The invention discloses a compound traditional Chinese medicine micro needle transdermal patch for treating psoriasis and a preparation method. The compound traditional Chinese medicine micro needle transdermal patch is prepared from medical raw materials including rhizoma bletillae, rhizoma areactylodis lanceae, sichuan coptis roots, realgar, golden larch bark, herba ephedrae, chaulmoogratree seeds, radix saposhnikoviae, scolopendra, aurine, fructus cnidii and herba schizonepetae and auxiliaries including polysorbate-80, granulesten, glycerin monostearate and tacrolimus. The patch is composed of a base plate, medicament, an ointment blank patch body and an ointment back patch body, the front face of the base plate is provided with a plurality of micro needles, micro needle gaps are formed among the micro needles, the back face of the base plate is pasted to the inner surface of the ointment blank patch body, the inner surface of the ointment back patch body is arranged on the front face of the base plate in a covering mode, and the inner surface of the ointment blank patch body and the inner surface of the ointment back patch body are fixedly connected in a pasting mode. The invention further discloses preparation steps of the micro needle transdermal patch. The micro needle transdermal patch has the advantages of being precise in medicine components, free of pain, capable of being released slowly, efficient and convenient to apply.