Herpes zoster is an acute skin inflammation caused by chickenpox-herpes zoster virus. It is called “waist-wrapped fire dragon” and “snake string sore” in traditional Chinese medicine. It is characterized by pain. In traditional Chinese medicine, methods such as soothing the liver and regulating qi, clearing away heat and dampness, promoting blood circulation and relieving pain are often used. My clinical observation for many years: about 70% to 80% of patients over 50 years old in the acute stage belong to yang-deficiency syndrome, or combined with yang-deficiency syndrome; almost 90% of patients with postherpetic neuralgia belong to yang-deficiency syndrome; Many patients also belong to yang deficiency syndrome. Therefore, we should not stick to the so-called special medicines for treating herpes zoster, such as clearing away heat, promoting blood circulation, and relieving pain. Through many years of clinical exploration, the author used Sini Decoction, Zhenwu Decoction, Mahuang Fuzi Xixin Decoction, Fuzi Decoction, Dahuang Fuzi Decoction and other warming and strengthening prescriptions for treatment, and the effect was very good. Among them, the amount of aconite should be large at the first diagnosis, and the pain and rash can be relieved. quantity. Now share my medical case:
Wang Moumou, male, 67 years old, first visit on May 9, 2022. Before the onset of the disease, the patient had a fever due to a cold, and was treated with intravenous infusion of western medicine for 1 week before healed. This time there was pain in the waist, back, buttocks and other parts and upper extremity for 10 days. Dermatology diagnosis of a tertiary hospital: generalized herpes zoster. Acyclovir and carbamazepine were given for 1 week, but the symptoms did not improve. The pain is still severe, accompanied by severe itching, and there are still new blisters appearing continuously. Introduced by someone to seek medical advice. Immediate diagnosis: pale complexion, tiredness, sleepiness, sore throat, acceptable food intake, dry mouth, dry stool, pale tongue, pale yellow thick greasy coating, slightly hard pulse string. The patient in this case was over 60 years old, and had symptoms of water drinking due to yang decline, and the syndrome belonged to: Shaoyin water drinking syndrome. Appropriate treatment: warming yang and diuresis. Proposed prescription: Zhenwu decoction combined with Wuling powder. Follow-up visit after 7 days: the spirit of the patient improved significantly after complaining of the medicine, his complexion gradually became more lively, his fatigue was relieved, his sore throat disappeared, his bowel movements were smooth, and his pain and itching were obviously relieved. If the medicine has been taken, the defender will continue to take the medicine for 7 doses, and the disease will be cured.