Herpes zoster combined with facial palsy otalgia and external auditory canal herpes triad

Li Moumou (medical record number: 20060110), female, 70 years old, native of Wuhan, consulted at the time of winter solstice. Initial diagnosis (2006.01.10): Herpes on the left side of the head and face, painful for 10 days, accompanied by facial paralysis for 2 days. He complained of a small rash on the left side of the head and face 10 days ago due to exertion, followed by blisters and self-conscious burning and stinging pain, and had been treated in other hospitals with poor results. 2 days ago, he developed a history of hypertension. He was clearly conscious, his speech was not clear and fluent, his voice was slightly heavy, and he heard moaning from time to time; his face was red and red, his mouth and eyes were tilted to the right side, his left eye could not be closed, the corners of his mouth were salivating, his left frontal, temporal and ear were mildly red and swollen, with clusters of herpes on them, and the lymph nodes behind his ear were enlarged, his tongue was red, his fur was yellow, and his pulse was tight. He was diagnosed with herpes zoster combined with stroke; Western medicine diagnosed herpes zoster combined with facial palsy, otalgia and external auditory canal herpes triad syndrome (Ramsey-Hunt syndrome). The evidence is attributed to Yin deficiency and Yang hyperactivity, with wind and fire of liver and gallbladder disturbing the meridians and blocking the Qi and blood. The treatment is to clear the wind and fire of the liver and gallbladder, complemented by invigorating the blood and invigorating the collaterals to calm the liver and quench the wind. The formula is based on Qing Liver Drink (late famous old Chinese medicine practitioner Cheng Chunfu’s experience formula) plus reduction. Xiao Jianqiao, Department of Dermatology, Hubei Provincial Hospital of Traditional Chinese Medicine, prescription: (1) Artemisia annua 10g, Chai Hu 10g, Scutellaria baicalensis 10g, Xia Ku Cao 10g, Dan Pi 10g, Chuan Zi 10g, Tribulus terrestris 10g, Xuan Hu 10g, Yu Jin 10g, Da Qing Ye 15g, Panax quinquefolium 15g, White Sclerotium 10g, Mother of Pearl 30g, Tian Ma 6g, Orange leaf 10g. 7 payments, 1 payment per day, decoction twice with water, extract juice 300 ml, divided into 2 warm doses. (2) Plum blossom needle percussion around the skin lesion and the ayurvedic point, once every other day. The patient was advised to take rest, avoid straining, eat a light diet and avoid spicy and windy food. Follow-up: After the previous treatment, the herpes dried up and crusted over, the pain was reduced, the redness and redness of the face and eyes decreased, the mouth and eyes boiled despised miscellaneous slack nah beer I play dumpling sahてnot maternal chattering ding Jian steeply (11) the eye Datu Carya Ran舛玖寡罚蛹ρ佟 (5) Fan nettles their planted allanco Xie titanium rein ΑH铮夯 that ζに鹨延隽羯涟撸弁椿В consultation boiled stupid fatigue contempt Ρ』 secondly fatigue a skeleton 4 四烁蔚ǚ缁 quail more phaged play dumpling デ甯 I embrace exhaust 15g, red and white peony 15g each. After 1 month follow-up, he recovered completely. The patient is old and frail, suffering from hypertension, and has a hyperactive liver and yang, and due to exhaustion, internal depletion of yin and blood, resulting in yin deficiency and yang hyperactivity. The rash is caused by the redness of the eyes and the tinnitus of the ears, and the skin rash. The government has been working on a number of models and models for the past 8 years. At the third consultation, the wind and fire in the liver and gallbladder were quenched, so the liver-clearing drink was removed, and angelica, red and white peony, and raw rehmannia were added to nourish the blood and soften the liver, and nourish the yin and invigorate the blood to improve the subsequent process. Herpes zoster combined with facial palsy, otalgia and external auditory canal herpes triad syndrome (Ramsey-Hunt syndrome) is a severe form of herpes zoster, and the patient is very old and weak, which can easily leave sequelae. The author’s application of Chinese medicine treatment resulted in a short-term cure with no sequelae, which is rare. To sum up the successful experience, there are several points of experience. First, the identification of evidence focus on the overall view. Chinese medicine believes that human being is an organic whole, and “if there is a form within, there must be an outside”, and skin diseases are often closely related to internal lesions. The so-called “external problems must have internal worries” is this reason. The root cause of this case is yin deficiency and yang hyperactivity, and then induced by exertion to trigger the liver wind, the wind incites fire inflammation, up the head and face and the onset of disease. At this point, the skin disease should not be viewed in isolation, but should be analyzed comprehensively, tracing the root cause, examining the evidence and seeking the cause, and comprehensive treatment. Secondly, the urgent is to treat the symptoms, and the slow is to treat the root. In the early stage, the main focus should be on eliminating the evil, clearing the wind and fire of liver and gallbladder, and activating blood circulation to prevent stagnation of the evil, which may cause sequelae; in the later stage, nourishing blood and nourishing Yin, activating blood circulation to strengthen the root, and cautiously using bitter cold to avoid hindering the flow of qi and blood. Third, clear diagnosis, grasp the disease, and know the changes. To combine the modern medical point of view, have a comprehensive and clear understanding of the development pattern and prognosis of the disease. For example, the disease is caused by a virus that causes acute inflammation of the nerve root, and if the nerve root is severely damaged, posterior neuralgia is likely to occur. In Chinese medicine, it is thought to be caused by the failure of qi and blood, or the loss of nourishment of the meridians. This requires early diagnosis, timely treatment, and the use of both acupuncture and medicine. In addition to clearing the liver and draining fire, calming the liver and quenching the wind, the treatment is also used to move the qi and blood, nourish the blood and open the ligaments, and supplemented by local percussion with plum blossom needles to activate the blood and open the ligaments to prevent the problem before it occurs.