Systems and methods are provided for blood circulation evaluation by providing a measurement device collection in communication with a thermal exchange device comprising an appendage chamber having a thermal exchange member. The measurement device collection may measure patient information such as height, weight, temperature, pulse, and/or blood pressure, and transmit the patient information to the thermal exchange device to estimate patient blood volume based on the patient information. Blood flowing through the arteriovenous anastomosis (AVA) of the appendage may be heated or cooled at the thermal exchange member for therapeutic application of thermal energy to adjust blood viscosity in the human to alleviate symptoms associated with a number of autoimmune, circulatory, neurological, lymphatic, and endocrinal maladies. The thermal exchange device may calculate a patient circulation rating based on the estimated blood volume, thermal transfer energy over a specific time period or thermal transfer at various locations throughout the body, and a baseline circulation rating, and generate an alert if the patient circulation rating falls outside a predetermined threshold.
