[Clinical analysis of 200 cases of necrotic thromboangiitis obliterans]

Two hundred cases of necrosis thromboangiitis obliterans (199 males, 1 females; age 17 approximately 63 years) were observed. The illness course averaged more than 5 years. Focuses of upper limbs were 6 cases and those of lower limbs 194 cases. 98 cases and 102 cases suffered from ulcer and gangrene respectively. 100 cases belonged to the first degree, 62 cases to the second degree, 38 cases to the third degree of III stage. 171 cases were treated by the combination of TCM and WM except 3 cases which were actively discharged and 26 cases which were to be given amputation.

90 cases within 171 cases were cured, 52 cases were improved obviously, 7 cases improved, 5 cases ineffective and 17 cases to be given amputation. The writers regard three principles should be followed in the treatment of necrosis thromboangiitis obliterans by the combination of TCM and WM. (1) The main importance was to improve blood circulation to remove blood stasis. (2) Controlling infection was the key point, effective antibiotics and hormone should be added besides these herbal medicines for clearing away heat and toxic materials. (3) General protecting therapy, performing various local operations on right period on the basis of improvement of blood circulation of the involved limbs, the wound could heal successfully. The writers suggest that the amputation should not be given above the level of the main artery obliterans.