With the onset of autumn, the number of patients with shingles and post-herpetic neuralgia has been increasing recently. Herpes zoster is an acute infectious disease of the skin and mucous membranes caused by varicella-zoster virus and is a common clinical condition. Herpes zoster is a common clinical condition that occurs in spring and fall and is less common in children. The onset of the disease may be preceded by prodromal symptoms such as fever and general malaise. The affected skin initially has a burning sensation and pain, followed by the appearance of irregular erythema along the nerve strips, unilateral distribution of the skin, clusters of herpes, corn-sized transparent blisters, surrounded by a red halo, pain is obvious. The disease is most common in the thoracoabdominal or lumbar herpes zoster, accounting for about 70% of the entire lesion, followed by the head and face, which can invade the trigeminal nerve, occipital nerve, etc., resulting in facial pain, toothache, headache, etc. It can also be seen in the back of the shoulder, limbs, etc., invading the brachial plexus nerve, etc. 15% to 20% invade the trigeminal nerve, especially in older people over 60 years of age, trigeminal herpes zoster is more common and more likely to leave residual neuralgia. It is more likely to leave post-herpetic neuralgia, and is prone to recurrence after healing, resulting in lingering post-trigeminal pain. In addition, viral invasion of the geniculate ganglion can result in herpes of the external tympanic membrane, which is characterized by otalgia, facial paralysis, oropharyngeal herpes, tinnitus, decreased sense of taste, and hearing impairment after healing, called Ramsay-Hunt syndrome. Depending on the nerve invaded, the herpes has a characteristic band-like distribution, mostly unilateral and not exceeding the midline. Herpes zoster infection accounts for about 10% to 20% of adults, but is more common in the elderly and in immunodeficient individuals. Local trauma, some systemic diseases and acute and chronic infectious diseases and poisoning are common contributing factors. Currently, the clinical treatment is based on antiviral, immune enhancement, analgesic, nerve nutrition and local treatment. In addition, the primary disease that triggered the zoster should be identified and treated. After treatment, the scabs usually fall off in 7 to 10 days, and the pigmentation left behind gradually fades, and most of them heal in 2 to 4 weeks. However, in elderly people, the duration of the disease is often 4-6 weeks, and there are also people with more than 8 weeks, and the posterior neuralgia even exists for more than half a year, which brings great pain to patients and their families. The author mainly used the treatment method of fire needle scattering puncture on the affected area with cupping and warm acupuncture, which can rapidly relieve pain, significantly shorten the course of the disease, and achieve the remarkable effect of pain relief and crusting in 2 to 3 days, without leaving local pigmentation after treatment, and can significantly reduce the incidence of posterior neuralgia in elderly patients and improve their quality of life. At the same time of treatment, patients are advised to drink more water, eat a light diet, avoid eating spicy and warm, fatty and oily, sour and astringent products, and pay attention to rest. Prevention: ① Enhance physical fitness and improve resistance to disease. ②Prevent infection. ③Prevent trauma. ④Avoid contact with toxic substances. ⑤ Promote nutrition. Especially the elderly should pay attention to the nutrition of diet, eat more soy products, fish, eggs, lean meat and other protein-rich foods and fresh fruits and vegetables to make the body strong and prevent the occurrence of various diseases directly or indirectly related to this disease.