Thoracic spine misalignment can be treated by the following methods: First, the patient sits on a bed or chair, the operator uses the thumb to find the swollen and distorted thoracic spine next to the spinous process, make the patient lower the head and contain the chest, the other hand grasps the patient’s shoulder and arm angle to rotate the spine to the left or right, while pushing the spinous process in the opposite direction of the distorted spinous process, there is a slight sensation of movement or joint sound under the thumb, once a day, 15 days as a course of treatment. Secondly, the patient takes a sitting position, the operator stands behind the patient, grasps both sides of the patient’s shoulder and arm angle with both hands, while making the patient rotate the spine to the left or right, the operator uses the knee joint to hold the thoracic vertebrae swollen and distorted next to the spinous process, and presses in the opposite direction, with both hands and knee joints exerting force to the center, with a slight moving sensation or joint sound under the knee, once a day, 15 days is a course of treatment.