Melasma is a common acquired pigment disorder skin disease, which is common in young and middle-aged women, but also in men. Although this disease has no great impact on health, it will damage the appearance of people, especially young and middle-aged women, which may hinder their love, marriage, social interaction or related work, and cause negative impact on the psychology of women who love beauty. Melasma is a yellowish brown or dark brown patch, often symmetrically distributed on the cheek and cheek area of the face, also distributed around the eye orbit, forehead, upper lip and nose, the edge is generally more obvious. Clinical typology: butterfly-shaped: cheeks, butterfly-shaped symmetrical distribution; upper face: forehead, temporal area, nose and cheeks; lower face: lower cheeks, perioral area and lips; generalized type: most areas of the face. Chinese medicine treatment 1, liver depression and blood stasis type Symptoms: symmetrical brown patches on the face, may have anxious temperament, chest distension and pain. Women often have irregular menstruation, dysmenorrhea, and menstrual blood often with purple clots. The tongue is purple, with visible petechiae and petechiae, thin white fur, and string pulse. Treatment: Drain the liver and regulate the Qi, strengthen the spleen and invigorate the blood. 2, liver and kidney deficiency type Symptoms: brown spots on the face, dark or light, dizziness, lumbar acidity and knee weakness, distress and insomnia, tinnitus, or heat in the hands and feet, menstrual disorders, light or red tongue, thin white fur, thin or fine pulse. Treatment: Nourish the liver and kidney, clear heat and remove spots. 3, deficiency of qi and blood type symptoms: brown spots on the face, the color can be lighter, pale or yellowish, visible palpitations, fatigue, weakness, insomnia, loss of appetite, abdominal distension after eating, delayed menstruation, thin menstrual blood, light tongue, thin or weak pulse. Treatment: Benefit Qi and nourish Blood, tonify Liver and Kidney.