Out-of-distribution (OOD) detection is crucial for building reliable machine learning models. Although negative prompt tuning has enhanced the OOD detection capabilities of vision-language models, these tuned models often suffer from reduced generalization performance on unseen classes and styles. To address this challenge, we propose a novel method called Knowledge Regularized Negative Feature Tuning (KR-NFT), which integrates an innovative adaptation architecture termed Negative Feature Tuning (NFT) and a corresponding knowledge-regularization (KR) optimization strategy. Specifically, NFT applies distribution-aware transformations to pre-trained text features, effectively separating positive and negative features into distinct spaces. This separation maximizes the distinction between in-distribution (ID) and OOD images. Additionally, we introduce image-conditional learnable factors through a lightweight meta-network, enabling dynamic adaptation to individual images and mitigating sensitivity to class and style shifts. Compared to traditional negative prompt tuning, NFT demonstrates superior efficiency and scalability. To optimize this adaptation architecture, the KR optimization strategy is designed to enhance the discrimination between ID and OOD sets while mitigating pre-trained knowledge forgetting. This enhances OOD detection performance on trained ID classes while simultaneously improving OOD detection on unseen ID datasets. Notably, when trained with few-shot samples from ImageNet dataset, KR-NFT not only improves ID classification accuracy and OOD detection but also significantly reduces the FPR95 by 5.44\% under an unexplored generalization setting with unseen ID categories. Codes can be found at \href{https://github.com/ZhuWenjie98/KRNFT}.