The Study Of The Clinical Effect Of Treating Acute Herpes Zoster With Shu Zhua Ci Method

ObjectiveTo observe the clinical effect and the safety of the therapy by Shu Zhua Ci method to treat acute herpes zoster according to randomize controlled principle, and study the acupuncture prescription and manipulation so as to provide clinical evidence for its efficiency.Methods1. Adopted randomize controlled principle, divided60patients with acute herpes zoster who meet the standards of the disease’s diagnosis into two groups:the Shu Zhua Ci group(treatment group) and the medication group (control group).2. Treatment group was given Shu Zhua Ci method. Acu-points used were Dazhui(DU14), Shenzhu(DU12), Lingtai (DU10), Jinsuo(DU8), Jizhong(DU6), Yaoshu(DU2). The patients were taken the prone position, used the medical plaster banded five one-inch needle altogether, after sterilized the acupoints, punctured perpendicularly0.3-0.5inch each points from Dazhui to Yaoshu, withdrew the needle slowly after the qi arrived, and blood-letting puncturing slightly in the points and cleaning it. One day every other day and5times altogether. The control group was given Aciclovir Sodium(300mg, bid) and vitamin B1(10mg, tid) for oral use, ten days a course, and both groups received one course in total. During the test, the situations of the pain and the herpes of both groups were recorded. After the10-day treatment, the pain, herpes and the PHN were observed in the follow-ups in the22nd,30th,60th and90th testing days. Used the software to evaluate the efficiency and safety of both groups.Results1. The Result of Comprehensive EffectAfter the treatment, the total effective rates as follow:the treatment group was90%, control group was80%. There was no significant difference between two groups (P>0.05). There was significant difference between two groups in curative effect by Ridit analyzed (P<0.05).There were significant difference between the anterior and posterior of treatment on comprehensive efficacy score of both groups (P<0.01). There was significant difference on comprehensive efficacy score posterior of treatment (P<0.05)2. The Result of Visual Analogue Score(VAS)There were significant difference on VAS between the anterior and posterior of treatment of two groups (P<0.01). There was no significant difference between two groups on VAS after treatment. There were significant difference on the time of pain duration and pain start to release (P<0.05).3. The Result of Herpes Curative EffectComparing the time of new blister ceasing, old herpes incrustation and decrustation, there was no significant difference on the time of new blister ceasing between two groups (P>0.05), there were significant difference on the time of old herpes incrustation and decrustation between two groups.4. Follow-up Observation of the Incidence of Post Herpetic NeuralgiaThe incidence of the post herpetic neuralgia between two groups was no significant difference (P>0.05).5. Comparison of Assessment of Tolerance and SafetyThe tolerability of both groups is good. There was significant difference on the incidence of adverse events between the groups, it indicated the safety of treatment group was better than control groupConclusionShu Zhua Ci method can treat herpes zoster effectively. The treatment group was equivalent to western medical therapy on releasing pain and reducing the incidence of the post herpetic neuralgia, and the Shu Zhua Ci method can relieve the pain of HZ patients sooner and shorten the time of the blister recovered, it can also reduce the incidence of adverse events. In summary, Shu Zhua Ci method is an effective and safe way to treat herpes zoster.