If the process is very extensive or is progressing upward toward the saphenofe moral junction, or if it is in the proximity of saphenofemoral junction initially, ligation and division of the saphenous vein at the saphenofemoral junction is indicated. The inflammatory process usually regresses following this procedure, though removal of the involved segment of vein (stripping) may result in a more rapid recovery.

Anticoagulation therapy is indicated if there is a rapid progress and extension into the deep system.Septic thrombophlebitis requires excision of the involved vein up to its junction with an uninvolved vein in order to help the continued seeding of the blood with bacteria.
Treatment in traditional Chinese medicine.
Vascular Bi is a blockage syndrome characterized mainly by the symptoms of the blood vessels. The chief manifestations are irregular fever, burning sensation of the skin, pain of the muscles of the joints and erythematous rash, redness and tenderness along the course of a vein, rapid pulse and yellow coating of the tongue.

Si Miao Yun An Tang Jia Jian.
Constituents:
Honeysuckle flower 40g
Weeping forsythia (fruit) 40g
Root of Zhejiang figwort 30g
Chinese angelica 30g
Skullcap 12g
Chinese goldthread 12g
Corktree 12g
Dandelion 30g
Chinese violet 30g
Unpeeled root of herbaceous peony 30g
Root-bark of peony 12g
Chuanxiong 20g
Root of red rooted salvia 30g
Fresh or dried rehmannia 30g
Buffalo horn 30g
Decoction and dosage. Put all the above herbs together to be simmered twice and then the broth of each mixed, half of the mixed broth each time, twice a day. Six doses are prescribed. Rumex madaio Makino. Fresh leaves of rumex madaio makino are smashedfor application on the affected region, 3 times daily, each 60 grams.The above herb therapies are very effective for this condition.
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