HERPES GENITALIA (HERPES SIMPLEX, ORAL HERPES)

Clinical Manifestations
  • Herpes simplex: is a viral disease caused by the herpes simplex virus. Infections are categorized based on the part of the body infected. Oral herpes involves the face or mouth. It may result in small blisters in groups often called cold sores or fever blisters or may just cause a sore throat. Genital herpes, often simply known as herpes, may have minimal symptoms or form blisters that break open and result in small ulcers. These typically heal over two to four weeks. Tingling or shooting pains may occur before the blisters appear. Herpes cycles between periods of active disease followed by periods without symptoms. The first episode is often more severe and may be associated with fever, muscle pains, swollen lymph nodes and headaches. Over time, episodes of active disease decrease in frequency and severity. Other disorders caused by herpes simplex include: herpetic whitlow when it involves the fingers, herpes of the eye, herpes infection of the brain, and neonatal herpes when it affects a newborn, among others.

    There are two types of herpes simplex virus, type 1 (HSV-1) and type 2 (HSV-2). HSV-1 more commonly causes oral infections while HSV-2 more commonly causes genital infections. They are transmitted by direct contact with body fluids or lesions of an infected individual. Transmission may still occur when symptoms are not present. Genital herpes is classified as a sexually transmitted infection. It may be spread to an infant during childbirth. After infection, the viruses are transported along sensory nerves to the nerve cell bodies, where they reside lifelong. Causes of recurrence may include: decreased immune function, stress, and sunlight exposure. Oral and genital herpes is usually diagnosed based on the presenting symptoms. The diagnosis may be confirmed by viral culture or detecting herpes DNA in fluid from blisters. Testing the blood for antibodies against the virus can confirm a previous infection but will be negative in new infections.

Treatment Principle
Herb Formulas
  • Topical for ulcerated sores: Wash using a decoction of 30-45g Rx. Sophorae Flavescentis Ku Shen. Then apply Realgar Xiong Huang, mixed with rubbing alcohol directly to the open ulcer. Do not get the paste on the surrounding non-ulcerated tissue. Apply 2-3 times a day. For non-ulcerated sores, apply Si Huang San to the affected area once the blisters have broken.
  • At the first sign of recurrent episodes, take 5g Rx. Astragali Huang Qi and 3-6g powdered garlic and vitamin C per day. Apply Tea Tree Oil to the area where the repeated episodes occur. Change to a clean, bland diet and get plenty of rest. Also take Ge Xia Zhu Yu Tang.
Points
  • Indirectly moxa the sores with a moxa stick.
Clinical Manifestations
  • Fever
  • Slight aversion to Wind and Cold
  • General bodily discomfort
  • Water blisters on the two lower orifices
  • Possible blisters on the mouth and nose
  • Slight pain or
  • An itchy sensation
  • Thirst
  • Maybe a sore throat
  • T: Red tip
  • C: Yellow
  • P: Floating and rapid
  • Note: This represents the initial outbreak before the genital sores have ulcerated. There may also be:
    Fear
    Malaise
    Flu-like symptoms
Treatment Principle
  • Expel Wind
  • Clear Heat
  • Alleviate pain
  • Treat skin disease
Herb Formulas
Points
Clinical Manifestations
  • Lingering fever from a febrile disease
  • Vomiting
  • Irritability
  • Thirst with a desire to drink
  • Parched mouth, lips and throat
  • Choking cough
  • Restlessness
  • Insomnia
  • Nausea
  • Anorexia
  • Profuse perspiration
  • A dry mouth
  • Indigestion
  • Listlessness
  • Chest oppression
  • Ulcerations of the mouth
  • Coarse skin
  • Cough
  • Night sweats
  • Stifling sensation in the chest or epigastrium
  • T: Red
  • C: Little or None
  • P: Rapid and Deficient or Thready and rapid
Treatment Principle
  • Clear Heat
  • Generate fluids
  • Tonify Qi
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Headache
  • Red eyes
  • Pain and swelling of the throat and gums
  • Ulcerations of the mouth and tongue
  • Dizziness
  • Tinnitus
  • Constipation
  • Toothache
  • T: Red and prickly
  • C: Yellow
  • P: Floating and rapid or Rapid
Treatment Principle
  • Clear Heat
  • Relieve toxicity
  • Release Wind-Heat from the Exterior
Herb Formulas
Points
Clinical Manifestations
  • Dry stools
  • Knotted constipation
  • Mouth parched
  • Sensation of burning heat, swelling and pain of anus
  • Urine short and dark
  • T: Pink
  • C: Yellow and dry
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Purge constipation
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Abdominal distention and discomfort
  • Suffocating sensation in the chest
  • Epigastric mass
  • Maybe abdominal pain on palpation
  • Yang jaundice (sclera and skin are bright yellow)
  • Dislike of oily foods
  • Nausea
  • Vomiting
  • Lassitude
  • Scanty, dark urine
  • Maybe thirst or thirst with no desire to drink
  • Diarrhea with foul smell or
  • Constipation
  • Fever
  • Sweet sticky taste or bitter taste in mouth
  • T: Pink
  • C: Thick, yellow and greasy (maybe sticky)
  • P: Soft and rapid
Treatment Principle
  • Clear Heat
  • Benefit Dampness
Herb Formulas
Points
Clinical Manifestations
  • Headache
  • Loose stools
  • Urinary difficulty
  • Scanty urination
  • T: Normal
  • C: Slippery and white
  • P: Floating and rapid
Treatment Principle
  • Regulate water circulation
  • Drain Dampness
  • Strengthen the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold sensations (pain is relieved by warmth)
  • Cold limbs
  • Feeling chilled
  • Frequent, clear urination
  • Mental fatigue
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale
  • C: Thin and white
  • P: Deep and weak
Treatment Principle
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Ulceration, erosion, and pain of mouth and tongue
  • Thirst with a desire for cold drinks
  • Irritability
  • Irascibility
  • Feeling of Heat and disturbance in the Heart
  • Insomnia
  • Flushed face
  • Bitter taste in the mouth
  • T: Red tip with ulcers especially on the tip
  • P: Excess and rapid
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Feeling of a lump in the throat
  • The lump is soft and becomes larger or smaller according to the emotional situation
  • The lump is small or medium sized, relatively soft and slippery
  • The edges are indistinct
  • Oppressive feeling in the chest and hypochondrium
  • Difficulty swallowing
  • Loose stools
  • Irregular menstruation
  • Pre-menstrual tension
  • Suppurative sores
  • Ulcerations, abscesses and swellings that remain hard after discharge of pus
  • Restlessness
  • Insomnia
  • Thirst
  • Feeling of Heat
  • Irritability
  • Frequent sighing
  • Bitter taste in the mouth
  • Red eyes
  • Red face
  • Tremor of the hands
  • T: Pale or dusky or Red with red tip and edges
  • C: White or Thin and greasy or Dry and yellow
  • P: Wiry
Treatment Principle
  • Disperse Qi Stagnation
  • Dispel Heat and Dampness
  • Resolve Phlegm
  • Dissipate nodules
  • Reduce swelling
  • Drain pus
Herb Formulas
Points

Clinical Manifestations
  • Burning, painful, concentrated, urgent and/or frequent urination
  • Extreme irritability
  • Angry outbursts
  • Dizziness
  • Tinnitus
  • Bloodshot, painful eyes
  • Temporal headache
  • Thirst
  • A dry throat
  • Constipation
  • Hypochondriac, tension, discomfort and pain
  • Ulcerations
  • A tendency toward herpes genitalia
  • Eczema on the groin and genitals
  • T: Red or Red edges
  • C; Thick yellow and dry
  • P: Wiry, rapid and strong
Treatment Principle
  • Drain Liver Fire
  • Promote urination
Herb Formulas
  • Long Dan Xie Gan Tang modified
  • Yin Chen Hao Tang
  • Chinese Patent Medicines:
    Long Dan Xie Gan Wan
    Qian Lia Xian Wan

    Chuan Xi Lian Kang Yan Pian
    Te Xiao Pai Shi Wan
    With hematuria: Yun Nan Bai Yao (take along with any of the above formulas)
Points
Clinical Manifestations
  • Coughing fits with hemoptysis
  • Burning pain in chest and sides
  • Dizziness
  • Face and eyes red
  • Bitter taste in mouth
  • Dry lips
  • Short-tempered
  • Irascibility
  • Restlessness
  • Maybe dark urine
  • Maybe constipation
  • T: Red
  • C: Thin, yellow and dry
  • P: Wiry and rapid
Treatment Principle
  • Clear Liver Fire
  • Purge the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Night sweats
  • Red face
  • Dry mouth
  • Leukorrhagia with yellow, thick, foul discharge
  • Constipation
  • Dark, scanty urine
  • Irritation
  • Fidgeting
  • Insomnia
  • Five Sole Heat
  • Irregular menstruation
  • A thin physique
  • Nocturnal emissions
  • Parched lips
  • Irritability
  • Dry stools
  • T: Dark red and dry
  • C: Dry and yellow or None
  • P: Flooding and rapid or Thin and rapid
Treatment Principle
  • Nourish Yin
  • Clear Heat
  • Stabilize the Exterior
  • Stop sweating
Herb Formulas
Points

Clinical Manifestations
  • This condition usually occurs postmenstrually, during a long-term illness or in the elderly, with signs of Yin Deficiency Fire Flaring Upward and Damp-Heat Pouring Downward
  • Dizziness
  • Tinnitus
  • Malar flush
  • Night sweats
  • Palpitations
  • Vexation
  • Agitation
  • Insomnia
  • Profuse dreams
  • A dry throat
  • Low back ache
  • Scanty, yellow urination
  • Red, burning, painful or itchy lesions on or around the genitals which may or may not transform into vesicles and then ulcers
  • T: Red
  • C: Scanty and yellow or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Clear Heat above
  • Clear Damp-Heat below
Herb Formulas
Points
Clinical Manifestations
  • Hypochondriac pain
  • Headache
  • Dizziness
  • Red sore eyes
  • Hearing loss
  • Swelling in the ears
  • Bitter taste in the mouth
  • Irritability
  • Short temper
  • Difficult and painful urination with a heat sensation in the urethra
  • Swollen and itchy genitalia
  • Yellow, foul smelling leukorrhea
  • Short menstrual cycle with reddish-purple blood
  • Ear discharge
  • Yellow urine
  • Chest pain
  • Constipation
  • Turbid urine
  • Dry throat
  • Hematuria
  • Pain in the armpits
  • Sweating in the groin
  • T: Red or Red edges
  • C: Yellow or Yellow and greasy
  • P: Wiry, Excess and rapid
Treatment Principle
  • Clears Damp-Heat from the San Jiao
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Water blisters and/or ulcers with red margins on the genitals, perineum or anorectal area
  • Pain and/or burning in the affected area
  • Maybe a fever
  • Malaise
  • Maybe lumbosacral pain
  • Reddish-yellow urine
  • Maybe burning or painful urination
  • Dry mouth
  • Thirst
  • T: Red
  • C: Slimy and yellow
  • P: Slippery and rapid or Wiry and rapid
Treatment Principle
  • Clear Heat
  • Eliminate Dampness
  • Resolve toxins
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Painful, large hot, yellow or brown, scab-like lesions on the buccal cavity and hard palate
  • The lesions resemble old porridge
  • The oral cavity is obviously inflamed
  • High fever or
  • Chills and fever or
  • Exaggerated shivering
  • Irritability
  • Fidgeting
  • Dry mouth
  • Dry throat
  • Thirst with a desire for cold drinks
  • Halitosis
  • Incoherent speech
  • Insomnia
  • Dark urine
  • Deep-rooted boils
  • Maculae
  • Carbuncles
  • Hematemesis
  • Hemoptysis
  • Palpitations
  • Furuncles
  • Tinnitus
  • Purpura
  • Red face
  • Rashes
  • Deep-rooted boils
  • Red eyes
  • Itchy skin
  • Fidgeting
  • Dry lips
  • Delirium
  • Dysentery with fever
  • Jaundice
  • Epistaxis
  • Hematuria
  • Cloudy mind
  • Diarrhea or
  • Constipation
  • T: Red (may be swollen)
  • C: Yellow, Thick, dry and yellow
  • P: Rapid and forceful or Slippery and rapid
Treatment Principle
  • Clear Heat
  • Drain Fire
  • Relieve toxicity from all three Jiaos
  • Relieve inflammation
  • Stop bleeding
  • Purge Damp-Heat
Herb Formulas
Points
Clinical Manifestations
  • Thirst
  • Restlessness
  • Foul breath
  • A dry throat
  • T: Dry
Treatment Principle
  • Clear Heat from the Upper and Middle Jiaos
Herb Formulas
Points