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How should melasma be managed?

Aug 03, 2022 Source: Cainiu Health
Dr. Liu Wan
Introduction
After melasma appears on the face, traditional Chinese medicine (TCM) approaches can be used for regulation, primarily based on principles such as soothing the liver and regulating Qi, strengthening the spleen, tonifying the kidneys, and invigorating blood circulation to resolve stasis. Commonly used herbal formulas include Liu Wei Di Huang Wan (Rehmannia Six Formula), Tao Hong Si Wu Tang (Persica & Carthamus Four-Ingredient Decoction), Ren Shen Jian Pi Wan (Ginseng Spleen-Strengthening Pills), and Xiao Yao Wan (Free-and-Easy Wanderer Pills). Additionally, individuals with melasma should pay attention to their diet—opting primarily for light, bland meals and consuming ample fresh vegetables and fruits rich in vitamins C and E.

Many women develop melasma—a condition characterized by brownish, patchy discoloration on the face. This condition is closely linked not only to skin type but also to hormonal imbalances within the body. So, how should one manage and treat melasma?

How to Manage and Treat Melasma

Once melasma appears on the face, traditional Chinese medicine (TCM) offers a holistic approach focused on regulating liver Qi, strengthening the spleen, nourishing the kidneys, and promoting blood circulation to resolve stasis. Commonly prescribed herbal formulas include Liu Wei Di Huang Wan (Rehmannia Six Formula), Tao Hong Si Wu Tang (Persica & Carthamus Four-Ingredient Decoction), Ren Shen Jian Pi Wan (Ginseng Spleen-Strengthening Pills), and Xiao Yao Wan (Free-and-Easy Wanderer Pills). Additionally, individuals with melasma should pay close attention to their diet—opting primarily for light, balanced meals and consuming ample fresh fruits and vegetables rich in vitamins C and E. Spicy foods, strong tea, coffee, and other irritants should be minimized or avoided.

Secondly, sun protection is essential—melasma can worsen significantly with UV exposure. Beyond lifestyle adjustments, pharmacological treatment is recommended, including both systemic and topical therapies. Oral supplements such as vitamin C and vitamin E may be used, while topical agents—including hydroquinone cream, vitamin E cream, or vitamin E ointment—can help lighten existing pigmentation.

Laser therapy is another effective option. It employs specific wavelengths of light targeted precisely at melanin-rich areas, effectively breaking down pigment granules. For patients with prominent facial pigmentation, laser treatment is often considered the first-line therapeutic choice. The procedure selectively delivers photothermal energy to melanin without damaging surrounding healthy skin tissue; once fragmented by the laser, the pigment particles are gradually eliminated from the body through natural metabolic processes. We hope this information proves helpful!


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