CAJ | 학술논문

目的：对近5年文献报道中有关外用中药治疗糖尿病足现状进行统计，为临床应用中药外治糖尿病足提供用药参考依据。方法：收集2008年5月～2013年5月中国知网（ CNKI）收录的有关中药外治糖尿病足的相关文献，统计中药出现的频次，不同种类中药的应用频次，剂型应用频次等情况。结果：共检索到相关文献185篇，处方明确的中药方剂为150个，涉及中药191种；应用频次较高及种类较多的为清热药，活血化瘀药，祛风湿药，其次是温里药，补虚药，解表药；应用中药剂型主要以洗剂，膏剂，散剂为主。结论：中药应用存在种类多、应用方法较多、配伍不统一等问题，实际临床疗效易受质疑。在临床实际中，要辨别糖尿病足发病患者的全身症状与局部症状，灵活选用相应种类的外用中药及剂型。
목적：대근5년문헌보도중유관외용중약치료당뇨병족현상진행통계，위림상응용중약외치당뇨병족제공용약삼고의거。방법：수집2008년5월～2013년5월중국지망（ CNKI）수록적유관중약외치당뇨병족적상관문헌，통계중약출현적빈차，불동충류중약적응용빈차，제형응용빈차등정황。결과：공검색도상관문헌185편，처방명학적중약방제위150개，섭급중약191충；응용빈차교고급충류교다적위청열약，활혈화어약，거풍습약，기차시온리약，보허약，해표약；응용중약제형주요이세제，고제，산제위주。결론：중약응용존재충류다、응용방법교다、배오불통일등문제，실제림상료효역수질의。재림상실제중，요변별당뇨병족발병환자적전신증상여국부증상，령활선용상응충류적외용중약급제형。
Objective:To analyze the reported literature about external use of traditional Chinese medicine invol -ving on diabetic foot during recent five years , and provide reference basis for the clinical application .Meth-ods:To gather the literature from May 2008 to May 2013 in CNKI, meanwhile the frequency statistics of Chi-nese medicine , the frequency of usage on different kinds of traditional Chinese medicine , the frequency of us-age dosage were analyzed .Results:The number of the related literature was 185 , and the number on the ex-plicit prescriptions of Chinese medicine was 150 , and the number on traditional Chinese medicine was 191 . The most frequent usage and species were heat -clearing drugs , eliminating stasis and antirheumatic , then were interior-warming drug , tonifying deficiency medicine , relieving medicine;the uses of Chinese medicine formulations were mainly lotion , cream and powder .Conclusion:There are more varieties , methods of use and compatibility of chaos on the application of Chinese medicine , therefore , the clinically curative effect is vul-nerable to challenge .In clinical practice , we need to distinguish between the systemic symptoms and local signs of diabetic foot , and flexibly choose corresponding kinds of traditional Chinese medicine for external use and dosage form .