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Dermatitis represents one of the most prevalent inflammatory skin disorders, affecting individuals across all age groups and frequently resulting in persistent pruritus, visible lesions, and marked impairment in quality of life. Contemporary biomedical research attributes its pathogenesis to intricate interactions involving genetic predisposition, immune dysregulation, environmental triggers, and epidermal barrier dysfunction. Although current conventional therapies can effectively mitigate symptoms and control inflammation in many cases, numerous forms of dermatitis persist as chronic and recurrent conditions, with sustained complete remission remaining elusive in routine clinical practice. This highlights the potential value of exploring complementary perspectives on disease mechanisms and healing pathways. Accordingly, this report investigates dermatitis from the standpoint of the Guan Yin Citta Dharma Door and describes three cases, including chronic lower-limb dermatitis, scalp seborrheic dermatitis, and facial allergic dermatitis around 50 years, in which practitioners achieved complete remission following engagement with its practices. Within this Dharma framework, skin disorders are conceptualized as manifestations of karmic obstacles arising from past actions, particularly those involving harm or consumption of small animals, leading to the attachment of small spirits to the body and subsequent development of dermatological symptoms. Healing, therefore, entails ascending these spirits and eradicating the underlying karma through dedicated Dharma practices, including vowmaking, recitation of Buddhist scriptures, life liberation, and related methods. This approach offers an alternative lens for understanding and addressing refractory dermatitis, complementing biomedical models by emphasizing spiritual and karmic dimensions.