Background: Although there is a long history of the use spinal manipul
ation in China, little has been formally written on this topic. Object
ive: To discuss the history and status of Chinese spinal manipulation.
Discussion: This article describes the history of Chinese spinal mani
pulation as revealed through past formal textbook publications on this
topic, along with journal articles describing both the basic science
foundation and clinical applications of such manipulation. In addition
, the current status of Chinese spinal manipulation is described. Conc
lusion: There is a long history of the use of spinal manipulation thro
ughout China, though some basic problems of application remain. Curren
t research may help to resolve these problems.