The cause of yang deficiency in people with spots on the face is less common, usually it may be kidney yin deficiency, and it may also be liver depression or spleen dampness. Kidney yin deficiency syndrome: the symptoms of spots centered on the nose, symmetrically distributed on the face, the lesions are grayish black or grayish dark, such as dust, washing does not go, accompanied by lumbar and knee weakness and weakness, the five heart heat (two palms and two feet of the heart fever, and conscious of the heart and chest heat), nocturnal urination, spermatorrhea, infertility, or women’s menstrual disorders, the tongue is red, the moss is small, the pulse is thin and numberless. Liver depression syndrome: patients are mainly women with a history of infertility or irregular menstruation, and some are men with liver disease. The skin lesions are light brown to dark brown patches of variable size and orbital contour, in the form of maps or butterflies, symmetrically distributed on the cheekbones and around the eyes. Liver depression syndrome is also accompanied by distension and chest congestion, irritability, and lack of appetite; women have irregular menstruation, or the color of the spots deepens before menstruation, and the breasts are distended or painful. The tongue is thinly coated with white fur and the pulse is stringy and slippery. Spleen-dampness syndrome: gray, gray-black or light-brown patches can be seen around the nose, forehead and mouth, accompanied by shortness of breath, fatigue (lack of spirit), low energy, distention and stuffiness of the stomach and abdomen (abdominal distension and discomfort), or phlegm and drink (pathological products of impaired metabolism of water and liquids) stopping inside the body, or thinning under the belt, with a light-red, slightly chubby tongue, thin, yellowish and slightly greasy coat, and a thin, moist pulse. The specific identification of spots on the face needs to be determined by a professional Chinese medicine practitioner, do not judge the treatment without authorization, in order to avoid adverse consequences.