The removal of melasma should be a comprehensive treatment. First, try to remove the cause, such as those caused by contraceptive pills, stop taking contraceptive pills, and those with liver disease and other medical diseases should first undergo treatment of medical diseases. If it is caused by alcohol, you should stop drinking. If it is caused by endocrine, ask the corresponding department of endocrinology or obstetrics and gynecology for mediation. Second, try to avoid sun exposure and keep your mood relaxed. Third, systemic treatment, oral vitamin C 0.3g, 3 times a day. Chinese medicine, Yu Ping Feng granules, 1 sachet 3 times a day. Astragalus capsule, 3 times a day, 2 capsules each time. Fourth, topical medication, hydroquinone cream, adapalene gel and vitamin E cream three mixed together for external use, must pay attention to avoid light sunlight during treatment. The above is for reference only, please refer to the doctor’s face-to-face guidance for specific medication and treatment.