Beware of “shingles”

  There is an interesting phenomenon in the pain clinic: every week or so after a long holiday or festival, there is a small rush of patients with shingles, and the number can even reach dozens. The reason for this is that patients travel and work hard during long holidays, or during festivals, due to constant parties, poor diet and changes in the pace of life, so that the herpes zoster virus that was originally latent in the body can flare up and cause the disease. The immunity or resistance of the body decreases, and the disease is called “waist-wrapping fire-dam” in Chinese medicine, commonly known as “string waist dragon”. The onset of the disease is usually preceded by fever, lethargy, loss of appetite and other anterior manifestations. Then, 3-6 days later, redness of the skin may appear on the waist and ribs, chest, head and face of the body, followed by dense clusters of mung bean to soybean-sized papules, and soon form small blisters, blisters in groups of three or five, clustered in one or several places, arranged in bands, between the groups of blisters, the interval of normal skin. In severe cases, bleeding spots, hemorrhagic blisters or even necrosis may appear, not exceeding the body’s midline. At this time, pain is the most common complaint, mostly stabbing, burning-like pain, some patients even pain can not sleep at night, no wonder as early as in Sui? It is no wonder that as early as Sui Yuanfang’s “Treatise on the Origin of the Diseases” described it as a “miserable pain”. The duration of the disease is usually about 2 to 4 weeks, and after healing, temporary pigmentation can remain, and most can be cured. If you are unfortunate enough to have shingles, there is no need to panic. At this time, you should rest properly, eat more light food and take more vitamins to help the disease regression. Early consultation, scientific use of drugs, regular use of antiviral drugs can speed up the course of the disease.  However, even after regular treatment, about 10% of patients may still have post-herpetic neuralgia, which is medically known as “post-herpetic neuropathic pain”. In this case, the herpes has healed on the surface of the skin and there is not even a trace of scarring or pigmentation, but the severe pain persists for as short as 1-2 years and as long as 10 years. Not only does it seriously affect the patient’s quality of life, but the consequent rise in medical costs and the time and effort spent on it brings enormous mental stress and a heavy economic burden to many families and society. Due to the complex neurodegeneration, peripheral and central nerve sensitization and other characteristics of this pain, many treatment methods such as medication (tricyclic antidepressants, anticonvulsants, opioids, etc.), nerve block, surgical treatment (chemical nerve destruction, etc.) are not as effective as they should be, so much so that some foreign scholars believe that “postherpetic neuralgia neuralgia is an incurable disease”. For example, a study funded by the National Institutes of Health reported that because Tai Chi contains aerobic metabolism, relaxation, and contemplation, all of which promote an immune response, more Tai Chi can enhance the immunity of older adults to the herpes zoster virus, significantly improve somatic function, generalized pain, and physical and mental vitality, and significantly reduce depression. and can significantly reduce the level of depression in patients. The advent of the new technology of pulsed radiofrequency, which allows 42 degrees to give a fever to the damaged nerves and regulate the already damaged nerve function, also brings new hope for the treatment of this persistent disease.