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Related Concept Videos

Diabetic Foot Ulcer01:31

Diabetic Foot Ulcer

Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory neuropathy reduces pain perception,...
Diabetic Neuropathy01:22

Diabetic Neuropathy

DefinitionDiabetic neuropathy is nerve damage caused by long-standing diabetes mellitus. It results directly from prolonged high blood sugar levels.PathophysiologyThe pathophysiology of diabetic neuropathy involves both metabolic and vascular disturbances triggered by chronic hyperglycemia.Metabolic injury: Elevated glucose levels activate the polyol pathway within nerve cells, leading to the accumulation of sorbitol and fructose. This increases oxidative stress, disrupts normal nerve...

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Related Experiment Video

Updated: Jul 3, 2026

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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.

American Journal of Clinical and Experimental Immunology
|March 23, 2026
PubMed
Summary

Acupuncture offers a promising, evidence-based supportive treatment for diabetic foot (DF) ulcers. This consensus provides standardized guidelines to improve wound healing and reduce amputation risk in DF patients.

Keywords:
Diabetic footacupunctureexpert consensustraditional Chinese medicine

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Area of Science:

  • Integrative Medicine
  • Diabetology
  • Traditional Chinese Medicine

Background:

  • Diabetic foot (DF) is a severe diabetes complication with high incidence and serious consequences.
  • Traditional Chinese Medicine refers to DF as "foot gangrene" or "nerve gangrene."
  • Acupuncture is a promising therapy that alleviates symptoms, accelerates wound healing, and reduces amputation risk.

Purpose of the Study:

  • To provide practical, standardized, and safe instructions for clinicians using acupuncture for diabetic foot ulcers.
  • To promote the evidence-based use of acupuncture in managing diabetic foot ulcers.
  • To offer guidance for clinicians on integrating acupuncture into diabetic foot care.

Main Methods:

  • Consensus development incorporating clinical evidence and expert experience.
  • Utilizing the Wagner classification system for stage-specific treatment guidance.
  • Integrating modern vascular and neurological assessments with Traditional Chinese Medicine (TCM) syndrome diagnosis.

Main Results:

  • Acupuncture is presented as an effective supportive treatment for diabetic foot ulcers.
  • The consensus outlines stage-specific indications, contraindications, and treatment adjustments.
  • Integrated diagnostic approaches and strict operating procedures enhance treatment safety and efficacy.

Conclusions:

  • Acupuncture is an effective supportive treatment for diabetic foot ulcers, aiding wound healing and reducing amputation risk.
  • Standardized guidelines and integrated diagnostics facilitate safe and effective acupuncture application in DF management.
  • This consensus promotes evidence-based acupuncture practices for diabetic foot ulcer treatment.