The invention provides a traditional Chinese medicine abrasive cleaner for effectively treating rosacea, which is prepared from the following traditional Chinese medicine raw materials: cornu bubali, bamboo shavings, loquat leaves, semen cuscutae, cortex mori, polished round-grained rice, artemisia capillaris, radix scrophulariae, rhizoma smilacis glabrae, white muscardine silkworm, herba ecliptae, fructus cnidii, scandent schefflera stem and leaf, tribulus terrestris, rhizoma imperatae, fructus xanthii, fructus quisqualis, indigo naturalis, calomel, hedyotis diffusa, herba portulacae, fructus ligustri lucidi, pig gall, camphora, cortex moutan, rhizoma acori tatarinowii, rhizoma phragmitis and realgar. The traditional Chinese medicine abrasive cleaner provided by the invention completely clears heat and toxin first, and kills and eliminates mites below skin epidermis to relieve and eliminate the red and swollen phenomenon of nasal part and realize rehabilitation of patient, thereby being favorable for giving play to the physiological functions of skin; moreover, with a therapeutic effect and a skin protection effect, the traditional Chinese medicine abrasive cleaner reduces the dry and tense feeling of the skin in the using process; and with little irritation, the traditional Chinese medicine abrasive cleaner is easily accepted by patients and has a broad application prospect.