Left Click the Hand to Move the Pill
Right Click the Pill to Rotate it
Press C then click on the Two Pills you wish to Swap around. (When available)

Each level you only get to move one hand, when it stops moving, the rest move.

https://www.youtube.com/watch?v=pYeVHbKEwas

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https://psteamcommunity.yuanyoumao.com/sharedfiles/filedetails/?id=2880052179