What are the appropriate treatments for thromboangiitis obliterans?

Thromboangiitis obliterans is another type of arteriosclerosis and also a distributed vascular inflammation. Changes in the disease mainly occur in the limbs, arteries and veins. The vast majority of patients are middle-aged and elderly people, as well as middle-aged people over 50 years old. At this stage, those with more serious conditions may face the risk of amputation and treatment must be accelerated. If left untreated for a long time, it will lead to the formation of vascular lesions and cause non-atherosclerotic diseases.

1. Absolute smoking cessation is an important measure to prevent and treat this disease.

2. Keep feet clean and dry. Keep feet clean to prevent infection. Because damp cold is more harmful to the condition than dry cold, it is advisable to keep feet dry. Because the affected area already has poor blood circulation, even minor trauma can easily cause tissue necrosis and ulcer formation, so avoid any form of trauma.

3. Keep warm: Keep your feet warm whether you are working or resting to improve blood circulation in your feet, but do not overheat to avoid increasing oxygen consumption.

4. Changes in body position and foot exercises: When working, you should change your body position at any time to facilitate blood circulation. You can perform foot exercises (Buerger exercises) at ordinary times to promote collateral circulation of the affected limb. The method is: the patient lies flat on his back, raises the affected limb 45°, maintains for 1 to 2 minutes, then lets both feet hang down beside the bed for 2 to 5 minutes, while moving both feet and toes around 10 times, then puts the affected limb flat and rests for 2 minutes, repeats this exercise 5 times, several times a day.

5. Avoid using vasoconstrictor drugs.

Deficiency and cold type

〖Clinical manifestations〗 The affected limb likes warmth and fears cold, feels cold and numb to the touch, has local pale skin, irregular pain in the foot and calf, a pale red tongue with white fur, and a deep, thin and slow pulse.

[Diet therapy and medicinal food]

1. Aconite porridge: 10 grams of processed aconite, 10 grams of cassia twig, 5 grams of cinnamon, 3 stalks of green onion, 100 grams of polished rice, and appropriate amount of brown sugar. First, fry the aconite root for 90 minutes, then add cassia twig, cinnamon bark and scallion, and fry for another 40 minutes. Take the juice and cook it with glutinous rice into porridge. When the porridge is cooked, add brown sugar and cook for a while. Take twice a day.

2. Chuanwu and Angelica dahurica porridge: 10 grams of processed Chuanwu, 20 grams of Angelica dahurica, 10 grams of ginger, 100 grams of polished rice, and appropriate amount of honey. Fry Chuanwu, Angelica and ginger for 1 hour, take the juice and cook it with rice to make porridge. Add honey when it is almost cooked. Take it twice a day.

Blood stasis type

〖Clinical manifestations〗 The affected limb is purple, dark red or bluish purple. It becomes more purple when hanging down and turns white when raised. There is persistent and fixed swelling and pain, which is worse with movement. The skin is dry and the face is dark yellow. The pulsation of the dorsalis pedis artery and posterior tibial artery disappears. The tongue is crimson or dark purple, the tongue coating is thin white, and the pulse is deep, fine and wiry.