1. How is shingles caused? Herpes zoster is an acute skin disease caused by the varicella-zoster virus. The virus enters the bloodstream through the mucous membrane of the respiratory tract and lurks at the nerves of the spinal cord. When the body’s immunity is low, the latent virus becomes active and replicates along the nerve travel, and the affected nerve becomes inflamed and necrotic, producing neuralgia. 2. What should I do if I have shingles? Traditional treatment includes nerve nutrition, antiviral and analgesic treatment. The representative drugs are methylcobalamin tablets, B1, B12; famciclovir, acyclovir; ibuprofen, fenbendazole, tylenol gabapentin, etc. 3.Why are some people easy to get well and some people not? The immunity of the body is responsible for fighting against external damage, and people with good immunity can rely on their own immunity to kill these viruses even if they don’t take drugs; people with low immunity can take more drugs, but they may not be able to get well. Therefore, the prognosis is worse for the elderly. 4.What if the pain is still bad after a phase of treatment and the skin gets better? Herpes on the skin will get better with time. The fact that the pain is still present indicates that the virus is still active. The most effective way is to inject nerve-nourishing, anti-viral, and nerve-eliminating drugs around the affected nerves early in the disease. The earlier the treatment is effective, the better it can be even in the early stages of the disease to keep it under control and not allow it to continue to progress to its peak, confining the virus around the local nerve when it is replicating in small amounts. 5. Can shingles be cured? No. Early and effective treatment is curable. 6. What if, unfortunately, the disease is not cured in the early stages? In principle, the best treatment is within 1 month, and the earlier the better. The cure rate is about 97%. However, we have cured post-herpetic neuralgia for half a year or even several years, but the chances are smaller, the treatment is more difficult, and the cost is more. 7. Which department should I go to if I have shingles? Traditionally, shingles is a skin problem and should be treated by a dermatologist. In fact, the skin manifestation is only the tip of the iceberg, the culprit is actually the nerve invasion of the virus, so, if you have this disease, you should go to the pain department.