How is herpes simplex caused and how is it treated?

  How is herpes simplex caused?  Herpes simplex is caused by infection with herpes simplex virus (HSV), one of the herpes viruses. Type I mainly causes infections of skin and mucous membranes and organs other than the genital area; type II mainly causes infections of skin and mucous membranes in the genital area and in newborns. It is called “hot sores” or “fire sores” in Chinese medicine.  What are the clinical characteristics of herpes simplex?  1. The rash is a cluster of small blisters that break down to form vesicles and superficial ulcers, which gradually dry and crust over and heal in 1~2 weeks.  2.Self-perceived burning and pain, may be accompanied by local lymph node swelling.  3, the patient’s first contact with HSV infection is called primary infection, herpetogingival stomatitis, neonatal herpes simplex, etc.  4. After the primary infection has subsided, the patient is stimulated by certain factors, such as fever, menstrual flow, fatigue, etc., and can have a recurrence. Recurrent herpes simplex mostly occurs at the junction of the skin and mucous membranes, with the face and genitalia such as the mouth and lips, foreskin, glans, vulva and other parts of the body. It is easy to recur.  5. Common herpes simplex is mostly recurrent and can be diagnosed according to its clinical features. Direct immunofluorescence examination of viral antigens with monoclonal antibodies in skin lesion scrapings helps in clinical diagnosis and virus typing, and serum antibody determination of IgM is helpful in clinical diagnosis of recent infections.  How should herpes simplex be treated?  1, Chinese medicine treatment: Chinese medicine believes that the disease is caused by heat in the upper jiao, or residual heat not yet cleared and seasonal poisonous evil, the disease Chinese medicine identification: (1) lung and stomach wind-heat type: the treatment should be to clear the lung and stomach wind-heat; formula with clear lung drink plus reduction.  (2) Dampness-heat accumulation type: the treatment is to clear heat and dampness; the formula is Gentian Diarrhea Liver Tang with addition and subtraction.  (3) Or we can take Qingkailing capsule, Hege Wang tablet, Huanglian Shangqing Pill, Niuhuang Detoxification Pill internally.  (4) Topical application of red sea stone lotion, compound lotion No. 1, Huanglian moisten muscle cream, Qing Dai San, etc.  2.Western medicine treatment: (1) Serious cases can take oral antiviral drugs such as acyclovir, vanamycin, famciclovir, etc.  (2) local treatment to anti-viral and prevent infection, can be used externally 5% acyclovir ointment, 3% phthalbutamide cream, 2% methyl violet liquid or antibiotic ointment.  (3) Internal or external glucocorticoid steroids are prohibited.