Congenital herpes can be treated with some antiviral drugs, such as oral high-efficiency antiviral drugs, acyclovir and valacyclovir. It can also be combined with heat-clearing and detoxifying Chinese medicine and acupuncture therapy, or oral Weiling Pills or Shenling Baizhu Pills. 1. Mainly general and symptomatic treatment. Principles: Anti-viral, reduce pain, prevent secondary infection, and shorten the course of the disease. ①Neuralgia: Analgesics such as aspirin, acetaminophen, indomethacin, ibuprofen, Xinhuang tablets, etc. can be given. Postherpetic neuralgia requires the combined use of analgesics and sedatives, such as doxepin 25 mg, taken orally 3 times a day; cimetidine 0.2 g, dexamethasone 1.5 mg, cyproheptadine 2 mg, taken orally 3 times a day, and vitamin B12 100 micrograms, injected intramuscularly once a day, for a total of 10 days. ② Local skin care treatment: Apply phthalamide ointment or calamine lotion externally, 3-5 times a day. For erosion, apply 2% gentian violet solution or neomycin furfural oil paste. Or ultraviolet irradiation, audio frequency electrotherapy, laser irradiation (helium-neon or carbon dioxide expanded beam irradiation), TDP spectrum irradiation, etc. ③ Herpes zoster in the eye: Herpes zoster or acyclovir can be used as eye drops, and atropine can be used to dilate the pupil to prevent corneal adhesion; 2. Antiviral treatment, mainly used for patients with immunodeficiency or immunosuppression, adenosine or acyclovir. Oral highly effective antiviral drugs: acyclovir, valacyclovir, etc. (Clinical tips: acyclovir is ineffective for the treatment of postherpetic neuralgia) Apply topical acyclovir eye drops to the affected area. You can take antibiotics orally or apply erythromycin ointment to the affected area. If the blisters rupture, apply 2.5% gentian violet solution to the affected area. Corticosteroids: Use with caution in the short term! 3. For patients who are currently using cytotoxic drugs, immunosuppressants or metabolic antagonists, the dosage should be reduced or the drugs should be discontinued as they are prone to virus spread. 4. It can be combined with heat-clearing and detoxifying Chinese medicine and acupuncture therapy. Recommended Chinese patent medicines include Longdan Xiegan Pills for those with excessive liver fire; Weiling Pills or Shenling Baizhu Pills for those with spleen deficiency and dampness; Xuefu Zhuyu Pills for those with qi and blood stasis. |
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