Herpes zoster, an infectious disease caused by the reactivation of varicella-zoster virus, has attracted widespread attention from the medical community due to its unique symptoms and course. It is not only a superficial disease, but also a condition that can penetrate deep into the nervous system. When the virus replicates within nerve cells, causing inflammation and necrosis of the ganglia, neuralgia is a painful symptom.
It is important to note that the neuralgia symptoms of shingles may persist after the herpes has healed and may even last up to 1 month or more. This pain, known as postherpetic neuralgia, is the most prominent clinical manifestation of the disease. The nature of the pain is varied and can be burning, shocking, cutting, pricking, or tearing. This unbearable pain not only seriously affects the quality of daily life of patients, but can also have long-term effects on their mental health.
In order to effectively relieve the pain of patients, doctors need to fully understand the characteristics of herpes zoster and its posterior neuralgia and take targeted measures. This includes the use of antiviral drugs, analgesic drugs, physical ** and other means in order to control the condition in the shortest possible time, reduce the patient's suffering, and help him return to normal life as soon as possible. At the same time, the prevention and control of herpes zoster is also particularly important, and measures such as strengthening personal hygiene habits and improving immunity can effectively reduce the risk of infection and protect the health of oneself and others.
The key to the pre-rash stage is to clear heat and cool the blood, which is derived from the description of "hot and poisonous gas, which breaks out in the ** room and cannot be leaked, then the heat storage is erysipelas", which is quite similar to the pathogenesis of herpes zoster. At this stage, the patient mainly presents with ** pain, which is caused by the evil depression of wind and fire and turning heat into poison, and the poisonous heat channeling. Therefore, when it is necessary to clear heat and cool the blood, use rhino horn and rehmannia soup. Rhino horn rehmannia soup, this classic prescription comes from the "Preparation for Emergency", which is mainly used for the blood evidence of heat injury and blood veins. It can clear heat, detoxify and cool the blood, and effectively remove the heat in the meridians. However, due to the preciousness and rarity of rhino horn, substitutes are often needed clinically. Among them, cimicifuga, hawksbill turtle, and buffalo horn are commonly used substitutes. The application of cimicifuga instead of rhino horn was first seen in the Book of Living Witnesses. Cimicifuga is a yang meridian medicine, which has the property of lifting and penetrating. Compared with the clear effect of rhino horn, cimicifuga is more suitable for shingles on the head and face. It is effective in relieving the pain and discomfort caused by shingles on the head and face, and promotes the resolution of herpes. The use of tortoiseshell instead of rhino horn was first seen in the Compendium of Materia Medica. The tortoiseshell enters the heart and liver meridian, and has a sweet and cold taste, which has the remarkable effect of clearing heat and detoxifying, calming the liver and calming the shock. Therefore, it is often used in clinical practice for herpes zoster in the chest and abdomen, especially for patients with heart and liver fire syndromes such as irritability and red eyes. It can effectively reconcile the fire of the heart and liver and relieve the pain and discomfort caused by shingles. Buffalo horn is not a substitute for rhino horn in ancient times, and it is mostly used for blood evidence. However, since then, due to the preciousness and rarity of rhino horn, doctors have begun to use buffalo horn instead of rhino horn. When using buffalo horn, large doses are often required, and buffalo horn is usually used instead of rhino horn in the prescription of rhino horn Dihuang decoction. Buffalo horn has the effect of clearing heat and detoxifying, cooling blood and stopping bleeding, and can effectively relieve the pain and bleeding symptoms caused by shingles. The application of these substitutes not only enriches the best means of pre-rash, but also reflects the flexibility and innovation of traditional Chinese medicine. They play an important role in shingles and bring good news to the majority of patients. 
Add ** note, no more than 140 words (optional) During the eruption of shingles, the herpes is full and the serous fluid appears cloudy, like clusters of flowers, which is a sign of dampness and heat. At the beginning of the treatment, it should be the first to promote dampness, remove turbidity, and clear the channels. Here, the prescription we choose is Wupi Wuteng Drink, which comes from the wisdom of the ancients, combined with years of clinical experience, flexible use, addition and subtraction, and the effect is quite significant for the first stage of herpes zoster. Five skins, namely powdered dan peel, white fresh skin, tung bark, mulberry white bark, and digu skin, these drugs mostly enter the lung meridians, and the water is used to reduce swelling, as if giving the evil a way out, so that the dampness can be discharged. The five vines, including Qingfeng vine, sea breeze vine, night vine, double hook vine, Tianxian vine, these drugs are mostly into the liver meridian, clear the blood flow, rash and itching. The combination of skin medicine and rattan medicine is like a breeze and drizzle, which is not only breathable to the heat, but also moist under the heat. There is a line in the clear, and there is a clear line in the line, and the two complement each other, and the efficiency is more and more prominent. The whole party works together to dispel wind and overcome dampness, clear away heat and detoxify, and clear blood and blood, so that the damp heat evil of shingles can be cleared and the skin can be restored to health. In clinical application, the tailoring and application of Wupi Wuteng Drink is extremely flexible. Sometimes we may only use "five skins" to help reduce swelling; Sometimes only "five vines" are used to dispel wind and circulation. More often than not, we use them together to enhance the effect. In terms of dosage, we will also adjust it appropriately according to the changes in the condition. For example, for drugs such as hook vine, sea breeze vine, peony skin, white fresh peel, etc., we usually increase the dosage to better exert their effects. In addition, when damp heat hurts yin, we will add nightshade vine and earth bone skin to nourish yin and clear heat; When the blood fever is obvious, we will add raw rehmannia and red peony to cool the blood and invigorate the blood; When the evil poison hurts badly, we will add whole scorpions and centipedes to detoxify and relieve pain; When qi stagnation and blood stasis, we will add Yanhusuo and neem to promote qi and blood; When blood stasis is severe, we will add Puhuang, Wuling Lipid and Panax notoginseng powder to promote blood circulation and dispel blood stasis. This is the flexible application of Wupi Wuteng Drink in the eruption period of herpes zoster, which not only follows the ancient method, but also does not stick to the ancient method, and truly treats the disease and varies from person to person. For the treatment of posterior neuralgia, with the core principle of invigorating blood and relieving pain, we have adopted a dose of empirical formula "pain three, two, three", which has achieved satisfactory clinical efficacy. The composition of the formula includes Chuanxiong, Angelica sinensis and Chicken Blood Vine, all of which are good medicines for blood circulation and blood stasis, which can effectively promote the circulation of qi and blood and relieve pain. At the same time, the pangolin has the effect of activating the meridians, reducing swelling and relieving pain, which can further enhance the effect of the formula. In addition, Panax notoginseng powder is a commonly used medicine to promote blood circulation and remove blood stasis, and has a significant effect on the pain caused by blood stasis block. According to the different nature of pain, we have made personalized medication adjustments on the basis of syndrome differentiation and treatment. For example, for patients with pain such as pinprick pain, we usually add Yanhusuo and neem seeds to promote qi and blood, relax tendons and relieve pain. For patients with pain such as electric shock, drugs such as gastrodia, hook vine, whole scorpion, centipede and other drugs that have the effect of calming the liver and quenching wind, and relieving pain through the channels are mostly used. When the pain is a burning sensation, we tend to use drugs such as cimicifuga and rehmannia to clear heat and cool the blood to remove heat toxins from the body.
In addition, for patients who are exposed to wind blowing or suffering from clothing, we often use cicada molting, zombie silkworms, asaroxin and other drugs to dispel wind and cold, and relieve pain. For patients with severe pain all day long, we will add pangolins and small white snakes and other drugs that have the effect of searching for wind and clearing the channels and relieving pain. For patients with numbness as the main symptom, we use a lifting and dispersing ventilation machine to make the flow of qi and blood flow smoothly, thereby alleviating the symptoms of numbness. The zombie silkworm in the lifting and dispersing is matched with the cicada molt, which can raise the clear yang in the yang, which is conducive to the rise and publicity of qi and blood; The combination of turmeric and rhubarb can reduce the turbidity of yin and help the decline and elimination of qi and blood. The combination of the four medicines, one rises and one falls, and the inside and outside are connected, so that there is no place for the evil of dampness and heat to remain, and the pain of qi and blood is eliminated. In short, we can effectively alleviate the symptoms of posterior neuralgia and improve the quality of life of patients by flexibly using the empirical formula of "pain three, two, three" and treating them according to the specific symptoms of patients. **10,000 Fans Incentive Plan