Every woman wants to have spotless ice and snow skin. At present, there are various freckle removal methods in the market, including laser freckle removal, fruit acid skin rejuvenation, spot lightening facial mask, etc. Chen chumin, a dermatologist from the First Affiliated Hospital of Guangzhou University of traditional Chinese medicine, suggested that freckle removal should start with the recognition of color spots. There are many kinds of spots, you know? Pigmented spots refer to pigmented spots. There are many factors for the formation of color spots, which are related to heredity, ultraviolet rays, hormone changes, drugs, the use of cosmetics, some diseases and so on. "Stain" is a general term. The more common ones are freckles, chloasma, brown cyan nevus, nevus of Ota, coffee spots, etc. [freckles] most of them are hereditary color spots, which are generally distributed on the nose and cheeks. The spots are light brown or dark brown, and the main shape is round, oval or irregular, scattered on the face. [chloasma] it is mostly related to the endocrine of the body, especially the estrogen level of women. Therefore, irregular menstruation, taking contraceptives and impaired liver function will cause the appearance of chloasma, and ultraviolet and mental stress will also aggravate the color of chloasma. [brown cyan nevus] is a dark gray spotted pigmentation symmetrically distributed in the zygomatic part. It often occurs in the zygomatic part and temporal part. It is mostly symmetrically distributed and has no conscious symptoms. [nevus of Ota] it is called Brown cyan nevus on the upper palate of the eye. It mostly occurs on one side of the face, with brown, gray to blue spots or spots. [coffee spots] are clearly defined pigmentation spots, and the damage is scattered light brown spots with different shapes and numbers. Prevention and treatment of color spots, sunscreen first How to prevent color spots? Dr. Chen chumin suggested that it is very important to go to the dermatology department of a regular hospital and choose an appropriate treatment plan. Good living habits are very important for the prevention and treatment of color spots. It includes the following aspects: ① Good light protection: apply broad-spectrum sunscreen, and take physical sunscreen measures such as umbrella, hat and long sleeved clothes. ② Maintain a regular lifestyle: reasonable diet, adjust work and rest, adhere to exercise and ensure adequate sleep. ③ Keep an optimistic mood. Only when you are in a good mood and have good liver qi can you look good. ④ Rational drug use. There are many ways to treat color spots Laser therapy is effective and effective. For example, short pulse carbon dioxide laser, 510nm pulsed dye laser, Q-switched Nd: YAG laser and Q-switched ruby laser, which are common in clinic, can destroy melanin particles in the upper dermis and are used to treat pigmented skin diseases. Of course, laser therapy has its indications and contraindications. It should not be used for pregnant women, scar physique, special people with light sensitive diseases and other special groups. Clinical doctors should listen to their opinions. In terms of medication, clinicians will choose appropriate methods according to the situation of patients, such as systematic application of antioxidants (such as vitamin C, glutathione), tranexamic acid, glycyrrhizin, etc., or external application of hydroquinone, arbutin, fruit acid and other drugs. Traditional Chinese medicine dispels color spots, and mostly uses drugs such as soothing the liver and regulating qi, strengthening the spleen and kidney, promoting blood circulation and removing blood stasis. It needs syndrome differentiation and treatment in clinic. Taking chloasma as an example, in the treatment of liver depression and qi stagnation syndrome, we should soothe the liver, relieve depression and regulate qi and blood, and use Xiaoyao Powder and Chaihu Shugan powder; For qi stagnation and blood stasis syndrome, we should soothe the liver and regulate qi, remove blood stasis and dredge collaterals, and choose Taohong Siwu Decoction to add or subtract; Spleen deficiency and dampness accumulation syndrome should be treated by Invigorating the spleen and Supplementing Qi, removing dampness and removing spots, and the formula should be Shenling Baizhu powder. In terms of external use therapy, traditional Chinese medicine can be used to make cream with Qibai powder or traditional Chinese medicine grinding powder such as Centella asiatica, Angelica dahurica and coix seed for external use or facial application. (outlook new era)