All randomized controlled trials (RCT) and quasi-RCTs study on abdominal acupuncture in the treatment of KOA will be included.

All patients included in the study were diagnosed with KOA, regardless of age, gender, race.

The trail group uses abdominal acupuncture or combination therapy with other treatments. The acupuncture method, acupoint selection, and needles are not limited; the control group uses the intra-articular glucocorticoid injections, and other adjuvant treatments can be appropriately added. The trail group and the control group are not limited in terms of medication, dosage, and treatment course.

Primary outcome measures will include:

The effective rate.

Visual Analogue Scale.

Secondary outcome measures will include:

Western Ontario and McMaster Universities Osteoarthritis Index.

Incidence of any adverse events.

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