Definition

An acute inflammatory disease of the skin, which consists of vesicles on a reddened base, the lesions being distributed in relation to the course of the cutaneous nerves, and as a rule unilateral. The outbreak of the eruption is usually preceded by severe neuralgic pain.--Gould.

The latest opinion is that this disease is an acute hemorrhagic inflammation of the dorsal roots of the spinal nerves; that it is an acute affection of the nervous system and localizes on one side of the body. One peculiarity of the breaking-out on the skin is that it will not cross the median line either in front or behind. This disease takes its name from the locality. When it is on the face it is herpes facialis; when it is on the lips, it is herpes labialis, etc.

Herpes is a most disagreeable disease. The eruption is sensitive, and the rubbing and chafing from clothing, bandages, and dressings contribute to make the disease--affection is a better term--very disagreeable.

Etiology

Herpes is a reflex irritation. The real cause is intestinal putrefaction, causing toxin poisoning. Because of nerve inhibition, that part of the surface which is involved cannot eliminate through the natural channels; hence there is forced elimination by the cutaneous emunctories, with topical infection and consequent inflammation.

Treatment

Rest in bed when possible, and a fast of sufficient duration to establish full elimination. When the affection is controlled, then feeding should be fruit at first; then fruit and salads; then a dinner of starch, vegetables, and salad daily, with fruit for the first meal.