The invention discloses an active-passive wearable rehabilitation training manipulator. The active-passive wearable rehabilitation training manipulator comprises an outer box body and thumb and four-finger rehabilitation training systems which are arranged on the two sides of the box body respectively and connected with the inner wall through multi-rod and gear systems respectively, and a mirror is installed between manipulator bodies which are arranged on the two sides in parallel in a certain angle; each manipulator body is connected with the joints of the five fingers of the corresponding hand, the contact ends are provided with pressure sensors, movement of the thumb and four-finger rehabilitation training system on one side is driven by the manipulator body on the other side in the mode that power is transmitted and changed through the corresponding multi-connecting rod and gear system, and then the hand on one side of a patient can drive the hand on the other side to synchronously do active-passive rehabilitation training. According to the active-passive wearable rehabilitation training manipulator, the weight is borne by the inner wall of the box body, an environment-friendly light material is adopted, and therefore not only can the burden be made to the patient, but also the cost is reduced; the advantages of being ingenious in structure, safe in operation, convenient to operate and easy to achieve are achieved, and comprehensive and efficient rehabilitation treatment can be achieved by means of the mirror neuron theory through ingenious and complicated rehabilitation training actions of the hands.