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Expert consensus on acupuncture for diabetic foot
Xuexi Tang1, Guoyan Li2, Gang Wang3
1Beijing University of Chinese Medicine Beijing 100700, China.
Abstract:
Diabetic foot (DF), is called "foot gangrene" (gangrene) or "nerve gangrene" (gangrene of the nerve area) in traditional Chinese medicine. It is a severe complication of diabetes, whose incidence rate is high, and the consequences is serious. Acupuncture is a promising therapy, it is effective, it can alleviate symptoms, accelerate the wound healing and reduce the risk of amputation. This consensus includes clinical evidence and expert practical experience, it shows acupuncture is an effective supportive treatment methods. Its main purpose is to provide practical, standardized, and safe instructions for clinicians. It can promote the use of acupuncture in evidence-based treatment of diabetic foot ulcers. The innovation points of this consensus are: 1. Stage guidance: It includes the indications, contraindications and Wagner classification system, which adjusts the treatment measures for different conditions. 2. Integrated diagnosis: It includes modern vascular assessment, neurological examinations, and TCM syndrome, such as ankle-brachial index, arterial oxygen partial pressure and nerve conduction studies, finally formulating different treatment plans. 3. Focus on strict operating procedures: Formulating safe and controlling infection measures for patients with diabetic foot to conduct acupuncture treatment, and figuring out the risk factors.
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