2020 Volume 71 Issue 2 Pages 143-153
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.