There is a family history of the development of varicose veins in the lower extremities, older age (over 50 years), women (especially multiple mothers), oral contraceptive use, prolonged standing work (>6 hours per day), and obesity. Varicose veins in the lower extremities often have no obvious symptoms at the beginning of the disease. Some people may feel itchy calf skin, swollen legs, soreness, fatigue, and a feeling of heaviness in the legs, especially after standing all day, with particularly sore calves and swollen ankles, which are more comfortable when the feet are elevated. These symptoms are most severe in women of childbearing age before menstruation. The more severe the varicose veins are, the more pronounced the local pain in the lower extremities, and even the stagnation of blood in the feet, with the ankles appearing purple; in more severe cases, the blood does not flow back easily, and pigmentation, eczema-like dermatitis, and possibly bruised ulcers may occur, and sometimes bleeding from ruptured veins may occur. In some cases, blood clots and inflammation along the vein walls, known as thrombotic vasculitis, may occur, and the epidermis may become red, swollen, and painful along the veins, and even painful nodules may be palpable. If the clot moves with the bloodstream to the lungs, a potentially fatal pulmonary embolism can occur. Varicose veins, also known as “rotten legs”, are abnormal dilatation of the veins. At the beginning of the disease, you may feel localized itchy skin, swelling of the legs, soreness, fatigue, aggravated by standing for a long time, mildly like earthworms, or severely amputated. Treatment of varicose veins Compression therapy method: The use of elastic stockings, using external pressure to reduce the edema generated during exercise. Theoretically, the pressure of elastic stockings is greatest at the ankle and gradually decreases upward. It is usually best to wear elastic stockings up to the thigh. They are best worn early in the morning before waking up, and then removed at night after going to bed. If the patient has already developed leg ulcers due to venous hypertension, antibiotics and diuretics should be administered as directed by the physician, along with special Ezymatic Therapy. Sclerotherapy: A hypertonic solution (such as highly concentrated saline or sclerosing agent) is injected into the varicose vein to destroy the lining of the vessel and make it disappear after sealing. However, only small varicose veins can be treated and there may be severe pain, pigmentation, inflammation, redness, swelling, ulceration and other sequelae during treatment. Extracorporeal laser or pulsed light: The same principle as the laser cosmetic treatment for spot removal. The advantage is that only local anesthesia is needed, the treatment time is short, the pain is low, the wound is quite small, no unsightly scars will be left, and you can walk immediately. However, the treatment is only for microscopic spider veins, and it requires several sessions at your own expense to be effective. Surgical aspiration: An incision is made in the groin and the saphenous vein is cut and ligated or aspirated, requiring a semi-body or general anesthesia and a 2-3 day hospital stay. If the varicose veins are too severe, several small incisions may be required to aspirate the varicose veins in segments. The treatment is complete, with definite results, and is a classic treatment. Endovascular cautery: A small incision is made on the inside of the knee or ankle and a very thin catheter is placed to cauterize and block the flow of varicose veins with high-frequency waves (or radiofrequency) or laser beams. The simple endovascular cautery procedure has the advantages of being performed under local anesthesia, no hospitalization, less scarring and pain, and the ability to walk home with a bandage on after treatment, with a high success rate. However, it is not covered by health insurance and has to be paid for out of pocket, and most patients may not only be solved by this method alone, but need to supplement it with other modalities such as the minimally invasive varicose vein rotation system in order to have a more complete treatment. Minimally invasive varicose endoscopic system: The endoscopic and suction-rotational approach is used to crush and remove earthworm-like veins, resulting in a smaller and more aesthetic wound than traditional surgery, but requires anesthesia and hospitalization and supplies at your own expense. Varicose vein laser closure (EVLT technique): applying the characteristics of semiconductor laser conduction, the thin light guide fiber is punctured into the blood vessel, and by conduction of laser, the endothelium of the blood vessel is precisely destroyed, and the vein is fibrotic to achieve the purpose of vascular closure. technology. Drug therapy: Drug therapy is a specialized drug that is administered orally through the normal circulation directly to the veins. The characteristic of these drugs is that they are targeted to absorb the organ tissue that is the venous vessels, unlike ordinary vasodilator drugs or drugs that activate blood circulation and remove blood stasis.