The manipulating methods among the traditional needling manipulation other than lifting-thrusting and twirling are analyzed, their manipulations and curative effect are explored in combination with acupotomy. It is believed that there's a certain kind of prizing manipulation, which plays an important part in elasatolysis, circulation of qi promotion and arrival of qi stimulation. The elastic and flexible characteristic of modern acupuncture needle has made it difficult to play the role of prizing puncture. On the contrary, the high stiffness and inflexible needle like acupotomy and leverage needle can effectively complete the prizing puncture.