TCM massage therapy is a traditional and effective physical therapy method. It has unique advantages in clinical practice. It can make up for the deficiencies of drug treatment for many diseases and injuries, and has an irreplaceable effect. Massage is the combined effect of treatment sites and techniques. The accident happened mainly because some medical practitioners were eager to be effective, did not pay attention to the treatment site and technique, the curative effect was not obvious, and increased the suffering of the patient and endangered the health of the patient. This article attempts to analyze the accidents in the massage manipulation from the difference of the treatment site and the method, summarize the causes of the injury, and clarify the operation points, in order to guide the safe manipulation of massage.