Herpes Zoster involving the Right Mandibular Branch of Trigeminal Nerve - A Case Report

Herpes Zoster (HZ) is an acute, self-limiting, neuro cutaneous viral infection caused by the reactivation of the Varicella Zoster Virus (VZV) that remains latent in the dorsal root ganglion. About 50% of occurrence is seen in older age groups and immunocompromised patients. Less than 5% occur in children. HZ is characterized by the unilateral pain, burning and tingling sensation followed by the vesicular eruptions limited to the single dermatome that are innervated by the single cranial ganglion, sometimes it leads to Post Herpetic Neuralgia (PHN). Herpes zoster closely resembles to a condition called Visarpa which is described in Ayurveda. Visarpa is an acute skin condition with a quick spreading involving mainly Twak, Rakta, Lasika and Mamsa due to vitiation of all three Doshas which may remain for 10-12 days. We report a case of HZ, a 53-year-old female patient presented with vesicular lesion on her right side of face associated with mild itching, burning sensation and pain. Treated with Shodhana and Shaman therapies which showed significant improvement in the condition.