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Yunnan Baiyao has been treating all kinds of wounds for 120 years, but the evidence of Evidence-based medicine that is truly convincing is insufficient, making its best application method unclear. This study explored the possible indications and use methods of Yunnan Baiyao in different stages of Diabetic foot, and obtained Evidence-based medicine evidence of clinical efficacy. Obtain the discarded tissues of Diabetic foot patients in the treatment and control groups of Yunnan Baiyao after wound debridement, conduct Transcriptome (BulkRNA seq) analysis and detection on the wound tissues, and analyze the related signal pathways and functional genes with significant differences, to help clarify the possible treatment targets of Yunnan Baiyao.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group 1 | No Intervention | The optimal clinical treatment scheme was used to treat the wound of progressive infection period patients for 2 weeks | |
| powder group 1 | Experimental | On the basis of the optimal clinical treatment scheme, Yunnan Baiyao powder was used to treat the wound of progressive infection period patients for 2 weeks |
|
| ointment group 1 | Experimental | On the basis of the optimal clinical treatment scheme, Yunnan Baiyao ointment was used to treat the wound of progressive infection period patients for 2 weeks |
|
| control group 2 | No Intervention | The optimal clinical treatment scheme was used to treat the wound of granulation period patients for 2 weeks | |
| powder group 2 | Experimental | On the basis of the optimal clinical treatment scheme, Yunnan Baiyao powder was used to treat the wound of granulation period patients for 2 weeks |
|
| ointment group 2 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Yunnan Baiyao | Drug | On the basis of the optimal clinical treatment scheme, Yunnan Baiyao powder or ointment was used to treat the wound for 2 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| 2-week reduction rate of wound area | Difference in wound area before and after treatment | 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| 2-week cure rate of wound | Proportion of healed wounds to total number of cases | 2 weeks |
| Local infection situation | No infection; local infection reduction; Local infection maintained;Local infection aggravated; Disseminated infection |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University 3rd Hospital | Recruiting | Beijing | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42236253 | Derived | Zhang Y, Zhao J, Huang E, Li Y, Yin X, Zhang J, Lin Y, Zhang H, Zhang C, Tie L, Wang W, Zhang L. Efficacy and Safety of the Traditional Chinese Medicine Yunnan Baiyao in the Treatment of Diabetic Foot Ulcers: a Multicentre, Randomised Clinical Trial. Basic Clin Pharmacol Toxicol. 2026 Jul;139(1):e70253. doi: 10.1111/bcpt.70253. |
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| ID | Term |
|---|---|
| C530960 | yunnan baiyao |
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On the basis of the optimal clinical treatment scheme, Yunnan Baiyao ointment was used to treat the wound of granulation period patients for 2 weeks |
|
| 2 weeks |
| Granulation tissue health status | Healthy granulation, inflammatory granulation, infected granulation, edema granulation, aging granulation | 2 weeks |
| Pain scoring | visual analogue scale | 2 weeks |
| Microcirculation examination | ankle brachial index, ABI | 2 weeks |
| Minor amputation rate | distal ankle amputation | 3 weeks |
| Major amputation rate | leg and thigh amputations | 3 weeks |
| Mortality | the proportion of dead subjects to total subjects | 3 weeks |