How to treat scrotal eczema

Scrotal eczema is a common disease among men, which is mostly caused by the unreasonable design of current underwear and the lack of care by men themselves. So how should people with scrotal eczema be treated?

Western medicine treatment of scrotal eczema

Since scrotal eczema is related to allergies like eczema in other parts of the body, medications used to treat allergies can be used to treat scrotal eczema. For example, some commonly used antihistamines include cyproheptadine 2 mg, 3 times a day; chlorpheniramine 4 mg, 3 times a day; clidinium 25 mg, 3 times a day; astemizole 10 mg, once a day. Topical medications are mainly corticosteroid ointments, such as triamcinolone ointment, chlorpromazine ointment, and euterpe ointment.

Chinese medicine treatment of scrotal eczema

Traditional Chinese medicine mainly treats diseases based on syndrome differentiation and treatment. Traditional Chinese medicine often divides scrotal eczema into two types: damp-heat invasion syndrome and yin deficiency and blood dryness syndrome for treatment. The syndrome of damp-heat descending is equivalent to acute scrotal eczema, and the syndrome of yin deficiency and blood dryness is equivalent to chronic scrotal eczema.

(1) Syndrome of damp-heat descending: millet-sized papules and small blisters can be seen on the scrotum. The skin has a burning sensation. After scratching, there is a lot of exudate, erosion and scabs, which often soak the underwear. The tongue is red, the tongue coating is yellow and greasy, and the pulse is stringy and slippery. This is due to the dampness and heat evil flowing down the meridians to the genitals. Treatment should focus on clearing away heat and removing dampness. The commonly used prescription is Longdan Xiegan Decoction with modifications, which uses: gentian, scutellaria, bupleurum, red peony root, gardenia, sophora flavescens, oriental water plantain, akebia, kochia scoparia, and raw licorice. Take it in decoction, 1 dose per day.

(2) Yin deficiency and blood dryness syndrome: The wrinkles of the scrotal skin become coarser and deeper, and blood and fluid ooze out after scratching, with severe itching at night. The tongue is red, with little coating, and the pulse is thin and smooth. This is because the damp-heat evil damages the yin fluid over time, causing yin deficiency and blood dryness. The treatment should be to nourish yin, blood and moisten dryness. The commonly used prescription is Danggui Yinzi with modifications: Angelica sinensis, Rehmannia glutinosa, White Peony Root, Chuanxiong, Scrophularia ningpoensis, Schizonepeta tenuifolia, Saposhnikovia divaricata, Dictamni cortex, Tribulus terrestris, and raw licorice. Take it in decoction, 1 dose per day.