针刺治疗湿热痹阻型早中期膝骨关节炎的研究进展

Research Progress on Acupuncture for the Treatment of Early and Middle Knee Osteoarthritis with Wet and Heat Paralysis

摘要: 膝骨关节炎(knee osteoarthritis, KOA)，作为中老年人常见的骨关节疾病之一，其症状严重影响患者的生活质量。许多研究表明传统针刺灸法对寒湿痹阻、气滞血瘀、肝肾亏虚、气血虚弱、湿热痹阻型等类型的膝骨关节炎都有很好的疗效。本文根据2020版膝骨关节炎中医诊疗指南中对于湿热痹阻型的治疗措施及推荐强度，通过筛选近几年对于治疗湿热痹阻型关节炎早中期的文献，总结阐述针刺对于湿热痹阻型膝骨关节炎治疗的治疗方法以及研究进展。

Abstract: Knee osteoarthritis (KOA), one of the most common musculoskeletal disorders among middle-aged and elderly individuals, significantly impacts patients’ quality of life. Numerous studies indicate that traditional acupuncture and moxibustion demonstrate excellent therapeutic efficacy for various KOA subtypes, including cold-damp obstruction, qi stagnation and blood stasis, liver-kidney deficiency, qi and blood deficiency, and damp-heat obstruction. Based on the treatment measures and recommended intensity for damp-heat obstruction patterns outlined in the 2020 Chinese medicine diagnosis and treatment guidelines for knee osteoarthritis, this paper reviews recent literature on treating early-to-mid-stage damp-heat obstruction arthritis. It summarizes acupuncture treatment methods and research advances for this pattern of knee osteoarthritis.