The preferred treatment for patients with vitiligo progressive and pancytopenia is still glucocorticoids.1. Glucocorticoids: The usage of hormones, you can take small doses of long-term oral prednisone, 5mg each time, 3 times a day. Or 15mg/d, taken every morning at 8:00 a.m., after the effect, decreasing 5mg per month, maintain 3-6 months, 2 months of ineffective use, that is, you can stop the drug. Or use compound betamethasone injection, inject once a month for more than 3 months. 2, immunomodulatory drugs: because vitiligo is considered to be related to autoimmune deficiency, so you can use immune enhancing drugs, such as transfer factor, levamisole, thymidine, Skikon, BCG polysaccharide nucleic acid, etc. In addition, you need to take drugs that increase pigmentation, such as vitamin B complex, folic acid tablets. 3, Chinese medicine: you can use Bai Ling tablets, vitiligo capsules, compound glycopyrrolate tablets.