〔Abstract〕 Objective To study the effects of herbal fumigation combined with tibial-clipping and elbow-pushing and kneepulling tuina technique on gait and pain degree of knee osteoarthritis patients. Methods A total of 150 patients with knee osteoarthritis admitted to Nanjing Hospital of Traditional Chinese Medicine from July 2020 to March 2022 were randomly divided into control group and observation group, with 75 patients in each group. Control group was treated with tibial pinch, elbow and knee holding technique, observation group was treated with traditional Chinese medicine fumigation combined with tibial pinch, elbow and knee holding technique on the basis of control group. The clinical efficacy, TCM syndrome score before and after treatment, visual analogue pain scale (VAS), (Lysholm) score, gait parameters (stride length, stride speed, stride frequency, gait cycle) and muscle strength of the two groups were compared. Results The curative effect of the observation group was higher than that of the control group. Traditional Chinese medicine (TCM) syndrome score and visual analogue scale (VAS) score in the observation group were lower than those in the control group, and Lysholm knee score scale (LKSS) score was higher than those in control group. The observation group gait cycle was shorter than the control group, and the stride length, stride speed and stride frequency were higher than the control group. Peak torque (PT) values of knee flexion and knee extensor muscles in the two groups were higher than before treatment, and PT values of knee flexion and knee extensor muscles in the observation group were higher than control group after treatment, the differences were statistically significant (P < 0.05). Conclusion Herbal fumigation combined with tibial-clipping and elbow-pushing and knee-pulling tuina technique have significant curative effect in the treatment of knee osteoarthritis patients, which can effectively relieve clinical symptoms, improve gait parameters and improve muscle strength.