Herpes zoster neuralgia is a disease caused by the varicella-zoster virus that mainly affects the skin and the dorsal root ganglion of the spinal nerve, and is characterized by cutaneous papules and neuralgia. It is characterized by cutaneous papules and neuralgia. The prevalent sites are the intercostal nerve, trigeminal nerve, cervical nerve and lumbosacral nerve distribution, and the skin of the lower back, abdomen, extremities, head and ear, as well as the mucous membrane of the nose and mouth. The papular lesions usually dry up in 7-10 days and crust off in about 21 days, leaving temporary erythema or hyperpigmentation after healing. Neuralgia is often the most painful manifestation of patients, which is characterized by frictional pain and light touch pain as the main mechanical pain hypersensitivity, the degree of pain increases with age, and the pain is severe in elderly patients, more so at night, can not sleep all night, often lasting several months or more, seriously affecting the quality of life of patients. Acupuncture is the first choice for patients with herpes zoster neuralgia, with the advantages of fast onset of analgesia, long maintenance of analgesia, and no pharmacogenic toxic side effects of analgesic drugs, etc. The earlier the patient receives acupuncture treatment, the better the effect.