What is herpes simplex how to diagnose herpes simplex

  It is caused by herpes simplex virus (HSV) infection among herpes viruses. Type I mainly causes infections of skin and mucous membranes and organs other than the genital area; type II mainly causes infections of skin and mucous membranes in the genital area and in newborns. It is called “hot sores” or “fire sores” in Chinese medicine.  Diagnosis 1. The rash is a cluster of small blisters that break down to form vesicles and superficial ulcers, gradually drying and crusting, and healing in 1~2 weeks.  2.Self-perceived burning and pain, which may be accompanied by local lymph node enlargement.  3, the patient’s first contact with HSV infection is called primary infection, herpetogingival stomatitis, neonatal herpes simplex, etc.  4. After the primary infection has subsided, the patient is stimulated by certain factors, such as fever, menstrual flow, fatigue, etc., and can have a recurrence. Recurrent herpes simplex mostly occurs at the junction of the skin and mucous membranes, with the face and genitalia such as the lips, foreskin, glans, vulva and other parts of the body. It is easy to recur.  5. Common herpes simplex is mostly recurrent and can be diagnosed according to its clinical features. Direct immunofluorescence examination of viral antigens with monoclonal antibodies in skin lesion scrapings helps in clinical diagnosis and virus typing, and serum antibody determination of IgM is useful for clinical diagnosis of recent infections.  Differential diagnosis 1. Impetigo: The blisters of herpes simplex are small, tense, clustered, and occur at the skin-mucosal junction. In impetigo, the blisters are looser and the lesions are covered with thicker honey-yellow vesicles, and the pathogens of the two are different.  2, fixed drug rash: the lesions are round edematous erythema, the onset is related to the use of drugs.  The Chinese medicine treatment: Chinese medicine believes that the disease is caused by heat in the upper jiao, or residual heat is not cleared and then feel the poisonous evil of the season, the Chinese medicine identification of the disease: (1) lung and stomach wind-heat type: treatment is appropriate to clear the lung and stomach wind-heat; formula with Qing lung drink plus reduction.  (2) Dampness-heat type: the treatment is to clear heat and dampness; the formula is Gentian Diarrhea Liver Soup with addition and subtraction.  (3) Or take Qingkailing Capsules, Hegelwang Tablets, Huanglian Shangqing Pills, Niuhuang Detoxification Pills internally.  (4) Topical application of red sea stone lotion, compound lotion No. 1, Huanglian moisten muscle cream, Qing Dai San, etc.  2.Western medicine treatment: (1) Serious cases can be taken orally with antiviral drugs such as acyclovir, vanamycin, famciclovir, etc.  (2) local treatment to anti-viral and prevent infection, can be used topically 5% acyclovir ointment, 3% phthalimide cream, 2% methyl violet liquid or antibiotic ointment.  (3) Internal or external use of glucocorticosteroids is prohibited.