본 증례에서는 우측 족부의 혈액 관류 감소와 당뇨병성 신경증에 의한 감각 마비가 족부 궤야으이 중요한 원인이라 생각되며, 이러한 당뇨병성 족부병변이 항생제에 반응하지 않을 때 消渴治癰湯이 유효함을 확인하였다.

Diabetic foot lesion is an important chronic application of Diabetes mellitus, it occurs foot ulceration and necrosis and it is a major cause of lower-extremity amputations. The causes of diabetic foot lesion are considered as decrease of blood flow of foot by vascular disease, injury of foot and chronic edema by diabetic neuropathy, infection and malformation of foot. In the western medicine, the treatments of this disease are using antibiotics and control of hyperglycemia. if ulceration of foot is developed, it will need amputation of foot. I treated a patient with Sogalchiong-tang, who had controled blood sugar for 25 years and visited our hospital with a developed ulcer on the second toe of right foot that had occured 6 months ago. So I report this case with the study of literature.