Traditional Chinese Medicine and Melasma

Skin & Beauty · ICD-10 L81.1

Melasma (黄褐斑) is a form of facial pigmentation, often on the cheekbones, forehead, and upper lip, influenced by sun exposure, hormones, and genetics. In Traditional Chinese Medicine (TCM), it is often associated with the circulation of qi and blood. This information is educational and is not advertising or an individual diagnosis.

The TCM perspective

TCM relates melasma to Liver Qi Stagnation with Blood Stasis, Kidney Yin Deficiency, and Spleen weakness, which affect circulation and the nourishment of the skin. Care approaches such as acupuncture and herbs aim to help support the movement of qi and blood, alongside sun protection as an essential foundation. Results may vary from person to person, and the aim is supportive care rather than a promise of clear or radiant skin.

TCM patterns

• Liver Qi Stagnation with Blood Stasis — Associated with stress and emotions, leading to less smooth movement of qi and blood.
• Kidney Yin Deficiency — Often seen with increasing age and hormonal changes.
• Spleen Qi Deficiency — Associated with digestion and blood formation that is not complete, affecting the nourishment of the skin.

General self-care

• Use consistent sun protection, both sunscreen and avoiding strong midday sun.
• Rest adequately and tend to emotional wellbeing, as TCM links stress to Liver Qi.
• Avoid scrubbing or products that irritate the skin.
• Eat a varied diet and stay well hydrated to support circulation.

When to consult a doctor

• If the pigmentation changes quickly, has irregular borders, or another abnormality is suspected, consult a dermatologist.
• Melasma related to hormone use or pregnancy should be discussed with a physician alongside care.
• See a dermatologist for assessment before using procedural or prescription topical approaches.

This content is provided for general knowledge only. It is not individual medical advice and does not guarantee any result. Appropriate care should follow an assessment by a licensed TCM practitioner. For severe or emergency symptoms, see a doctor or call 1669.

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