River regulation and river training have been performed for various purposes and negative effects have been shown in numerous cases. In some cases the negative effects are so serious that humans have to consider to “renaturalize” the regulated rivers. Only by using the strategy of integrated river management the diverse river uses and natural fluvial processes and ecological systems may be harmonized. Based on analysis of case studies and data collected from literatures this paper presents the concept of integrated river management and four principles of river training. The integrated river management comprises: 1) taking the watershed, upper stream basin including the tributaries, middle and lower reaches and the estuary as an integrated entity in the planning, design and management; and 2) mitigating or controlling the negative impacts on hydrology, erosion and sedimentation, fluvial processes, land use and river use, environment and ecology while in achieving economic benefit from water resources development, flood safety management and hydropower exploitation. River training and management should be in accordance with the four principles: 1) extending the duration of river water flowing on the continent, which may be achieved by extending the river course or reducing the flow velocity; 2) controlling various patterns of erosions and reducing the sediment transportation in the rivers; 3) increasing the diversity of habitat and enhancing the connectivity between the river and riparian waters; and 4) restoring natural landscapes. River regulation and river training have been performed for various purposes and negative effects have been been shown in numerous cases. In some cases the negative effects are so serious that humans have to consider to “renaturalize” the regulated rivers. Only by using the strategy of integrated river management the diverse river uses and natural fluvial processes and ecological systems may be harmonized. Based on analysis of case studies and data collected from literatures this paper presents the concept of integrated river management and four principles of river training. includes: 1) taking the watershed, upper stream basin including the tributaries, middle and lower reaches and the estuary as an integrated entity in the planning, design and management; and 2) mitigating or controlling the negative impacts on hydrology, erosion and sedimentation, fluvial processes, land use and river use, environment and ecology while in achieving economic benefit from water resources development, flood safety management and hydropower exploitation. River training and management should be in accordance with the four principles: 1) extending the duration of river water flowing on the continent, which may be achieved by extending the river course or reducing the flow 2) controlling various patterns of erosions and reducing the sedimentary transportation in the rivers; 3) increasing the diversity of habitat and enhancing the connectivity between the river and riparian waters; and 4) restoring natural landscapes.