从皮科“气血津液”辨证论治结节性类天疱疮1例

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[中图分类号]R275.9 [文献标志码］A [文章编号]0257-358X（2026）01-0088-05

DOI：10.16295/j.cnki.0257-358x.2026.01.017

A Case Report on Treatment of Pemphigoid Nodularis from Perspective of “Qi，Blood， and Body Fluids”in Dermatology

CHEN Jiaqi1，ZHU Huiting1，XU Haonan²，XUE Guohua²，ZHOU Dongmei1 （1.Beijing Hospital of Traditional Chinese Medicine，Capital Medical University，Beijing 10oo10，China; 2.Beijing University of Chinese Medicine，Beijing 1Oo1O5，China）

AbstractThisarticlereportsa case of treatment of nodular pemphigoid，a rare skin disease，based on the theoryofqi，blood，bodyfluids diferentiationindermatologyandthe theoryofearth dampnessand wood stagnation.Themaincause of thiscase is congenital intolerance，excesivefiveemotions，and earth dampness and wood stagnation.The core pathogenesis is the combination of wind and dampness with qiand blood， leadingto the transformationof heat into toxins that are hidden inthe skinand muscles.Symptomatic treatment in acute condition，treatment focuses on relieving symptoms using formulas such as Chushi Zhiyang Decoction（除湿止痒汤），Qingre Chushi Decoction（清热除湿汤）andQuanchong Formula（全虫方）to clear and detoxify dampness.Radical treatment in chronic cases，treatment focuses on addressing the root cause using formulas such as Chaihu Guizhi Ganjiang Decoction（柴胡桂枝干姜汤）and Chaihu Shugan Powder（柴 胡疏肝散），combined with nourishing medicinalslike Shengdihuang（Rehmanniae Radix）and Duzhong（Eucommiae Cortex）to warm the spleen earth， ascend the liver qi，and harmonize the yin and yang of the kidneys.

Keywordsnodularpemphigoid;dermatology;qi，blood， and body fluids;earth dampness and wood stagnation; Chushi Zhiyang Decoction;Qingre Chushi Decoction; Quanchong Formula

结节性类天疱疮（PN）是大疱性类天疱疮的罕见亚型，首次报道于1979年[1]。（剩余7576字）