中醫藥研究論叢

291-7 大皰型類天皰瘡中西醫整合治療病例報告

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

大皰型類天皰瘡中西醫整合治療病例報告

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

陳俞安1,2,*王明仁2,3陳朝宗2,3,4

1中國醫藥大學中醫學系,台中,台灣

2台北市立聯合醫院仁愛院區中醫科,台北,台灣

3國立陽明交通大學傳統醫藥研究所,台北,台灣

4台北市立大學通識教育中心,台北,台灣

【摘要】
本病例報告呈現一位高齡男性大皰型類天皰瘡患者的中西醫整合治療經過及療效。患者以全身水皰、紅腫、滲液及疼痛搔癢為主要症狀,經皮膚切片與免疫檢測確診後,接受類固醇及抗生素的急性治療,並搭配中醫清熱解毒、健脾利濕、涼血消癰等中藥介入。治療後,患者的急性症狀明顯改善;中藥的介入亦緩解了疲倦無力和幻覺等症狀。然而,患者後續仍出現感染併發症。本文探討了中藥在免疫調節、減少治療副作用及提高存活率方面的潛力,同時分析治療類天皰瘡疾病中可能面臨的挑戰與限制,以提供臨床中西醫師參考。
【關鍵詞】大皰型類天皰瘡;中西醫結合治療;中藥免疫調節;高齡患者
【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