The occurrance of Pemphigus is due to the debonding of epidermal acanthosis cell lysis, and the lack of cohesion of the epidermal cells. Therefore, the blisters are isolated, scattered blisters and clustered, or arranged in a ring, or snake shape. Besides the blisters, occasionally there comes the necrosis of blood blisters, ulcers, tissue. Generally patients have only mild itching, with only pigmentation leaving after treatment. No scars.Our TCM clinical practice has showed that integration of Chinese medicine and western medicine is a very good choice for this disease. According to the theory of traditional Chinese medicine, there are some patterns of syndrome that lead to pemphigus vulgaris.1. Dampness and heat of liver and spleen2. Deficiency of Spleen 3. Dificiency of liver Yin