Melasma is a common hyperpigmented skin mucosal disease, for which there are many clinical treatment options, and Chinese herbal medicine is one of the effective treatment options. For patients with more serious melasma, they can indeed consider applying Chinese herbal medicine for oral conditioning. Because the occurrence of chloasma is directly related to liver qi stagnation from the perspective of TCM. If carefully analyzed, some patients may have a close relationship with blood stagnation and blood heat, therefore, Prosperity Pill and so on are commonly prescribed in clinical practice. However, patients should also pay attention to the fact that if the extent of melasma is small and mild, it can be removed by directly applying ointment with decolorizing effect or applying laser.