In reply to Taurig:
As someone who is likely more qualified (a medical and PhD student who teaches physiology to undergraduates), you're pretty much correct.
I cannot think of a reason why aspirin would help Elsie. As Taurig correctly states, aspirin works by inhibiting the clotting process which sticks platelets together, thus preventing the clots which gum up the arteries in unhealthy hearts and thereby cause heart attacks. Elsie's circulatory problems are caused by constriction of the muscle in the walls of the small arteries and capillaries in her hands, this is a normal physiological response whereby blood is redirected to deeper vessels to reduce heat loss. Unfortunately in Elsie's case it is excessive causing cold, lifeless hands with pain due to a reduction in oxygen and nutrients reaching the tissues and build up of waste products there, which stimulates the pain nerves. Again as Taurig said, aspirin doesn't reduce blood viscosity, nor does it make red blood cells more flexible so it won't help the blood squeeze past the constrictions.
From a physiological perspective there are many good ideas in this thread:
- maintain blood volume by drinking plenty of fluids, ideally warm ones to maintain core temperature
- maintain body temperature by wearing the right amount of clothing at the right time (don't get sweaty, but don't get cold then try to warm back up)
- keep hands active to encourage blood supply
- wrist gaiters are meant to be great, the arteries that supply the hand are very shallow at the wrist so could benefit from some extra insulation
- constriction of blood supply to arms can be a problem, but the compression of a baselayer or neoprene wrist gaiter won't be greater than blood pressure so they're not at fault. Static constrictions like an axe leash could restrict blood supply though.
- ultimately this could be Raynaud's, worth going to a GP for an opinion, one with an interest in sports and exercise medicine, ideally related to the outdoors could be a good idea.
That's everything that comes to mind. Good luck!