Kneeling for the treatment of neuralgia left over from shingles is urgent20

Herpes zoster is like this, young people can be treated with Western medicine, and most of the Western doctors over the age of 30 are left with the sequelae of nerve pain or itching, and they can still find traditional Chinese medicine remedies**, and they will not be discouraged.

The sooner shingles neuralgia ** gets better, faster and less painful. Generally, most of the Chinese and Western medicines are effective, and the drugs are ** 1. Nerve tolepine: It is a relatively new and effective drug for postherpetic neuralgia.

The purified and refined liquid after vaccinating rabbit ** tissues not only has a promoting effect on the repair of nervous system and immune system cell function, but also has a pain-relieving effect. It can be used orally and intravenously, intravenous infusion: 2 times a day for 14 days; Oral administration of 8U, 2 times a day, pain disappeared and discontinued.

2. B vitamins: commonly used are vitamin B1 and B12, which can be used for a long time. 3. Antidepressants:

Patients with postherpetic neuralgia often have symptoms of irritability, anxiety, and depression, and the use of antidepressants can often reduce pain. Tricyclic antidepressants, such as amitriptyline 10 20 mg 2 times a day or 50 to 75 mg once a day every night, with a maximum dose of 150 mg daily. When the response is inadequate, it can be combined with phenothiazines or fluphenazine (1 mg, 2 3 times a day).

Long-term use should pay attention to the damage to the liver, kidneys, and blood system of such drugs, and occasionally induce epilepsy, which should be noted. 4. Phenothiazines: have mild analgesic effect, and their analgesic effect may be related to their ability to reduce the activation of the ascending reticular structure, sedation, antihistamine and reduce muscle tone.

For example, chlorpromazine 100 150 mg a day (note: chlorpromazine can only increase pain and produce depressive symptoms if the dose is too small, and the medium dose has analgesic effect). It has been reported that high-dose, short-course cloprothiatine can relieve pain for a long time with 200 mg daily for 5 days.

5. Analgesics: commonly used central analgesics, such as tramadol or chimantin, once for 12 hours, the maximum dose should not be exceeded per day; nonsteroidal anti-inflammatory drugs (eg, aspirin 50 mg 2 days a day); mobico mg once a day; You can also try Dorigi. 7. Others:

phenytoin 3 times a day, maximum dose not exceeded; carbamazepine, 3 times d; or in combination with antidepressants. central muscle relaxant chlorphenybutyric acid 45 100 mg d ; antipsychotic pimazogin 1 8 mg daily;

A small number of people, especially those who have been sick and weak for a long time, may have little effect, so they need to use special Chinese medicine** to achieve fast effect and no sequelae.

Methods of postherpetic neuralgia include: oral medications, topical, traditional Chinese medicine**, and injectable medications.

Postherpetic neuralgia is the main sequelae of herpes zoster virus infection. Its methods include:

1.Oral medication: new anticonvulsant drugs such as gabapentin and pregabalin can affect the release of neurotransmitters by selectively inhibiting calcium channels, so as to achieve the purpose of pain relief. Oral opioids, such as tramadol, may also be considered for pain relief.

2.Topical**: 5 Lidocaine lotion or gel, aspirin chloroform solution and other topical drugs, which have a certain analgesic effect.

3.Traditional Chinese Medicine**: Acupuncture and traditional Chinese medicine** also have certain curative effects on shingles.

4.Other**: Epidural nerve blocks can be used for severe pain and where medications and physical ** are ineffective.

In addition, it is recommended that patients should go to the hospital for diagnosis as soon as they develop symptoms of herpes zoster**, and the early stage** can reduce the occurrence of sequelae.

Postherpetic neuralgia.

Herpes zoster is usually located in the front of the head, which is the distribution of the first branch of the trigeminal nerve, and can cause hair loss and permanent scarring. After the shingles** lesion has healed, the pain can persist for some time. Neuralgia in some elderly patients can last for several months or years, which can seriously affect sleep and mood, and the pain is severe, and the longer duration can lead to mental anxiety, depression and other manifestations.

1.Drugs**.

1) Antiviral drugs can be acyclovir, valacyclovir or famciclovir.

2) Neuralgia drugs** Antidepressants The main drugs are paroxetine (Celot), fluoxetine (Baiyoux), fluvochlor, sertraline, etc.; Anticonvulsants include carbamazepine, sodium valproate, etc. Narcotic analgesics Analgesics represented by morphine. The drugs to choose from are morphine (OxyContin), hydroxymorphone (OxyContin), oxycodone, fentanyl (Doregi), dihydroetophi, Luquec, etc.

Non-narcotic analgesics include NSAIDS, trimodol, aconitum alkaloids, capsaicin, etc.

2.Nerve blocks.

Severe pain should be considered when medication is refractory to control**. The choice of block localization should depend on the extent of the lesion and the response. The general principle should be from shallow to deep, from simple to complex, from the periphery to the nerve trunk and nerve root.

3.Nerve destruction.

Radiofrequency temperature-controlled thermocoagulation for nerve destruction is the most direct and effective method. Nerve destruction** also includes stereotactic radiosurgery of the medial thalamus** (gamma knife or X-knife), surgical subdural spinal dorsal root destruction**, pituitary lesions, sympathetic trunk ganglion lesions, etc.

Postherpetic neuralgia is a particularly intractable, particularly refractory pain that is the drug of choice**. It is divided into the following drugs:

1. Drugs**: use non-steroidal anti-inflammatory analgesics, drugs to nourish and adjust nerves, and anticonvulsants. Because many patients have long-term intractable pain, depression and anxiety may occur, and antidepressant and anti-anxiety drugs can be selected at this time**;

2. Nerve block**: It is used for patients who have poor drug effect or severe pain at the first visit. Nerve block** is more accurate and effective for postherpetic neuralgia**. With nerve blocks**, more than 90% of patients can be relieved or relieved;

3. Minimally invasive interventional nerve damage: if the conservative effect is not good, you can choose to do minimally invasive interventional nerve damage;

4. Surgery**: dissociation of the dorsal root of sensory nerve roots.

Postherpetic neuralgia can be treated with painkillers, such as ibuprofen dispersible tablets, or anti-epileptic drugs such as carbamazepine, pregabalin, and gabapentin. or antidepressant medications.

If it's really painful, the best way is to kill the nerves with electrotherapy, which is the best choice for things like trigeminal neuralgia (caused by herpes zoster virus infection), but the process is more painful!

What is the best effect of postherpetic neuralgia? What methods do you know? This should be searched on the Internet, first find a professional doctor to prescribe some medicine, I think there is a medicine to take, and the kind of plaster on it, well, it is still easy to use.

What is the best effect for postherpetic neuralgia? What methods do you know? I think it's better to take injections and medicine for shingles.

What is the best effect for neuronalgia after herpes zoster, do you know what methods there are? I don't think there is a good ** effect on neuralgia after herpes zoster, so it can only be relieved slowly.

Hello: The sequelae of herpes zoster mostly belong to the qi stagnation and blood stasis type.

Qi stagnation and blood stasis type: it is more common in people who have been sick for a long time or are old and frail, and the herpes is still in severe pain after it subsides, the tongue is dark, there are petechiae or ecchymosis on the side of the tongue, the moss is thin and white, and the pulse is thin.

Treatment: Promote blood circulation and eliminate blood stasis, and relieve pain. Prescription medicine: Xiaoyaosan plus or minus. (Fang Yuan): "The Dictionary of Traditional Chinese Medicine Diagnosis and Treatment".

9 grams of angelica, 6 grams of red peony, 6 grams of Chuanxiong, salvia, 6 grams of atractylodes, 6 grams of Poria cocos, Bupleurum chinensis, 3 grams of neem seeds, 3 grams of licorice, and 2 grams of peppermint (lower back). The above medicine is decocted twice, the first time is fried for 30 minutes, the second time is fried for 20 minutes, the mint is decocted after the second medicine, and the pot is raised after two minutes.

If you are restless at night, add six grams of Yuanzhi and nine grams of nightshade vine to nourish your mind and calm your mind; If the constitution is strong, increase the yellow six grams to carry out blood; If you are old and frail, add 12 grams of Codonopsis and Astragalus each to strengthen the spleen and replenish qi.

Patients with qi stagnation and blood stasis generally have no wound in the epidermis, or have erythema, or no erythema but only subepidermal throbbing pain. In addition to taking medicine for internal treatment, it must be possible to cooperate with the method of external treatment, use a seven-star needle to hit the sore spot and pull out the poisonous blood with cupping, once every three days, until it is not painful, it is generally cured after three or five times, such as the disease has a long beard more than a dozen times. The methods of external treatment are:

After disinfecting the affected area with alcohol cotton, hit the painful area with a triangular needle, puncture the epidermis, and use cupping to pull out the poisonous blood. The area of each beating, depending on the size of the mouth and neck of the cupping, is treated in turn, and must not be omitted. After the poisonous blood is released, wipe the blood stains clean with an alcohol swab, apply eye ointment to prevent infection, and cover gauze to prevent contamination of clothing.

"Special drug for herpes zoster and sequelae"**, which can remove poison and dissolve stasis, quickly block the spread of the virus, improve local blood circulation, promote the smooth flow of blocked nerves, gradually reduce and relieve pain, and make patients completely **.

Hello friend please me have you found the ** medication for postherpetic neuralgia? If there is a ** way to inform me, thank you.

Find some past, the old man's cigarette pouch oil, and apply it to the original sick place. If the illness is short, it can be cured in three days and five days. More than five years may take longer. This effect is very good, everyone can try it.

It is recommended that you use Chinese herbal formulas.

You need to come to the hospital.

Dr. An Jianxiong.

Hello, your grandma this is the sequelae of herpes zoster neuralgia, the herpes zoster virus is neurotropic, after invading the ** sensory nerve endings can move along the nerve to the ganglia of the posterior root of the spinal cord, and lurk there, when the host cell immune function is low, such as cold, fever, systemic lupus erythematosus and malignant tumors, the virus is stimulated, resulting in inflammation and necrosis of the ganglia, and the reactivated virus can move along the peripheral nerve fibers to ** The symptoms of herpes zoster.

Pro Table: 1Middle-aged and elderly people are the majority, and it is more common in spring and autumn, and the most common location is the ** area innervated by the intercostal nerve and trigeminal nerve; The rash is characterized by clusters of papules and blisters on the basis of flushing spots, milia to the size of mung beans, clear blister fluid, and in severe cases, it can be bloody or necrotic ulcers; The unilateral distribution of the rash is characteristic of the disease; Neuralgia is one of the features of the disease, and the older you get, the worse the neuralgia

Special manifestations: (1) Ophthalmic herpes zoster: it can affect the cornea and form ulcerative keratitis.

3) Postherpetic neuralgia.

4) Other atypical herpes zoster.

If the initial stage (blister stage) is not timely and thoroughly**, about 30% of patients with herpes zoster will be complicated by postherpetic neuralgia; Its incidence increases with age, i.e., postherpetic neuralgia is more likely to occur with age; The duration of the pain can range from 1 to 2 years and more than 10 years.

Traditional Chinese medicine believes that herpes zoster is mostly caused by emotional depression, stagnation of liver qi, and turning into fire over time; Or the diet is not modest, the spleen is not healthy, the dampness is endogenous, the depression turns into heat, the dampness and heat are accumulated, and the external poison causes the dampness and heat and fire poison to accumulate in the skin. Some elderly and infirm people often suffer severe pain due to blood deficiency and liver prosperity, dampness, heat and poison, and stagnation of qi and blood. At the beginning of the disease, most of them belong to the hepatobiliary damp heat type or the spleen meridian damp and sheng type, and the eyes are long or the old and frail are mostly qi stagnation and blood stasis type.

In terms of **, traditional Chinese medicine mostly uses traditional Chinese medicine that has the effects of clearing heat and purging fire, invigorating blood and removing blood stasis, reducing swelling and relieving pain, and building sores and muscles, such as: blister skin liquid combined with Yulongtang perm prescription to ** herpes zoster sequelae neuralgia, which has a significant clinical effect. It is well received by patients.

The effect of external treatment is generally good, and it has the advantages of less cost and short course of treatment.

It should be pointed out that the sooner the elderly suffer from herpes zoster, the better, and it is best to use Verpeskin® as soon as possible within 3 days of the onset of the disease, so as not to leave post-neuralgia due to untimely treatment. During the ** period, the patient should eat easily digestible food and try not to eat greasy, spicy food: do not scratch or rub the affected area.

Traditional Chinese medicine believes that shingles is eroded by cold and dampness, liver meridian depression, spleen deficiency and dampness, qi stagnation and blood stasis, and the appearance of red rash or blisters on the surface of the herpes zoster accompanied by severe pain. In traditional Chinese medicine, it is called "Waist Wrapping Fire Dragon" and "Waist Wrapping Fire Pill". Folk commonly known as "snake pill" and "spider sore".

There is a saying in traditional Chinese medicine: the onset of illness is hidden, and dampness is yin and evil, and its nature is moist, and it comes and goes slowly. "Its nature is quiet and its virtue is wet", this is dampness.

The human body is its only natural host, when the body is invaded by dampness, the evil qi is real and the true qi is deficient, at this time the resistance decreases, the damp heat poison evil accumulates the skin, and the dampness can contain heat, when this cold and damp evil qi invades the human body, the human body will instinctively respond to the response, mobilize the human body's yang qi to drive away the cold and damp evil qi and go out and appear ** damage, promote the occurrence of the disease. Therefore, to cure this shingles, we must first prevent dampness in the body. Healing of diseases by changing the internal environment of the human body so that the virus cannot survive.

It is recommended to consider traditional Chinese medicine**, traditional Chinese medicine Wuwei Rash Clearing Mixture through external application to open the body and dissolve heat, reduce inflammation and analgesia, take it internally to correct and dispel dampness, invigorate blood circulation, collect dampness and muscle-building sores, and fundamentally repair neuralgia caused by herpes zoster. The best methods of herpes zoster, according to Dr. Zhao Jianjun, as a common viral disease, are: 1. Physics** The physical methods currently used mainly include ultraviolet rays, ultrashort waves, linear polarized light, far infrared rays, lasers, etc.

**The main effect is anti-inflammatory and analgesic. 2. Acupuncture and cupping The method of acupuncture and cupping is used to pull out the poisonous evil in the body and expel the evil blood in the body, so as to achieve the purpose of relieving pain and curing diseases. 3. Epidural Cavity Injection The epidural space is a latent space between the ligamentum flavum and the dura, filled with connective tissue, blood vessels, nerve roots, and fat.

After the injection of the drug, it can directly act on the tissues and nerves affected by acute herpes zoster patients, and can achieve timely and satisfactory pain-relieving effects in clinical practice, and can shorten the course of the disease and promote the development of acute herpes zoster. 4. Paravertebral and nerve root block can also be used for the clinical treatment of acute herpes zoster by injecting ** drugs around the nerve roots in the paravertebral foramina or using the corresponding nerve segment block, and the effect is also satisfactory, but the location should be accurate, and the clinical technical operation requirements are also high, so be careful to prevent complications. 5. Comprehensive** Comprehensive** Method**Herpes zoster, that is, oral Chinese and Western medicines, external Chinese medicines, nerve root drug block, physical drugs, external analgesic liniments, etc.

Especially for the acute phase of herpes zoster, it is generally enough for 3-5 times**, and there is generally no posterior neuralgia.