Diffusion model is a promising approach to image generation and has been employed for Pose-Guided Person Image Synthesis (PGPIS) with competitive performance. While existing methods simply align the person appearance to the target pose, they are prone to overfitting due to the lack of a high-level semantic understanding on the source person image. In this paper, we propose a novel Coarse-to-Fine Latent Diffusion (CFLD) method for PGPIS. In the absence of image-caption pairs and textual prompts, we develop a novel training paradigm purely based on images to control the generation process of the pre-trained text-to-image diffusion model. A perception-refined decoder is designed to progressively refine a set of learnable queries and extract semantic understanding of person images as a coarse-grained prompt. This allows for the decoupling of fine-grained appearance and pose information controls at different stages, and thus circumventing the potential overfitting problem. To generate more realistic texture details, a hybrid-granularity attention module is proposed to encode multi-scale fine-grained appearance features as bias terms to augment the coarse-grained prompt. Both quantitative and qualitative experimental results on the DeepFashion benchmark demonstrate the superiority of our method over the state of the arts for PGPIS. Code is available in the supplementary materials and will be released to the public.