Symptom family: Skin Pigmentation & Discoloration Issues
Did you mean? Macules
Melasma is a common skin condition characterized by dark, discolored patches on the skin, most often appearing on the face. It typically manifests as symmetrical brown or grayish-brown patches on the cheeks, forehead, bridge of the nose, chin, or upper lip. Melasma is often associated with sun exposure, hormonal changes such as those occurring during pregnancy or with oral contraceptive use, and is more prevalent in women and people with darker skin tones. Although melasma is harmless, it can cause significant cosmetic concern and distress.
In Traditional Chinese Medicine (TCM), melasma is not seen as merely a skin condition but rather a manifestation of underlying internal imbalances. Unlike Western medicine, which focuses on external factors like UV exposure or hormonal changes, TCM attributes melasma to various patterns of disharmony within the body, such as Qi And Blood Stagnation or Liver and Kidney Yin Deficiency.
Identifying and treating the correct underlying pattern is crucial in TCM, as each pattern requires a different therapeutic approach. This holistic perspective emphasizes the importance of addressing the root cause to achieve long-lasting results.
TCM identifies several internal patterns that may lead to melasma. For example, Liver Qi Stagnation is often implicated when melasma is accompanied by emotional disturbances such as mood swings, irritability, or hypochondriac discomfort. When Liver Qi becomes stagnant, it can eventually lead to Blood stasis, further complicating the condition and resulting in more severe or persistent discoloration.
On the other hand, Liver and Kidney Yin Deficiency may contribute to melasma by failing to nourish the skin properly, leading to symptoms such as dark brown patches of varying sizes and irregular shapes appear on the face, particularly on the cheeks, in front of the ears, and in the temple area. Other symptoms includes soreness and weakness in the lower back and knees, dizziness, tinnitus, dry eyes, irregular menstruation, a sensation of heat in the palms and soles, a pale red tongue with little coating, and a deep, thin pulse.
Explore below more details about what might cause Melasma according to TCM.
Qi Stagnation in TCM is like having a traffic jam in your body's energy system. Qi, the vital life force that flows through your body, is supposed to move smoothly to maintain health and balance. But with Qi Stagnation, this flow gets blocked or slowed down, like cars stuck on a highway. This can lead to symptoms like feeling stressed, emotional mood swings, and physical discomfort, often described as a feeling of fullness or tightness, especially in the chest or abdomen. It's as though the body's internal energy circulation is disrupted, causing various issues. TCM sees this as an energy flow problem, different from modern medicine's focus on specific physiological processes.... see more
Common Symptoms: Chest Distension Abdominal Distention Depression Mood Swings Irregular Periods Pre Menstrual Tension Menstrual Cramps Irritability
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Liver Qi Stagnation | Melasma, Hypochondriac distention, Chest distension, Upper abdominal distension, Abdominal distention, Sighing, Melancholia, Depression, Mood swings, Irregular periods, Globus sensation, Pre menstrual breast distension, Pre menstrual tension, Anxiety, Anger... see more | Yi Guan Jian | Xiao Yao San | Jia Wei Xiao Yao San | Yue Ju Wan | Chai Hu Shu Gan San |
Qi And Blood Stagnation | Melasma, Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails, Irritability, Mood swings, Depression, Mottled skin, Foot edema, Abdominal masses, Melena black tarry stool, Menstrual cramps, Amenorrhea, Dark menstrual clots, Dark menstrual blood, Prolonged lochia, Irregular periods... see more | Chai Hu Shu Gan San | Xue Fu Zhu Yu Tang | Shen Tong Zhu Yu Tang | Shao Fu Zhu Yu Tang | Ge Xia Zhu Yu Tang | Shi Xiao San | Qi Li San | Dan Shen Yin | Guo Qi Yin | Tao Hong Si Wu Tang |
Yin deficiency in TCM is a pattern of disharmony characterized by a depletion of the body's Yin energy, which represents the cooling, moistening, and nurturing aspects of our physiology. This condition often arises from factors like chronic stress, overwork, insufficient rest, or prolonged illness. Symptoms of Yin deficiency can include a sensation of heat, especially in the afternoon or evening, night sweats, insomnia, a dry mouth or throat, and a red tongue with little coating. There might also be a general feeling of restlessness or irritability. Since Yin is essential for balancing the body's active and warm Yang energy, its deficiency leads to a relative excess of Yang, manifesting as heat or dryness symptoms.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Kidney and Liver Yin Deficiency | Melasma, Dizziness, Tinnitus, Hearing loss, Lower back pain, Vertical headaches, Occipital headache, Insomnia, Limb numbness, Tingling of limbs, Dry eyes, Blurry vision, Dry throat, Dry hair, Skin dryness, Withered and brittle nails, Vaginal dryness, Night sweats, Dry stools, Nocturnal emission, Scanty menstruation, Amenorrhea, Late menstruation, Infertility... see more | Zuo Gui Wan | Qi Ju Di Huang Wan | Liu Wei Di Huang Wan | Qing Gu San | Yi Guan Jian | Zhen Gan Xi Feng Tang |
Blood Stasis in TCM is a concept where the blood flow in the body is not as smooth or efficient as it should be. Imagine a river that's supposed to flow freely, but instead, it's getting blocked or moving too slowly in some parts. This can lead to various health issues, like pain that feels sharp or stabbing, dark bruises, and a complexion that looks purplish. TCM believes that good health relies on the smooth and vibrant flow of Qi and blood throughout the body, so when blood gets stuck, it's like a traffic jam in your body, leading to discomfort or health problems.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Qi And Blood Stagnation | Melasma, Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails, Irritability, Mood swings, Depression, Mottled skin, Foot edema, Abdominal masses, Melena black tarry stool, Menstrual cramps, Amenorrhea, Dark menstrual clots, Dark menstrual blood, Prolonged lochia, Irregular periods... see more | Chai Hu Shu Gan San | Xue Fu Zhu Yu Tang | Shen Tong Zhu Yu Tang | Shao Fu Zhu Yu Tang | Ge Xia Zhu Yu Tang | Shi Xiao San | Qi Li San | Dan Shen Yin | Guo Qi Yin | Tao Hong Si Wu Tang |
Qi Deficiency in TCM is like running low on battery power. Qi is the vital energy that powers every function in your body. When there's a Qi Deficiency, it means your body doesn't have enough of this essential energy. This can make you feel tired all the time, weak, or even cause shortness of breath. It's similar to how you feel when you haven't had enough sleep or nutritious food. Your body just doesn't have the energy it needs to perform at its best. Unlike modern medicine, which often focuses on specific physical causes for fatigue and weakness, TCM views Qi Deficiency as an overall energy depletion that affects your entire well-being, and it seeks to replenish and balance this vital energy.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Spleen Qi Deficiency | Melasma, Slight abdominal distension after eating, General weakness, Desire to lie down, Slight abdominal pain, Excessive gas and flatulence, Bloated abdomen, Dyspepsia, Swollen complexion, Obesity... see more | Si Jun Zi Tang | Liu Jun Zi Tang | Fei Er Wan | Shen Ling Bai Zhu San |
In TCM the Liver is viewed as the organ responsible for the smooth flow of Qi, Blood, and emotions throughout the body. It plays a key role in regulating mood, storing blood, supporting digestion, and ensuring the health of tendons and eyes. When the Liver malfunctions or is imbalanced in TCM, it can lead to a range of issues such as irritability, mood swings, menstrual irregularities, eye problems, and muscular stiffness or pain. A malfunctioning Liver in TCM reflects not only physical disturbances but also emotional and mental disharmony, emphasizing the holistic approach of TCM in addressing health and wellness.... see more
Common Symptoms: Scanty Menstruation Headaches Dizziness Tinnitus Hearing Loss Lower Back Pain Vertical Headaches Occipital Headache
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Kidney and Liver Yin Deficiency | Melasma, Dizziness, Tinnitus, Hearing loss, Lower back pain, Vertical headaches, Occipital headache, Insomnia, Limb numbness, Tingling of limbs, Dry eyes, Blurry vision, Dry throat, Dry hair, Skin dryness, Withered and brittle nails, Vaginal dryness, Night sweats, Dry stools, Nocturnal emission, Scanty menstruation, Amenorrhea, Late menstruation, Infertility... see more | Zuo Gui Wan | Qi Ju Di Huang Wan | Liu Wei Di Huang Wan | Qing Gu San | Yi Guan Jian | Zhen Gan Xi Feng Tang |
Liver Qi Stagnation | Melasma, Hypochondriac distention, Chest distension, Upper abdominal distension, Abdominal distention, Sighing, Melancholia, Depression, Mood swings, Irregular periods, Globus sensation, Pre menstrual breast distension, Pre menstrual tension, Anxiety, Anger... see more | Yi Guan Jian | Xiao Yao San | Jia Wei Xiao Yao San | Yue Ju Wan | Chai Hu Shu Gan San |
In TCM the Kidneys are regarded as the body's most fundamental reservoir of Essence, known as Jing, which influences growth, reproduction, and aging. They are not just organs for filtering blood, but a holistic system governing vital life forces. When the Kidneys malfunction in TCM, it can manifest as a variety of health issues, such as chronic fatigue, reproductive problems, imbalances in fluid metabolism leading to edema or dryness, lower back pain, and a sense of fear or insecurity.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Kidney and Liver Yin Deficiency | Melasma, Dizziness, Tinnitus, Hearing loss, Lower back pain, Vertical headaches, Occipital headache, Insomnia, Limb numbness, Tingling of limbs, Dry eyes, Blurry vision, Dry throat, Dry hair, Skin dryness, Withered and brittle nails, Vaginal dryness, Night sweats, Dry stools, Nocturnal emission, Scanty menstruation, Amenorrhea, Late menstruation, Infertility... see more | Zuo Gui Wan | Qi Ju Di Huang Wan | Liu Wei Di Huang Wan | Qing Gu San | Yi Guan Jian | Zhen Gan Xi Feng Tang |
In TCM the Spleen plays a vital role in digestion and transformation, converting food into energy and nutrients, and overseeing the distribution of Qi and Blood. It's also crucial in maintaining the health of muscles and limbs and ensuring the blood remains within the vessels. When the Spleen malfunctions in TCM, it can lead to a variety of issues such as digestive disorders, fatigue, weak muscles, bloating, and a feeling of heaviness. It can also cause a pale complexion, poor appetite, and a tendency to bruise easily. Emotionally, a Spleen imbalance is often associated with excessive worry or overthinking, reflecting its role in the interplay between physical and mental health.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Spleen Qi Deficiency | Melasma, Slight abdominal distension after eating, General weakness, Desire to lie down, Slight abdominal pain, Excessive gas and flatulence, Bloated abdomen, Dyspepsia, Swollen complexion, Obesity... see more | Si Jun Zi Tang | Liu Jun Zi Tang | Fei Er Wan | Shen Ling Bai Zhu San |
Treatment of melasma in TCM relies on the use of specific herbal formulas tailored to the individual's pattern of disharmony. For Liver Qi Stagnation, formulas such as Xiao Yao San or Chai Hu Shu Gan San are often recommended to promote the movement of Qi and alleviate emotional stress.
In cases where Yin deficiency is the primary concern, Zuo Gui Wan or Liu Wei Di Huang Wan may be prescribed to nourish the Yin and cool the body.
Each formula contains a carefully balanced combination of herbs that work synergistically to address both the symptoms and the root cause of the condition. For instance, Xiao Yao San harmonizes the Liver and Spleen, while Zuo Gui Wan focuses on replenishing Kidney Yin. The choice of formula is highly individualized, emphasizing the personalized nature of TCM treatment in addressing melasma.
Explore below some TCM herbal formulas used to address melasma, organized by cause and by formula type.
Suitable for Qi Stagnation patterns that may cause melasma, such as Liver Qi Stagnation or Qi And Blood Stagnation
Learn moreFormula | Patterns Suitable For |
---|---|
Chai Hu Shu Gan San | Liver Qi Stagnation, Qi And Blood Stagnation |
Yi Guan Jian | Liver Qi Stagnation |
Xiao Yao San | Liver Qi Stagnation |
Jia Wei Xiao Yao San | Liver Qi Stagnation |
Yue Ju Wan | Liver Qi Stagnation |
Xue Fu Zhu Yu Tang | Qi And Blood Stagnation |
Shen Tong Zhu Yu Tang | Qi And Blood Stagnation |
Shao Fu Zhu Yu Tang | Qi And Blood Stagnation |
Ge Xia Zhu Yu Tang | Qi And Blood Stagnation |
Shi Xiao San | Qi And Blood Stagnation |
Qi Li San | Qi And Blood Stagnation |
Dan Shen Yin | Qi And Blood Stagnation |
Guo Qi Yin | Qi And Blood Stagnation |
Tao Hong Si Wu Tang | Qi And Blood Stagnation |
Suitable for Yin Deficiency patterns that may cause melasma, such as Kidney and Liver Yin Deficiency
Learn moreFormula | Patterns Suitable For |
---|---|
Yi Guan Jian | Kidney and Liver Yin Deficiency |
Zuo Gui Wan | Kidney and Liver Yin Deficiency |
Qi Ju Di Huang Wan | Kidney and Liver Yin Deficiency |
Liu Wei Di Huang Wan | Kidney and Liver Yin Deficiency |
Qing Gu San | Kidney and Liver Yin Deficiency |
Zhen Gan Xi Feng Tang | Kidney and Liver Yin Deficiency |
Suitable for Blood Stasis patterns that may cause melasma, such as Qi And Blood Stagnation
Learn moreFormula | Patterns Suitable For |
---|---|
Chai Hu Shu Gan San | Qi And Blood Stagnation |
Xue Fu Zhu Yu Tang | Qi And Blood Stagnation |
Shen Tong Zhu Yu Tang | Qi And Blood Stagnation |
Shao Fu Zhu Yu Tang | Qi And Blood Stagnation |
Ge Xia Zhu Yu Tang | Qi And Blood Stagnation |
Shi Xiao San | Qi And Blood Stagnation |
Qi Li San | Qi And Blood Stagnation |
Dan Shen Yin | Qi And Blood Stagnation |
Guo Qi Yin | Qi And Blood Stagnation |
Tao Hong Si Wu Tang | Qi And Blood Stagnation |
Suitable for Qi Deficiency patterns that may cause melasma, such as Spleen Qi Deficiency
Learn moreFormula | Patterns Suitable For |
---|---|
Si Jun Zi Tang | Spleen Qi Deficiency |
Liu Jun Zi Tang | Spleen Qi Deficiency |
Fei Er Wan | Spleen Qi Deficiency |
Shen Ling Bai Zhu San | Spleen Qi Deficiency |
These formulas are suitable for some melasma-causing patterns like Kidney and Liver Yin Deficiency or Liver Qi Stagnation.
One such formula is Yi Guan Jian
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Yi Guan Jian | Kidney and Liver Yin Deficiency, Liver Qi Stagnation |
Zuo Gui Wan | Kidney and Liver Yin Deficiency |
Qi Ju Di Huang Wan | Kidney and Liver Yin Deficiency |
Liu Wei Di Huang Wan | Kidney and Liver Yin Deficiency |
These formulas are suitable for some melasma-causing patterns like Liver Qi Stagnation or Qi And Blood Stagnation.
One such formula is Chai Hu Shu Gan San, with bupleurum root as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Chai Hu Shu Gan San | Liver Qi Stagnation, Qi And Blood Stagnation |
Yue Ju Wan | Liver Qi Stagnation |
These formulas are suitable for some melasma-causing patterns like Qi And Blood Stagnation.
One such formula is Xue Fu Zhu Yu Tang, with peach kernel as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Xue Fu Zhu Yu Tang | Qi And Blood Stagnation |
Shao Fu Zhu Yu Tang | Qi And Blood Stagnation |
Ge Xia Zhu Yu Tang | Qi And Blood Stagnation |
Shi Xiao San | Qi And Blood Stagnation |
Qi Li San | Qi And Blood Stagnation |
Dan Shen Yin | Qi And Blood Stagnation |
These formulas are suitable for some melasma-causing patterns like Spleen Qi Deficiency.
One such formula is Si Jun Zi Tang, with ginseng as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Si Jun Zi Tang | Spleen Qi Deficiency |
Liu Jun Zi Tang | Spleen Qi Deficiency |
Shen Ling Bai Zhu San | Spleen Qi Deficiency |
These formulas are suitable for some melasma-causing patterns like Liver Qi Stagnation.
One such formula is Xiao Yao San, with bupleurum root as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Xiao Yao San | Liver Qi Stagnation |
Jia Wei Xiao Yao San | Liver Qi Stagnation |
These formulas are suitable for some melasma-causing patterns like Qi And Blood Stagnation.
One such formula is Guo Qi Yin, with dong quai as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Guo Qi Yin | Qi And Blood Stagnation |
Tao Hong Si Wu Tang | Qi And Blood Stagnation |
These formulas are suitable for some melasma-causing patterns like Kidney and Liver Yin Deficiency.
One such formula is Qing Gu San, with stellaria root as a key herb.
These formulas are suitable for some melasma-causing patterns like Kidney and Liver Yin Deficiency.
One such formula is Zhen Gan Xi Feng Tang, with achyranthes root as a key herb.
These formulas are suitable for some melasma-causing patterns like Qi And Blood Stagnation.
One such formula is Shen Tong Zhu Yu Tang, with peach kernel as a key herb.
These formulas are suitable for some melasma-causing patterns like Spleen Qi Deficiency.
One such formula is Fei Er Wan, with quisqualis fruit as a key herb.
Explore below some TCM herbs used to address melasma, organized by herb category.
Melasma can be treated by these herbs when it stems from stagnation or poor circulation of blood, helping to improve blood flow and alleviate related discomfort.
One such herb is Szechuan Lovage Roots (Chuan Xiong), a key herb in some formulas recommended for melasma, like Yue Ju Wan.
Other herbs of this category are listed in the table below.
Melasma can be treated by these herbs when stemming from a lack of vital energy or Qi, helping to boost energy and overall vitality.
One such herb is Ginseng (Ren Shen), a key herb in some formulas recommended for melasma, like Si Jun Zi Tang.
Other herbs of this category are listed in the table below.
Herb | Formulas they belong to (if applicable) |
---|---|
Ginseng (Ren Shen) | Si Jun Zi Tang | Liu Jun Zi Tang | Shen Ling Bai Zhu San |
Atractylodes Rhizomes (Bai Zhu) | Shen Ling Bai Zhu San |
Liquorice (Gan Cao) | Shen Ling Bai Zhu San |
Melasma can be treated by these herbs in cases of blood deficiency, working to nourish and replenish the body's blood supply.
One such herb is Prepared Rehmannia (Shu Di huang), a key herb in some formulas recommended for melasma, like Zuo Gui Wan.
Other herbs of this category are listed in the table below.
Herb | Formulas they belong to (if applicable) |
---|---|
Prepared Rehmannia (Shu Di huang) | Zuo Gui Wan | Qi Ju Di Huang Wan | Liu Wei Di Huang Wan | Guo Qi Yin |
Dong Quai (Dang Gui) | Guo Qi Yin |
Melasma can be treated by these herbs if it arises from parasitic infections, utilizing their properties to eliminate parasites from the body.
One such herb is Quisqualis Fruits (Shi Jun Zi), a key herb in some formulas recommended for melasma, like Fei Er Wan.
Other herbs of this category are listed in the table below.
Herb | Formulas they belong to (if applicable) |
---|---|
Quisqualis Fruits (Shi Jun Zi) | Fei Er Wan |
Areca Nuts (Bing Lang) | Fei Er Wan |
Melasma can be treated by these herbs when it is a consequence of excess heat in the blood, helping to cool and detoxify the blood.
One such herb is Stellaria Roots (Yin Chai Hu), a key herb in some formulas recommended for melasma, like Qing Gu San.
Melasma can be treated by these herbs when the body needs to harmonize with external environmental changes, particularly when there's a need to expel pathogenic factors like wind or cold without overly cooling the body.
One such herb is Bupleurum Roots (Chai Hu), a key herb in some formulas recommended for melasma, like Xiao Yao San.
Melasma can be treated by these herbs if it stems from damp accumulation, especially in the digestive system, using aromatic properties to transform and dispel dampness.
One such herb is Black Atractylodes Rhizomes (Cang Zhu), a key herb in some formulas recommended for melasma, like Yue Ju Wan.
Melasma can be treated by these herbs in cases where it is due to internal or external bleeding, working to stabilize and constrict blood flow.
One such herb is Cattail Pollen (Pu Huang), a key herb in some formulas recommended for melasma, like Shi Xiao San.
Melasma can be treated by these herbs when caused by excessive dampness in the body, aiding in eliminating damp through diuretic action.
One such herb is Poria-Cocos Mushrooms (Fu Ling), a key herb in some formulas recommended for melasma, like Shen Ling Bai Zhu San.