You need a Chinese medicine qualification certificate, the subjects are Chinese medicine orthopedic surgery, and a doctor's practicing certificate. You can open an orthopedic clinic with both certificates. The certificate application is handled by the medical affairs department of the district health bureau. The approval content includes software and hardware. After passing the door-to-door inspection, a medical unit practice license will be issued, and the clinic can be opened on the wall. For-profit health institutions must register with the tax department, collect medical waste through specialized agencies, and make mandatory medical insurance every year.