Oral and labial herpes, also known as herpes facialis, is the most common type of herpes simplex. Clinically, its cause is infection with the herpes simplex virus. It is characterized by frequent recurrences, which occur several times a year. And it is a recurrence every year with lifelong onset. That is why it is also called lifelong recurrent orofacial herpes.
The manifestation of herpes simplex is that the initial localization often starts with burning, itching and flushing, followed by the appearance of dense clusters or several clusters of pinhead-sized blisters, which are smaller and more clustered than those of the primary form, rupture and vesicles, oozing, gradually drying and crusting, and the whole process takes about 1 to 2 weeks, and after healing, there can be temporary local pigmentation. The damage occurs at the junction of the skin and mucous membranes, such as the corners of the mouth, the edges of the lips and near the nostrils, and also on the face and lips.
It is often caused by cold, fever, fatigue, lack of sleep, depression, stress, nervousness and anxiety, resulting in a decrease in immunity, which causes the herpes virus latent in the body to multiply, leading to the onset of blisters at the corners of the mouth. It starts with a burning sensation, followed by clusters of blisters, vesicles and crusts, and can recur in about two weeks.
The onset of oral and labial herpes is basically caused by the herpes simplex virus. It usually occurs after a fever, infection, cold, or sun exposure, stressful life, during menstruation, or when the immune system is suppressed. The disease is highly contagious. The incubation period is about 3-10 days and may last up to three weeks after the appearance of herpes labialis. If you are prone to allergies, it is likely that you have a weak immune system and therefore may also be susceptible to oral and labial herpes.
The lung is the master of the skin and the stomach is the master of the muscles. When the wind-heat and poisonous evil is external to the lung and stomach meridians, it transpires in the skin, the veins are not smooth and the water and fluid are not dispersed properly, and you see small blisters on the skin, which form a vesicular surface after breaking, and itching and burning when the wind-heat is blocked. The liver meridians surround the yin apparatus, and damp heat from the liver and gall blisters in the yin area, which is most easily decayed by damp heat. It may be accompanied by fever, dry stool, red urine and other symptoms of damp-heat infusion. As the disease recurs, the heat evil injures the fluid over time, so the symptoms of internal heat of yin deficiency such as dry throat, thirst, red tongue and thin pulse are also seen. If the child is congenitally deficient and has poor resistance and feels heat poison, it can be seen as high fever convulsions, inappetence, herpes rash, liver enlargement, jaundice and other dangerous symptoms of poison entering the blood and internal organs.
1. Wind-heat in the skin
Symptoms: Clusters of small blisters appear at the junction of skin and mucous membranes, surrounded by redness, clarification of herpes fluid, rupture to reveal the vesicular surface, about a week to dry and crust and heal, may be accompanied by itching, pain, fever. If it occurs in the eye, it can be seen as photophobia, lacrimation, swollen eyelids, and redness of the whites of the eyes.
Identification.
① identification: this evidence to the first-time patients, the location of the disease is mostly in the head and face, the short duration of the disease is the main point of identification.
② pathogenesis: wind-heat poisonous evil guest in the lung and stomach, contained in the skin, fluid dispersion disorder, and see the skin blisters, wind is itchy, not pass is pain, wind-heat external sensation is feverish fear of cold wind-heat evil invade the upper part, so see the rash more in the head and face.
Treatment: Drain the wind and clear the heat and detoxify the toxin.
Remedy: Clear lung soup: Radix Platycodon grandiflorus 12g, Radix Puerariae 15g, Radix Bupleurum 12g, Radix et Rhizoma gastrodiae 30g, Radix et Rhizoma mulberry 12g, Radix chrysanthemum 15g, Radix Panax notoginseng 20g, Radix ginkgo biloba 20g, Radix forsythiae 30g, Radix scutellariae 15g, Radix jasmine 12g, Radix rehmanniae 30g, Radix gypsum 30g, decoction with water, 1 dose daily. Heat inflammation Ning and defeat pills are taken orally.
2.Damp heat in liver and gallbladder
Symptoms: Blisters occurring on the lips and pubic area, easily broken and eroded, with flowing water and obvious pain; if infected with poison, there is purulent secretion, accompanied by fever, dry stool, red urine, yellow and greasy coating, and slippery pulse.
Identification.
①Identification: This evidence is based on the fact that the disease occurs in the lower part of the body and the yin region.
②Mechanism: Dampness is a yin evil, mostly tends to the lower part of the body. Liver and gallbladder damp-heat injection, blocked in the yin area is seen in the local herpes, damp-heat evil is easy to erosion, so the blisters are easy to break erosion, water, pus. Damp-heat obstruction of the meridians is painful, and heat is feverish; dry stool, red urine, yellowish moss, and slippery pulse are signs of damp-heat.
Treatment: Clear the damp-heat in the liver and gallbladder.
Radix: Qinghe liver diarrhea heat soup plus reduction: 15 grams of gentian grass, 15 grams of bitter ginseng, 15 grams of white fresh peel, 15 grams of ground bark, 15 grams of snake bed seed, 12 grams of yellow cypress, 15 grams of scutellaria, 12 grams of mountain gardenia, 20 grams of raw earth, 12 grams of zedoary, 12 grams of mouton, 30 grams of panax root, 12 grams of carthamus tinctorius, 6 grams of raw rhubarb, 20 grams of septoria, 12 grams of anti-hexa, 6 grams of raw licorice, decoction with water, 1 dose daily. Laxative Liver Pill and Lianzhi Pill are taken orally.
3.Yin deficiency and internal heat
Symptoms: Repeated attacks, unable to control recurrence despite treatment, blisters at the junction of skin and mucous membrane or other parts, clusters, erosion after rupture, burning and itching, pain. This is accompanied by thirst, dry throat, heartburn, red tongue, thin coating, and fine pulse.
Analysis: The rash is recurrent, with a long history of illness, accompanied by thirst, irritability, dry throat, red tongue, thin coating, and fine pulse, which is a sign of Yin deficiency and internal heat.
Treatment: Nourishing Yin and clearing heat to detoxify.
Recipe: Nourishing Yin and clearing heat: 20 grams of Radix Rehmanniae, 15 grams of Radix et Rhizoma Ginseng, 12 grams of Salviae Miltiorrhizae, 12 grams of Madonnas, 12 grams of Smallpox Powder, 15 grams of Zhi Mu, 12 grams of Phellodendron Bark, 30 grams of Bone Bark, 15 grams of Amaranthus Macrocephalae, 15 grams of Comfrey, 20 grams of Panax quinquefolium, 20 grams of Radix Rehmanniae, 30 grams of Forsythiae, 6 grams of Licorice. Zhi Bai Wan and Pearl Pill are taken orally.
4.Heat poisoning
Symptoms: Blisters on the skin and mucous membranes, or scattered herpes all over the body, accompanied by febrile convulsions, inappetence, hepatomegaly, jaundice and other critical symptoms, mostly seen in infants and young children.
Identification.
① identification: this evidence is critical, generalized herpes, high fever, convulsions, not thinking about food and drink and other critical symptoms as the main points of identification.
②Mechanism: heat toxin is hot, deep into the blood, internal attack on the internal organs, so see the child with high fever, heat and wind will be convulsions, poison guest gastrointestinal is not thinking about eating, poison guest in the liver is liver swelling, jaundice.
Treatment: Clearing heat and cooling the Blood to detoxify the toxin.
Prescription: Cool the blood and detoxify the toxin soup: 12 grams of purple ginseng, 15 grams of water hyacinth, 6 grams of pearl powder, 30 grams of gypsum, 3 grams of niuhuang, 12 grams of yellow lily, 15 grams of gardenia, 15 grams of scutellaria, 15 grams of yellow cypress, 20 grams of raw earth, 30 grams of silver flower, 20 grams of dandan bark, 30 grams of thatch root, 30 grams of forsythia, 30 grams of gong ying, 30 grams of daidian, 6 grams of licorice, decoction with water, 1 dose daily. Qingkai Ling and Monkey Jujube San are taken orally.