（The disease is mainly seen in middle-aged and elderly people, with symptoms and signs such as pain, swelling and popping in the knee, limitation of joint movement, increased pain from hiking and stairs, etc. The disease can be diagnosed by imaging and laboratory tests. TCM treatment mainly includes TCM evidence-based treatment, Chinese medicine treatment and other therapies. Chinese medicine treatment methods include clearing heat and draining wind to relieve pain; warming the meridians and dispersing cold to dispel wind and dampness; removing dampness and dispersing cold to dispel wind; tonifying the liver and kidney to relieve pain. Western medical treatment includes non-surgical and surgical treatment. Surgical treatment includes knee arthroscopy, osteotomy, knee fusion, unicondylar knee replacement and total knee replacement, etc. Depending on the patient’s condition, the appropriate procedure is chosen. （Heat paralysis: Heat congestion in the meridians and joints, stagnation of Qi and blood, resulting in local redness, swelling and burning, and painful joint flexion and extension. The location of the disease is in the interior, and its nature is heat. Painful paralysis: Painful paralysis is caused by the prevalence of cold, which is a yin evil, and its nature is stagnant, so the pain is fixed. The disease is located in the lining, and its nature is cold. Paralysis: Most of the paralysis is caused by dampness, which is heavy and sticky, so the pain is fixed and numb. The dampness stagnates in the meridians and joints, so the hands and feet are heavy and have difficulty moving. The disease is located in the interior and is cold in nature. (3) Characteristics of medication Heat paralysis: add 30g of Lonicera japonica for hot joints; add 15g of Fangji and 30g of Shengmiren for swollen joints; add 15g of Haifengteng for painful wandering joints; add 6g of Safflower, 12g of Dilong and 15g of Herba, 6g of Gui Zhi and 3g of Hessian for painful cold limbs; add 30g of Shengmiren and 10g of Fangji for heavy dampness; add 15g of Radix Codonopsis for Qi deficiency and fatigue and lack of color. (4) Treatment features Heat paralysis, mostly in the acute phase of osteoarthritis of the knee or infection, requires antibiotics in addition to Chinese medicine. Antibiotics are needed. In addition to traditional Chinese medicine, arthroscopy, osteotomy, and unicondylar replacement can be used. In addition to Wu Tou Tang, the Chinese medicine can be taken internally and externally, as well as Zhuang Bone and Joint Pills and Strong Bone Capsules. In this stage, conservative treatment is recommended. In the case of osteoarthritis grade IV, knee arthroplasty is often required, and Chinese medicine is used to identify and treat the arthritis (e) Precautions The acute phase of arthritis must be avoided to reduce joint damage. In the remission period, it is appropriate to strengthen functional exercise. The usual diet and living should be careful to avoid may cause food and labor may. In both the acute and remission periods, the number of hikes and stairs should be reduced, and weight should be reduced to relieve the weight of the knee joint.