Melasma is a kind of stubborn pigmentation, mainly related to endocrine, pregnancy, miscarriage, irritability, bad living habits such as staying up late, sun exposure, etc. will cause the occurrence of melasma. In addition to drugs and laser, we should pay attention to all aspects of life when treating chloasma. Based on clinical experience, I have summarized the following points, hoping to give melasma patients a little inspiration and avoid taking a wrong turn. The cause of melasma is very complicated, most colleagues think it is related to endocrine, and some think it is related to the micro-ecological imbalance of skin surface. In addition, pregnancy, oral contraceptives, endocrine, certain drugs, cosmetics, trace elements, liver diseases, life stress and ultraviolet rays may cause chloasma. The manifestations of melasma are very different, not simply distributed on the cheeks and cheekbones, but also usually exist at the same time with other spots, which are not easy to distinguish. The two characteristics of complex etiology and various manifestations determine the difficulty of melasma treatment. Single Chinese medicine and laser treatment often cannot effectively get rid of melasma in a short period of time, and even if it is cured at that time, if the body environment changes or sun protection is not in place, melasma is very easy to recur. Therefore, in the treatment of melasma, patients should be identified and classified according to their actual situation, and according to the different characteristics of each type, the trilogy of internal adjustment, melanin optical decomposition and comprehensive care should be used to carry out all-round treatment, so as to avoid recurrence of melasma. Internal regulation: Using traditional Chinese medicine to treat the symptoms, promote the flow of qi and blood, and effectively inhibit recurrence In response to the complex causes of chloasma and its tendency to recur, patients are classified according to their physique, skin quality, the extent and severity of the spots, and an exclusive Chinese medicine treatment plan is formulated; then the essence of traditional Chinese medicine, such as internal and external use of Chinese medicine and acupuncture, is used to regulate qi and blood, balance yin and yang, and truly cut off the formation of chloasma. The root cause of melasma can be cut off. External treatment: optical comprehensive treatment, decomposition of melanin tissue forming melasma In response to the external patches of melasma, according to the professional skin test results, the most effective Q laser technology and intense pulse light technology are combined to blast and decompose the melanin tissue forming melasma one by one, so that part of the melanin cells are engulfed by macrophages and the other part is discharged from the body with human metabolism. The treatment purpose of pigmentation removal can be achieved through the combination of Q laser technology and IPL technology. Maintenance: systematic and standardized medical maintenance to maximize the therapeutic effect As the saying goes, three parts of treatment and seven parts of maintenance, which is especially true in melasma treatment. In addition to the above-mentioned combined treatment of traditional Chinese medicine and optical treatment, systematic medical maintenance should be provided, including professional skin care guidance such as skin soothing, hydration and sun protection after optical treatment. Only if these basic care work is done well, can the melasma treatment effect be effectively consolidated.