Chloasma refers to spots with different color from the surrounding skin, including freckles, chloasma and age spots, etc. Take chloasma as an example, it belongs to the category of “liver spots” in Chinese medicine, which mainly includes liver depression and stagnation of qi, spleen deficiency and dampness, and insufficiency of liver and kidney, etc. Generally speaking, it can be treated by using Free and Easy Pill, Ginseng Ling and Baijutsu Pill, and Six-flavored Digiton Powder Pill. 1. Liver depression and qi stagnation syndrome: manifested as dark brown facial skin, diffuse distribution, may also be accompanied by irritability, bitter mouth and dry throat, chest and ribs (chest and ribs) distension, menstrual irregularities, etc., treatment to dredge the liver and regulate qi, the formula chosen to free loose loose loose loose loose powder plus subtractions. 2. Spleen deficiency and dampness syndrome: manifested as grayish-brown spots that look like dusty attachments, accompanied by fatigue and weakness, dullness (lack of appetite, reduced food intake) and drowsiness, pale menstruation, and excessive leukorrhea, etc. The treatment is to strengthen the spleen and enhance the qi, and the formula is Ginseng Ling and Atractylodis Macrocephalae Combined with the Complementing the Middle and Enriching the Qi (treating qi deficiency by replenishing the spleen) Soup with additions and subtractions. 3. Liver and kidney deficiency syndrome: manifested as brownish-black spots, dark complexion, accompanied by dizziness, tinnitus, lumbar and knee pain and weakness, insomnia and forgetfulness, five heart-heat (heat in the heart of the hands and feet, and self-consciousness of the heart and chest), etc. The treatment is to nourish the liver and kidneys, and the formula is Six Flavors of the Earth (Six Flavors of the Earth) Pill and Right Angelica Pill with additions and subtractions. The specific TCM treatment for pigmentation should also be carried out by professional TCM practitioners according to the patient’s own specific symptoms and manifestations, and should not be blindly self-medication.