The pathogenesis, clinical manifestations and treatment principles of herpes zoster are described

1) Prodromal symptoms: mild fatigue, low-grade fever, anorexia, etc., burning or neuralgia in the affected area, lasting for 1 3 days, or absence.

2) Skin lesions: first flushed spots, miliary to soybean-sized papules soon appeared, clustered distribution without fusion, and then quickly turned into blisters, the blister wall was tense and shiny, the blister fluid was clear, the blister group was normal, and it was arranged in a band, mostly on one side of the body, generally not more than the midline, and the most common parts were the intercostal nerve, cervical nerve, trigeminal nerve and lumbosacral nerve, and the course of the disease was generally 2 to 3 weeks, and the elderly were 3 to 4 weeks.

3) Symptoms: neuralgia is one of the characteristics of the disease, which can appear before the onset of the disease or with skin lesions, elderly patients are often more violent, mostly disappearing after the skin lesions completely subside or within 1 month, and a small number of patients neuralgia can last for more than 1 month, which is called postherpetic neuralgia.

4) Special manifestations: Ophthalmic herpes zoster: more common in the elderly, severe pain, can involve the cornea to form ulcerative keratitis; Ear shingles:

It is caused by the invasion of the facial nerve and auditory nerve by the virus, and is manifested as a rash of the external auditory canal or tympanic membrane band belt; When the geniculate ganglion involves both motor and sensory fibers of the facial nerve, a triad of facial paralysis, otalgia, and herpes of the external auditory canal can occur, terming Ramsay-Hunt syndrome.

5) Atypical herpes zoster: caused by the difference in the patient's immunity, it can be manifested as abrupt type (no skin lesions only neuralgia), incomplete type (only erythema, papules and blisters that will disappear), bullous type, hemorrhagic and gangrene type, generalized type (involving more than 2 ganglia at the same time to produce contralateral or ipsilateral multiple regional skin lesions); Occasionally, the virus can spread through the bloodstream to produce a generalized varicella-like rash and invade organs such as the lungs and brain, which is called disseminated herpes zoster.

Postherpetic neuralgia is generally the pain left over from herpes zoster, which will have a great impact on the patient, after the rash of herpes zoster subsides, there is still pain and discomfort in the local area, and it lasts for more than 1 month is called postherpetic neuralgia, after people suffer from this disease, there will be many effects, such as local or persistent burning, stinging, throbbing, cutting pain, etc., resulting in poor sleep, mental state and rest will also be affected.

Methods of postherpetic neuralgia TCM** include:

1. Traditional Chinese medicine: According to the principle of syndrome differentiation and treatment, the appropriate Chinese medicine is selected based on the patient's physique, emotion, pain location and severity. If the patient has a cold and damp constitution, he or she should be given traditional Chinese medicine that warms yang, dispels cold, invigorates blood and relieves pain; If the patient has liver stagnation and qi stagnation, he should be given traditional Chinese medicine to relieve liver qi and regulate qi, promote blood circulation and eliminate blood stasis, and relieve pain;

2. Acupuncture.

Herpes zoster is caused by the varicella-zoster virus, which is normally latent in the posterior root neurons of the spinal cord. When the body's immunity is low or tired, infected, cold and fever, angry and angry, etc., the virus can grow and multiply again, and move along the nerve fibers to **, so that the invaded nerve and ** produce intense inflammation. The rash is generally unilateral and neurosegmental, consisting of clusters of herpes and pain; The older you get, the worse your neuralgia becomes.

This disease is called herpes zoster in modern medicine, and is called snake gallbladder sore, loincloth, etc. As long as the herpes zoster patient is active, the virus and the virus that transmits the peripheral nerves in the body are quickly cleared from the body will not have sequelae, otherwise post-herpetic neuralgia may be formed. The sequelae of herpes zoster refer to the sequelae of those who persist for more than one month after clinical **.

Postherpetic neuralgia is one of the intractable diseases that plague middle-aged and elderly patients. The duration of pain is as short as 1 to 2 years, and even more than 10 years in the elderly, and the general medical history is as long as 3 to 5 years. Herpes zoster and its sequelae are more intense intractable pain, the clinical manifestations are characterized by hypersensitivity to pain, light touch can produce severe and unbearable pain, the patient's pain is often spontaneous lightning or tearing pain, the attack often makes the patient restless, most patients are often accompanied by more obvious persistent burning pain.

Postherpetic neuralgia is caused by the erosion and destruction of peripheral nerves by viruses trapped in the body, so it should be mainly used to detoxify and relieve fire, dredge and repair the nerves blocked by the virus. **Suggestion: You can use traditional Chinese medicine**, Bohol Tang Xu Ji Plaster (special cream for herpes zoster and sequelae) and detoxification and fire capsules to take it internally, and the detoxification and fire can be used to dredge and repair the nerves blocked by the virus**.

Effect and principle: through the external application of the drug, improve the local blood circulation, promote the blocked nerve unblocked, local administration with internal administration to expel the poison and defeat the fire, internal and external patches, internal and external treatment, so that the qi and blood are smooth, the veins are unblocked, repair and dredge the damaged nerve (pain is not passed, general is not painful), can reduce the pain and heal. If you don't know something, you can contact us for consultation, and I wish you a good morning!

Herpes zoster, also known as snake sores, is clinically divided into many types, with erythema, papules, blisters, and severe pain. High fever, dizziness, sluggishness, bitter mouth, and sleepless nights are the main characteristics, and the first thing should be dialectical, because herpes zoster and the heart, liver, spleen and lungs 4 meridians are closely related, the meridians are different, and the symptoms are not the same

What are the symptoms of shingles?

Herpes zoster is an acute inflammatory disease caused by varicella-zoster virus, which is called "Waist Wrapping Fire Pill" in traditional Chinese medicine, commonly known as spider sores, and is mostly in the middle-aged and elderly people.

During the onset of the disease, patients will experience a variety of uncomfortable symptoms, with nerve pain being the most obvious, making it difficult for people to sleep and eat. If it is caused by many factors such as improper or weak constitution, it will turn into "postherpetic neuralgia", which will be more than a year or more than a few years, and the patient will endure pain and suffering for a long time.

Herpes zoster will generally pass the drug **, in addition to some ** of the drug, the more severe herpes zoster sequelae patients, generally speaking, it is recommended to use nerve blocks to ** the patient's pain, but this should be noted that it must be gradual and not too anxious.

Analysis: Herpes zoster has two clinical features: neuralgia and clusters of multiple erythematous patches distributed along the nerve on one side, often accompanied by fever and regional lymphadenopathy.

It is often manifested as mild cases without pain, but with itching, or only erythema without obvious herpes; In severe cases, the pain is obvious, restlessness, bullae, blood blisters and even necrosis can occur. When the ocular branch of the trigeminal nerve is involved, it can cause corneal lesions that affect vision; When the facial and auditory nerves are affected, facial paralysis and hearing impairment can occur; When the sacral nerve is affected, a neurogenic bladder may occur, with dysuria or urinary retention, but it may occur. Younger people generally have milder symptoms, older people have more severe symptoms, and may have severe postherpetic neuralgia, which persists longer after the herpes has resolved.

The incidence of the disease is higher in summer and autumn. In the pre-onset stage, there are often symptoms of low-grade fever and fatigue, pain and burning sensation in the rash area, and toothache may occur in trigeminal nerve herpes zoster. The most common disease is herpes zoster in the thoracoabdominal or lumbar area, which accounts for about 70% of the total lesions, followed by herpes zoster of the trigeminal nerve, which accounts for about 20%.

Symptoms at the beginning, 1Burning, stinging, or extreme sensitivity (a light touch can be uncomfortable) on one part of the body. This can last for one to three days, 2Then a rash begins in the same area, followed by many clump blisters that look like chickenpox (many blisters grow together very densely). Usually these blisters last for two to three weeks.

At first, the blisters look clear inside, then they look like they have pus inside, then they look like they have blood inside, and then they scab over and disappear. The pain may last a little longer.

3.Shingles occurs most often on the trunk and buttocks. However, if the nerves innervating the affected area are affected in time, it can also occur on the face, head, arms, and legs.

When blisters occur on the eyes, they require special care. Because shingles that occurs on the eyes can cause permanent damage to the eyes, including blindness. Be especially careful when such blisters occur on the tip of your nose, as they may be a sign that your eyes are affected and you should see an ophthalmologist immediately.

I'll say a few ways to cure herpes:

1.Use the smoke of the old man to replace the oil to treat, wipe it on the affected area, do not need to wash it off, insist on it for 12 hours, and you can basically weave it at one time. This is the estimation method, and it works very well.

2.Apply ink to the affected area, generally 7-10 days can be almost good, it depends on the personal physical condition, such as, growth location, growth time, can be knitted.

3.Draw fish with burnt paper, hold your breath, and make it with one stroke. Burnt ash with ink. Apply to the affected area and weave it all at once.

The best thing to use is smoke instead of oil, I have used it myself. If you can't find tobacco instead of oil, there is one in Taobao.

Answers]: a, b, c, d

Drugs for Banded Bumping Blisters Laughing Royal Rental Nuclear Rash**:

Answer]: C Infectious angular cheilitis is caused by pathogenic microorganisms such as Pilbacterium eucalyptus, bacteria, and viruses. Oral candidiasis is mainly caused by infection with Candida albicans, which is a fungal infection.

The first of shingles is mainly a viral infection. Pemphigus vulgaris is caused by problems with the autoimmune system.