微循环是连接人体各个器官和组织的”生命之桥”，其状态直接反映了我们的健康状况。在中医诊断中，甲襞微循环、视网膜微循环和足底热成像微循环检测，已经成为评估老年人慢病风险的重要方法。
甲襞微循环检测通过观察手指甲周血管的变化，可以直观反映全身微循环状态。对于高血压患者，经常会出现毛细血管袢畸形、血流速度减慢等异常，这些改变为中医辨证提供了重要依据。视网膜是全身唯一可以直接观察血管的部位，在糖尿病等代谢性疾病患者中，常出现微血管瘤、出血等改变，这些特征对中医诊断”消渴证”具有重要参考价值。足底热成像技术能够直观显示足部微循环状态，对于糖尿病足等并发症的早期预警具有重要意义。
中医在微循环调理方面积累了丰富经验。通过针灸、推拿等传统疗法，配合适当的运动，可以有效改善微循环。例如，艾灸足三里穴可以改善下肢循环，推拿手部可以促进末梢血液循环。对于患有高血压、糖尿病的老年人群，定期进行微循环检测，结合中医养生方法，对血糖控制、血压管理和慢病防治都有积极作用。通过中西医结合的方式，为老年人慢病管理开辟了一条新路径。
### 3-Microcirculation-Assessment-TCM-In-Chronic-Disease-Diagnosis
Microcirculation serves as the “bridge of life” connecting various organs and tissues in the human body, and its condition directly reflects our health status. In Traditional Chinese Medicine (TCM) diagnosis, the assessment of nailfold microcirculation, retinal microcirculation, and plantar thermal imaging microcirculation has become an important method for evaluating the risk of chronic diseases in the elderly.
Nailfold microcirculation examination observes changes in the blood vessels around the fingernails, providing a direct reflection of the body’s overall microcirculation status. In hypertensive patients, abnormalities such as capillary loop deformities and decreased blood flow velocity frequently occur, offering crucial evidence for TCM syndrome differentiation. The retina is the only location in the body where blood vessels can be directly observed. In patients with metabolic diseases like diabetes, changes such as microaneurysms and hemorrhages are common, providing significant reference value for TCM diagnosis of “consumptive thirst syndrome.” Plantar thermal imaging technology can visually display the microcirculation status of the feet, playing an important role in early warning of complications like diabetic foot.
Traditional Chinese Medicine has accumulated extensive experience in microcirculation regulation. Through traditional therapies such as acupuncture and massage, combined with appropriate exercise, microcirculation can be effectively improved. For instance, moxibustion on the Zusanli (ST36) acupoint can enhance lower limb circulation, and hand massage can promote peripheral blood circulation. For elderly individuals with hypertension and diabetes, regular microcirculation assessments combined with TCM health-preserving methods significantly benefit blood sugar control, blood pressure management, and chronic disease prevention and treatment. This integrated approach of TCM and Western medicine opens a new pathway for managing chronic diseases in the elderly.
