 1, the concept of chiropractic manipulation chiropractic manipulation is through the standardized and skillful manipulation, targeted geoshun paraspinal soft tissues or correction of intervertebral joint instability, so that the stimulated nerves, blood vessels and so on to restore the normal function to achieve the purpose of treatment of spine-related diseases. The so-called spine-related diseases refer to the cervical, thoracic and lumbar vertebrae, bones, joints, intervertebral discs and soft tissues around the vertebrae suffer from injury or degenerative changes, under certain causative conditions, the occurrence of vertebral joint subluxation, intervertebral disc protrusion, ligamentous calcification or osteophytes, directly or indirectly on the nerve roots, vertebral arteries and veins, spinal cord or sympathetic nerves to produce stimulation or compression, resulting in a variety of clinical syndromes, and often lead to the development of the phytotonic nerve This often leads to vegetative nerve dysfunction, which in turn leads to diseases in the innervated organs. It is well known that chiropractic manipulation is effective in treating cervical and lumbar spondylosis, which are spine-related diseases. Besides, chiropractic can also be used in respiratory, circulatory, digestive, genitourinary, endocrine and neurological disorders related to the spine. Such as respiratory system of asthma, bronchitis; circulatory system of cervical coronary heart disease, arrhythmia; digestive system of gastric pain, eructation, constipation; genitourinary system of male infertility, urinary anomalies; endocrine system of diabetes mellitus, neurological cervical headache, cervical vertigo, etc.; Pentacenteric pharyngolaryngolaryngolaryngolaryngitis and other rhinitis. In terms of preventive health care, it can also be used for the prevention and treatment of sub-health state. Therefore, chiropractic treatment provides a new diagnosis and treatment idea for the prevention and treatment of various chronic and difficult diseases. 2, chiropractic manipulation chiropractic manipulation is one of the main therapeutic means of treatment of spine-related diseases, there are often bone and joint type of manipulation (such as spinal rotation reset method, thoracic vertebrae palms against the press reset method, thoracic vertebrae top of the knee reset method, lumbar vertebrae diagonal wrench reset method, lumbar vertebrae backward extension wrenching method, single hip overflexion reset method, single hip over-extension reset method and so on) and soft tissue type of manipulation (such as split tendon manipulation, tendon manipulation, calming manipulation and so on) of two major categories. Traditional medicine for chiropractic manipulation there are many kinds of techniques, Wei Yizong research that traction method, suspension method, rotation method, oblique trigger method, the whole basin method, over-extension method of flexion method and massage massage is the main traditional Chinese medicine chiropractic techniques. After generations of scholars summarize and collate, now the clinical application of chiropractic manipulation of more than hundreds of methods, such as Zhang Mengqiang summarized and collated Zhang Kejian’s effective chiropractic manipulation of the 64 secret method, especially stressed that should be based on the person, due to the disease, due to the part of the identification of the application of the method. 3.1 Excluding general contraindications to chiropractic manipulation Chiropractic has become another major cause of spinal injuries in recent years. Although chiropractic is not as invasive as surgery, chiropractic is in fact a means of correcting spinal abnormalities through the giving of power, exerting both mechanical and biological effects so as to achieve the purpose of treating diseases. Therefore, manipulation should be used with caution for patients who are old and weak, highly osteoporotic, women during pregnancy, localized infectious foci and severe organic lesions of the heart, liver, lungs and kidneys. Wei Yizong discussed in detail the indications and contraindications of the eight traditional chiropractic methods to ensure safe and effective manipulation. If chiropractic manipulation is not done properly, it will lead to the serious consequences of “minor injuries and serious disabilities”. For example, it has been reported that an elderly male patient with cervical spondylosis suffered shock when he performed the oblique wrench method; it has also been reported that an elderly woman with a history of heart disease died of acute left heart failure when she performed the oblique wrench method on her neck. In addition, chiropractic manipulation of patients with acute infectious diseases, malignant tumors and osteoarticular septic inflammation should be prohibited. 3.2 Clear diagnosis, do a good job of pre-treatment assessment before chiropractic must be a clear diagnosis of the location, the nature of the disease and the application of bone and joint movement biomechanical state for a comprehensive assessment, and further exclude the contraindications to chiropractic massage, otherwise it will lead to the occurrence of massage accident. For example, there are reports of atlantoaxial dislocation, cervical 3 spinous process fracture, cervical 4 transverse process fracture and paraplegia with spinal cord injury due to the misuse of strong oblique wrenching of the neck in case of falling pillows. Second, the overall condition of the patient’s body should also be assessed for safety, such as checking the blood and pulse to ensure the safety and effectiveness of chiropractic manipulation. For example, when cervical spondylosis treatment is performed, if there is sclerosis of the vertebral arteries, the plaque formed by atherosclerosis will be dislodged and is likely to enter the brain along with the blood flow, blocking the small blood vessels in the brain and causing a stroke. Therefore, without detailed pre-treatment assessment, the risk of stroke will increase. 3.3 Chiropractic manipulation should be stable, accurate, light and skillful The so-called “stable” means that before chiropractic manipulation, the contraindications of manipulation should be excluded, and appropriate manipulation should be selected according to the condition and location of the disease, so as to ensure safety and effectiveness. The so-called “accurate” means that the strength of the manipulation should be directed to the place of disease to ensure that the manipulation is effective. According to the research of Jing Fu Jie and other researchers, fixed-point chiropractic manipulation is better than conventional massage in improving plasma endothelin in patients with vertebral artery-type cervical spondylosis. In order to ensure that the strength penetrates and reaches the place of disease, Hu Zhuliang uses elbow force to restore the disorder of small joints of thoracic vertebrae by letting the patient inhale and then exhale, and then presses the lateral bending spinous process with elbow force at the end of exhalation to reset it. The so-called “skillful” refers to the operation of the manipulation, should be smooth and natural, in accordance with the situation, to avoid hard and rough, that is, the use of skillful force, to soften the hard, in order to win by skillful, the so-called “four two pushes a thousand jin”. Mao Zhongqing believes that the size of the force should be differentiated according to the patient’s age, physical strength, duration of the disease, degree of scoliosis, etc.; when pulling and stretching, it should be slow and forceful, gradually pulling, and when pushing and pressing, it should be appropriately forceful, soft and rigid, and it should not be violent and violent. Any violence is a chiropractic manipulation of the taboo, if the heart of luck, eager to achieve will inevitably lead to serious consequences. There are reports that violent massage lumbar vertebrae to double lower limb incomplete paralysis as the main manifestation of cauda equina injury; violent massage treatment of lumbar intervertebral disc herniation led to multiple lumbar intervertebral disc prolapse and paraplegia. The so-called “fast” refers to the “trigger point” as the timing of force, requiring “inch strength” force, emphasizing the rapid release and rapid recovery. 3.4 Bone first muscle, tendon and bone, traditional medicine especially emphasizes the importance of tendon and bone in chiropractic care. Zhang Xuejun and others used the fixed-point reset method to treat the small joint subluxation of the spine to achieve good results, especially the strong adjustment of the spine before the application of loose tendon manipulation is the basis for the success of the restoration. Some scholars [10] through the loose spine, pressure spine, dial spine and pull spine manipulation treatment of cervical intervertebral disc herniation has also achieved good results. FuYuKun, etc. using spinning, pulling, wrenching, vibration, pressure for the whole bone; application of loose spine, spine, solid spine three methods aimed at loosening the tendons, correcting the spine inside and outside the balance of instability, so as to achieve the purpose of lumbar intervertebral disc herniation, and the therapeutic effect is significantly better than the control group. 3.5 Identifying the symptoms and applying the method The “Suwen: Tuning up the channels” says, “If the disease is in the tendons, then adjust the tendons; if the disease is in the bones, then adjust the bones,” which emphasizes the importance of identifying the symptoms and applying the method. First of all, different chiropractic manipulation is appropriate due to different conditions. Shu Qian and others believe that the use of different chiropractic methods to correct the disorders of the thoracic vertebral small joints is the key to eliminating the clinical symptoms of the different directions of the distorted spinous processes. Wang Bin and other researchers also believe that chiropractic manipulation should be applied in a discriminatory manner, and according to the location and degree of misalignment, different points and angles should be chosen to correct the misalignment of the tendons and bones with a light force. At the same time, due to the different conditions, it is appropriate to take different positions for chiropractic. For example, Ge Jirong et al. believe that flexion chiropractic manipulation for lumbar spinal stenosis is an effective and feasible method. In the treatment of vertebral artery-type cervical spondylosis, lying chiropractic is better than the control group in improving the symptoms and function of cervical vertigo, and there is no adverse reaction. It was analyzed that in the lying state, the load on the cervical spine is minimized, the pressure on the intervertebral discs is reduced by 50% to 80% compared with the upright position, and the muscles of the neck are in a completely relaxed state, which is conducive to the operation of the medical practitioner. In addition, the effect of horizontal traction on the patient’s neck is more direct and effective compared with the traditional Chinese traditional massage in which the neck is extracted and stretched in a seated position. When rotational reset is performed after horizontal traction, the pressure in the nucleus pulposus of the cervical vertebrae decreases significantly, which is not easy to cause further protrusion of the nucleus pulposus, and the clinical use may be safer and more reliable. Secondly, due to the different pathological stages of the same disease, chiropractic should also be differentiated to ensure safety and effectiveness. For example, Zhang Shenghu and other researchers believe that in the acute stage of lumbar disc herniation, especially in patients with simple low back pain, it is appropriate to use both hands to separate the rotary reset method; while for the chronic stage or patients with a longer course of disease, it is appropriate to use the leg lifting and waist reset method. Furthermore, due to the different parts of the lesion, different chiropractic methods should be adopted. Zhou Honghai et al. found that different chiropractic manipulation techniques were used according to different segments to treat nerve root cervical spondylosis, which had obvious efficacy than simply applying one kind of adjusting technique. 4. Conclusion At present, there are many spine-related diseases reported in the literature at home and abroad, and the scope of lesions involves many systems such as neurological, digestive, respiratory, urinary, reproductive, endocrine, circulatory, and locomotor systems. Chiropractic treatment of spine-related diseases has achieved good therapeutic effects, and has also opened up new diagnostic and therapeutic ideas for many difficult internal medicine diseases, which is worthy of clinical promotion and learning. However, the application of chiropractic manipulation has strict indications and contraindications, and it is necessary to master the operating principles of chiropractic manipulation, make a clear diagnosis, exclude contraindications, and carry out a comprehensive assessment before treatment in order to ensure the safety and effectiveness of chiropractic manipulation. Therefore, how to combine traditional chiropractic experience with modern medical knowledge such as anatomy and sports biomechanics to make it more standardized and scientific is an important topic to be studied in the future.