Manipulation is an important part of the external treatment of injuries, mostly used for injuries to tendons and bones. In the “Medical Zong Jinjian – Zhengbao Xinfa Essentials”, it is said that “Manipulation means to place the injured tendons and bones with two hands so that they are still in the old.” Due to the limitations, most of the previous injury manipulation was performed without anesthesia, so it requires accurate and fast, powerful and stable manipulation, as the saying goes, “The method makes people not aware of the suddenness, and the patient knows that the bone has been closed”. It has the advantages of quick results, good efficacy and easy application, and is a summary of the experience accumulated and enriched by our working people during their long struggle with diseases. Whether orthopaedic surgeons can master its techniques and appropriate use, will be directly related to the effectiveness of good or bad, as the Qing Qian Xiuchang “injury supplement” cloud, “the doctor’s heart clear hand skill, know their conditions and make good use of the manual rule of more effective, if rashly ineffective mistake is not shallow”. Wang Peimin was taught by the famous orthopaedic and traumatology experts in Jiangsu Province, and he has gradually developed a set of unique orthopaedic and injury management techniques based on the experience of his predecessors and long-term clinical accumulation. He divides Chinese orthopedic manipulation into three major categories according to their functions and characteristics, one is inspection manipulation, the other is repositioning manipulation, the third is tendon treatment manipulation, and the use of manipulation requires “stable but strong, soft but flexible”. Director Wang commonly used twelve methods: pulling, stretching, pressing, pulling, pinching, end, lifting, pressing, kneading, shaking, shaking. Generally speaking, plucking, stretching and pressing are used for fracture repositioning, tugging, pinching and lifting are used for upper joint, and pressing, kneading and shaking are mostly used for those who have injured tendons and need manual treatment. However, there are no strict boundaries in the application of these twelve methods, regardless of whether they are applied to the bones, joints or tendons, they can be used interchangeably with each other according to the needs of the symptoms, i.e. there is no need to mechanically divide this method from the tendon manipulation, which can be used alone or in combination. It is emphasized that when applying the method, “once the disease is faced, the machine touches the outside, the skill is born inside, the hand turns with the heart, and the method comes out with the hand”.