Welcome to Francis Academic Press

Frontiers in Medical Science Research, 2023, 5(10); doi: 10.25236/FMSR.2023.051009.

Research Progress of Non-Surgical Treatment of Osteoarthritis of the Knee in Chinese Medicine

Author(s)

Jia Xugang1, Cheng Yan2

Corresponding Author:
Cheng Yan
Affiliation(s)

1Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, 712046, China

2Shaanxi Provincial Hospital of Traditional Chinese Medicine, Xi’an, Shaanxi, 710003, China

Abstract

Osteoarthritis of the knee is a common degenerative osteoarthropathy, which is clinically characterised by stiffness of the knee joint with pain, swelling, and limitation of activity, with a high incidence rate, more in women than in men, and the main group of patients is the middle-aged and the elderly, which has a serious adverse impact on their physiology and psychology, and also brings a certain degree of negative impact on the quality of life and standard of living. Modern medical treatment of osteoarthritis of the knee mainly adopts oral non-steroidal anti-inflammatory drugs and surgical treatment, which is a single therapy with greater side effects and trauma. In contrast, Chinese medicine has a unique advantage in the treatment of osteoarthritis of the knee, with acupuncture and moxibustion, cupping, acupressure, traditional Chinese medicine, external application of traditional Chinese medicine and other therapeutic methods, which is simple and inexpensive. Therefore, by reviewing a large amount of literature at home and abroad, the author reviewed the clinical status of non-surgical treatment of osteoarthritis of the knee with Chinese medicine in recent years.

Keywords

Chinese medicine non-surgical treatment; osteoarthritis of the knee; literature review

Cite This Paper

Jia Xugang, Cheng Yan. Research Progress of Non-Surgical Treatment of Osteoarthritis of the Knee in Chinese Medicine. Frontiers in Medical Science Research (2023) Vol. 5, Issue 10: 63-69. https://doi.org/10.25236/FMSR.2023.051009.

References

[1] Xu Fangqiong, Yu Dening, Shi Lipeng, et al. Research progress on traditional Chinese medicine treatment of knee osteoarthritis [J]. Chinese Clinical Research on Traditional Chinese Medicine, 2018, 10(10): 140-143. 

[2] Wang Tao, Zhang Zhixian, Yang Xiaobi, et al. Research progress on moxibustion treatment of knee osteoarthritis [J]. Inner Mongolia Medicine, 2022, 41(7): 148-149. 

[3] Gong Chunbo, Zhang Jie. Research progress on traditional Chinese medicine treatment of knee osteoarthritis [J]. Massage and Rehabilitation Medicine, 2019, 10(4): 59-60. 

[4] Wu Yongbiao, Shi Xiaobing. Research on the current situation of traditional Chinese medicine treatment for knee osteoarthritis [J]. Shaanxi Traditional Chinese Medicine, 2019, 40(4): 543-544. 

[5] Pan Jianke, Hong Kunhao. Systematic evaluation of the effectiveness and safety of traditional Chinese medicine for treating knee osteoarthritis with kidney-tonifying and blood-activating herbs [J]. Chinese Journal of Traditional Chinese Medicine, 2016, 31(12): 5248-5256. 

[6] Wang Maozu. Treatment of 76 cases of knee osteoarthritis with Shengyu Decoction combined with Duhuo Jiusheng Decoction [J]. Community Medicine Journal, 2016, 14(22): 55-56. 

[7] Liu Changyi, Luo Jialiang, Chen Chao, et al. Efficacy of traditional Chinese medicine for treating degenerative knee osteoarthritis with kidney deficiency and blood stasis syndrome and its effect on serum COMP and MMP-3 levels [J]. Journal of Modern Integrated Traditional Chinese and Western Medicine, 2017, 26(13): 1382-1385. 

[8] Li Mingxi. Study on the intervention effect of Bu Shen Huo Xue Fang on postmenopausal knee osteoarthritis based on changes in inflammatory cytokines and Dickkopf-1 [D]. Beijing University of Chinese Medicine, 2015. 

[9] Li Jun. Clinical research progress of external application of traditional Chinese medicine Huo Xue Gao in the treatment of knee osteoarthritis [J]. World Latest Medical Information Abstracts, 2015, 15(101): 56-59. 

[10] Li Hua, Fang Zhiyuan. Effects of external application of traditional Chinese medicine on WOMAC score and VAS score in mild to moderate knee osteoarthritis [J]. World Chinese Medicine, 2017, 12(4): 803-806. 

[11] Li Suqin. Clinical observation on the efficacy of external application of traditional Chinese medicine in the treatment of knee osteoarthritis [J]. World Journal of Integrated Traditional and Western Medicine, 2017, 12(5): 707-709. 

[12] Liu Lin, Chen Xi, Liu Jian, et al. Clinical study on the treatment of knee osteoarthritis with traditional Chinese medicine fumigation and washing formula for cold and dampness syndrome [J]. Chinese Journal of Clinical Healthcare, 2018, 21(4): 555-559. 

[13] Chen Dou, Zhang Yan, Sun Ju. Treatment of 70 cases of knee osteoarthritis with traditional Chinese medicine fumigation and washing combined with manipulation [J]. Modern Traditional Chinese Medicine, 2017, 36(20): 46-48. 

[14] Li Weidong. Randomized controlled observation of acupuncture treatment for knee osteoarthritis [J]. Shanghai Acupuncture Journal, 2014, 33(10): 937-940. 

[15] Ju Ziyong, Wang Ying, Chen Changle, et al. Clinical study on the treatment of knee osteoarthritis with electroacupuncture [J]. Shanghai Journal of Acupuncture and Moxibustion, 2014, 36(9): 1111-1115. 

[16] Zhang Yafeng. Clinical observation of acupuncture treatment for 32 cases of knee osteoarthritis [J]. Chinese Clinical Research of Traditional Chinese Medicine, 2009, 1(1): 72-73. 

[17] Yu Hua, Li Tao. Observation on the efficacy of fire needle dense puncture method in the treatment of knee osteoarthritis [J]. Inner Mongolia Journal of Traditional Chinese Medicine, 2017, 36(20): 125. 

[18] Wang Jianguo, He Lijuan. Observation on the efficacy of massage and manipulation therapy in the treatment of knee osteoarthritis [J]. Chinese Medicine Guide, 2012, 10(3): 231-232. 

[19] Wu Jiahang. Clinical observation of He's bone injury massage suitable technique in the treatment of 120 cases of knee osteoarthritis [J]. Clinical Observation, 2017, 38(11): 65-66. 

[20] Xiu Wenming, Guo Peng, Wang Dongmei. Treatment of knee osteoarthritis with manual massage [J]. Practical Journal of Traditional Chinese Internal Medicine, 2016, 30(2): 83-84. 

[21] Chen Tiewu, Cai Qun. Effects of wintergreen ointment local massage combined with massage on TNF-α, IL-1, and MMP-3 in synovial fluid of patients with knee osteoarthritis [J]. Chinese Journal of Traditional Chinese Medicine and Pharmacy, 2015, 22(1): 15-16. 

[22] Deng Baofeng, Wang Ying, Yang Guanfeng. Clinical study on the treatment of knee osteoarthritis with traditional Chinese medicine massage [J]. International Journal of Traditional Chinese Medicine and Chinese Medicine, 2017, 39(6): 512-515. 

[23] Jiao Yong, Tian Yuefeng. Clinical research progress on moxibustion treatment for knee osteoarthritis [J]. Asia-Pacific Traditional Medicine, 2021, 17(3): 4. 

[24] Xiang Dongmei. Effect analysis of acupuncture and moxibustion combined with traditional Chinese medicine external application in the treatment of severe knee osteoarthritis [J]. Heilongjiang Medicine, 2021, 34(3): 3. 

[25] Zhou Peiying, Shen Ruiyu, Chen Chen. Observation on the effect of moxibustion combined with ear acupressure in the treatment of cold-damp obstruction type knee osteoarthritis [J]. Chinese Rural Medicine, 2022, 29(1): 2. 

[26] Wu Kaili, Liu Min, Shi Danhui. Clinical observation of acupoint thermal sensitization moxibustion combined with sitting knee adjustment method in the treatment of knee osteoarthritis [J]. Practical Traditional Chinese Medicine Journal, 2022, 38(1): 3. 

[27] Chen Desheng, Liu Mu. Clinical comparison of acupuncture and its combination with traditional Chinese medicine iontophoresis in the treatment of knee osteoarthritis [J]. Journal of Liaoning University of Traditional Chinese Medicine, 2016, 18(7): 205-207. 

[28] Liu Fayuan, Weng Xiaping, Lin Chunfeng, et al. Clinical observation of Du Huo Ji Sheng Tang combined with kneading knee and pushing patella acupoint method in the treatment of knee osteoarthritis [J]. Rheumatism and Arthritis, 2016, 14(8): 15-19. 

[29] Fan Rong, Liu Yujin. Influence of warm acupuncture combined with massage on serum osteoprotegerin, calcitonin, and osteocalcin in patients with knee osteoarthritis [J]. Chinese Journal of Modern Medicine, 2015, 25(16): 86-89. 

[30] Fu Dongmei, Zhao Jingjun, Zhou Jiahua, et al. Clinical observation of warm acupuncture combined with massage in the treatment of knee osteoarthritis. Journal of Acupuncture and Clinical Medicine, 2015, 31(12): 47-49. 

[31] Zhang Guilin. Clinical observation of massage combined with scraping therapy in the treatment of knee osteoarthritis. Massage and Rehabilitation Medicine, 2017, 8(11): 30-31. 

[32] Yang Yanfeng, Gong Guangfeng, Wu Zhimin, et al. Clinical observation of traditional Chinese medicine hot compress combined with meridian massage in the treatment of knee osteoarthritis. Massage and Rehabilitation Medicine, 2016, 7(10): 29-30. 

[33] Li Sibin, Li Zhengxiang, Yuan Hui, et al. Application of massage combined with Madang Shigongfa exercise in the treatment of knee osteoarthritis. Zhejiang Journal of Traditional Chinese Medicine, 2020, 55(8): 593-594. 

[34] Fang Liang, Dong Rui, Jin Hongting, et al. Clinical study of intra-articular injection of platelet-rich plasma combined with oral supplementation of tonifying kidney and activating blood formula in the treatment of knee osteoarthritis with liver and kidney deficiency syndrome. Chinese Orthopedic Medicine, 2018, 30(11): 1-5+12.