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Dialectical Treatment of Herpes Zoster and Observate the Influence of Postherpetic Neuralgia Rate

Author: ZhouWanWei
Tutor: FengYongFang
School: Hubei University of Chinese Medicine
Course: Surgery of Chinese Medicine
Keywords: Differential Treatment Zoster Postherpetic neuralgia
CLC: R275
Type: Master's thesis
Year: 2011
Downloads: 25
Quote: 0
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Abstract


Objective: To observe the TCM treatment of herpes zoster and the incidence of postherpetic neuralgia understanding of traditional Chinese medicine in the treatment of herpes zoster in clinical indicators assessed by the treatment group and the control group of patients before and after treatment, and the aftermath neuralgia. Methods: 80 patients were from the First Hospital of Wuhan dermatology clinic, all cases are in line with Western diagnostic criteria, TCM Standard and exclusion criteria. Treatment time, 80 patients were randomly divided into a treatment group (n = 41), control group 39. Treatment group, respectively, according to TCM syndrome type to: (1) the liver and gallbladder damp-heat syndrome Recipe: Sichuan Traditional gentian (6 grams), the skullcap (9 grams), mountain gardenia (9 grams), Alisma ( 12 g), Akebia (9 grams), Plantago (9 grams), angelica (8 g), rehmannia (20 g), Bupleurum (10 grams), raw licorice (6 g). Fever discomfort, plus buffalo horn powder, mung bean, clothing, Yinhua; mouth and throat pain by, Jiamai Winter, Campanulaceae; constipation, add fried Fructus rhubarb wine (later). (2) spleen wet intrinsic certificate Recipe: dehumidification Weiling Decoction the herb (fried), Magnolia officinalis (ginger fried), dried tangerine peel, Polyporus, Alisma deficit Poria, Atractylodes the (Soil fried), talc, wind, shanzhiside sub-(raw research), Akebia 9 grams each, cinnamon, licorice (raw) 3 grams. Erosion, oozing, plus six a casual (wrapped in lotus leaves fried), Health Burnet; bloating, loose stools, plus Dafu Pi, fried Fructus, woody; poor appetite, plus Divine Comedy, fried malt, fried valley teeth. (3) Qi stagnation card Recipe: the Decoction Rehmannia Taohongsiwu 15 grams, 15 grams of Angelica, white peony root 10 grams, 8 grams Chuanxiong, peach kernel 9 grams, 6 grams of saffron. Pain than those, plus a centipede, scorpion, frankincense, and myrrh; dizzy, plus Chong Wei son, vitex; rash occurs in the upper limb, plus a piece of turmeric, mulberry; occur in the lower extremities, plus Achyranthes papaya; hair in lumbosacral, plus fried Eucommia, Dipsacus. A daily decoction, in two divided doses. The topical Gold glycerol (Court homemade) 3 times a day. Rash cure postherpetic neuralgia: a traditional Chinese medicine the square treatment) (according to the mentor experience daily, in two divided doses. Herpes period of the control group: oral acyclovir tablets (Tianjin Institute of Pharmaceutical Research Pharmaceutical Co., Ltd., Zhunzi H20013128) 0.2 g five times daily the adenosine drill amine the piece (Zhunzi H13023130) 0.5mg daily oral administration of 3 times Gold the glycerol (Court homemade) Topical 3 times a day. Herpes cure neuralgia: oral adenosylcobalamin tablets (0.5mg orally 3 times a day), red (daily, 40mw, 15min). The treatment is completed the resulting data were statistically analyzed according rash recovery time, pain, recovery time, pain relief duration and extent of postherpetic neuralgia incidence to observe the effect of efficacy in the clinical treatment of herpes zoster. The treatment group and the control group are five days course of an observation and recording. Results: 1. Treatment before the treatment group and the control group, gender, and age composition, condition score was no significant difference (P gt; 0.05) After treatment, treatment condition before ratings there are obvious gaps, but there were no significant differences in the treatment results. The treatment group and the control group for the overall treatment of the herpes zoster differences (efficiency: 87.80% of the treatment group and the control group: 86.40%), but the treatment group was significantly better than the control group reduced the incidence of postherpetic neuralgia ( The incidence of postherpetic neuralgia, 4.8% in the treatment group, the control group: 10.2%). Conclusion: Chinese medicine treatment of herpes zoster no significant advantage compared to pure western, but better than western medicine for the treatment of pain and postherpetic neuralgia. The efficacy of TCM Differential Treatment of herpes zoster is exact, and some preventive effect on the incidence of postherpetic neuralgia.

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