Melasma is a facial pigment deposition skin disease characterized by symmetrical yellow brown patches. It is more common in middle-aged and young women and is related to multiple factors such as endocrine disorders and ultraviolet radiation. It is difficult to cure and prone to recurrence, which can damage the physical and mental health of patients and reduce their quality of life. Acupuncture and moxibustion, as a classical external treatment method of Chinese medicine, has been widely used in the treatment of chloasma and has been developing continuously with the advantages of safety, effectiveness, small side effects, etc. Based on the relevant clinical research in recent years, this article summarizes the research progress of acupuncture and moxibustion in the treatment of chloasma from the aspects of Chinese medicine"s understanding of chloasma, the advantages of acupuncture and moxibustion in the treatment of chloasma, and specific treatment methods, in order to provide basis and practical guidance for clinical treatment of this disease.