During the period from January 1976 through September 1978, we have admitted 58 cases of thromboangitis obliterans. They were treated with two dissimilar regimes and the results of treatments were analysed. Of the total, the first twenty eight consecutive cases were treated with decoctions of medicinal herbs but no moxibustion (group A), the remainder were treated with moxibustion but no herbal decoctions (group B). Group A was further splitted, in accordance with conventinal traditional Chinese medical typing, into two clinical forms: the "cold-damp" and the "hot-toxemic". The former was given a compound decoction of Radix Angelicae Sinensis, while the latter received either a compound decoction of Radix Rehmanniae or a compound decoction of four herbs, namely, Radix Scrophulariae, Angelicae sinensis, Lonicera japonica and Glycyrrhizae. For group B patients, the ignited moxa stick was held over various acupuncture points around the ankle and other points such as Zusanli, Weizhong, Xuehai, Shenshu and etc. For open wounds the management was the same for both groups. The two groups were also comparable as regards age and the duration and severity of morbidity.
Therapeutical results: Alleviation or abatement of pain within 5 days was obtained in 15 patients (amongst 28) and 24 (amongst 30), of group A and B respectively. (P>0.05). Complete healing of wound within 3 months occurred in 11 patients and 22 patients, of Group A and B, respectively (P<0.05). The latter difference is statistically significant and therefore justifies our opinion that moxibustion accompanied by local application of Chinese pharmaceutical preparations on open wounds may be deemed a rational therapeutic approach to promote healing in thromboangiitis obliterans with open wounds.
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