China pegs (floating within a range) its currency against the dollar, so that the dollar will always be a stronger currency than the yuan. This makes Chinese products cheaper in USD, which attracts consumers in the US, since China is guaranteeing the exchange rate for dollars to yuan, China ends up with USD. If things were normal China would simply use the USD to buy American goods (to be more precise, goods traded in USD including oil, which may not necessarily come from the USA). However, the trade surplus is a political goal, therefore the USD are put into the foreign exchange reserve where they are being used to buy treasury bonds. Because the money is not reaching the US economy, the US government has to either create a debt equal to the foreign exchange reserve or it can increase the money supply. If it does neither the direct result is unemployment because one person's spending is another person's income and China isn't spending.
It gets worse, because the USD is so widely adopted, transactions aren't limited to just USA <-> everyone, everyone <-> everyone is equally possible and it effectively has the same effect as the US importing products from China in regards to the deficit if the exporting side decides to purchase treasury bonds. E.g. foreign country puts the money into American companies, the investment pays off and then they use the profits to import something from China who then puts it into treasury bonds. Even though the US did nothing, the deficit must grow anyway.