Diabetic wound healing is delayed,with long treatment cycles,and traditional debridement and dressing changes often fail to meet clinical needs.Natural Chinese medicines characterized by “drug-excipient unification”,which combine both “active pharmaceutical substances” and “gel-forming excipients”,offer promising solutions.Chinese medicine hydrogels,with their water-retention properties,wound protection,and drug delivery capabilities for sustained release,provide a moist healing environment.They promote wound healing through various mechanisms,including antibacterial,anti-inflammatory,antioxidant actions,and stimulation of angiogenesis.This article systematically reviews the design of Chinese medicine hydrogels with “drug-excipient unification” characteristics and its effects in promoting diabetic wound healing,offering insights for the development and application of new dosage forms of Chinese medicinal herbs.