Summary of case history,　The patient Liu, male, 78 years old, complained of "pain and discomfort in the right knee for half a year, aggravated for 2+ months"; The pain is mainly swollen pain, aggravated up and down stairs, difficulty in squatting, difficulty in walking after sitting for a long time, aggravated when cold, conscious knee cold, repeated acupuncture physiotherapy in the local hospital and sodium hyaluronate perfusion treatment of the right knee joint after 4 times without significant relief.,TCM diagnosis,　Knee palsy (evidence of liver and kidney deficiency),Western medicine diagnosis,　osteoarthritis of the right knee,Therapeutic methods,　acupuncture + manipulative + decoction of Chinese medicine,Clinical outcomes,　symptoms disappear