Is chloasma treatment in dermatology or traditional Chinese medicine?

Melasma can be treated by either dermatology or traditional Chinese medicine. If patients want to be treated by western medicine, it is recommended to see dermatology. Melasma mainly manifests as light yellowish-brown skin lesions of different sizes, usually symmetrically distributed. Its treatment is mainly through physical therapy or medication to make the pigmentation lighten or return to normal, and the area reduce or disappear. Commonly used drugs include Chibaek Hydroquinone Cream, Vitamin A Acid Cream, etc. Physical therapy is mainly laser therapy. If patients want to be treated by Chinese medicine, they are recommended to see Chinese medicine department or Chinese medicine dermatology department. TCM categorizes it into three types of certificates, which are Liver Depression and Qi Stagnation (poor transportation of qi and blood in the liver and emotional depression) Certificate, Spleen Loss of Healthy Transportation Certificate, and Kidney Qi Insufficiency Certificate. The Liver Depression and Qi Stagnation syndrome mainly requires dredging the liver and regulating qi (regulating the stagnation of liver qi), which can be regulated by the use of Free Pill, Shu Liver Bulletin, and Chai Hu Shuo Liver Bulletin, among others. To strengthen the spleen and enhance qi, use Ginseng Pills for Strengthening the Spleen, Ginseng Pills for Strengthening the Spleen, Ginseng Pills for Atractylodis Macrocephalae, and so on. For kidney qi deficiency, nourishing the liver and kidneys is needed, which can be regulated with Liu Wei Di Huang Wan, Zhi Bai Di Huang Wan, Jin Gui Ren Qi Wan and so on. It is suggested that patients with chloasma should choose the appropriate department for consultation according to their own needs, and use the medicines under the guidance of doctors, rather than blindly using medicines on their own.