Dermatologic diseases can be one of the most challenging conditions to treat in veterinary practice with canine atopic dermatitis one of the more common syndromes that veterinary practitioners diagnose, treat and manage. In the traditional Chinese Veterinary Medicine (TCVM) perspective, atopy is caused by Wind or Wind Toxin (Heat) and associated with Wei Qi, Lung, Spleen, Liver and Kidney disorders. This paper describes an integrated approach using acupuncture, herbal medicine and food therapy for the treatment of skin conditions in dogs with emphasis on atopic dermatitus and includes clinical cases that had successful outcomes with this approach.