
Q I have melasma — do foods affect it besides UV rays?
A UV rays are the biggest aggravating factor for melasma, but photosensitizing medications such as oral contraceptives, female hormones, antibiotics, and diuretics also intensify pigmentation. Processed food additives and oxidative stress can also promote melanin production, so intake of antioxidant foods is recommended. In Korean medicine, green and yellow vegetables that support the liver (肝) and foods that nourish blood (血) are considered favorable for melasma improvement.
Detailed Answer
Photosensitizing medications (tetracycline-class antibiotics, diuretics, NSAIDs, etc.) amplify pigmentation responses when exposed to UV rays. Among foods, vegetables containing psoralen such as celery and parsley can increase photosensitivity, so it is best to avoid UV exposure after consuming large amounts raw. On the other hand, antioxidant nutrients such as vitamin C (kiwi, strawberry), vitamin E (almonds, sunflower seeds), and lycopene (tomato) help inhibit melanin oxidation.
Korean Medicine Clinic Perspective
In Korean medicine, since the liver stores blood (血) and controls the spreading function (疏泄), wolfberry, cassia seed, and cornelian cherry tea that nourish the liver are advantageous for melasma prevention. Spicy food and alcohol cause liver heat (肝熱) and darken facial complexion, so they should be avoided. Sunscreen with SPF50 or higher must be used when visiting the coastal area of Dong-gu, Incheon, to preserve the effects of herbal medicine treatment.
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