How to treat neuroherpes?

Herpes is a virus that has been studied in depth in modern medicine. This virus has a great impact on people's health and usually brings a strong irritating pain to the patient's lesion site. Therefore, suffering from herpes is a very painful thing. The treatment of herpes is relatively troublesome and requires the use of various special drugs. Let's take a look at how to treat neuroherpes?

1. Neuralgia treatment

(1) Corticosteroids

The initial dose of prednisone is 30 mg/day orally. After it becomes clearly effective (about 7 to 10 days), the dosage can be gradually reduced, which generally achieves better results.

(2) Local blockade treatment with triamcinolone suspension

1 ml (10 mg) of triamcinolone suspension plus 4 to 8 ml of 0.5% to 1% procaine or lidocaine injection is injected subcutaneously at the affected nerve once a week. For example, the intercostal nerve can also be injected into the intercostal space of the affected nerve 3 to 4 cm beside the spine.

2. Antiviral treatment

(1) Antiviral drugs should be used as early as possible. The commonly used drug is acyclovir, which is taken orally, and patients with impaired renal function need to reduce the dosage.

(2) Commonly used analgesics: analgesics, 1 tablet. Each tablet of carbamazepine is 0.1g. Initially take half a tablet each time, and gradually increase to 3 times a day, 1 tablet each time. The analgesic effect is obvious. However, attention should be paid to leukocytopenia and thrombocytopenia, rash, and changes in liver and kidney function. It is contraindicated for patients with a history of atrioventricular block and bone marrow suppression.

(3) Nerve nutrition drugs commonly used include oral vitamin B1 and intramuscular injection of vitamin B12.

3. Physical therapy

(1) Ultraviolet light: Use medium-wave ultraviolet rays (UVB) to irradiate the lesions to promote drying and scabbing of the lesions.

(2) Infrared or ultra-short waves: Irradiating the affected area can help relieve pain.

4. Traditional Chinese Medicine Treatment

The main therapy is oral administration of Chinese medicine combined with plum blossom needle, fire needle, cupping and bloodletting.

Elderly and frail patients should prevent the occurrence of serious complications: Most elderly people have declining body functions and low immune function, and are prone to shingles due to related causes. They are prone to serious complications after becoming ill. The same is true for frail people, especially those who use corticosteroids for a long time, so it is very important to prevent the occurrence of serious complications.