Female with herpes zoster on the back

Apr 07, 2023 Source: Cainiu Health
Dr. Liu Qingyun
Introduction
Herpes zoster, commonly known as shingles, is a disease caused by infection with the varicella-zoster virus following a decline in the body's immunity. In general, when women develop herpes zoster on the back, various treatments such as general care, oral medications, topical medications, traditional Chinese medicine, and acupuncture can help alleviate discomfort symptoms. Note that if the symptoms of shingles are severe or persist without improvement, prompt medical attention is necessary.

Zoster herpes, commonly known as shingles, typically occurs in women when the body's resistance decreases, leading to infection by the varicella-zoster virus. The condition can be alleviated through general management, oral medications, topical treatments, traditional Chinese medicine (TCM), and acupuncture therapy. Specific approaches are detailed below:

1. General Management

Maintain cleanliness and dryness of the affected skin area, avoiding rupture of rashes to prevent secondary infections. When blisters exude fluid, applying a cold compress with a soft towel may help reduce pain. Wear loose, soft clothing to minimize friction and alleviate discomfort.

2. Oral Medications

For early-stage symptoms, patients may take antiviral medications such as acyclovir tablets, valacyclovir hydrochloride granules, or famciclovir tablets under medical supervision to relieve discomfort. These treatments are generally safe, but liver and kidney function should be evaluated before starting medication.

3. Topical Treatments

If blisters caused by shingles rupture and discharge pus, follow medical advice to apply topical agents like calamine lotion or penciclovir cream for antiviral treatment, helping to prevent the spread of infection.

4. Traditional Chinese Medicine (TCM)

TCM offers unique advantages in treating shingles, primarily focusing on clearing heat, eliminating dampness, promoting qi circulation, and activating blood flow. A qualified TCM practitioner should make an accurate diagnosis before prescribing a treatment plan. For cases diagnosed as liver channel stagnation-heat, treatment aims to clear liver fire, detoxify, and relieve pain. Commonly used herbal formulas include Wu Mei Wan (Chinese plum pill) and Yue Ju Wan.

5. Acupuncture Therapy

Acupuncture also has distinct benefits in managing shingles. After proper diagnosis, specific acupoints such as Neiguan (PC6), Yanglingquan (GB34), and Zusanli (ST36) may be selected under professional guidance to help relieve pain. Large blisters may be punctured by a trained TCM practitioner using a three-edged needle to facilitate drainage of blister fluid.

Note: If symptoms of shingles are severe or persist without improvement, prompt medical attention is necessary. Avoid self-medicating or using unverified methods, which could worsen the condition.