Treatment of Herpes Zoster with Electroacupuncture plus Collateral-pricking and Cupping Therapy

Objective： To observe the clinical effect of electroacupuncture （EA） plus collateral-pricking and cupping therapy for herpes zoster. Methods： Fifty-three cases with herpes zoster were randomly divided into two groups. Thirty-one cases in the treatment group were treated with EA at Jiaji （EX-B 2） points plus local collateral-pricking and cupping therapy. Twenty-two cases in the control group were treated with oral administration of VaLacido~;ir Hvdrochloride and Indomethaci~. Results： The curative and remarkable effective rate was 93.5% in the treatment group and 72.7% in the control group. The difference between the two groups was statistically significant （P〈0.01）, indicating that EA plus collateral-pricking and cupping therapy is better than Western medications in the clinical effects for herpes zoster. Conclusion： The EA plus collateral-pricking and cupping method is an effective therapy for herpes zoster.

Observation on clinical effect of electroacupuncture plus pricking-cupping bloodletting therapy for herpes zoster

Objective：To observe the clinical effect of electroacupuncture （EA） plus pricking-cupping bloodletting therapy for herpes zoster. 〈br〉 Methods：A total of 43 patients with herpes zoster were randomly divided into two groups, 23 cases in the treatment group and 20 cases in the control group. The treatment group was given EA plus pricking-cupping bloodletting therapy. The control group was given oral administration of Aciclovir Tablets, Diclofenac Sodium Dual Release Enteric-coated Capsules, Methylcobalamin Dispersible Tablets, and V itamin B12. 〈br〉 Results： The total effective rate was 87.0% in the treatment group and 70.0% in the control group, with a statistical significance in difference of the total effective rate between the two groups （P〈0.01）. 〈br〉 Conclusion：The clinical effect is better in the treatment of herpes zoster by EA plus pricking-cupping bloodletting therapy than by medications.

Acupuncture Treatment of Herpes Zoster

Case History Song××, a male middle school teacher aged 58 years, paid his first visit on August 7, 2000, with the chief complaint of pain in the left hypochondrium for 20 days. The patient stated that he suddenly got a sharp burning pain in the left hypochondrium in mid July. The pain gradually radiated to the upper abdominal area, meanwhile red herpes appeared in the hypochondriac region. He had been diagnosed as having herpes zoster, and treated in several nearby hospitals with fluid infusion and medication. As a result, the herpes partly disappeared. But the sharp burning pain still remained, which could not be relieved by administration of analgetics. The patient was then recommended by his friends for treatment here. The patient used to be in a anxious state of mind, and had a wiry pulse and disorder of the liver-qi. The patients had been disturbed by problems of his students and worried about his aged mother's illness, and had poor sleep. Physical examination showed that the patient had a slightly fat figure and sickly complexion, but was in a clear mind. His blood pressure was 140/90 mmHg, and heart rate 75 times/min. No abnormal signs were found in the heart and lungs. Prominent dark red herpes with obvious local tenderness was found on the skin surface of the left hypochondrium and upper abdome.

Therapeutic observation of thin-cotton moxibustion plus surround needling for herpes zoster

Objective： To compare the clinical efficacies between thin-cotton moxibustion plus surround needling and Western medication in treating herpes zoster （HZ）. Methods： Eighty-three HZ patients were divided into two groups according to their admission sequence, 41 cases in the thin-cotton moxibustion group and 42 cases in the Western medication group. The thin-cotton moxibustion group received thin-cotton moxibustion on the surface of lesions plus surround needling around the lesions, once a day. The Western medication group was intervened by Acyclovir intravenous injection, 0.25 g per dose, once a day, along with external application of Acyclovir cream 3-5 times a day. After 10-day treatment, the blister-healing time, crusting time, pain-reducing time, onset time of action, lesion-healed time, and occurrence of post-herpetic neuralgia （PHN） were compared. Results： During the study, a case dropped out in the thin-cotton moxibustion group, and 2 cases dropped out in the Western medication group. The recovery and markedly-effective rate was 92.5% and total effective rate was 97.5% in the thin-cotton moxibustion group, versus 72.5% and 87.5% in the Western medication group, and the between-group differences were statistically significant （P^0.05）. The blister-healing time, crusting time, pain-reducing time, onset time of action and lesion-healed time in the thin-cotton moxibustion group were significantly shorter than those in the Western medication group （P〈0.05）. The occurrence rate of PHN was 2.07% in the thin-cotton moxibustion group, significantly lower than 9.19% in the Western medication group （P〈0.01）. Conclusion： Thin-cotton moxibustion plus surround needling can produce a more significant efficacy than Acyclovir in treating HZ, and it can markedly reduce the occurrence of PHN.

Observation on clinical efficacy of acupuncture combined with direct moxibustion with fine-strip moxa for 62 cases of herpes zoster

Objective To evaluate the clinical effect of acupuncture combined with direct moxibustion with fine-strip moxa for herpes zoster. Methods Sixty-two patients with herpes zoster were randomly divided into two groups according to attendance number, 32 in acupuncture group and 30 in western medicine group. The patients in the acupuncture group were treated by acupuncture at the nidus-related nerve segments Jiaji （夹脊 EX-B2） in combination with direct moxibustion with fine-strip moxa, while the patients in the western medicine group were treated by oral valaciclovir hydrochloride, vitamin B1, vitamin B12. The times of response, incrustation and decrustation were observed respectively, and pain relief degree of the two groups were compared. Results The response time, incrustation time and decrustation time of the acupuncture group were all less than those of the western medicine group [（1.74±0.43） days vs （3.86±0.58） days, （2.03±0.52） days vs （5.46±0.65） days, （5.14±0.33） days vs （8.34±0.59） days, all P〈O.05]. The pain relief degree （VAS score）, and pain duration in the acupuncture group were all higher obviously than those of the western medicine group [（10.41±12.1） vs （15.63±11.39）, （4.78±0.45） days vs （8.12±0.63） days, all P〈O.05]. The total effective rate of the acupuncture group was 96.9% （31/32）and that of the western medicine group was 90% （27/30）, thus the therapeutic effect of acupuncture group was better than that of western medicine group （P〈0.05）. Conclusion The therapeutic effect of acupuncture combined with direct moxibustion with fine-strip moxa is remarkable. It can effectively control the development of herpes zoster, alleviate pain and shorten therapy periods. It is worthy to be promoted and applied.

Clinical Study on Surrounding Acupuncture for Herpes Zoster

Objective:To observe the clinical effects of the surrounding acupuncture for herpes zoster.Methods:Sixty patients with herpes zoster were randomly divided into two groups,a treatment group and a control group,30 cases in each.The cases in the treatment group were treated with surrounding acupuncture,intravenous infusion of Acyclovir and Ne-Ne laser radiation on the macular areas.While,those in the control group were treated with intravenous infusion of Acyclovir and topical application of Acyclovir ointment.The therapeutic effects were assessed in both groups after two courses of treatment.Results:The treatment group was obviously better than the control group in the effective rate,relief of blister,drying up of blister,relief of pain and time of complete relief of pain(P<0.05).Conclusion:Surrounding acupuncture,combined with intravenous infusion of Acyclovir and He-Ne laser radiation,is remarkable in the therapeutic effects for herpes zoster and worthy of clinical application.

Therapeutic Observation on Swift Needling with Fire Needle plus Medication for Herpes Zoster

Objective:To discuss the effectiveness and safety of swift needling with fire needle plus medication in treating herpes zoster and the change of substance P.Methods:Seventy-nine patients with herpes zoster were selected and randomized into a fire-acupuncture group(41 cases)and a Westernmedication group(38 cases).The fire-acupuncture group was intervened by swift needling with fire needle,and simultaneously prescribed with Valaciclovir Hydrochloride tablets and Vitamin B1;the Western-medication group was by the same oral medicines alone.The therapeutic efficacies were evaluated afterwards.Results:The total effective rate was 95.1%in the fire-acupuncture group versus 89.5%in the Western-medication group,and the difference was statistically significant(P<0.05).After treatment,the concentration of substance P and visual analogue scale(VAS)score dropped significantly in both groups(both P<0.05);the inter-group differences were statistically significant(both P<0.05).Conclusion:Swift needling with fire needle plus medication has better therapeutic efficacy than medication alone in treating herpes zoster.

Treatment of 48 Cases of Herpes Zoster by Puncturing Nerve Stem

Herpes zoster is a viral disorder involving bothnerve and skin simultaneously,with the duration ofabout 2 to 3 weeks.The author treated 48 cases bypuncturing nerve stem in recent years and obtainedgood therapeutic results.Now it is reported asfollows.

Is fire needle superior to Western medication for herpes zoster?A systematic review and meta-analysis

Objective:To compare the effectiveness of fire needle versus Western medicine in the treatment of herpes zoster.Methods:Randomized controlled trials comparing fire needle with Western medicine in the treatment of herpes zoster were identified using 8 databases.A meta-analysis was performed using RevMan 5.3 software.Results:Eight trials involving 569 patients were included in this meta-analysis,and the results showed that fire needle was superior to Western medicine comparing the effective rate[risk ratio(RR)=1.13,95%confidence interval(Cl):1.06 to 1.20;P=0.0002],the visual analog scale(VAS)score[mean difference(MD)=-7.95;95%Cl:-10.71 to-5.20;P<0.00001],time of pain disappearance(MD=-7.61;95%CI:-9.38 to-5.84;P<0.00001),time of blister-stop(MD=-1.34,95%CI:-1.51 to-1.18;P<0.00001),time of crusted scab(MD=-2.92,95%CI:-3.62 to-2.23;P<0.00001);and time of scab off(MD=-4.64,95%CI:-5.83 to-3.46;P<0.00001).In addition,a significantly lower incidence of postherpetic neuralgia was found in the fire needle group in 30 d(RR=0.23,95%CI:0.11 to 0.51;P=0.0002)and 60 d(RR=0.33,95%CI:0.12 to 0.91;P=0.03)after treatment.Conclusion:Fire needle has a favorable effect in increasing the effective rate,relieving pain,recovering skin lesions and decreasing incidence of postherpetic neuralgia in the treatment of herpes zoster.However,considering the limitations in this study,the findings should be interpreted cautiously.

Clinical Observation of Acupuncture Therapy for Postherpetic Neuralgia

Objective： To observe the clinical efficacy of acupuncture therapy for postherpetic neuralgia in the elders. Methods： Twenty-four cases of postherpetic neuralgia were randomized into two groups, an acupuncture group in which 12 cases were treated by acupuncture at Jiaji （Ex-B 2） on the diseased side, and a medication group in which 12 cases were treated by oral obtundent and intramuscular injection of neurotrophic drugs. Results： After four-week treatments, the total effective rate was 91.6% in the acupuncture group and 83.3% in the medication group. Conclusion： Acupuncture can significantly relieve postherpetic neuralgia, with better effects than medication.

Observation on Therapeutic Effects of Electroacupuncture at Jiaji (Ex-B 2) Points plus Herbal Medicine for Herpes Zoster

Objective： To observe the clinical effects of electroacupuncture （EA） at Jiaji （Ex-B 2） points plus herbal medicine for herpes zoster （HZ）. Methods： Sixty-two cases were randomly divided into a treatment group and a control group. The treatment group was treated with EA at Jiaji （Ex-B 2） points plus herbal medicine based upon the pattern differentiation. The control group was treated with oral administration of Aciclovir tablets for resisting virus, and Mecobalamin tablets for nourishing the nerves and Aciclovir cream for skin rash. The therapeutic effects were compared between the two groups, after two-week treatment Results： After 7 d of the treatment, the therapeutic effect was remarkably better in the treatment group than that in the control group （P〈0.01）. After two-week treatment, the therapeutic effects were still different between the two groups （P〈0.05）. Conclusion： The therapeutic effect of EA at Jiaji （Ex-B 2） points plus herbal medicine for HZ is better than that of Western medications in resisting virus and nourishing nerves.

Treatment of 60 Cases of Senile Herpes Zoster by Encircled Acupuncture plus Valaciclovir

Objective： To observe the clinical therapeutic effect and safety of local encircled acupuncture plus valaciclovir in treating senile herpes zoster. Methods： Sixty senile patients with herpes zoster were divided into two groups. In acupuncture and medicine group, the patients were treated by encircled acupuncture plus valaciclovir. The needle was inserted about 0.8 curl away from herpes and to form an angle of 15° with the skin around the skin lesion. During treatment, valaciclovir was taken orally 300 mg every time, twice every day for successive 10 days. In western medicine group, valaciclovir was taken orally 300 mg every time, twice every day for successive 10 days. Results： The time of stopping herpes, relieving pain and scabbing in acupuncture and medicine group was significantly lower than that in western group. Conclusion： Local encircled acupuncture plus valaciclovir in treating senile herpes zoster got effects quickly and could effectively shorten the course of disease and reduce the incidence rate of residual neuralgia.

半导体激光联合微波治疗在老年带状疱疹的临床观察

目的探讨半导体激光结合微波治疗老年带状疱疹(herpes zoster,HZ)的疗效。方法选择2022年8月—2024年2月上海市闵行区中心医院皮肤科就诊的120例老年HZ患者,按随机数字表法分为A组、B组和C组,每组40例。A组接受常规的药物治疗。B组接受除常规药物治疗之外,附加半导体激光治疗。C组接受常规药物治疗及半导体激光之外,附加微波治疗。结果C组(95.0%)的疗效高于A组(67.5%)和B组(82.5%),且组间相比较差异具有统计学意义(P<0.05)。治疗后,视觉模拟评分法(visual analog scale,VAS)评分显示C组(2.63±1.09)分显著低于A组(4.28±1.17)分和B组(3.79±1.03)分,且组间相比较差异有统计学意义(P<0.05)。并且C组的疼痛开始减轻时间(2.13±0.97)d及水疱开始结痂时间(3.46±0.78)d均早于A组(5.21±1.17)d、(6.12±0.07)d和B组(4.26±1.29)d、(4.95±1.01)d(P<0.05)。观察发现治疗开始后的第2周及第3周,C组的HZ后遗神经痛(postherpetic neuralgia,PHN)总发生率(16%、6%)显著低于A组(31%、23%)和B组(22%、14%)(P<0.05)。结论半导体激光联合微波治疗老年HZ的疗效显著。

脊神经射频联合免疫三氧血回输治疗带状疱疹相关性疼痛

目的:探究脊神经射频联合免疫三氧血回输治疗带状疱疹相关性疼痛的临床效果。方法:选择2018年6月—2023年6月东莞东华医院收治的120例带状疱疹相关性疼痛患者,根据随机数字表法分为对照组和观察组,各60例。对照组进行脊神经射频治疗,观察组则进行脊神经射频联合免疫三氧血回输治疗。比较两组治疗总有效率、并发症发生率、治疗前后的疼痛程度[视觉模拟评分法(VAS)评分]、疼痛因子[降钙素基因相关肽(CGRP)、P物质(SP)、前列腺素E2(PGE2)]及T淋巴细胞亚群(CD3^(+)、CD8^(+)及CD4^(+)/CD8^(+))。结果:观察组治疗总有效率显著高于对照组,并发症总发生率显著低于对照组(P<0.05)。治疗前,两组VAS评分、疼痛因子及T淋巴细胞亚群比较,差异均无统计学意义(P>0.05);治疗1、3、7 d后,观察组VAS评分构成均优于对照组,疼痛因子均显著低于对照组,差异均有统计学意义(P<0.05)。治疗10、20 d后,观察组CD8^(+)均低于对照组,CD3^(+)及CD4^(+)/CD8^(+)均高于对照组,差异均有统计学意义(P<0.05)。结论:脊神经射频联合免疫三氧血回输治疗带状疱疹相关性疼痛的临床效果相对较好,可有效控制患者的疼痛程度及调控机体免疫,因此在带状疱疹相关性疼痛患者中的应用价值较高。

针刺联合放血疗法对早期带状疱疹患者的影响

目的:分析针刺联合放血疗法对早期带状疱疹患者的影响。方法:选取2022年1月—2023年12月纳雍县中医医院针灸科收治的88例早期带状疱疹患者。根据抽签法将其分为对照组及观察组,各44例。对照组采取常规西医治疗,观察组在对照组基础上采取针刺联合放血疗法。比较两组临床疗效,治疗前后症状积分及血常规指标。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后,两组发热、全身乏力、皮肤灼烧式疼痛评分均降低,观察组发热、全身乏力、皮肤灼烧式疼痛评分均低于对照组,差异有统计学意义(P<0.05)。治疗后,两组中性粒细胞百分比、淋巴细胞百分比均降低,观察组中性粒细胞百分比、淋巴细胞百分比均低于对照组,差异有统计学意义(P<0.05)。结论:针刺联合放血疗法治疗早期带状疱疹临床效果确切,可显著改善血常规及起病后伴随的不适症状。

局部封闭联合泛昔洛韦治疗急性期带状疱疹的疗效观察

目的观察局部封闭联合泛昔洛韦治疗急性期带状疱疹的疗效观察。方法选取2022年2月~2023年5月在天津市泰达医院治疗的90例急性期带状疱疹患者,按照随机数字法分为对照组(n=45)和观察组(n=45)。对照组给予泛昔洛韦胶囊和甲钴胺片治疗。观察组加用局部封闭治疗:复方倍他米松注射液、牛痘疫苗接种家兔炎症皮肤提取物注射液、盐酸罗哌卡因注射液,按照1:1:1混合搭配,按照局部带状疱疹神经分布及疼痛点位皮下注射。比较两组患者康复指标、疼痛程度、血清相关指标、神经痛发生情况,评估临床疗效。结果治疗后,观察组总有效率、β-EP水平高于对照组(P<0.05);观察组的止疱时间、疼痛停止时间、结痂时间均短于对照组(P<0.05);治疗后,观察组SP水平、VAS评分低于对照组(P<0.05);两组患者治疗后,随访2个月,观察组出现3例(6.67%)后遗神经痛,对照组出现10例(22.22%)后遗神经痛,两组后遗神经痛的发生率差异有统计学意义(χ^(2)=4.406,P=0.036)。结论急性期带状疱疹患者采用局部封闭治疗联合泛昔洛韦治疗具有较佳的疗效,有利于患者的康复进程,减轻患者的疼痛感,预防带状疱疹后遗性神经痛的发生,改善患者的预后。

中和医派疱疹2号方治疗带状疱疹临床研究

目的探究中和医派思想指导下疱疹2号方治疗带状疱疹的临床疗效。方法按照随机数字表法将丰城市第三人民医院2021年10月—2023年11月纳入的70例带状疱疹患者分为对照组(常规西药治疗)、研究组(在对照组的基础上采用中和医派疱疹2号方治疗),各35例。评估临床疗效、中医证候积分、疼痛程度、血清炎症因子水平、不良反应。结果研究组总有效率高于对照组(P<0.05);治疗后,研究组中医证候积分、VAS评分、血清炎症因子水平、不良反应发生率均低于对照组(P<0.05)。结论中和医派疱疹2号方治疗可有效缓解带状疱疹患者的临床症状,减轻疼痛感,抑制炎症反应,不良反应发生风险低,疗效明显。

脉冲射频治疗带状疱疹后遗神经痛的临床效果评价

目的探讨脉冲射频治疗带状疱疹后遗神经痛的临床效果。方法选取2021年1月—2023年6月贺州市人民医院收治的65例带状疱疹后遗神经痛患者为研究对象,按照治疗方法将其分为观察组(33例)和对照组(32例)。观察组采取脉冲射频治疗,对照组采取超声引导下的胸椎旁神经阻滞治疗,对比两组治疗效果。结果治疗后,观察组各指标水平均低于对照组(P<0.05);对比两组治疗后1d、1周、2周及4周的视觉模拟评分(VAS),观察组评分显著降低(P<0.05);观察组患者疗效优于对照组(P<0.05)。结论采取脉冲射频治疗带状疱疹后遗神经痛患者可改善患者血清学指标,降低临床疼痛,提高临床疗效,应用价值较高。

带状疱疹后神经痛从络论治体会

带状疱疹后神经痛为顽固性难治性神经痛,属中医络病范畴。其发病部位与络病相符,病程与络病病程相似,疼痛形式多样的发病机制与络病病机相似。络损不复为其病机关键,治疗采用三期辨证、从络论治的方法。初期为毒损络脉,予自拟清毒舒络方以清热解毒、舒络止痛;中期为络脉瘀阻,予自拟活血通络方以活血化瘀、通络止痛;晚期为络虚不复,予自拟补虚护络方以益气养阴、护络止痛。同时根据疼痛不同部位及性质选用相应的止痛药对及引经药;局部疼痛迁延难愈时,采用刺络放血以祛瘀生新、畅达络脉,提高疗效。

电针联合放血疗法治疗急性期带状疱疹(肝经郁热证)的临床观察

目的 观察电针联合放血疗法治疗急性期带状疱疹(HZ)(肝经郁热证)的临床疗效。方法 将98例急性期HZ(肝经郁热证)患者按随机数字表法分为治疗组与对照组各49例。对照组患者采取阿昔洛韦片治疗;治疗组患者的阿昔洛韦用法同对照组,并采取电针联合放血疗法干预。两组连续治疗10 d。比较两组患者的治疗效果、主要症状消退时间、疼痛视觉模拟量表(VAS)评分以及血清白细胞介素-4(IL-4)和γ干扰素(IFN-γ)水平。结果 治疗组与对照组的总有效率分别为93.88%、77.55%,差异有统计学意义(P<0.05);治疗组在止疱、疼痛缓解、结痂以及脱痂方面明显优于对照组(P<0.05);疗程结束后,两组病例的VAS评分明显减少,但治疗组减少更明显(P<0.05);疗程结束后,两组患者血清IL-4水平显著降低,IFN-γ水平显著增加,且治疗组以上指标改善更优(P<0.05)。结论 电针联合放血疗法治疗急性期HZ肝经郁热证的临床疗效明显,有助于患者临床症状的改善与疼痛的缓解,以及抑制炎症反应。