Osteoarthritis belongs to the category of paralysis in traditional Chinese medicine, patients can choose gua sha for treatment, but often as an adjunctive treatment, clinical often use a combination of Chinese and Western medicine treatment. Osteoarthritis patients are often manifested as joint pain, swelling, restricted movement and so on. Gua Sha is the traditional treatment of Chinese medicine, which has the effect of activating blood circulation and removing blood stasis (promoting blood circulation, eliminating blood stasis in the body), improving blood circulation, driving away evil spirits and detoxifying the body, promoting metabolism, benefiting qi to support the immune system, regulating the immune system, regulating the tendons and collaterals, and adjusting the joints’ structure and function. It has a better effect on the prevention and treatment of osteoarthritis. In addition, it can also be treated with traditional Chinese medicines, such as Wu Tou Tang and Xuan Pao Tang, etc. It can also be used to alleviate the patient’s symptoms by means of massage and fumigation with traditional Chinese medicines. Osteoarthritis can be treated with gua sha, but it is recommended to consult a doctor in time to identify the cause of the disease, under the guidance of the doctor with other treatment modalities for standardized treatment.