Wang Mina, Liu Lu, Zhang Claire Shuiqing, Liao Zehuan, Jing Xianghong, Fishers Marc, Zhao Luopeng, Xu Xiaobai, Li Bin
Acupuncture and Moxibustion Department, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing, People's Republic of China.
Graduate School, Beijing University of Chinese Medicine, Beijing 100029, People's Republic of China.
J Pain Res. 2020 Jun 15;13:1421-1429. doi: 10.2147/JPR.S247827. eCollection 2020.
Knee osteoarthritis (KOA) is a degenerative disease, making a unique contribution to chronic pain, edema, and limited mobility of knee joint. Traditional Chinese Medicine (TCM) is a common complementary therapy for KOA and has been found effective. The aim of this review is to consolidate the current knowledge about the mechanism of four interventions of TCM: acupuncture, moxibustion, herbs, and massage in treating KOA, and how they alleviate symptoms such as pain, swelling, and dysfunction. Furthermore, this review highlights that four therapies have different mechanisms but all of them can manage KOA through inhibiting inflammation, which indicates that alternative therapies should be considered as a viable complementary treatment for pain management in clinical practice.
膝骨关节炎（KOA）是一种退行性疾病，对膝关节的慢性疼痛、水肿和活动受限有独特影响。中医是KOA常用的辅助疗法，且已被证明有效。本综述的目的是整合目前关于中医四种干预措施（针灸、艾灸、草药和按摩）治疗KOA的机制，以及它们如何缓解疼痛、肿胀和功能障碍等症状。此外，本综述强调这四种疗法机制不同，但都可通过抑制炎症来治疗KOA，这表明在临床实践中，替代疗法应被视为疼痛管理的一种可行的辅助治疗方法。
