Phased Application Of Chinese Medicine Ta Blot Treatment Of Diabetic Foot Clinical Research To Promote Wound Healing

Objective: To discuss the effect of diabetic foot treated by TaZi methods based on the theory of TCM plus dressing change. And compare with \%povidone iodine solution (1%Eric) plus dressing change and simply dressing change. And study its mechanism.Methods: 90 patients is divided into the TaZi group(40), Eric group(25) and dressing change group(25) by the method of random sampling, the TaZi group washes the disease-food in the Chinese herbal medicine according to syndrome discrimination based on the theory of TCM before dressing change, and the Eric group washes the disease-food in l%povidone iodine solution (l%Eric) before dressing change , and dressing change group was dressing changed only. 1 month as one circle of treatment, to observe the clinical curative effect of depleting decay , regenerating tissue and the disorder of microcirculation in all patients, and observe the TcPO₂ of the disease-food and the histomorphology of the sore.The results: In the end of the treatment, the eligible cases in TaZi group, Eric group and dressing change group were 37, 23 and 22 respectively. The total effective rates of 3 groups(TaZi, Eric, Dressing change) were 97.3%, 87.9%, 81.8% respectively. The significant effective rates were 89.2%, 73.9% and 63.6% respectively. There were significance difference in three groups. The curative effect of TaZi group was better than the others(P<0.01). According to detection, the disorder of microcirculation and TcPO₂ in the three groups was also significance different, The TaZi group was the best in the groups. In Histomorphology, the granulation in the sore had less necro-tissue, inflammatory cell infiltration and more new vessel than other groups. And the quality of the fibroblast of the granulation was the best in the TaZi group and the arrangement of collaganous fiber was the most neatly in three groups.Conclusion: The TaZi method was washing the disease-body of human with Chinese herbal medicine according to syndrome discrimination based on the theory of TCM. It was good for depleting decay from the disease-food; improving the microcirculation of the disease-food; promoting the regenerating tissue. To make the wound well repaired.