What Are the Precautions for Treating Diabetic Foot with Traditional Chinese Medicine?
The treatment of diabetic foot with Traditional Chinese Medicine (TCM) requires strict control of blood sugar levels, while emphasizing the improvement of blood circulation, clearance of local infections, and prevention of further ulceration. Comprehensive treatment includes internal and external use of Chinese herbal medicines, acupuncture and moxibustion, foot care, etc. However, it should be conducted under the guidance of professional physicians to avoid self-medication.
1. Blood Sugar Control is Fundamental
The root of diabetic foot lies in the chronic hyperglycemic state of diabetes. Treatment should start from the source by strictly controlling blood sugar levels. Patients can use hypoglycemic drugs such as metformin, insulin, or DPP-4 inhibitors as recommended by their physicians, combined with a healthy diet and regular exercise. Dietary recommendations include avoiding high-sugar and high-fat foods, opting for more green leafy vegetables, whole grains, and fish rich in high-quality protein.
2. Improving Peripheral Blood Circulation
According to TCM, diabetic foot is often caused by impaired blood and qi circulation, thus attention should be given to promoting blood circulation. Internal use of Chinese herbs such as Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Chuanxiong (Chuanxiong Rhizoma), and Danggui (Angelicae Sinensis Radix) can improve blood circulation. External application of ointments like Yunnan Baiyao can promote wound healing. Acupuncture and moxibustion also play a role in improving local blood flow, with commonly used acupuncture points including Sanyinjiao (SP6) and Zusanli (ST36), but these should be performed by professional TCM practitioners.
3. Enhancing Local Care
Infections and ulcers in diabetic foot often lead to serious consequences, making local care particularly crucial. TCM external treatment methods, such as using Chinese herbs like Huangbai (Corticis Phellodendri Chinensis), Fangfeng (Saposhnikoviae Radix), and Jinyinhua (Flos Lonicerae) decocted in water to clean wounds, can exert anti-inflammatory and antibacterial effects. After cleaning, the wound surface should be kept dry, and irritant drugs such as alcohol should be avoided to prevent worsening of the condition. Wearing loose and breathable shoes and socks can prevent continuous pressure on the feet and prevent trauma.
4. Preventing Disease Progression
Patients should pay close attention to changes in the color, temperature, and sensation of their foot skin. They should seek medical attention immediately if severe symptoms such as black gangrene or pus discharge occur. Gentle exercises like Tai Chi can also improve overall metabolism and enhance immunity. However, prolonged soaking of feet is not recommended, especially for those with decreased temperature sensation, to avoid low-temperature burns. TCM treatment of diabetic foot emphasizes holistic conditioning and individualized treatment, and the necessity of continuous follow-up and multidisciplinary collaboration should not be overlooked. Consulting professionals and choosing suitable treatment methods based on the condition is the safe and effective path to recovery.
