- VernacularTitle:糖尿病患者の足病変の予防と治療のための漢方薬の活用 ~要因別(神経障害,血流障害,感染合併)足病変に漢方薬が有効であった外来患者13例と入院患者4例の検討から~
- Author:
Toshinori NIMURA
1
Author Information
- Keywords: diabetic foot; neuropathy; peripheral artery disease; infection; Kampo medicine
- From:Kampo Medicine 2020;71(2):143-153
- CountryJapan
- Language:Japanese
- Abstract: Diabetic foot lesions are internationally defined as infections, ulcers, or destructive lesions of the tissue of the lower extremities in patients with diabetes associated with neuropathy and peripheral artery disease. Early treatment is necessary for the three main causes of diabetic foot disease : neuropathy, peripheral artery disease, and infection. In this study, based on these associated factors, Kampo medicine was found to be effective for foot lesions in 50 to 100% of the 13 outpatients and 4 inpatients with diabetes. Kampo medicine treatment was effective for 50% or more patients with diabetes and neuropathy. In peripheral artery disease, Kampo medicine improved the circulation ; in particular, tokishigyakukagoshuyushokyoto improved the ankle-brachial pressure index. In patients with diabetes and infection, hozai improved the general condition in combination with antibiotics of Western medicine.