CLINICAL FEATURES of Herpes Zoster
• Trunk (intercostal nerves).
• Face (trigeminal distribution).
• Neck (cervical).
The first symptom is usually one-sided pain, tingling,
or burning. The pain and burning may be severe.
Red patches on the skin form, followed by small
blisters that look very similar to early chickenpox. The blisters
break, forming small ulcers that begin to dry and form crusts.
The crusts fall off in 2 to 3 weeks.
The rash usually involves a narrow area from the
spine around to the front of the belly area or chest. It may involve
face, eyes, mouth and ears.
Additional symptoms may include:
• Abdominal pain
• Difficulty moving some of the muscles in the face
• Drooping eyelid (ptosis)
• General ill-feeling
• Genital lesions
• Hearing loss
• Joint pain
• Loss of eye motion (ophthalmoplegia)
• Swollen glands (lymph nodes)
• Taste problems
• Vision problems
• Severe neuralgic pain.
• Local hyperaesthesia.
• Develop 3 days after onset of attack.
• Start as reddish plaques.
• Unilateral distribution, along segmental distribution
of affected nerve root.
• Crops of vesicles appear.
• Speedily increase in size.
• Become confluent.
• Vesicles contain serous fluid.
• In few days content become opaque.
• Absorption of contents occurs.
• Brown adherent crusts form.
• In few weeks crusts separate leaving pigmented scars.
• Regional lymph glands enlarged, painful.
Involvement of the facial nerve may cause Ramsay
Hunt syndrome, which can lead to loss of movement in the face,
hearing loss, loss of taste, and other symptoms.
Other complications may include:
• Another attack of shingles
• Blindness (if lesions occur in the eye)
• Infection, lesions in body organs, encephalitis or sepsis
in persons with weakened immune systems
• Post-herpetic neuralgia
• Secondary bacterial skin infections
• Ramsay-hunt syndrome (if geniculate ganglion is affected).
• Corneal ulceration (if ophthalmic division is affected).
GENERAL MANAGEMENT of Herpez zoster / Shingles
• Light, nutritious, easily digestible diet.
• Keep affected parts clean.
• Adequate physical, mental rest.
• Arsenicum album.
• Hepar sulph.
• Mercurious solubilis.
• Ranunculus bulbosus.
• Rhus toxicodendron.
Homeopathy Treatment & Homeopathic Remedies
for Herpes zoster or Shingles
Herpes typically affects the lips, the face and
intercostal region. The eruptions are confluent ith intense burning
sensation in the blister. Patient is worse after midnight and
from cold in any form. Patient feels better by warmth. Associated
with herpes, patient feels very thirsty and gets prostrated very
easily. Herpetic eruptions alternate with internal affections.
Great Prostration, with rapid sinking of the vital forces; fainting.
The disposition is:
a. Depression, melancholy, despairing, indifferent.
b. Anxious, fearful, restless, full of anguish.
c. Irritable, sensitive, peevish, easily vexed.
The greater the suffering the greater the anguish, restlessness
and fear of death. Mentally restless, but physically too weak
to move. Indicated by its periodicity and time aggravation: after
mid-night, and from 1-2 a.m. And by its intense restlessness,
mental and physical: its anxiety and prostration.
Adapted to persons with impaired nutritional scrofulous
diathesis who have a tendency to grow fat; herpes with burning
and jerking pains which are worse in cold at night. Herpes with
thick corrosive scabs which have yellow pus beneath them. Suppressed
herpes causes central nervous system disorders.
Calc carb suits to person with Leucophlegmatic constitution, blond
hair, light complexion, blue eyes, fair skin; tendency to obesity
in youth. Psoric constitutions;
pale, weak, timid, easily tired when walking. Disposed to grow
fat, corpulent, unwieldy. Children with red face, flabby muscles,
who sweat easily and take cold readily in consequence. Large heads
and abdomens; fontanelles and sutures open; bones soft, develop
very slowly. Curvature of bones, especially spine and long bones;
extremities crooked, deformed; bones irregularly developed. Head
sweats profusely while sleeping.
Herpetic eruptions on shoulders, neck, around nipples
and chin, face. Herpes preputialis. Herpes zoster. There is itching
burning pain which is worse in open air, in clear fine weather
and is bitter in damp weather and from walking.
Adapted to persons with dark hair and rigid fibre; weakly, psoric,
with excessively yellow, sallow complexion; subject to affections
of respiratory and urinary tracts.
Graphites has a special affinity for folds of skin,
e.g. joints, behind ears, groins, neck. Herpes in obese females
with delayed and scanty menses. Herpes appearing at climateric.
Large blisters from umbilicus to the spine, mainly affecting left
side. Itching spots on various parts of the body which oozes a
watery sticky fluid. Itching as though foreign matter would pass
out through the skin. Circular herpes, feels hard to touch and
is wrinkled. The itching is worse at night, during and after mensturation
and is better from wrapping up.
Suited to - Excessive cautiousness; timid, hesitates; unable to
decide about anything. Fidgety while sitting at work. Sad, despondent;
music makes her weep; thinks of nothing but death.
Face, hands, genitals and bends of knees and elbows
are the commonly affected regions. Herpes after abuse of mercury.
Adapted to persons with unhealthy skin which suppurates easily.
Patients are highly sensetive to cold. Herpes zoster from spine
forwards, especially the left side. The eruption is the seat of
acute neuralgic pains which are worse at night; vesicles on an
inflamed base associated with splinter like pains, severe itching
and scratching. There is marked aggravation at naight, from cold;
touch and the patient feels better in damp weather and from wrapping
up wramly. Eapecially suited to persons with a sour body odour.
For torpid lymphatic constitutions; persons with light hair and
complexion, slow to act, muscles soft and flabby. The slightest
injury causes suppuration. Diseases where the system has been
injured by the abuse of Mercury. In diseases where suppuration
seems inevitable, Hepar may open the abscess and hasten the cure.
Oversensitive, physically and mentally; the slightest cause irritates
him; quick, hasty speech and hasty drinking. Patient is peevish,
angry at the least trifle; hypochondriacal; unreasonably anxious.
Extremely sensitive to cold air, imagines he can feel the air
if a door is opened in the next room; must be wrapped up to the
face even in hot weather; cannot bear to be uncovered; takes cold
from slightest exposure to fresh air.
Mercurius has a marked affinity for right side.
Herpes of right forearm, wrist & hand. Herpes prepucialis
of the right side extending across the abdomen. There is itching
which changes to burning on scratching & shooting pains which
are worse at night & in cold damp weather. Herpetic eruptions
which are surrounded by small pimples. Herpes with a tendency
to suppurate especially in persons with profuse sweat.
Nervous affections after suppressed discharges especially in psoric
patients. Glandular and scrofulous affections of children.
Herpes following the intercostal or supraorbital
nerves with severe neuralgia; itching after scratching turns into
burning. Itching worse in bed & from touch. Post herpatic
neuralgia & burning with great coldness of body. Herpes tends
to ulcerate & forms thick scabs under which purulent matter
exudes; tearing of these scabs causes great pain & retards
healing. Herpes after suppressed eruptions; vaccination &
abuse of mercury.
For light-haired, irresolute persons of a phlegmatic temperament.
Eczema and itching eruptions after vaccination. Hypochondriacal
and despondent; indifferent to everything and every one; angry
at trifles and perfectly harmless things, but is soon sorry for
Herpes affecting the supraorbital & intercostal
nerves. There are sharp stitching pains which are worse from touch,
motion, change of temperature & on entering a cold place.
The vesicles are filled with a thin, acrid fluid & are found
in clusters. Herpetic eruptions over fingers & palms of hands
which finally spreads over the whole body. Herpes in drunkards.
One of our most effective remedies for the bad effects of alcoholic
beverages; spasmodic hiccough; delirium tremens. Day blindness;
mist before eyes, pressure and smarting in eyeballs.
Herpes with a marked predeliction for the right
side & hairy parts. Herpes of the face. The itching is worse
in winter & while sweating. Itching alternates with pains
in the chest & dysenteric stools.
Adapted to persons of rheumatic diathesis; bad effects of getting
wet, especially after being over-heated. "Worse cold, wet".
Worse wet; bathing; washing; strain. Drawing, tearing pain, especially
fibrous tissues; joints; round joints. Restlessness; must move,
though first movement painful. Better from dry, warm application.
Dry herpes affecting the chin. Eruptions are inclined
to suppurate. Suited to malnourished persons with unhealthy easily
Adapted to the nervous, irritable, sanguine temperament; persons
of a psoric diathesis. Persons of light complexion; fine dry skin;
pale face; weakly, with lax muscles. Constitutions which suffer
from deficient nutrition, not because food is lacking in quality
or quantity, but from imperfect assimilation; oversensitive, physically
Herpes miliaris, phlyctenoides, circinatus &
squamosus. Dry scaly herpes on nape of neck & ankles. Moist
herpes with small white vesicles in groups, forming scabs over
the whole face, especially above nose & about the eyes. There
is burning pain after scratching. The patient is always worse
from washing, bathing & getting warm in bed.
Adapted to persons of a scrofulous diathesis, subject to venous
congestion; especially of portal system. Persons of nervous temperament,
quick motioned, quick tempered, plethoric, skin excessively sensitive
to atmospheric changes. For lean, stoop-shouldered persons who
walk and sit stooping like old men. Standing is the worst position
for sulphur patients; they cannot stand; every standing position
is uncomfortable. Dirty, filthy people, prone to skin affections.
Aversion to being washed; always <. after a bath. Too lazy
to rouse himself; too unhappy to live.
Herpes with sensation of bugs crawling under the
skin. Neuralgia persisting after disappearance of herpes. It is
an excellent remedy for post herpatic neuralgia.