Herpes zoster without a rash is clinically known as anaplastic shingles or tonic shingles, and is generally not a serious condition that can be cured with aggressive treatment under a doctor’s supervision. Herpes zoster without rash is a subtype of herpes zoster, which is relatively rare in clinical practice. Patients usually only manifested as burning and tingling sensation on the skin, but there is no skin lesion manifestation. For treatment, patients can take oral antiviral medications, such as acyclovir or valacyclovir, as prescribed by the doctor. If the pain is severe, patients can also take oral pregabalin or diclofenac sodium. For patients with non-rash shingles, it is recommended to go to a regular hospital for examination and standardized treatment under the guidance of a professional doctor, do not self-medicate.