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帶狀泡疹 1. Overview and Causes 2. Symptoms 3. TCM Effectiveness and Evaluation 4. Common Syndromes and Treatments in TCM   a. Overabundance of Heat type   b. Damp-heat type   c. Blood Stasis type 5. Healing by Other Therapies   a. Qigong and other   b. Medicated diet   c. Life style 　 1. Overview and Causes 　 Shingles, also called "herpes zoster", is produced by a virus which causes chicken pox in children. The virus affects the course of a nerve producing severe pain and small yellowish blisters on the skin. Often the affected areas are the abdomen, back, face and chest and although the disease subsides after about three weeks, the blisters form scabs which eventually drop off and the pain can persist for months. This is known as "post-herpetic neuralgia". Rare recurrence after recovery is also one of the characteristics. Return To Top 2. Symptoms 　 (a) It is mostly found on one side of the waist, or on the chest, face and neck. (b) Before the onset, there are often symptoms of mild fever, lassitude, general discomfort, local stabbing pain in the skin and itching, burning heat sensation. An abrupt onset may also be possible. (c) Initially, the affected area exhibits patchy erythema (redness), followed by clusters of red papular eruptions (raised lesions), which soon become grouped. Each group contains five to seven blisters. The herpes blisters are arranged in a band form along the unilateral (one sided) nerve trunk, and normal skin can often be found between the herpes blisters. (d) The course of the disease lasts two to three weeks. But among some elderly and weak patients, even after the skin lesion has disappeared, the neuralgia may still last for several months or years. Return To Top 3. TCM Effectiveness and Evaluation 　 Herbal remedies can reduce the viral infection and acupuncture therapy is a very effective way to relieve the severe pain of herpes zoster in its later stage. The herbal remedies are frequently used in combination with acupuncture as well as with other types of healing for shingles. Return To Top 4. Common Syndromes and Treatments in TCM This ailment, according to TCM, has different syndromes. The treatment for these syndromes using herbal medicine and acupuncture is shown below. 　 Syndrome (a) Overabundance of Heat type During the early stage of shingles, the diseased part has erythema, clusters of reddish papular eruption, pain, burning heat sensation, and itching, etc. Other symptoms may include restlessness, thirst, bitter taste, and red tongue, yellowish tongue coating, taut and rapid pulse. To treat by Herbal medicine Therapeutic principle: Remove heat from the blood. Prescription/Formula: Modified Liangxue Qinggan Tang. Gentianae (longdancao) 15, Capejasmine Fruit (zhizi) 9g, Scutellaria (huangqin) 12g, Fresh Rehmannia (shengdihuang) 15g, Lonicera flower (jinyinhua) 30g, Red peony (chishao) 15g, Bupleurum (chaihu) 9g, Moutan bark (danpi) 12g, Anemarrhena (zhimu) 9g, Arnebia (zicao) 9g, Forsythia (lianqiao) 12g, Ligusticum (chuanxiong) 9g, Licorice (gancao) 6g. 　    To treat by Acupuncture and Moxibustion Therapeutic principle: Remove heat from the blood by using points mainly from Liver meridian Foot Jueyin and Gallbladder meridian of Foot Shaoyang. Prescription/Formula: Taichong (LR 3), Xingjian (LR 2), Zulinqi (GB 41), Zuqiaoyin (GB 44), Geshu (BL 17), Ashi points (Extra, head and end of the lined herpes zoster.)    Return to Top Syndrome (b) Damp-heat type During the later phase of the disease, the skin of the diseased part is reddish and moist, with clustered blisters. Other symptoms include pain, burning-heat sensation, restlessness, thirst, red tongue with yellow coating, and slippery pulse. To treat by Herbal medicine Therapeutic principle: Remove damp-heat from the Liver and Gallbladder. Prescription/Formula: Modified Longdan Xiegan Tang. Gentianae (longdancao) 15g, Capejasmine Fruit (zhizi) 9g, Scutellaria (huangqin) 12g, Fresh Rehmannia (shengdihuang) 15g, Herba Plantaginis (cheqiancao) 30g, Alisma (zexie) 15g, Clematis stem (mutong) 9g, Lonicera flower (jinyinhua) 15g, Bupleurum (chaihu) 9g, Forsythia (lianqiao) 12g, Corydalis tuber (yanhusuo) 9g, Red peony (chishao) 12g, Licorice (gancao) 6g.    To treat by Acupuncture and Moxibustion Therapeutic principle: Remove damp-heat from the Liver and Gallbladder by using points mainly from Liver meridian Foot Jueyin and Gallbladder meridian of Foot Shaoyang. Prescription: Taichong (LR 3), Yanglingquqn (GB 34), Yinlingquan (SP 9), Ganshu (BL 18), Neiting (ST 44), Ashi points (Extra, the local surrounding points of the herpes zoster).    Return to Top Syndrome (c) Blood Stasis type During the advanced stage of shingles, the affected part is covered with herpetic scabs on which there is reddish and brownish pigmentation, and there is associated severe pain. To treat by Herbal medicine Therapeutic principle: Disperse the depressed liver-Qi, promote blood circulation, and remove obstruction in the channels to relieve pain. Prescription/Formula: Modified ChaihuShugan San. Bupleurum (chaihu) 12g, Cyperus tuber (xiangfu) 9g, Ligusticum (chuanxiong) 9g, White peony (baishao) 12g, Licoroce (gancao) 6g, Bitter orange (zhiqiao) 6g, Green tangerine peel (qingpi) 9g, Corydalis tuber (yanhusuo) 9g, Red peony (chishao) 12g, Red sage root (danshen) 9g, Angelica (baizhi) 6g, Curcuma root (yujin) 9g.    To treat by Acupuncture and Moxibustion Therapeutic principle: Soothe the Liver Qi and regulate the Qi circulation, promote blood circulation, and remove obstruction in the channels to relieve pain by using points mainly from Liver meridian Foot Jueyin and Bladder meridian of Foot Taiyang. Prescription: Taichong (LR 3), Yanglingquan (GB34), Ganshu (BL 18), Geshu (BL 17), Xuehai (SP 10), Weiguan (SJ 5), Ashi points (Extra, the local surrounding points of the herpes zoster).    Return to Top 5. Healing by Other Therapies (a) Qigong and other therapies For effect of Qigong on the Nervous System Function, click here. Generally speaking, Qigong is good for healing effect of this specific ailment, however individual results may vary. It improves the flow of the qi and the circulation of the blood, so you'll experience more energy, but, you won't see/ feel any immediate effects, as with many exercises and therapies, it takes a few weeks or even months of practice before you'll see any significant improvements. The following types of Qigong may help: Static Qigong: Inner-Nourishing Qigong Six-Character Formula Standing Qigong 　 Dynamic Qigong: Fifteen Sets of Taiji-Qigong Baduanjing of Internal Exercise Taiji 　 For the information of different types of Qigong ,just click a link above. This information is for education purpose only. We strongly advise you seek a licensed Qigong master to learn the correct ways to conduct these exercises before attempting them. 1. Apply the herbal paste made by fresh portulacae (machixian) onto affected area. 2. Apply the herbal paste made by the mixture of powder of phellodendron (huangbai) and rhubarb (dahuang) in equal amount with water.    (b) Medicated diet 　 1. Gentianae (longdancao) 6g, Cape Jasmine Fruit (zhizi) 6g. Decoct the herbs for 20-30 minutes, drink the soup as tea. 2. Drink more boiled water. (c) Life style 1. Scratching should be avoided; during acute onset, the affected part should not be bathed in hot water. 2. Refrain from eating seafood, beef, mutton, and pungent food. Alcohol and soft drink should be avoided. 3. Manage the stress. Return to Top Acknowledgments: Healthphone.com greatly acknowledges the support and dedication of our Healing Centre Panel, without whom this section would not be possible. We also greatly acknowedge Ms. Najaf Munir, MBBS, for her editorial support. Ms. Munir simplified the highly technical medical documents into easy-to-read documents, for the enjoyment and education of our numerous visitors.