1. Basic knowledge of
microcirculation

2. Summary
• First part: Great blood circulatory system
• Second part: Introduction of microcirculation
(definition, function, constitution, characteristics and
importance)
• Last part:How to test microcirculation (start,
observation index, anlysis and correct judgment, give
professional advice )

3. First part
• Great Blood Circulation

4. Second part
Introduction of microcirculation

5. What is microcirculation?
The middle part of Artery and Vein
End part of circulation system
Important component of organs

6. What is the function of
microcirculation?
• The microcirculation is the
principal avenue for the delivery of
oxygen , nutrition and exit of the
substances involved in the
metabolism of every cell of the
tissues.

7. Constitution of
microcirculation
• Small artery
• Arteriole
• capillary
• Slender artery
• Small artery

8. Capillary wall is made of
endothelial cells, basilar
membrane, and peripheral cells
Vessel walls: arteriole is thicker
Vessel caliber: venule is bigger

9. Characteristics of
microcirculation
• End part of circulation system
• Important component of organs
• Common property of vessels, special
characteristics of organs
• The channels of blood, the place for
exchange
• Modulated by nerve system, body fluid,
and also modulated by locality.

10. Characteristics of
microcirculation
• ①The total length of capillaries is about
90-110 thousand kilometers (one and half
the perimeters of the earth 6,356.8km )
• ② About 10 billion capillary vessels, the
area can reach 500~700 m2
• ③ The wall of the capillary of the
microcirculation is very thin. (20~30 μ m)
• ④ The capillaries are very small in size
(one twentieth of a man’s hair. )

11. The importance of
microcirculation
• Regulation
 Stable regulation:
Body flux Organs flux Blood pressure
 Emergent regulation:
Local organs and tissues

12. What is the
microcirculation
disorder ?
• Microcirculation disorder means changes
in the form of capillaries or changes in
the pattern of the blood flow .
• If the capillaries of the microcirculation
are distorted and the capillaries are
blocked, necrosis of cell will occur due
to ischemia and anoxia.

13. What diseases may microcirculation
disorder cause?
• ① Nervous System:
• Low blood supply to brain area which can lead
to dizziness, headache, insomnia, deterioration
of memory, weakness of nervous system,
stroke etc
• ② Cardiovascular System:
• Obstruction in microcirculation can lead to
Chest oppression, arrhythmia, Heart or Chest
pain etc

14. • ③ Digestive System:
• Gastric functional problems, poor digestion,
can lead to gastritis, stomach ulcers etc
• ④ Muscular and bone joint system:
Microcirculation disturbance of muscular and
joint system can lead to general muscular
pain, numbness, cold extremities, can also
lead to inflammation of vessels, Varicose veins
and joint pains etc

15. • ⑤Women Diseases:
• Many Women related diseases have relation
with microcirculation like painful menstruation,
abnormal menstruation and tumor of the
uterus etc
• ⑥ Skin:
• As body gets old the micro vessels of skin
reduces, so less blood and oxygen supply lead
to low nourishment of skin thus also results in
poor elasticity of skin, dark pouches around
eyes etc.

16. In Conclusion
• Obstruction in the microcirculation can lead to
many old age related diseases like: Brain
Atrophy, Old age Dementia, Stroke, High
blood pressure, coronary heart disease, Frozen
shoulder, Osteoporosis etc

17. What will cause disorder of
microcirculation?
• Causes
 Ischemia reperfusion injury
 Endothelial cell damage
Hypercholesterolemia
 Platelet aggregation Oxygen free radical
 High blood viscosity high blood sugar
Some immunological
reaction
Toxin, virus

18. Last part
How to test microcirculation

19. How to test the
microcirculation?
• The nail bed is easy to view and is
richly endowed with capillaries
very close to the skin surface
beneath the nail.

20. How to start?
• Firstly you should know some information
about the people who will be tested
Gender Job
Figure Food
Appearance Medical history
Age Family history
Smoke Recently feeling

21. Observation Indexes
1 清晰度 Resolution
2 管袢数 Number of capillary loops
3 管径 Vessel caliber
3 main 4 管袢长度 Length of capillary loops
aspects: 5 管袢形态 Shape of capillary loops
6 流速 Blood flow rate
Shape 7 血管运动性 Motility of Blood vessel
8 红细胞聚集 Aggregation of red blood cell
Fluid state 9 白细胞数 Number of white blood cell
10 白微栓 White micro embolism
Loop 11 血色 Blood colour
surrounding/ 12 渗出 Permeation
13 出血 Bleeding
blood vessel ansa
14 乳头下静脉丛 Venule clusters under mammary papilla
perimeter 15 乳头 Mammary papilla
16 汗腺导管 Sweat ducts

22. Shape
• Clarity
• Number of capillary loops
• Vessel caliber
• Normal shape of capillary loops
• Deformity vessels
• Short loops
• Thin loops
• Tense blood vessel
• Dilation blood vessel
• Stagnation blood vessel
• Hyperplasia vessels
• Top loop tremendous expansion

23. Analysis of microcirculation
Shape of vessels
1Clarity
clear unclear blurred

24. Analysis of microcirculation
Shape of vessels
2. Number of capillary loops:7~10 is normal

25. Analysis of microcirculation
Shape of vessels
3. Vessel caliber:
Input loop: 9~13um; Output loop: 11~17 um; Loop top: 15um
2 3
1

26. Analysis of microcirculation
Shape of vessels
4.Shape of capillary loops: hair-pin shape
Normal Normal Abnormal

27. Analysis of microcirculation
Shape of vessels
5. Deformity vessels

28. Analysis of microcirculation
Shape of vessels
6. Short loops

29. Analysis of microcirculation
Shape of vessels
7. Thin loops

30. Analysis of microcirculation
Shape of vessels
8. Tense vessel

31. Analysis of microcirculation
Shape of vessels
9. Extensive vessels

32. Analysis of microcirculation
Shape of vessels
10. Congestive vessels

33. Analysis of microcirculation
Shape of vessels
11. Hyperplasia vessels

34. Analysis of microcirculation
Shape of vessels
12. Top loop tremendous expansion

35. Blood fluid state
1.Blood flow rate
2.Red blood cells aggregation
3.White micro embolism

36. Analysis of microcirculation
Blood fluid state
1. Blood flow rate
Linear flow,
Linear granular flow,
Granular flow,
Fluctuated granular flow,
Halt

37. Analysis of microcirculation
Blood fluid state
2. Red blood cells aggregation

38. Analysis of microcirculation
Blood fluid state
3. White micro embolism
White micro embolism is formed by platelet, endothelial cells and
white blood cells via attachment or aggregation,
Irregular shaped, cotton cluster
Can both adhere to vessel wall and flow in vessels
Big volume, 3 times as white blood cell
Most in venule clusters under mammary papilla and obviously in
extensive loops

39. Loop surrounding
1. Permeation and bleeding
2. Vein clump under nipple:
3. Nipple

40. Analysis of microcirculation
Loop surrounding
1. Permeation and bleeding

41. Analysis of microcirculation
Loop surrounding
2. Vein clump under nipple:

42. Analysis of microcirculation
Loop surrounding
3. Nipple
Waved shape Slight waved shape Flat

43. How to give advice?
• If the person don’t have any bad
habits, don’t have any disease or
symptoms, and the
microcirculation is also good:
• We may ask him to share his
healthy experience with us.

44. Just
Microcirculation
Disorder
• If the person don’t have any bad
habits, don’t have any disease or
symptoms, but have some
microcirculation disorder from the
observation:
• We may think that he just may have
some little disorder about the body, so
we can give him some products for
improving health. And give him some
good suggest about life.

45. • If the person have some bad
habits, and have some little
symptoms, such as feeling tired,
fragility and so on, also find some
disorder about the
microcirculation:
• We can give some products for
improving the symptoms. And
some good suggest.

46. • If the person have don’t have some bad
habits, but have family history, and
have some obvious symptoms, and also
have disorder about the
microcirculation:
• We could give him some product for
improving symptoms and also advice
him to have a inspect in hospital.
Family On your family tree,there were more than one person had got
History or died from one disease, such as diabetes, CAD, Cancer etc.

47. • If the person have some obvious
symptoms, and he know about his
disease, such us diabetes, heart disease
etc:
• We should give some our products and
at the same time ask him should not
stop the drug which he used before.
They can use our product and the drug
together but not simultaneous.

48. How to give the correctly
products?
• We have the prescription for you to
suggest your client.

49. Welcome to Contact Us
If you are interested in the content, or may have some questions
about health and diseases, welcome to contact us, we will provide
you with a professional service.
Tel: 017 22 75 716
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