The treatment ideas with acupuncture for knee osteoarthritis (KOA) are explored on the base of Dongyuan needling technology. Regarding the rules of acupoint selection, Zusanli (ST 36) is predominant, the back-shu points are used for the disorders related to the invasion of exogenous factors, and the front-mu points are for the cases caused by internal injury. Besides, the xing-spring points and shu-stream points are preferred. In treatment of KOA, besides the local points, the front-mu points, i.e. Zhongwan (CV 12), Tianshu (ST 25) and Guanyuan (CV 4), are selected specially to tonifying the spleen and stomach. The earth points and acupoints on the earth meridians (i.e. Yinlingquan [SP 9], Xuehai [SP 10], Liangqiu [ST 34], Dubi [ST 35], Zusanli [ST 36] and Yanglingquan [GB 34]) are optional to coordinate yin and yang, essence and qi , and regulate the qi movement of spleen and stomach. The shu-stream points of liver, spleen and kidney meridians (Taichong [LR 3], Taibai [SP 3] and Taixi [KI 3]) are chosen to promote meridian circulation and regulate zangfu functions.
基于东垣针法探讨膝关节骨关节炎（KOA）的针灸治疗思路。东垣针法的主要取穴规律为重用足三里；外感取背俞，内伤取腹募；善用荥穴、输穴。针对KOA，在局部取穴基础上，提出取腹募穴（中脘、天枢、关元）补脾胃；取土经土穴（阴陵泉、血海、梁丘、犊鼻、足三里、阳陵泉）同精导气，疏调脾胃气机；取肝脾肾三经输穴（太冲、太白、太溪），通经络、调脏腑的治疗思路。.
Keywords: Dongyuan needling technology; acupuncture; knee osteoarthritis; treatment ideas.