For herpes zoster and post-herpetic neuralgia, which is a serious threat to the physical and mental health of elderly patients, there are several clinical periods: 1) viral latent period; 2) acute attack period; 3) chronic recovery period. We believe that there is a timing problem to control pain, generally within 3 months after the onset of pain is the best treatment window, during this period if the treatment is appropriate, the pain has a chance to be completely cured, 3 to 6 months is okay, more than 1 year treatment effect will be significantly reduced, if the pain is more than 3 years, most patients can only rely on drugs for a long time to relieve pain, even if invasive interventions such as radiofrequency, pain The probability of recurrence is also very high! From the analysis of the cost of disease treatment, we find that there is a pattern of low in the front and high in the back, that is, if the treatment is not timely, the later the patient’s costs will be higher! In the acute phase, the conventional treatment is focused on the treatment of herpes skin and antiviral therapy, the patient is mainly seen in the dermatology clinic, the cost of drugs often does not exceed a hundred dollars, and the patient herpes lesions can be cured in about 2 weeks to a month. If there is post-herpetic neuralgia, most patients will go to neurology clinics, where doctors will prescribe analgesics and drugs to treat neuropathic pain orally, and the price of these analgesics ranges from 30 to 50 yuan, and there are anti-epileptic drugs represented by gabapentin, which have a pain-relieving effect on post-herpetic neuralgia, and the retail price in the market is 30 to 50 yuan, plus some vitamin-based As for the new drug Premarin, the price of each box is as high as about 80 yuan, according to the recommended dose of oral, the cost of this drug alone is about 1,000 yuan a month, the doctor then prescribes some intramuscular vitamins or adenosine drugs to improve immunity to patients, the cost will increase again. There are also a lot of patients who are in a hurry and go to those black clinics in the society with the signboard of ancestral recipes, the cost is difficult to control, it really costs money and does not solve the problem! For refractory intractable neuralgia major hospitals have minimally invasive interventional techniques, the more representative one is radiofrequency ablation, which is a physical method of targeted destruction of damaged sensory nerves to achieve the purpose of pain reduction treatment, the effect is exact but often easy to recur after six months, and the cost of a single treatment is thousands of dollars! In the treatment of postherpetic neuralgia, we especially emphasize the word “early”, timely diagnosis and correct methods, and spending a small amount of money to solve the problem at the root is our consistent pursuit! During the treatment window, our main method is to perform nerve root block treatment in the lesion area, instead of the so-called painful injection. This nerve root block technique requires an experienced physician to operate personally because of the risk and difficulty involved, and often one or two sessions can completely repair the damaged nerve, thus blocking the pain from occurring at all. A nerve root block operation costs 200 to 300 yuan, and the cost of injectable drugs is less than 80 yuan, together with a short period of oral drugs or physical therapy, patients can solve the problem without hospitalization as long as they come to the clinic once or twice, and most of the costs are reimbursed by medical insurance, which can really do more with less. With the development of medical technology, we now have more and more technical options in the fight against pain, and every pain doctor is working to master more advanced treatment technologies to provide services to patients. If we look at pain from the patient’s point of view and try to provide the right information and tools for each patient, we will be able to control pain early and reduce the medical burden on patients and society as a whole!