Abstract：Objective：To observe the curative effect of tuina reconstructive techniques combined with therapeutic manipulation for tendon injury on chest jia ji for cardiac discomfort caused by thoracic facet joint disorder. Methods：A total of 84 patients with cardiac discomfort caused by thoracic facet joint disorder admitted to Taizhou Traditional Chinese Medicine Hospital from January 2020 to May 2022 were divided into the control group and the observation group according to the random number table method，with 42 cases in each group. During the process，one case was excluded from the observation group and seven cases were excluded from the control group，resulting in 41 cases in the observation group and 5 cases in the control group. The control group was treated with tuina reconstructive techniques，while the observation group was treated with tuina reconstructive techniques combined with therapeutic manipulation for tendon injury on chest jia ji. Both groups were treated for four weeks. Compared the clinical effects， incidence of adverse reactions，and recurrence between the two groups. Compared the changes in Visual Analogue Scale （VAS） scores of pain， symptom scores， cervical vertebra activity， degree of spinal deviation， interleukin-6 （IL-6）， interleukin- 1β （IL-1β）， tumor necrosis factor-α （TNF-α）， prostaglandin E2 （PGE2）， β-endorphin （β-EP）， substance P（ SP），5-hydroxytryptamine（ 5-HT），nerve growth factor（ NGF），neuropeptide（ NPY） levels，and SF-6 health scale scores before treatment， and after one and two weeks of treatment. Results： After two and four weeks of treatment，the VAS scores in both groups were decreased when compared with those before treatment （P＜0.05），and the VAS score in the observation group were lower than those in the control group （P＜0.05） . The VAS scores in the two groups at different time points were compared in terms of time and group factors， and the difference was significant （P＜0.05） . After one，two and four weeks of treatment，the symptom and sign scores in both groups were decreased when compared with those before treatment （P＜0.05），and the symptom and sign scores in the observation group were lower than those in the control group （P＜0.05） . The symptom and sign scores at different time points were compared in terms of time and group factors，the difference being significant （P＜0.05） . After treatment，the flexion and extension angles of the cervical spine in both groups were increased when compared with those before treatment （P＜ 0.05），and the degree of spinal deviation was decreased when compared with those before treatment （P＜0.05）；the flexion and extension angles of the cervical spine in the observation group were both greater than those in the control group（ P＜0.05），and there was no significant difference in the degree of spinal deviation between the two groups（ P＞ 0.05） . After treatment，the levels of IL-6，IL-1β，and TNF-α in both groups were decreased when compared with those before treatment （P＜0.05），and the levels of IL-6，IL-1β，and TNF-α in the observation group were lower than those in the control group（ P＜0.05）. After treatment，the levels of PGE2，SP，5-HT，NGF，and NPY in both groups were decreased when compared with those before treatment （P＜0.05）， and the β-EP levels were increased when compared with those before treatment （P＜0.05）； the levels of PGE2， SP， 5-HT， NGF， and NPY in the observation group were lower than those in the control group （P＜0.05），while the β-EP level was higher than that in the control group（ P＜0.05）. After treatment，the scores of physiological function and psychological status in SF-6 in the two groups were increased when compared with those before treatment （P＜0.05）； the scores of physiological function and psychological status in SF-6 in the observation group were higher than those in the control group （P＜ 0.05） . The clinical efficacy in the observation group was better than that in the control group， the difference being significant （P＜0.05） . During the treatment period， there was no significant difference in the incidence of adverse reactions between the two groups （P＞0.05） . Conclusion： The combination of tuina reconstructive techniques and therapeutic manipulation for tendon injury on chest jia ji has shown good therapeutic effects in treating cardiac discomfort caused by thoracic facet joint disorder. It can correct the deviation of thoracic spine position， alleviate cardiac discomfort，and improve the quality of life of patients.