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At least 85% of the world population have serological evidence of having had a herpes simplex infection.
Herpes simplex infections can be primary- the first infection in a previously seronegative patient – or recurrent. Follows direct contact with an infected individual, either with active disease or shedding viral particles during a latent phase. Trigger factors include minor trauma, febrile illnesses, ultraviolet light and possibly stress. Complications include: Erythema multiforme (65% of attacks are triggered by a herpes simplex recurrence within the preceding two weeks), eczema herpeticum, persistent ulceration in the immunocompromised and keratoconjuctivitis. These are transmitted sexually, and begin to appear at puberty or are spread from a mother’s genital tract infection to a newborn child. The median recurrence rate is about one attack every 3 months for HSV-2 infections (and far less often for genital HSV-1 infections).
Prevention is difficult because the virus is ubiquitous and spread by people with no obvious active infection. Those looking after patients with atopic eczema should stay away if they have cold sores because eczema herpeticum is so serious. Suppressive long-term antiviral therapy may be needed for particularly frequent or severe relapses. The decision to use oral antiviral therapy for recurrent facial herpes simplex depends on the frequency and severity of relapses and the damage being done to the quality of life.


Long-term suppressive therapy can be considered in genital herpes relapsing more than 5 times per year.
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Oral herpes is easy to diagnose when a patient has visible sores or ulcers, but early stages of herpes on the face and mouth as well as on the genitals are harder to diagnose. Herpes should be distinguished from herpes zoster, chicken pox, impetigo, and drug eruptions.
Herpetic sores are classified as heat sores in TCM because the lesions are red and follow febrile disease conditions.
As with all treatment protocols, be sure to tailor and modify the basic treatments below to fit your patient's specific constitution, root cause, and symptoms. Treatment principle: Drain Spleen and Stomach damp heat, nourish yin, drain deficient heat . Cash, checks and credit cards are also gratefully accepted if you prefer to donate in person. Pain, emotional upheaval, fatigue, people who are burned out, folks who want to try esoteric acupuncture.
By age 30, 50% of adults of high economic status in the US are seropositive to HSV-1, in contrast to 80% of those of lower status. The introduction of aciclovir (DNA polymeras inhibitor) was a milestone although it does not eradicate the virus.


During active disease phases there are blisters on the skin which contain the infectious virus.
They are closely related but differ in their epidemiology, although both are spread by close personal contact. Regular use of condoms helps prevent genital herpes and a high protection factor sunscreen helps to prevent recurrent facial lesions. Accompanying symptoms may include high fever and swelling of tenderness of the lymph nodes. Crusting of the lesions begins after three to four days of onset and complete healing within three weeks. Viruses are transported along the sensory nerves to the nerve cell bodies where they go dormant and reside as long as the host is alive. They may come out of dormancy because of a variety of triggers (one of which is immunosuppressant drugs). When it becomes active the virus multiplies, travels along the axon of the neuron to the nerve terminals in the skin and releases the virus particles.



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    One in six Australians carry the virus that my GI physician did nothing for me chinese language medication.
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