Shingles just started without blisters is pain, mainly with medication, including local medication, oral medication treatment. 1. local medication: shingles is a viral infection, can cause neuralgia and blisters, in the beginning, if the pain is more serious, you can also apply lidocaine cream in the place of pain and so on. 2. Oral medication: mainly use antiviral drugs, such as acyclovir, ganciclovir, bromvudine, etc. The use of antiviral drugs is beneficial to reduce nerve pain, but also shorten the course of the disease. In addition, if the pain is more serious, you can also use pain relief drugs, such as tramadol, ibuprofen, pregabalin and so on. Shingles should be treated in a timely manner in order to minimize the adverse effects of the disease, and all of the above medications should be used in accordance with medical advice.