Patient's question:
Nights crotch itching, local skin depigmentation turning white.Doctor's answer:
Hello:The Chinese medicine treatment for scrotal eczema is generally divided into two types: deficiency and excess. The excess type is often caused by damp-heat accumulation. This may result from a diet high in spicy and greasy foods, or from dampness in the scrotum due to sweat and friction from underwear. The scrotal skin may develop papules, small blisters, or pustules. When scratched, it may show erosion, oozing, and crusting. The skin may appear red, inflamed, and painful. The deficiency type often develops from an acute phase and is characterized by thickened, rough, grass-like skin that appears dark and itches intensely.
For the excess type, the treatment should focus on clearing heat and draining dampness. For the deficiency type, the treatment should focus on nourishing blood and moisturizing the skin. Below are several empirical formulas for your reference:
### 1. Internal Formulas
(1) Modified Er Miao San (Enhanced Two-Flavor Powder):
- Rhizoma Atractylodis Macrocephalae 10g
- Cortex Phellodendri 10g
- Schizonepeta 10g
- Saposhnikoviae Radix 10g
- Periostrum Cicadae 10g
- Take one dose per day, decoct in water, and divide into two servings for oral administration. This is an empirical formula developed by the author and has shown significant effectiveness for scrotal eczema caused by damp-heat accumulation.
(2) Kudsen Extract:
- Polygonum Multiflorum 15g
- Cortex Phellodendri 15g
- Fructus Cnidii 10g
- Flos Lonicerae Japonicae 10g
- Take one dose per day, decoct in water, and divide into two servings for oral administration. Suitable for scrotal eczema caused by damp-heat accumulation.
### 2. External Formulas
(1) 10% Huang Gong Water (Yellow Palace Water) for cold wet compress, or mix Gentian Powder with sesame oil to form a paste and apply to the affected area 1–2 times daily. Suitable for scrotal eczema caused by damp-heat accumulation.
(2) 20g Apricot Kernel, 60g Dandelion, and 15g Chrysanthemum. Decoct the mixture, cool it, and apply as a wet compress 2–3 times daily. Suitable for scrotal eczema with damp-heat accumulation and excessive oozing.
(3) Gentian Powder:
- Decoct Euphorbia Helioscopia in water, remove the residue, and extract the paste. Mix with Gentian Powder, stir well, and apply externally twice daily. Suitable for blood