1. Wrenching Shoulder While Pressing Back
The patient is in the prone position. The practitioner stands by the side where the spinous process of the suffered segment is projected, props the spinous process with the pisiform of the wrist which is near the suffered side of the patient, grasps the opposite shoulder to pull it backward so that the thoracic vertebrae is extended and twisted to its limited position. Then the two hands move coordinately to expand the twisting range 3 to 5 degrees with one hand wrenching the shoulder and the other thrusting the spinous process. A restoration sound can be heard. This manipulation is applicable to restoring the facet joint subluxation above the T8 as well as the subluxation of costospinal joints (Fig 241). Click to read Pulmonary Heart Disease">Chronic Pulmonary Heart Disease in TCM.
2. Wrenching Pelvis While Pressing Back
The patient is asked to keep in the same posture as the above. The practitioner props the projected spinous process of the suffered segment with the pisiform that is Heal-the rostral side of the patient, grasps the opposite anterior superior iliac spine to pull it backward. Thus the spine is extended and twisted to its limited position．Then tlle two hands move coordinately to expand twisting range 3 to 5 degrees with ol'le hand making a sudden wrenching and the other thrusting the spinous process at the superior anterior direction to the patient segment can be restored．This manipulation is applicable to the subluxation of the facet joints and the costo-spinal joints below the T6 (Fig 242)．
3. Rotating—Wrenching Thoracic Vertebrae on Selected Site
The patient sits on the clinical bed with astride posture, puts his hand of the healthy side in front of the chest. Standing by the patient’s laterior posterior side, the practitioner presses the nape with one hand that passes through the patient’s opposite armpit and shoulder, while the thumb of the other hand touches the projected spinous process. Then the practitioner flexes the patient’s the lumbar to the level at which the space of spinous processes of the suffered segment is opened, then the spine is rotated to the elastic barrier position. The practitioner makes a sudden and controlled wrenching to expand rotation range 3 to 5 degrees. In the meanwhile the thumb is thrusting the spinous process medially and superiorly to get subluxation restored (Fig 243). This manipulation is applicable to the subluxation of the thoracic vertebrae below the T8. Click to read TCM Treatment for Pulmonary Heart Disease.
4. Thrusting-Wrenching Thoracic Veflebrae in Sitting Position
The patient sits on a clinical bed in astride posture with his two legs separated on two sides of the bed to fix the pelvis and the arms crossed in front of the chest to hold the opposite shoulders．Standing by the patient’s healthy side, the practitioner grasps the patient’s shoulder of the suffered side with one hand which passes in front of the chest and touches against the suffered costal angle with the pisiform of the other hand. Then the practitioner rotates the spine directed to the healthy side and pulls the spine upward slightly to loosen the costovertebral joints．As the elastic barrier position is attained,the practitioner makes a sudden and controlled wrenching to expand rotation range 3 to 5 degrees, in the meanwhile thrusts with the palm root at the antero-latero-superior direction to the patient to cause restoration(Fig 247)．This manipulation is applicable to the reduction of costoverebral joint above the T8. Click to read Polyarteritis Nodosa in TCM.