[目的]探讨吕立江教授应用改良扩胸对抗扳法治疗胸椎错缝症的临床经验。[方法]从胸椎错缝症的发病特点、胸椎解剖结构的特异性及定位诊断与改良手法等方面阐述吕立江教授治疗胸椎错缝症的独到见解和临床经验,总结吕教授应用改良扩胸对抗扳法治疗胸椎错缝症的独到技术与其发明专利的临床应用,并以典型案例佐证。[结果]吕教授认为治疗胸椎错缝症要立足于胸椎的结构解剖,明确诊断,辨证施术,不可千篇一律。治疗上运用改良扩胸对抗扳法治疗胸椎错缝症,提高了手法整复的精确性和成功率。所举案例,成功验证。[结论]吕立江教授治疗胸椎错缝症注重手法创新,经验独到,疗效显著,给临床治疗提供了新的方法与途径,值得学习与临床推广运用。
[Objective]To investigate the clinical experience of Professor LV Lijiang applying "expanding chest counterwork pulling manipulation" to treat dislocation of thoracic vertebrae.[Method] Elaborate Professor LV Lijiang+s unique insights and clinical experience on treating dislocation of thoracic vertebra in terms of the characteristics of thoracic staggered joint disease, the specificity of the thoracic anatomical structure and positioning diagnosis and improved techniques, and summarize his unique technique and the clinical application of his patent using improved expanding chest counterwork pulling manipulation, and use typical cases to support. [Findings] Professor LV believes that the treatment of dislocation of thoracic vertebra should base on the thoracic anatomic structure, a clear diagnosis, and use different manipulation according to specific condition. No persistent manipulation is not recommended. The treatment of dislocation of thoracic vertebra using improved expanding chest counterwork pulling manipulation may improve the accuracy and success rate of manipulation. The enumerated cases have been successfully verified.[Conclusion]Professor LV Lijiang focuses on innovative approach to treat dislocation of thoracic vertebra, and has unique experience with remarkable therapeutic effects, providing a new method and approach, thus it is worth studying and extending for its clinical application.