Guest guest Posted August 9, 2000 Report Share Posted August 9, 2000 I like this site, especially the professional encyclopedia. It not only has the TCM treatments, but homeopathic, nutrition, flower essence, etc. Victoria >Herpes Zoster > > Select=================log infree email >signuphealingpeople.com emailacupuncture.com emailfree newsletteruser >registration================= > > Herpes Zoster > Definition and Etiology > > definition: an acute infection caused by reactivation of >the varicella-zoster virus and involving the dorsal root ganglia; causes >eruptions and neuralgia on the skin corresponding to the distribution of >the affected root ganglia; also called > " shingles " > > etiology: Herpes zoster is most prevalent among those 50 >years and older, although it may strike at any age, particularly in >immunosuppressed patients. It only affects people who have had chickenpox. >Reactivation may be idiopathic or follow immunosuppression, stress, trauma >including surgery, radiation etc. > > signs and symptoms > > signs and symptoms: prodromal stage > • pain, burning or redness of the involved area > • malaise > • fever with or without chills > • gastrointestinal disorders > > After 2-5 days, the rash appears in a unilateral, >dermatomal distribution usually on the thoracic area (T3-L3), face, or >neck. > > • erythematous base > • linear patches of grouped vesicles > • pain may be intense > • lesions stop abruptly at the midline of the body > • new crops may continue to appear for 3-5 days, after >which the lesions begin to dry and crust > > problem areas for herpes zoster: > • geniculate zoster: pain in the ear with transient >paralysis of the face on the involved side; eruptions are visible in the >external auditory canal and on the pinna, the soft palate, and the anterior >pillars of the fauces > > • ophthalmic herpes zoster: eruption occurs on the >ophthalmic branch of cranial nerve V; if vesicles appear on the tip of the >nose, then corneal involvement may occur and can lead to corneal ulcers and >opacities > > • recurrence rate is high > > lab findings: > • (+) Tzanck smear showing multinuclear giant cells > • FAMA: fluorescent-antibody to membrane antigen > • ELISA: Enzyme-linked immuno-absorbent assay > • 40% show hypercellularity in CSF > • prolactin increased if lesions on chest wall > > course and prognosis > > A shingles eruption that continues for more than two >weeks or becomes generalized warrants investigation for malignancy or >immunologic defect. However, even in generalized zoster, fatalities are >rare. > > Post-herpetic neuralgia is seen in 50% of the patients >over 50 years old who develop herpes zoster, and may cause excruciating >pain that lasts for months or years. > > differential diagnosis > > • coxsackievirus infections > • pleurisy > • Bell's palsy > • trigeminal neuralgia > • herpes simplex lesions > > > footnotes > > > > > > Chinses Formulae > Acupuncture > Homeopathy > Botanicals > Nutrition > Somatic Therapies > Subtle Support > Mind/Body > > > > > Chinese Formulae > > • Qi Li San (patent): external use (Naeser, p. 232) > • Chu Shi Wei Ling Tang: Damp-Heat: Herpes zoster which >erupts in the mid-to lower-back region (Bensky and Barolet, p. 182). > • Huang Lien Shang Ching Pien (patent): Wind-Heat >(Naeser, p. 152) > • Gentiana C. (Long Dan Xie Gan Wan) (available as >patent): Liver and Gall Bladder Invaded by Damp-Heat (Gentiana: Hsu, 1980, >p. 181; Yeung, p. 154; Dharmananda, 1986, p. 229; Bensky and Barolet, p. >96; patent: Zhu, p. 172; Fratkin, p. 82) > • AK 3 (Coptis Purge Fire Formula) (patent) > • Gentiana 12 (patent) plus Myrrh Tablets (patent): >herpes zoster eruptions (Dharmananda, 1990, p. 69) > > > footnotes > > > > > Acupuncture: patterns and combinations > > after assessing the person and palpating, consider these >patterns: > Liver Yang Shi (Excess); Damp-Heat; Wind-Heat > > » illustrative combinations: > • GB-20, UB-54/40, PC-7, LI-11 and needles at affected >site for herpes zoster due to invasion of Wind-Heat (Jirui and Wang, p. >243) > • GB-34 and GB-41 (-): clear Damp and Damp-Heat, esp. on >Gall Bladder channel > > > point analysis > > » palpate and consider: > • GB-20 (-): dispels Wind and Heat; subdues Liver Yang >to calm and regulate the Liver and Gall Bladder; harmonizes Qi and Xue >(Blood); frees the channels and invigorates the collateral vessels > • UB-11 (-): dispels Wind-Heat; resolves Shi (Excess) >Heat; connects the Du Mai (Governing Vessel) to the Shu Associated points; >distributes Bladder Qi and Jing-Ye (Yin) to all the dorsal Shu points, thus >cooling them (Finkelstein, p. 38); removes obstruction of Qi circulation of >the Tai Yang channels (Bladder and Small Intestine) and Du Mai (Governing >Vessel) of the upper back; relaxes the muscles, sinews and tendons; >invigorates the collateral vessels; facilitates Xue (Blood) flow; Hui >Reunion point of the Bones; Sea of Xue (Blood) upper entry point > • UB-17 (=): regulates and invigorates the Xue (Blood); >clears Heat from the Xue (Blood); transforms Xue Yu (Blood Stasis); >nourishes Dry Xue (Blood); enriches Yin; strengthens Xu (Deficient) >conditions; Diaphragm Shu Associated point; Hui Reunion point of the Xue >(Blood) > • UB-18 (=): pacifies the Shen; benefits the Liver and >Gall Bladder; cools Damp-Heat; moves Stagnant Qi; nourishes Liver Xue >(Blood) and Yin; clears Liver Fire and Heat; cools Heat in the Xue (Blood); >Liver Shu Associated point > • local points (-): patient lies on unaffected side; one >needle inserted at " head " and another at " tail " of lesion; needles inserted >obliquely at angle of 35-40° (Jirui and Wang, p. 243) > • hua tuo jia ji: above and below affected ribs and/or >at levels of shu points of channels involved (Eisen); disperses Qi >Stagnation and Xue Yu (Blood Stasis) locally and by extension affects the >nerves whose roots are proximal to jia ji points > • UB-54/40 (- and/or bleed): clears Heat from the Xue >(Blood); transforms Damp-Heat; strengthens waist; relaxes the sinews and >muscles; esp. benefits the lower back; treats genital and anal pain; >Bladder He Sea Uniting and Earth point; command point of the back > • LI-11 (-): pacifies the Shen; clears Heat and Toxins, >esp. from head and face; eliminates Wind; regulates and harmonizes Qi and >Ying; cools and harmonizes Xue (Blood); improves immune function >(Finkelstein, p. 9); eliminates Dampness through the Intestines; benefits >sinews, tendons and joints; frees the channels; Large Intestine Upper He >Sea Uniting, Earth and Tonification point; Master point of Heat in the body >(Finkelstein, p. 9) > • LI-4 (-): pacifies the Shen; clears Heat and Toxins, >esp. from head and face; regulates Qi and Xue (Blood); frees the channels >and invigorates the collateral vessels; dispels Wind-Heat; sedates pain; >induces or stabilizes sweating; tonifies Lung Qi; regulates Qi of and >disperses Heat from the Intestines; elevates Clear Qi and descends Turbid >Qi; eliminates Damp-Heat and stops itching; Large Intestine Yuan Source and >Entry point; command point of the face and mouth > • TW-5 (-): dissipates Wind, esp. from head and face; >clears Heat, esp. from Triple Warmer channel; dissolves Toxins; relieves >Exterior and Hot conditions; induces perspiration; clears Xiao Yang (Gall >Bladder) in the head and disperse Liver Yang Shi (Excess); moves the Yang >Wei Mai; tonifies Wei (Protective) Qi; facilitates the circulation of Qi in >the channels and invigorates the collateral vessels; alleviates pain; >Triple Warmer Luo Connecting point; Master point of the Yang Wei Mai (Yang >Linking Vessel); Couple point of the Dai Mai (Girdle Vessel) > • TW-6 (-): dispels Wind, Wind-Heat and Wind-Dryness; >clears Fire and Heat; facilitates Qi flow and spreads the Qi; regulates the >Triple Warmer and the Zang-Fu organs, esp. the Intestines; frees the >channels and invigorates the collateral vessels; disperses Obstruction and >relieves pain; Triple Warmer Fire and Horary point > • PC-7 (-): pacifies the Shen; dispels Wind and >Wind-Heat; calms Fire; clears Heat and Toxins; pacifies the Shen; nourishes >Heart Xue (Blood); dissipates Heat from the Ying (nutrient system) and Xue >(Blood); Pericardium Yuan Source, Earth and Dispersion point; historically >used as the Heart Source point (Maciocia, p. 436) > • GB-31 (-): disperses Wind; clears Heat; transforms >Damp; detoxifies the Liver; " Wind Market " > • GB-34 (-): clears Dampness and cools Heat, esp. on >Gall Bladder channel; benefits Liver and Gall Bladder; extinguishes Liver >Wind and subdues Liver Yang; tonifies Spleen; invigorates the collateral >vessels; alleviates pain; Gall Bladder He Sea Uniting and Earth point; Hui >Reunion point of Jin (sinews and tendons) > • GB-41 (-): clears Damp and Damp-Heat, esp. on Gall >Bladder channel; dissipates Wind; removes Fire; relieves distention and >swelling in the breast; removes Stagnancy of Liver Qi; spreads and drains >Liver and Gall Bladder; clears and regulates Dai Mai (Girdle Vessel); >clears Wetness (Damp Spleen) by draining into Dai Mai (Girdle Vessel); Gall >Bladder Wood and Horary point; Master point of the Dai Mai (Girdle Vessel); >Couple point of the Yang Wei Mai (Yang Linking Vessel) > • Sp-10 (=): regulates and invigorates the Xue (Blood); >cools Heat and eliminates Damp-Heat in the Xue (Blood); expels Wind and >dissipates Wind in the Xue (Blood); clears Heat and Summer-Heat; harmonizes >and tonifies Ying (Constructive) Qi; nourishes Xue (Blood) Dryness > • Sp-9 (=): regulates and tonifies Spleen (especially >Yang); warms and moves the Middle Warmer; transforms Damp Stagnation and >dispels Damp-Heat, esp. through promotion of diuresis; regulates the Water >Pathways; benefits Lower Warmer; Spleen He Sea Uniting and Water point > • Sp-6 (+): tonifies Spleen to transform Dampness; aids >transportation and transformation to improve digestion and nourishment; >nourishes Yin and suppresses Liver Heat; clears Fire due to Xu >(Deficiency); tonifies Qi and builds the Xue (Blood); regulates Xue (Blood) >circulation; frees Qi Stagnation and spreads the Liver Qi; benefits the >Kidney; Jiao Hui Intersecting point of the three Foot Yin channels > • St-36 (+): calms the Shen; disperses noxious Yang; >dispels and eliminates Dampness; regulates and strengthens Qi and Xue >(Blood); strengthens weak and deficient conditions; strengthens the Spleen >and regulates Ying (Constructive) Qi; regulates and replenishes the Middle >Warmer; spreads Liver Qi and benefits the Gall Bladder; nourishes Kidney, >Liver and Spleen; tonifies Kidney Yin; clears Heat from the Yang organs and >drains Shi (Excess) from the Yang channels; treats chronic cases with Heat; >regulates ascension of the Clear and descension of the Turbid (-), esp. by >the Intestines; frees the channels and invigorates the collateral vessels; >Stomach He Sea Lower Uniting, Earth and Horary point; Sea of Nourishment >point > • St-40 (-): clears and calms the Shen; dispels Wind; >transforms and clears Dampness; invigorates the channels; strengthens the >Spleen, harmonizes the Stomach, and opens up the Middle Warmer; circulates >Qi of the Stomach and Spleen; descends the Turbid; strengthens Kidney Yin >and drains Liver Yang; Stomach Stomach Luo Connecting point > > • ear: lung, diaphragm, shen men, dermis/subcortex, >endocrine, adrenal, occiput, corresponding area(s) > > > footnotes > > > > > Homeopathy: remedy differential > > • Apis mellifica: stinging pains, come out in cold >weather < warmth, > cold > • Arsenicum album: intense burning < night; crusts deep >and large, bleed when removed > • Carboneum oxygenisatum: vesiculation along course of >nerves, large and small vesicles of pemphigus > • Dulcamara: moist, suppurating; oozing pale water when >scratched; after taking cold; thick crusts all over body; < evening, cold, >wet weather, > gentle exercise in warm room > • Graphites: burning when touched; esp. on left side; >itching blotches with oozing watery, sticky fluid; ulcerates easily > • Iris versicolor: following gastric problems, esp. on >right side; fine eruption with black points after scratching, great itching >at night > • Lachesis: large vesicles, first yellow, then turn dark >with much pain; vesicles break and leave excoriated surface which burn when >touched; every spring and fall; > warmth > • Mezereum: sharp stitching, lightning-like pains, >sometimes boring, which leave parts numb; < in bed, from touch; vesicles >form brown scabs; post neuralgic pains > • Psorinum: esp. on bends of joints and scalp with >itching; dry, scaly eruptions < cold and warmth of bed > • Ranunculus bulbosus: sharp, stitching pains, vesicles >have thin, acrid fluid; burning, itching vesicles in clusters < touch, >motion, change of temperature, entering cold place > • Rhus toxicodendron: right side, incessant itching, >burning, tingling, alternating pains with dysenteric stools; < in winter, >hardly any eruption in hot weather > • Thuja occidentalis: from suppressed gonorrhea, itching >and burning violently; white, dry scaly, eruptions on covered parts; < cold >water, heat of bed, at night, > gentle rubbing > • Zincum metallicum: post-neuralgic pains; burning, >jerking, itching pains, < evening and slightest touch; on back of hands >with burning pains, between fingers > > > footnotes > > > > > Botanicals: primary herbs > > • Aralia nudicaulis: externally as a wash, (Felter and >Lloyd, p. 261) > • Beta vulgaris (beetroot): general stimulant and >resistance-enhancing effect. Large quantities of juice daily. Note: urine >and stools will turn red. See Weiss, p. 232. > • Echinacea spp.: enhances resistance to viruses (Weiss, >p. 229) > • Eupatorium perfoliatum: enhances resistance to viruses >(Weiss, p. 229) > • Glycyrrhiza glabra: antiviral, anti-inflammatory >(Mitchell, p. 16a) > • Iris versicolor (toxic): (Felter and Lloyd, p. 1080) > • Rhus toxicodendron (toxic): acute inflammation, >inflammation with bright, red, tumid surfaces and deep seated burning pain >(Felter and Lloyd, p. 1673) > • Rumex crispus: internally (Harper-Shove, p. 155) > > > complementary herbs > > > footnotes > > > > > Nutrition: dietary guidelines > > eating principles: > • if on a regular diet, try a vegetarian diet high in >vegetables and complex carbohydrates. If on a vegetarian diet, try a fruit >and vegetable diet or a short fast > > therapeutic foods: > • increase foods that cool the Xue (Blood) and clear >Heat > • mung beans, daikon radish, carrots, lemon and water > • foods rich in Vitamins B-complex and C, Zinc > > fresh juices: > • lemon juice in water on empty stomach in morning >(Shefi) > • carrot > • celery (Shefi) > • apple (Shefi) > • lettuce and dandelion (Ni, p. 39) > • parsley (Ni, p. 43) > • carrot, celery, lemon (Jensen, p. 63) > • cucumber, endive, pineapple (Jensen, p. 63) > • carrot, celery, spinach, and parsley (Walker) > > avoid: > • meat, alcohol, hot sauces, spicy foods, fried foods, >fatty foods, rich foods, salty foods, stimulating foods, coffee, caffeine > > therapeutic considerations: > • Enhance immunity: consider constitutional hydrotherapy >if the patient can tolerate it. > > supplements > > • Vitamin C: Use high doses to bowel tolerance. 10 g per >day (IV is best) (Zureick,1950) > • Quercetin can inhibit the replication of various >viruses and may be effective in the treatment of Herpes zoster. (Marz, p. >425, 1997) > • Selenium: up to 800 mcg per day for acute situations > • Consider IM or IV vitamins such as vitamin C, >Echinacae, Myers Cocktail, Vitamin B12 and B1. (Marz, p. 425, 1997) > • Vitamin B12 1000 mcg IM per day > • Herpes zoster ophthalmicus: Vitamin C and A drops. > • Adenosine monophosphate (AMP 25 mg/ml), 2-3 ml IM >every day or other day as patient is responding. Can also use IV. > • DHEA or low dose cortisone may be indicated. (Marz, p. >425, 1997) > • DL-phenylalanine > • Vitamin B5 500 mg three times daily > > topical: > • Zostrix (capsaicin): Topical applications may be >helpful in some cases. Zostrix affects the efferent nerves endings. > • Glycyrrhiza topically may be helpful. It can be >applied with DMSO to drive the Glycyrrhiza into the nerve root. Other >botanicals may also be administeredsuch as aloe vera, along with vitamin E >and zinc oxide. (Marz, p. 425, 1997) > • Vitamin E (for post-herpetic neuralgia) 1200-1600 IU >per day (Mihan, 12/73) topical application > > > footnotes > > > > > Somatic Therapies: exercise > > • aerobic exercise: daily may help enhance immune system >functioning > > > hydrotherapy > > • fever treatments: up to 102° F daily until skin >lesions dry up, start as soon as possible after diagnosis > • poultice: charcoal > > > manipulation > > • spine: check and align vertebrae at level of >dermatomal irritation, Also T10-T12. > > > electrical and oscillating > > • ultraviolet > • ultrasound > • interferential: electrodes covering dermatome, 90-150 >Hz, 10-15 min., mild intensity > > > footnotes > > > > > Subtle Support: sound > > pain: > • Mendelssohn's Spring Song > • Meditation from Thais > • Chopin's Preludes > • On Wings of Song > • Andante, Beethoven's Fifth Symphony > • Adagio, Beethoven's Pathetique Symphony > (Heline, p. 18) > > > flower essences > > • aloe vera > • angelica > • mallow > (Gurudas, pp. 236, 216) > > • crab apple (Kasloff, 1987) > > > electromagnetic > > • Digitron: 50-31 > > > color > > acute phase: > • green (is antimicrobial and acts as a disinfectant and >antiseptic) and indigo (an astringent, antipyic, antiemetic, and >hemostatic; is phagocytogenic; acts as a general sedative) on back and any >affected areas > > chronic phase: > • motor nervous system schedule (refer below) on back >and affected areas > • violet (a tranquilizer) on painful areas > > the protocol for the motor nervous system schedule is: > • lemon (helps to dissolve blood clots; acts as a >chronic alterative) and yellow (acts on the motor nerves, thereby helping >to energize muscles; acts on the lymphatic system as it is a mild tissue >stimulant) for 2 weeks, then: > • lemon (helps to dissolve blood clots; acts as a >chronic alterative) and orange (acts as a decongestant) for 4 weeks > • this is repeated for as long as is necessary > (Dinshah, 1985, p. 105) > > > gems and minerals > > > footnotes > > > > > Mind/Body: metaphors and correlations > > • Created through chronic anxiety/irritation due to >feeling overwhelmed; activity in one's environment continually makes the >person feel physically, financially, or materially insecure and vulnerable. >(Shealy, p. 208) > • Fear and tension; waiting for the other shoe to drop; >too sensitive. (Hay, 1984, p. 182) > > Chinese psychophysiology: > • Liver ~ Gan is the home of the Hun (Ethereal Soul); it >relates to decisiveness, control, and the principle of emergence; cleanses >the Xue (Blood); maintains smooth flow of Qi and Xue (Blood); reflects >emotional harmony and movement; and expresses itself in the nervous system. > » Healthy expressions are kindness, spontaneity, and >ease of movement. > » Liver Xu (Deficiency) signs include impotence; >frigidity; pain in thighs, pelvic region, and throat; ready tendency to > " the blahs " (Seem, p. 28); timidity; depression; irritability; vertigo; >pruritus; dry skin and/or tendons; asthma; aching at the waist; hernia; and >difficulty raising head up and down. > » Liver Qi Stagnation reflects and accentuates emotional >constraint as the Liver's function of facilitating smooth flow in the body >is constricted. Stagnation is associated with frustration, irritability, >tension, and feeling stuck. With time this pattern tends to produce a >gloomy emotional state of constant resentment, repressed anger or >depression, along with tightness in the chest, frequent sighing, abdominal >tension or distension, and/or a feeling of a lump in the throat with >difficulty in swallowing. (Maciocia, p. 216) > » Liver Shi (Excess) signs include discontent; anger; >pain in lumbar region and genitals (Seem, p. 28); muscular tension; >excessive sex drive; insomnia; moodiness; excitability; genital diseases; >red, tearing eyes; compulsive energy; and bitter taste in the mouth. >Chronically suppressed anger can implode and give rise to Fire in the Liver >and Gall Bladder with symptoms of irritability, bitter taste, headaches, >etc. > » Liver Wind derives from Liver Yin Xu (Deficiency) >and/or Liver Xue Xu (Blood Deficiency) and their subsequent inability to >embrace the Yang, and can manifest as joint stiffness, dizziness, tremor, >paralysis, convulsions, rashes, itching, and neurological problems. > > • Gall Bladder ~ Dan is the source of courage and >initiative, and is responsible for decision-making as the bodily Minister >of Justice; and controls circulation of the nourishing and protecting >energies [Ying Qi and Wei (Protective) Qi]. Its channel purifies Yang >energy in the body. > » Healthy expressions are kindness, decisiveness, >control, and spirit of initiative. > » Gall Bladder Shi (Excess) signs include tiredness; >sighing; irritability; bitter taste in the mouth in the morning; pain in >all joints; edematous knees and legs (Seem, p. 29); tinnitus; lateral >headache; heaviness in head and stomach; muscular spasms; and limbs >slightly cold. Chronically suppressed anger can implode and give rise to >Fire in the Liver and Gall Bladder. > » Anger, frustration, and resentment can cause Liver Qi >Stagnation which, in turn, can produce Heat which affects the Gall Bladder. > > > therapies > > affirmation: > • (Skin) I lovingly protect myself with thoughts of joy >and peace. The past is forgiven and forgotten. I am free in this moment. >(Hay, 1984, p. 183) > • I am relaxed and peaceful because I trust the process >of life. All is well in my world. (Hay, 1984, p. 182) > > theotherapy: > (skin problems) Dionysus, Heracles, Orestes, Pelops >(Lemesurier, p. 115) > > psychotherapy: > • Whatever happens to the skin corresponds to an inner >process. The diverse functions of the skin (protection, contact, >expression, excretion, respiration, temperature regulation, sexuality, >etc.) are associated with a common theme that alternates between the two >poles of separation and contact. Something is bursting through our limits, >or trying to armor an inner sensitivity. Questions to ask in the event of >skin problems: > » What is it that is getting under my skin? What is >trying to burst through barriers? > » How easy/difficult is it to make contact with other >people? Do I desire intimacy? > » Have I condemned myself to solitary confinement? What >is useful about this? > (Dethlefsen, p. 162, 170) > > process paradigm: (experientially oriented) > • What is the symptom preventing me from doing? What is >the symptom making me do? (see process interview: cutaneous system) > > related materia medica listings: > the shadow and physical symptoms > skin metaphors and correlations > converting a symptom to a signal > affirmations: guidelines and precautions > theotherapy > hypnotherapy > process paradigm > > > footnotes > > > > > > About HealingPeople | Advertising on HealingPeople.com | Privacy >Statement 2000 HealingPeople Inc. > > • Homeopathy • Western Herbalism • Nutrition & >Lifestyle • Ayurveda • Aromatherapy > Bodywork • Cancer Risk Reduction• Pet Health • More > > Healing Help • Professional Encyclopedia • General Encyclopedia • >Practitioner Listings • Healing Communities • Ask HealingPeople > Advisory Board • Suggestion Box • FAQ's • Advanced Search • Contact >Us • Home Page > > > > > ______________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2000 Report Share Posted August 9, 2000 This is the link to the Herpes Zoster article. Victoria >http://www.healingpeople.com/ht/EN/articles/2000/4/3/811.tmpl ______________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com Quote Link to comment Share on other sites More sharing options...
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