Objective To analyze the application effect of ear acupoint pressing beans combined with scraping in aesthetic traditional Chinese medicine therapy. Methods Sixty patients with chloasma who were admitted to our hospital from January 2020 to March 2023 were selected as the research objects. They were divided into control group and observation group by random number table method, with 30 patients in each group. The control group was treated with simple facial scraping aesthetic therapy, and the observation group was treated with ear acupoint pressing beans combined with scraping aesthetic therapy. The clinical efficacy, quality of life, laboratory indicators and improvement of symptoms were compared between the two groups. Results The total effective rate of the observation group was higher than that of the control group (P<0.05). The scores of quality of life in the observation group were higher than those in the control group (P<0.05). After treatment, the levels of NO and 8-OhdG in the observation group were lower than those in the control group, and the level of GSH-Px was higher than that in the control group (P<0.05). After treatment, the score of TCM symptoms in the observation group was lower than that in the control group (P<0.05). Conclusion Ear acupoint pressing beans combined with scraping therapy can promote the recovery of patients with chloasma, improve the clinical symptoms and blood indexes, and improve the quality of life, which is worthy of clinical application.