带状疱疹
Alias蛇串疮
Traditional Chinese Medicine Definition
Herpes Zoster, known as "Shé Chuàn Chuāng" in traditional Chinese medicine (TCM), is a common dermatological disease. According to the classical text "Internal Medicine of Traditional Chinese Medicine," herpes zoster is often attributed to the stagnation of heat in the liver meridian, or due to emotional disturbances, qi stagnation, and blood stasis, leading to obstructed circulation of Qi and blood, and the accumulation of toxic pathogens in the skin. The primary location of the disease is in the liver meridian, involving the spleen and lung meridians as well.
In clinical practice of TCM, the core pathogenesis of herpes zoster is attributed to the stagnation of heat in the liver meridian or qi stagnation and blood stasis. Common precipitating factors include emotional disturbances, irregular diet, and excessive fatigue. During differentiation of symptoms, attention should be paid to the following key points: the heat stagnation in the liver meridian is characterized by red skin lesions, tense vesicle walls, and severe burning pain; while qi stagnation and blood stasis manifest as persistent pricking pain after the rash subsides. The direction of treatment suggests: for the heat stagnation in the liver meridian, clearing the liver and releasing heat, detoxifying and relieving pain should be prioritized; for qi stagnation and blood stasis, regulating qi and activating blood, and unblocking the meridians and relieving pain are recommended. Traditional Chinese medicine holds that the treatment of herpes zoster should be tailored to the specific syndrome type, combined with the patient's constitution, and adopt an integrated approach of internal and external treatment to promote the circulation of Qi and blood, eliminate toxic pathogens, and achieve the goal of alleviating symptoms and promoting recovery.
Common Syndrome Types and Key Points of Differentiation
肝经郁热证
Main Manifestations：皮损红,疱壁紧张,灼热剧痛
Management Approach：清肝泄热,解毒止痛
气滞血瘀证
Main Manifestations：皮疹消退后局部仍刺痛不止
Management Approach：理气活血,通络止痛
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
For patients with herpes zoster, those with significant pain are often due to liver qi stagnation, and soothing the liver and resolving depression can alleviate symptoms.
— 朱永兵 中医执业医师
Related Popular Articles
Guidance for Nearby Treatment
登云路社区、朝晖一区至九区、和睦社区等周边居民可就近到正规中医医疗机构就诊，具体地址、电话及营业时间请查看关于我们。
This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)