中文摘要：

皮肤病辨证与内科病辨证不同，临证中常需辨病与辨证相结合、整体辨证与局部辨证相参，继而确定相应理法方药。该辨证体系对于临床常见的湿疹皮炎、银屑病等皮肤病有较好的指导作用。但面对许多无明显症状可辨的皮肤病时，医者常觉束手无策。临床上，笔者尝试在阴阳、五行、象数等传统中医理论的指导下，以皮肤病理学、皮肤共聚焦显微镜、高频超声、皮肤镜等所见的病象为微观辨证依据，并结合取象比类以确定该病的中医病机，从而为系统症状不明显的皮肤病提供一个中医临床诊疗的新思路。

英文摘要：

The syndrome differentiation of dermatosis is different from the internal diseases in traditional Chinese medi- cine（TCM）. It requires the combination of disease differentiation and syndrome differentiation in traditional Chinese medicine, as well as the combination of systemic and local syndrome differentiation, subsequently to determine the appropriate prescriptions. It is useful for the treatment of eczema, psoriasis, etc. But for others difficult dermatosis that have no systemic symptoms, doctors often feel helpless. Thus,under the guidance of the theory of traditional Chinese medicine such as Yin-yang, Five-elements, Xiang-Shu, we tried to find out the pathology of the diseases by dermatopathology, reflectance confocal microscopy, high frequency ultra- sound and dermoscopy etc.. And integrating the theory of analogism to determine the pathogenesis of the der- matosis so as to provide a new idea about clinical diagnosis and treatment for the skin diseases of traditional Chinese medicine, without obvious symptoms of the system.