Is it necessary to promote blood circulation and remove blood stasis for melasma?

The treatment of melasma may involve methods that promote blood circulation and remove blood stasis, but this is not the only approach. Melasma development is associated with multiple factors, including endocrine disorders, ultraviolet radiation, and improper use of cosmetics, which lead to melanin deposition in the skin. Methods that promote blood circulation and remove blood stasis can help improve blood flow and promote the metabolism and elimination of melanin, thereby helping to fade melasma to some extent. Treatment for melasma requires a comprehensive approach tailored to individual conditions, potentially involving daily skincare, dietary adjustments, traditional Chinese medicine (TCM) regulation, pharmacological treatment, and physical therapies. In terms of promoting blood circulation and resolving stasis, Chinese herbal medicines with such effects can be selected for regulation, such as Xuefu Zhuyu Wan (Blood Mansion Stasis-Resolving Pills), Yimucao Granules (Motherwort Granules), etc., though these should be used under the guidance of a physician. In addition, TCM therapeutic techniques such as acupuncture and massage can also aid in improving circulation and achieving the effect of promoting blood circulation and removing blood stasis. Effective and lasting treatment for melasma often requires a combination of various therapeutic methods and should be conducted under the guidance of a qualified physician.