中医药研究论丛

291-7 大疱型类天疱疮中西医整合治疗病例报告

TJ TCM.29(1) : 87-104, 2026
DOI : 10.6516/TJTCM.202603_29(1).0007

大疱型类天疱疮中西医整合治疗病例报告

A Case Report on Integrated Traditional Chinese and Western Medicine Treatment of Bullous Pemphigoid

陈俞安1,2,*王明仁2,3陈朝宗2,3,4

1中国医药大学中医学系,台中,台湾

2台北市立联合医院仁爱院区中医科,台北,台湾

3国立阳明交通大学传统医药研究所,台北,台湾

4台北市立大学通识教育中心,台北,台湾

【摘要】
本病例报告呈现一位高龄男性大疱型类天疱疮患者的中西医整合治疗经过及疗效。患者以全身水疱、红肿、渗液及疼痛搔痒为主要症状,经皮肤切片与免疫检测确诊後,接受类固醇及抗生素的急性治疗,并搭配中医清热解毒、健脾利湿、凉血消痈等中药介入。治疗後,患者的急性症状明显改善;中药的介入亦缓解了疲倦无力和幻觉等症状。然而,患者後续仍出现感染并发症。本文探讨了中药在免疫调节、减少治疗副作用及提高存活率方面的潜力,同时分析治疗类天疱疮疾病中可能面临的挑战与限制,以提供临床中西医师叁考。
【关键词】大疱型类天疱疮;中西医结合治疗;中药免疫调节;高龄患者
【Summary】
This case report presents the treatment process and outcomes of an elderly male patient with bullous pemphigoid managed through integrated traditional Chinese and Western medicine. The patient presented with widespread blisters, erythema, exudation, pruritus, and pain as primary symptoms. Following a diagnosis confirmed by skin biopsy and immunological testing, he underwent acute treatment with corticosteroids and antibiotics, complemented by traditional Chinese medicine interventions aimed at clearing heat, invigorating spleen for eliminating dampness, and clearing heat for cooling blood. Post-treatment, the patient’s acute symptoms showed significant improvement, and the Chinese medicine intervention also alleviated fatigue, weakness, and hallucinations. However, subsequent complications from infections emerged. This report explores the potential of Chinese medicine in immunomodulation, reducing treatment-related side effects, and enhancing survival rate, while also analyzing the challenges and limitations in managing bullous pemphigoid, providing a reference for clinical practitioners of integrated medicine.
【Keywords】
bullous pemphigoid; integrated Chinese-Western medicine; Chinese medicine immunomodulation; elderly patients