The formation of spots can be caused by a variety of reasons, and under the guidance of traditional Chinese medicine (TCM), moxibustion may have a certain auxiliary therapeutic effect for specific types of spots. Moxibustion, referred to as moxibustion or moxibustion, is the use of moxa leaves made of moxa sticks, moxa columns produced by the heat of moxa, stimulation of the human body acupuncture points or specific parts of the body to adjust the body’s disorders of the physiological and biochemical functions, so as to achieve the purpose of prevention and treatment of a therapeutic method. Moxibustion has the functions of warming the meridians, dispersing cold, elevating yang and lifting the sunken organs (elevating the yang energy of the body in order to lift the sunken organs), and preventive health care. Pigmentation usually refers to the deposition of pigment particles in cells due to metabolism. According to the different principles of pigmentation, pigmentation can be divided into freckles, sun spots, chloasma, age spots and pathological pigmentation. Chloasma, which is a light brown spot on the face, can be treated with moxibustion alone or with Chinese medicine and acupuncture. Depending on the type of spots, if the TCM diagnosis is Liver Qi Difficulty (stagnation of liver qi), moxibustion through the method of dredging the liver and regulating the qi (combing the liver qi treatment) may play a certain therapeutic role. For chloasma that is characterized by deficiency and coldness in the lower jiao, the warmth of moxibustion may also play a supporting role. However, not all melasma is suitable for moxibustion. For those who need to get rid of the spots, it is recommended to consult a doctor in time and operate under the guidance of the doctor.