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Exploring the relationship between intestinal flora and osteoarthritis of the knee based on the “spleen and kidney deficiency”
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DOI   10.11656/j.issn.1672-1519.2025.02.20
Key Words   osteoarthritis of the knee;intestinal microbiota;deficiency syndrome
Author NameAffiliationE-mail
HUANG Peixin Guangzhou University of Chinese Medicine, Guangzhou 510006, China  
LI Xiangming Guangzhou University of Chinese Medicine, Guangzhou 510006, China  
HU Zehao Guangzhou University of Chinese Medicine, Guangzhou 510006, China  
LI Yingjia Guangzhou University of Chinese Medicine, Guangzhou 510006, China  
CHEN Haibo Shantou Hospital of Traditional Chinese Medicine, Shantou 515000, China peebae342@163.com 
Abstract
    Knee osteoarthritis is a chronic joint disease characterized by degenerative changes in knee joint cartilage and secondary bone proliferation. With the growth of age and population aging,it has a high incidence rate. However,current treatments for knee osteoarthritis tend to focus more on symptom control and joint replacement,lacking an explanation of the relationship between intestinal microbiota dysbiosis and the treatment of knee osteoarthritis from the perspective of the types and quantities of intestinal flora. The author believes that deficiency of the spleen and kidney in the elderly is the fundamental factor in the onset of knee osteoarthritis. Therefore,based on the deficiency syndrome in the eight-line syndrome differentiation,the author will clarify the changes in the composition ratio of intestinal flora abundance under the pathological state of spleen and kidney deficiency,explore the relationship between it and knee osteoarthritis,and treat knee osteoarthritis by invigorating kidney and invigorating spleen,and explain the mechanism of intestinal flora diversification on the disease. This paper provides new treatment ideas for patients with deficiency syndrome of knee osteoarthritis.

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