Ayurvedic Management of Herpes Zoster with Post-Herpetic Neuralgia: A Case Report

Abstract

Herpes Zoster (HZ), commonly called shingles, is a viral illness resulting from the reactivation of the Varicella-Zoster Virus (VZV). It typically presents with painful, blistering skin rashes and may lead to a complication known as Post-Herpetic Neuralgia (PHN). In Ayurveda, this condition can be correlated with Visarpa due to similarities in clinical features, such as rapid spread and painful vesicles. A 57-year-old female patient diagnosed with HZ presented with localized pain, vesicles, fever, and a burning sensation. The patient developed PHN following the resolution of the acute vesicles. The patient was treated with Ayurvedic treatments, including; Raktamokshan (bloodletting) Virechana (purgation) Pradeha (local applications) Seka (herbal washing), and Samana oushada (internal medicine). These interventions aimed to reduce pain, resolve the rash, and manage PHN. Symptomatic patient assessment was carried out periodically, and a satisfactory outcome was noted. The vesicular rash, located along the cervical and thoracic dermatomes, resolved with Ayurvedic treatment. There was a significant reduction in pain. The Ayurvedic approach positively impacted the management of both Herpes and PHN. This case highlights the efficacy of Ayurvedic treatments in managing Herpes Zoster and Post-Herpetic Neuralgia, with notable pain relief and vesicle resolution. The rational application of treatment methods, such as sodhana and samana, contributed to a successful outcome.