Q Is Korean herbal medicine treatment actually effective for melasma and hyperpigmentation?
A Melasma is a pigmented skin condition in which melanin pigment is excessively deposited locally, with UV rays, hormonal changes, and stress as the main triggers. Korean medicine treatment approaches it by resolving liver qi stagnation (肝氣鬱結) to facilitate qi-blood circulation and inhibit melanin production, with visible improvement reported with consistent medication over several months. The effect is even better when combined with topical whitening treatment or laser.
Detailed Answer
Melasma and post-inflammatory hyperpigmentation are conditions where melanocytes are overactivated and melanin is deposited in the epidermal and dermal layers. UV rays are the biggest aggravating factor, and oral contraceptives, pregnancy, and thyroid diseases also promote melasma. Ota nevus is caused by proliferation of melanocytes in the dermis, and mainly occurs at birth or during puberty.
Korean Medicine Clinic Perspective
In Korean medicine, melasma is viewed as a reflection of qi-blood stagnation due to liver qi stagnation (肝氣鬱結) appearing on the face. Gami Soyo-san and Danggui Jakyak-san are used to resolve liver stagnation and nourish blood, and whitening herbs such as mung bean, Job's tears, and Poria are combined. UV protection is essential for maintaining the effects of Korean medicine treatment, and patients in the Dong-gu area of Incheon who spend a lot of time outdoors are always advised to apply SPF50 or higher products daily.
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