摘要剖析手法治疗中的安慰剂效应，认为安慰剂效应不仅是试验中的对照工具，亦是手法治疗成功的关键。通过分析安慰剂效应中心理社会因素、行为反应和期望效应等多个维度对治疗效果的影响，指出治疗师的专业形象和患者对治疗的积极期望是激活安慰剂效应的核心要素，同时还强调个体差异在治疗反应中也是不可忽视的环节。建议重新定位安慰剂效应，将其纳入手法治疗的整体框架中，进一步探索安慰剂效应的作用机制，为手法治疗的科学化、精准化提供理论基础。

abstractsThe placebo effect in manual therapy is analyzed, suggesting that it is not only a control tool in experiments but also a key to the success of manual therapy. By analyzing the impact of multiple dimensions of the placebo effect, such as psychological and social factors, behavioral responses, and expectation effects, on treatment outcomes, it is pointed out that the professional image of the therapist and the patients' positive expectations of the treatment are the core elements to activate the placebo effect. At the same time, individual differences in treatment responses are also emphasized as a crucial aspect that cannot be ignored. It is suggested to reposition the placebo effect, incorporate it into the overall framework of manual therapy, and further explore its mechanism to provide a theoretical basis for the scientific and precise development of manual therapy.