Chinese medicine treatment for facial melasma is mainly internal and external application of Chinese herbs. Internal herbal medicine is based on the different types of chloasma and different prescriptions are used. Melasma with liver stagnation and qi stagnation is characterized by dark brown spots with diffuse distribution, accompanied by irritability, chest swelling and fullness, breast pain before menstruation, and irregular menstruation, and this type of symptoms is suitable for treatment with Zhuangyao San. Melasma with liver and kidney deficiency is mainly characterized by brownish-black spots, dull complexion, accompanied by dizziness, tinnitus, soreness and weakness of the waist and knees, and this type of melasma is suitable for treatment with Liu Wei Di Huang Wan. Melasma with spleen deficiency and dampness is characterized by grayish-brown spots with dusty appearance, accompanied by fatigue and weakness, pale menstruation and leucorrhea. This type of melasma is characterized by grayish-brown or dark brown spots, often accompanied by chronic liver disease or purple menstruation with blood clots and often painful menstruation, and this type of melasma is suitable for treatment with Tao Hong Si Wu Tang. This kind of chloasma is suitable for treatment with Peach Red Four Objects Soup. At the same time, the external treatment of Chinese medicine can be done by powdering Poria and using honey to mix it on the face, together with oral medication.