Therapeutic Effect of Modified Baqia Baweitang on Diabetic Foot Due to Dampness-heat Toxicity / 中国实验方剂学杂志

ABSTRACT

ObjectiveTo observe the clinical effect of modified Baqia Baweitang on diabetic foot due to dampness-heat toxicity. MethodOne hundred and four patients were randomized into control and observation groups （52 cases）. The control group was treated with epalrestat combined with Compound Huangbai Liquid， and the observation group with modified Baqia Baweitang on the basis of the therapy in the control group. The resting pain， intermittent claudication， foot cold feeling， traditional Chinese medicine （TCM） symptoms， ulcer area， ulcer surface pH， ulcer depth， and percutaneous oxygen partial pressure were measured before and after treatment. The blood glucose and lipid levels ［fasting blood glucose （FPG）， 2 h postprandial blood glucose （2 h PG）， triglyceride （TG）， and total cholesterol （TC）］， hemorheological indexes （peak blood flow， blood flow， vascular diameter， and pulse index）， motor and sensory nerve conduction velocity， and inflammatory cytokines ［tumor necrosis factor-α （TNF-α）， interleukin （IL）-6， IL-13， and C-reactive protein （CRP）］ in the serum and skin lesions were determined. The clinical efficacy and safety were compared between the two groups. ResultThe total response rate in the observation group was 96.2% （50/52）， which was higher than that （80.8%， 42/52） in the control group （χ2=6.029， P<0.05）. The treatment in both groups decreased the resting pain， intermittent claudication， foot cold feeling， TCM symptom scores， ulcer area， ulcer surface pH， and ulcer depth （P<0.05） and increased the percutaneous oxygen partial pressure （P<0.05）. Furthermore， the treatment lowered the levels of FPG， 2 h PG， TG， TC， blood flow peak， TNF-α， IL-6， IL-18， and CRP （P<0.05） and increased the blood flow， vascular diameter， pulse index， and the motor and sensory nerve conduction velocity （P<0.05）. Moreover， the changes in the above indexes were more significant in the observation group than in the control group （P<0.05）.The incidence of adverse reactions was 21.2% （11/52） in the control group and 23.1% （12/52） in the observation group， with no statistical significance. ConclusionModified Baqia Baweitang can promote wound healing， improve the dorsal artery hemorheology of feet， accelerate nerve conduction， and reduce inflammation in the patients with diabetic foot due to dampness-heat toxicity.