What should I do if I have herpes on my nose? Treatment of herpes simplex

Herpes on the nose is generally herpes simplex, which is a common skin disease and is contagious. It must be treated promptly. General medication and anti-infection treatment can be used. Traditional Chinese medicine is also very effective in treating herpes simplex.

1. Treatment of herpes simplex

1. Generally, small-scale superficial herpes simplex lesions on the skin and mucous membranes can be treated with local anti-infection treatment alone. For patients with severe symptoms, especially those with involvement of important organs, systemic anti-infection drugs and corresponding symptomatic supportive treatment should be given. Oral enteric-coated aspirin can be used for those with significant pain in the skin and mucous membrane herpes sites. Sexual intercourse should be prohibited during the period of genital herpes. For some patients, necessary isolation from susceptible people should be implemented.

2. Anti-infection treatment of superficial herpes lesions can be treated with local medication, such as 3% acyclovir ointment or 0.5% idoxuridine ointment applied to the affected area. For those suspected of bacterial infection, chlortetracycline or neomycin ointment can be used externally. The Chinese medicine Garcinia is a dry colloid resin secreted by plants of the Garcinia family. It has anti-herpes virus, antibacterial and anti-inflammatory, analgesic and astringent effects. It is reported that applying 30% Garcinia tincture once or twice a day to the affected area has a good effect on superficial lesions of genital herpes. Since ocular herpes may cause serious consequences, it should be actively treated; use 0.1% idoxuridine eye drops, once per hour, and the dosing interval can be extended after the condition is relieved. For those with larger lesions, 3% boric acid wet compresses can also be used externally.

For patients with more serious conditions or those who are difficult to respond to local medications, systemic antiviral drugs should be taken orally or by injection: patients with recurrent genital herpes can take acyclovir 200 mg/time, 5 times/day, for 7 days; they can also take valacyclovir hydrochloride 300 mg/time, 2 times/day, for 7 days. Some individual cases may be allergic to acyclovir, so attention should be paid.

After oral administration, valacyclovir can be rapidly absorbed and converted into acyclovir in the body. Its bioavailability is 3 to 4 times that of acyclovir. Therefore, the dosage of the drug can be reduced to reduce its adverse reactions under the same therapeutic effect. Severely ill patients should be given an intravenous drip of acyclovir 5 mg/kg body weight, once every 8 hours, for a total of 5 to 7 days. During the medication period, they should drink plenty of water, or receive intravenous fluid replacement when necessary to avoid acyclovir crystals in the renal tubules, which may cause kidney damage.

2. Treatment of Herpes Simplex with Traditional Chinese Medicine

1. Wind-heat in the skin

【Treatment method】Dispel wind, clear heat and detoxify.

[Prescription] Xindi Qingfei Drink (Gu Bohua's "Clinical Manual of Traditional Chinese Medicine Surgery"): Xindi, mulberry leaves, chrysanthemum, isatis root, honeysuckle, forsythia, scutellaria, gardenia, fresh reed root (without nodes), gypsum (crushed). Take it in decoction, 1 dose per day.

2. Damp-heat in the liver and gallbladder

【Treatment method】 Clear away damp-heat in the liver and gallbladder.

[Prescription] Longdan Xiegan Decoction with modifications: gentian, scutellaria, gardenia, raw rehmannia, oriental water plantain, akebia, isatis root, plantain seed (package), raw rhubarb (added later), raw licorice. Take it in decoction, 1 dose per day.

3. Yin deficiency and internal heat

【Treatment method】Nourishing yin, clearing heat and detoxifying.

[Prescription] Zengye Decoction with added ingredients: raw rehmannia, Scrophularia, Radix Trichosanthis, Rhizoma Anemarrhenae, Phellodendron, Cortex Lycii, Portulaca Oleracea, Lithospermum officinale, Root of Isatis, Root of Imperata. Take it in decoction, 1 dose per day.

4. Severe heat and toxicity

【Treatment method】 Clear away heat, cool blood and detoxify.

[Prescription] Huanglian Jiedu Decoction with modifications: Coptis chinensis, Gardenia jasminoides, Scutellaria baicalensis, Phellodendron chinense, Rehmannia glutinosa, Honeysuckle, Cortex Moutan, Imperatae cylindrica. Take it in decoction, 1 dose per day.