How to Treat Melasma Internally

Melasma is a relatively common clinical condition—not only women but also men may develop it, though it occurs more frequently in women. It typically manifests as bilateral facial hyperpigmentation, leading not only to sallow skin discoloration but also impairing facial aesthetics. So, how can melasma be managed internally?

Internal Management of Melasma

Melasma is a common pigmentary disorder affecting the facial skin, predominantly seen in young and middle-aged adults—especially women. Its etiology is multifactorial, necessitating comprehensive, integrated management. Externally, sun protection is critical: broad-spectrum sunscreen should be used consistently to prevent ultraviolet radiation–induced melanocyte stimulation and subsequent pigment darkening. Internally, underlying chronic systemic conditions must be addressed—including hepatic or renal disease, thyroid dysfunction, and gynecological disorders such as menstrual irregularities.

Emotionally, individuals experiencing depression or irritability should prioritize psychological adjustment and stress management. Dietarily, consumption of vitamin C– and vitamin E–rich foods—such as fresh vegetables and fruits—is encouraged. From the perspective of Traditional Chinese Medicine (TCM), melasma is classified into several patterns. For liver qi stagnation, Xiao Yao Wan (Free and Easy Wanderer Pills) may be prescribed; for liver-kidney deficiency, Liu Wei Di Huang Wan (Rehmannia Six Formula) is commonly used to nourish the liver and kidneys. Gui Pi Wan (Restore the Spleen Pills) is indicated for spleen deficiency–type melasma, while Tao Hong Si Wu Tang (Persica & Carthamus Four-Ingredient Decoction) is employed for blood stasis–type melasma.

In addition to internal regulation, physical modalities—including intense pulsed light (IPL) photorejuvenation and fractional laser therapy—can also be effective. These treatments fragment melanin-containing cells into microscopic particles, which are then naturally eliminated via physiological metabolic processes. We hope this information proves helpful!