Melasma is one of the common dermatological diseases. It's difficult to cure but prone to recurrence has a serious impact on patients 'mental health and quality of life. As a unique treatment method of traditional Chinese medicine, the non-drug treatment of traditional Chinese medicine is highly regarded for its safety, effectiveness, economy, and simplicity. This article reviews the clinical research results of non-drug treatment of melasma with traditional Chinese medicine, aiming to provide valuable reference and guidance for clinical treatment.