Treatment of shingles

  Herpes zoster is caused by the varicella-zoster virus infection and is mainly manifested by clusters of papules, band-like distribution, accompanied by pain as the main symptom, usually does not exceed the midline of the body and occurs only on one side of the body, but if the immune system is low can also be generalized.  Herpes zoster is treated with antiviral therapy, and young people with mild symptoms can take oral famciclovir capsules and ribavirin dispersible tablets. Those with more blisters and severe pain can be treated with static doses of ganciclovir, sodium phosphonate, and ribavirin injections along with compound glycopyrrolate injections.  Topical medications include acyclovir ointment, penciclovir ointment, tolclozan, jinhuang san, capsaicin ointment for heavy pain, jinhuang san or tolclozan combined with anti-stasis and pain cream, etc.  In the early stage, the main purpose is to clear heat and dampness (gentian diarrhea of the liver soup plus reduction), with less support to activate blood circulation and relieve pain. In the later stage, if the damp-heat is lighter but the stagnation is heavier, the main treatment is to invigorate blood circulation, remove stasis, and relieve pain (Tao Hong Si Wu Tang or Blood Mansion and Blood Stasis Soup with addition and subtraction), with less accompaniment of clearing heat and detoxifying dampness.  Local acupuncture treatment can be combined with acupuncture, including proximal meridian taking and local peri-pricking, plum blossom needle buckling at the same time can be combined with semiconductor laser, blisters more can be topical use of Europe and America red light irradiation.