Pearl rash generally refers to penis pearl papule. TCM treatment can improve symptoms through external washing of Chinese medicine, oral administration of Chinese medicine, acupuncture and moxibustion and other methods. Pearl shaped papules on the penis may be related to factors such as damp heat accumulation, qi stagnation, and blood stasis. They usually appear as neatly arranged pearl shaped papules at the coronal sulcus of the penis, without obvious discomfort.

1. External washing with traditional Chinese medicine
For pearl shaped papules of the penis with damp heat and downward pressure, herbal decoctions such as Huangbai, Sophora flavescens, and snake bed can be used for external washing, which helps to clear heat and dampness, detoxify and relieve itching. Qi stagnation and blood stasis type can be treated with blood activating and stasis removing drugs such as Danshen, Chishao, and Honghua for external washing. When washing externally, the temperature of the medication should not be too high to avoid burning the skin. Wash 1-2 times a day, and after continuous use for a period of time, the papules may gradually disappear.
2. Oral administration of traditional Chinese medicine
Damp heat pouring type: Longdan Xiegan Wan can be taken according to the doctor's advice, which has the effects of clearing the liver and gallbladder, and promoting damp heat. Qi stagnation and blood stasis type can be treated with Xuefu Zhuyu Capsules to help promote blood circulation, remove blood stasis, and relieve pain. Oral administration of traditional Chinese medicine should be based on individual constitution differentiation and treatment. Self medication is not allowed, and spicy and stimulating foods should be avoided during medication to avoid exacerbating damp heat symptoms.
3. acupuncture and moxibustion Treatment
acupuncture and moxibustion can take Guanyuan, Sanyinjiao, Taichong and other acupoints, together with local surrounding needling, which is helpful to dredge the meridians and harmonize qi and blood. For damp heat type, the Yin Ling Quan and Qu Chi acupoints are used to clear heat and remove dampness. For blood stasis type, the Blood Sea and Ge Shu acupoints are used to promote blood circulation and remove blood stasis. Acupuncture and moxibustion should be operated by a professional doctor. During treatment, the local area should be kept clean to avoid infection.

4. Dietary regulation
People with damp heat constitution should eat more heat clearing and dampness relieving foods such as mung beans, winter melon, Job's tears, etc., and eat less spicy and greasy food. People with blood stasis constitution can consume appropriate amounts of blood activating and stasis removing ingredients such as hawthorn, black fungus, roses, etc. Daily diet should be light, avoid drinking alcohol, maintain unobstructed bowel movements, and help eliminate damp heat and evil qi from the body.
5. Daily care
Keep the perineum clean and dry, choose breathable cotton underwear to avoid local friction and irritation. Maintain a regular schedule, avoid staying up late and getting tired, and engage in moderate exercise to enhance physical fitness. Pay attention to personal hygiene, avoid unclean sexual behavior, and reduce local irritants. Most pearl shaped papules on the penis are benign lesions, and if accompanied by obvious symptoms, timely medical attention should be sought. Pearl shaped papules on the penis are often physiological changes, and traditional Chinese medicine treatment should be based on individual constitution differentiation. During treatment, avoid scratching the affected area to prevent secondary infection. If the papules continue to enlarge, rupture, or are accompanied by symptoms such as pain and itching, it is recommended to seek medical attention promptly at a dermatologist or traditional Chinese medicine clinic to rule out the possibility of other skin diseases. Maintaining good daily habits and hygiene can help improve symptoms and prevent recurrence.

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