What are the most effective Chinese medicines for chloasma?

There are many Chinese patent medicines that can treat chloasma, such as Chai Hu Shu Hepatitis Relief Pill, Liu Wei Di Huang Pill, Ginseng Ling Bai Shu Pill, etc. Only the symptomatic treatment can be most effective in treating chloasma. Chloasma belongs to the category of “liver spot, sallow spot, butterfly spot” in Chinese medicine, which is mainly caused by liver depression and Qi stagnation, spleen failure and kidney Qi deficiency, etc. The treatment is mainly based on dredging the liver and regulating the Qi, strengthening the spleen and tonifying the liver and kidney, etc. The main formulas are Chai Hu Shuo Liver Pill, Ginseng Tonic Pill, Liu Wei Di Huang Pill and so on. 1. Liver depression and qi stagnation syndrome, chloasma on the patient’s face, more often in dark brown color, also accompanied by irregular menstruation, chest swelling and other symptoms, this phenomenon is mainly treated with Chinese patent medicines that can ease the liver and regulate the qi, for example, Chaihu Shuohe Pill, etc., the adverse effects and contraindications for use of which are still not clear. 2. Spleen deficiency, the color of chloasma on the patient’s face is dark or light yellowish brown, and accompanied by diarrhea and teeth marks on the side of the tongue, etc. It is treated with Chinese patent medicines that strengthen the spleen and enhance the vitality, such as Ginseng Spleen Pill, etc. The adverse effects and contraindications for the use of these medicines are not clear yet. 3. Kidney qi insufficiency, the face is mostly butterfly-shaped dark brown spots, and also accompanied by lumbar and knee weakness or dizziness and tinnitus and other symptoms, generally used to nourish the liver and kidneys of the effectiveness of proprietary Chinese medicines, such as six flavors of the rhizome pills, etc., the adverse effects and contraindications for use are not yet clear. The selection of specific drugs should be under the guidance of a traditional Chinese medicine practitioner, because of its different identification, so the medication is also different, not blindly take medication on their own, so as not to cause damage to the organism.