Chloasma may not necessarily disappear when qi and blood are well. Chloasma occurs due to various reasons, such as chloasma caused by Qi stagnation and blood stasis (blood stagnation due to poor circulation of Qi), chloasma may disappear when Qi and blood are well; chloasma caused by kidney deficiency and fire exuberance, chloasma will not disappear even when Qi and blood are well, and requires symptomatic treatment. Chloasma belongs to the category of “sallow spot” and “face dust” in Chinese medicine. If chloasma is caused by kidney deficiency and fire exuberance, it can be treated with Zhi Bai Di Huang Wan. Zhi Bai Di Huang Wan has the effect of nourishing yin and lowering fire (nourishing yin essence and lowering fire). If chloasma is caused by spleen deficiency and dampness, it can be treated with Ginseng Ling Bai Zhu San. Ginseng Ling and Atractylodes Macrocephalae Powder has the effects of benefiting qi and strengthening the spleen (regulating the qi of the spleen and stomach), and seeping away dampness and stopping diarrhea (removing dampness to treat diarrhea). Patients with chloasma need to be treated by a doctor for evidence-based treatment.