The evaluation of the microcirculatory bed functional state and the identi¯cation of angiospastic disorders with related complications, when the pathological changes are reversible, have an important role in medical practice. The aim of this study was to evaluate the possibility of using optical noninvasive methods and the cold pressor test to solve this problem. A total of 33 patients with rheumatological diseases and 32 healthy volunteers were included in the study. Laser Doppler°owmetry, tissue re°ectance oximetry and pulse oximetry were used as optical noninvasive methods. The parameters were recorded before, immediately after and 20 min after the cold pressor test. Based on the measured parameters, the complex parameters of the microcirculatory bed were calculated.A detailed statistical analysis of the parameter changes for each individual in the two groups displayed diverse microcirculatory bed parameter responses upon cold exposure, with di®ering recovery of parameters after CPT. New diagnostic criteria were proposed for the identi¯cation of angiospastic disorders. According to the proposed criteria, 27 people of the volunteers group were con¯rmed to not display any disorders. In the patient group, however, 18 people were observed to have a relatively normal functional state of the microcirculatory bed, while 15 people were observed to have a possible tendency to angiospasm. To highlight the di®erences between a relatively normal state and presence of angiospastic disorders, statistical analysis of experimental data was carried out, which revealed signi¯cant di®erences. Further analysis of data with angiospastic disorders identi¯ed a relationship between their diagnoses and the results of laboratory studies.Thus, the evaluation of combined noninvasive optical diagnostic method use, the cold pressor test and proposed diagnostic criteria showed a positive result. This approach can be used to detect the presence of possible angiospastic disorders and related complications, as well as microcirculatory bed disorders against the background of other diseases.