Herpes zoster without rash, also known as stroke-like herpes zoster, is a form of herpes zoster that presents primarily with nerve pain without any changes in the skin and without a rash. The patient’s pain has certain characteristics, it is mainly unilateral torso skin appears pinprick-like, paroxysmal, lightning-like nerve pain, with the position change of the pain does not reduce or aggravate, oral pain medication is not too effective. If the epidermis rubs or touches something, there will be pins and needles-like pain or hot burning pain, and the epidermis is like a layer of paprika sprinkled on it or it hurts like a burn.