I'm looking for acupuncture point and herbal suggestions for one of my elderly patients, who has post-herpetic neuralgia. The condition has persisted for about 18 months - with burning pain in his right front and top shoulder area that comes and goes continuously throughout the day. He has a number of other complications as well. The patient has been going through chemo for leukemia and just had prostate surgery several weeks ago. The patient states that the pain from post-herpetic neuralgia is very intense, and always intensifies during urination. His right front shoulder/chest area is very sensitive to the touch, which is why I never needle there directly. He is 80+ years of age and generally seems to be in good spirits despite his health conditions. Doctors have perscribed him with various anti-depressants/pain medications, which he states are no better than taking jelly beans. The patient's pulse is choppy, wiry, and strong. Additionally, his tongue is peeled on the sides and middle. He also has a midline crack. The body of the tongue is red/purple in color. I have diagnosed him with Blood Stasis, Wind Heat type of Pain, and KD Qi Def. This patient bruises very easily.
I have only treated him twice, but the patient has yet to see benefit from treatment. The points I've used are huato C3, C4 (with electrostim), LI11, SJ5, LI4, GB31, SP6, UB17, UB40, GB20, DU14. I always use the huato points with electrostim, and then pick about 6 or 8 more additional points to needle from the ones listed to move blood and dispel wind/pain.
If anyone has any additional suggestions on points or herbal formulas, that would be greatly appreciated. I'm wondering if cupping would also be appropriate. Thanks.