This paper reports a case of head-facial herpes zoster in perimenopausal woman treated with

Zheng

's cold reducing acupuncture. The patient presented with a syndrome of

yin

deficiency and internal heat

the treatment principles focused on clearing heat and toxins

nourishing

yin

and promoting fluid production

achieved through acupuncture. Local surrounding needling was applied around the lesions

supplemented by

Zheng

's cold reducing acupuncture at head and facial acupoints (including bilateral Fengchi [GB20

]

Tianzhu [BL10

]

and Shangxing [GV23

]

Baihui [GV20

]

as well as Shuaigu [GB8

]

Touwei [ST8

]

on the affected-side) and limb acupoints (including bilateral Lieque [LU7

]

Neiguan [PC6

]

Hegu [LI4

]

Diwuhui [GB42

]

). Each session lasted 20 min

administered once daily for 8 consecutive days

followed by a 3-day break. An additional session was performed post-break to consolidate efficacy

totally 9 sessions. After treatment

the herpes lesions subsided

and perimenopausal symptoms significantly improved. A 2-month follow-up revealed no residual complications

with the patient in good condition.