It may be said that the past decade has
witnessed striking changes in the attitude of the
physician to the patient afflicted with peripheral
Formerly, such a patient was considered a victim of a hopeless and incurable malady, condemned
to operation, institutional life, and a slow death.
It was not uncommon to see men in the prime of life
severely mutilated by amputation performed as a prophylactic measure. The medical profession is
indebted to such men as Maurice Raynaud, Weir
Mitchell, and Leo Buerger for their classical
description of certain peripheral vascular diseases.
pith their advent came classification and
differentiation of the various forms of peripheral
vascular disease and afterwards gradually the
evolution of treatment other than amputation.
The purpose of this essay then is to review
such treatment in the li ht of present-day
experience. Particular reference is made to the
form of therapy known as intermittent venous
1. A review has been given of the historical
development of the medical treatment of
obstructive vascular disease.
2. An evaluation of different forms of therapy has
3. In an investigation on the most recent form of
treatment it has been established that though
the basis on which tais treatment ress is sound
the explanation of the mode of action is not
4. An explanation of the mode of action is offered.
5. Suggestions for a better method of treatment of
obstructive vascular disease have been advanced.