If shingles is scabbed over and itchy, consider the possibility of post-herpetic neuralgia as both itch and pain are an abnormal sensation, manifestation due to inflammation of peripheral nerves. In clinical treatment, you can take gabapentin capsules orally 3 times a day, 3 capsules a time. You can also take Pregabalin capsules orally, 75 mg twice a day, or 150 mg twice a day if the symptoms are more severe. You can also take oral Anlao small skin umbrella to enhance the effect of anti-itch and pain relief. In addition, physical treatment options such as red light or helium-neon laser can be used to achieve anti-inflammatory, antibacterial, and recovery purposes, as well as acupuncture, cupping, acupuncture, and even fire acupuncture in Chinese medicine to achieve the above treatment purposes.