Objective To explore the selected regulation of Tuina operation(manipulation+acupiont) for pediatric constipation, and providing a reference for pediatric constipation. Methods Randomized Clinical Trials (RCT) about Chinese Tuina for the treatment of pediatric constipation from the establishment of the repository to December 2020 were retrieved from PubMed, Web of Science, Cochrane library, CNKI, VIP, and the Wanfang database. Using the SATI, and UCINET software to analyze the frequency and support, and the visualization of the degree of Chinese Tuina for treating pediatric constipation-related operations. And Cluster analysis was performed using SPSS 26.0 software. Results A total of 874 references were screened, and 133 references were included. There were 101 Tuina operation combinations of constipation (untypable), and 94 constipation (typable) (including 48 excessive constipation, and 46 deficient constipation). The abdominal rubbing(frequency 70, support 69.3%), pushing down Qijieguo (frequency 69, support 68.3%), clearing Dachang(frequency 69, support 68.3%) had a higher degree, and the most commonly used combinations in constipation(untypable). In Constipation (typable), the clearing Dachang (frequency 40, support degree 83.3%), pushing down Qijieguo (frequency 40, support degree 83.3%), abdominal rubbing(frequency 38, support degree 79.2%), retreating sixfu(frequency 35, support 72.9%) had a higher degree and the most commonly used combinations of excessive constipation. And the supplementing Pijing (frequency 40,87.0% support), Spinal pinching (frequency 37, 80.4% support), pushing Sanguan (frequency 32,69.6% support) had a higher degree and the most commonly used combinations of deficient constipation. Conclusions The abdominal rubbing, pushing down Qijieguo, and clearing Dachang can act as a near and far combined Tuina operation whatever the syndrome differentiation of pediatric constipation is performed. In excessive constipation adjuvant treatment with retreating sixfu. In deficient constipation adjuvant treatment with the supplementing Pijing, spinal pinching, and pushing Sanguan to relieve constipation.