Osteoarthritis of the knee, also called degenerative knee osteoarthropathy, commonly known as “bone spurs”, is a very common disease in orthopedics, and we see such patients every day in our outpatient clinics. Some patients have gone to many hospitals and have been treated with various methods, but still have poor results. Why? According to my years of clinical experience and see these cases of poor treatment results, summarized the following 3 reasons for your reference. 1, ammonia used indiscriminately Ammonia refers to glucosamine hydrochloride capsules, or glucosamine sulfate capsules, no matter which one it is, its role is the same. It is a common drug for the treatment of osteoarthritis of the knee joint, its role is mainly for the knee joint cartilage, the protection of joint cartilage and repair of damage has a certain role. If the knee pain originates from damage to the joint cartilage, oral aminos are symptomatic and should be effective; otherwise, if the knee pain is caused by inflammation of the soft tissues around the knee joint, aminos are ineffective. There are many causes of knee pain in osteoarthritis of the knee, if the diagnosis is not clear, the application of ammonia treatment, the efficacy is certainly not guaranteed, which is why many patients still have poor results after a long time of oral ammonia. 2, “oiling” error in the joints “oiling” refers to the injection of lubricants into the joints to play a lubricating effect on the joints, commonly used drugs are sodium glass acid and butylose. It is like adding oil to the axle of a car, which is why patients use the analogy of “oiling”. This is also a common treatment for osteoarthritis of the knee, and there are many patients treated, with some hospitals lining up for injections. Some patients have a course of injections once a year, or even half a year, and some even if they have no symptoms, they still “oil up” on time. After treatment, some patients are effective and some are not. Why is it ineffective? The reason is the wrong indication, because any kind of treatment is not a panacea, have its indications and contraindications. If the indications are not correct, the results will not be good. So, what are the indications for intra-articular “oiling”? To put it simply, it is only when there is a lack of “oil” in the joint that “oiling” is suitable. The manifestation of oil deficiency is that the patient feels dryness and pain in the joint, and there is a feeling of friction in the joint when walking or flexing and extending. If the pain is caused by extra-articular tendon injury, the treatment effect of “oiling” in the joint will not be effective. Chinese medicine is the most common and effective treatment for osteoarthritis of the knee, and every time a patient sees a doctor, the doctor will inevitably prescribe some Chinese medicine, or even several Chinese medicines for the patient to eat together. However, after a period of time, some patients’ symptoms are not relieved, and the main reason for the poor results is that the medication is not right for them. Chinese medicine stresses the importance of identifying the symptoms of the disease and what kind of medicine to use, if it is not the right one, it will not achieve good results. Chinese medicine believes that osteoarthritis of the knee joint belongs to paralysis, the main cause is liver and kidney deficiency, wind, cold and damp evil take advantage of the deficiency, resulting in the meridian closed obstruction, not pass is pain, so the knee joint pain, swelling; In addition, due to the meridian closed obstruction, inevitably qi stagnation and blood stasis, qi and blood does not run smoothly, tendons and bones lose nourishment, so the knee joint hit soft, weak, limited function. Chinese medicine classifies osteoarthritis of the knee joint into four types: liver and kidney deficiency, qi stagnation and blood stasis, wind and cold blockage and dampness and heat. If the medication is contrary to the type of evidence, for example, if a patient with the damp-heat type uses the medication for the wind-cold blocking type, it will not only be ineffective, but also aggravate the condition. This is the main reason why some patients have taken a bunch of Chinese medicine and it didn’t work. It is not because the Chinese medicine is ineffective, it is because it is not the right medicine. These are some of the common causes of osteoarthritis of the knee that I, as a specialist, have found to be ineffective (there are some more complex causes, of course), and I hope they will be helpful. Most of the symptoms of osteoarthritis of the knee are not difficult to treat, but only if the symptoms are correct.