The neuralgia in the early stages of shingles is very pronounced, with a burning pain like a knife cut and very persistent. It can have a huge impact on the patient’s life and work. The neuropathic pain caused by herpes zoster has nerve damage, which is difficult to repair, making the disease extremely difficult to treat. The main clinical treatment is symptomatic, such as local relative treatment through vitamin B, physiotherapy, hot compresses and other rehabilitation treatments can effectively relieve pain. However, often after these treatments the patient will have severe pain again and the pain may be more pronounced than before the treatment. In the early stage, the prevention of co-infection is to prevent the infection of the ulcer surface by Staphylococcus aureus on the skin, and the application of lidocaine gel, etc., can significantly relieve the pain and can be combined with Chinese and Western medicine. When the above methods are not effective, you can use sedatives to help sleep at night, and when the condition is relieved to stop the drug appropriately, to avoid drug dependence.