Melasma is a common problem, especially in women. In traditional Chinese medicine, melasma belongs to the category of facial spots, and its formation is related to a variety of factors, such as endocrine disorders, sun exposure, drug stimulation, etc.
According to the "Su Wen: The Treatise on the Five Organs", the formation of melasma is related to the spleen and kidneys. The spleen is the main transport of water valley, and the kidney is the main reproduction and sperm storage, and the dysfunction of these two organs will lead to an imbalance in the internal and external environment of the body, which will affect the health of the face. In addition, melasma is also related to factors such as lack of qi and blood in the body, liver stagnation and blood stasis.
Melasma has both deficiency and empirical evidence, and the common deficiency syndrome is liver and kidney deficiency, liver and kidney yin deficiency, and spleen and kidney yang deficiency. The empirical evidence is qi stagnation and blood stasis, as well as mixed syndromes such as liver stagnation and spleen deficiency, liver stagnation and blood deficiency. Depending on the syndrome type, a regular TCM doctor will use different prescriptions. And according to the different conditions of the patient, the addition and subtraction of ** is the individual plan of **melasma.
Traditional Chinese Medicine: 1 Internal Treatment:
1) Liver stagnation and qi stagnation syndrome: the face is mostly dark brown, chest and flank swelling and pain, irritability, irregular menstruation, red tongue or purple spots, and stringy pulses. The treatment is based on the method of soothing the liver and regulating qi, and the decoction is added or subtracted by Xiaoyaosan.
2) Spleen loss syndrome: the face is mostly dark or light yellow-brown, loose stools, pale tongue, tooth marks, thin moss, and thin pulse. The treatment is to strengthen the spleen and invigorate qi, and the decoction is to add or subtract the ginseng coryl atractylodes to supplement the zhongyi qi decoction.
3) Kidney qi insufficiency: black and brown spots on the face are butterfly-shaped, waist and knees are sore, dizziness and tinnitus, hot hands and feet, cold limbs, diarrhea, pale or red tongue, and less moss;The pulse is thin. The treatment is to nourish the liver and kidney, and the decoction is added or subtracted by the six flavors of Rehmannia Pill and the Right Gui Pill.
2 External treatment: Commonly used traditional Chinese medicine grinding powder to make cream for external application, ** or prepared into inverted film powder, or the residue of the internal prescription is smoked first and then wet compressed, etc. External Chinese medicines are mostly used in Baiji, Aconite, Silkworm, Pearl, Angelica, Chuanxiong, Motherwort, Baizhu, Smallpox Pollen, Poria Cocos, Coria Seed, Nepeta, Winter Melon Kernel, Almond, Centella Asiatica, etc.
3 Others**: including acupuncture, scraping, umbilical patch, cupping, Chinese medicine fumigation, etc.
Press and knead the acupuncture points of the liver - Liver Yu acupoint.
The liver Yu acupoint is in the back of the body, and all the vitality in the liver will be gathered in this part, thus forming a water and damp wind, and then transported to the bladder meridian, which has the effect of emitting liver heat, and can also replenish the liver yin, nourish the liver and protect the liver, and assist in night blindness, acute and chronic hepatitis, myopia and cholecystitis. The patient can lie on the bed, use the thumb to massage the liver and Yu acupoints on both sides of the spine, try to choose the way of rotary massage, release it after 10 seconds, and repeat the massage for about 10 minutes, until the local soreness appears, but be sure to pay attention to the softness of the technique.
It is recommended that the daily protection of melasma should be regular, ensure sufficient sleep, maintain a happy mood, and pay attention to sun protection when going out. If necessary, you can contact Liuqutang TCM to use Chinese medicine for conditioning.