ISSN 1674-3865  CN 21-1569/R
主管:国家卫生和计划生育委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

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    Expert Consensus on the Prevention and Treatment of Children's Recurrent Respiratory Tract Infection by Integrating Traditional Chinese and Western MedicineRespiratory Group of Pediatric Committee of Chinese Association of Integrative Medicine
    Yunxiao Shang , Xuefeng Wang
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2022, 14 (6): 461-467.   DOI: 10.3969/j.issn.1674-3865.2022.06.001
    Abstract1336)      PDF(pc) (1482KB)(4104)       Save
    Recurrent respiratory tract infection is a common clinical phenomenon in children,which has a high incidence and brings a heavy burden to society and medical care,and has attracted much attention from pediatricians. The expert consensuses at home and abroad provided important guidance and suggestions for the diagnosis and treatment of children′s recurrent respiratory infections,but they were limited to the field of western medicine and did not include valuable experience in traditional Chinese medicine. The Expert Consensus on the Prevention and Treatment of Children′s Recurrent Respiratory Tract Infection by Integrating Traditional Chinese and Western Medicine integrates the traditional Chinese treatment based on syndrome differentiation with western medicine,revised repeatedly with reference to the latest guidelines,consensus and research progress of Chinese and Western medicine worldwide. This consensus will provide an important basis for pediatricians to reasonably integrate traditional Chinese and western medicine in the prevention and treatment of children′s recurrent respiratory infections.
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    Experience in the diagnosis and treatment of children's diseases from "accumulated internal heat"
    ZHANG Yu, XIAO Yang, ZHOU Mengxiao, SUN Liping
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2025, 17 (1): 59-63.   DOI: 10.20274/j.cnki.issn.1674-3865.2025.01.012
    Abstract2575)      PDF(pc) (1073KB)(3917)       Save
    The function of the spleen in children is often insufficient, and improper feeding, or disease damage may cause the fact that food can't be digested, which is food accumulation。Although it is a disease of the spleen, Professor Sun Liping believes that long time of food accumulation can form internal heat syndrome, thereby inducing a variety of pediatric diseases. Attention should be paid to the physical changes caused by congenital abnormality and acquired dystrophy. Based on the physiological and pathological characteristics of children, Yin and Yang theory, five-element theory and constitution theory, and through combination with more than 30 years of clinical experience of Professor Sun Liping, this paper explores the etiology and pathogenesis of children's diseases caused by "food", the disease outcome transformed by "heat", the diagnosis experience from "observation", and the treatment method by "elimination". A new line of thinking of "same treatment for different diseases" is provided for the diagnosis and treatment of abdominal pain, cough, asthma and tic disorders caused by food accumulation.
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    Chinese Pediatrics of Integrated Traditional and Western Medicine    2010, 2 (1): 56-58.   DOI: 10.3969/j.issn.1674-3865.2010.01.024
    Abstract656)      PDF(pc) (397KB)(3894)       Save
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    Research progress of Chinese medicine treatment for short stature children
    LIU Feng, YANG Wenxuan, LIU Qiansheng, ZHANG Hui, MA Yanfang
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2020, 12 (2): 128-131.   DOI: 10.3969/j.issn.1674-3865.2020.02.009
    Abstract1283)      PDF(pc) (543KB)(3420)       Save
    This paper mainly makes a retrospective analysis and summary of TCM literature related to dwarfism in the past 10 years,aiming to provide a theoretical basis for TCM diagnosis and treatment of dwarfism.The treatment for dwarfism in TCM includes oral administration of Chinese medicine,acupuncture,massage,acupoint application,etc The curative effect is good,the price is relatively low and there are fewer adverse reactions,so it is worthy of clinical promotion and further study.
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    Meta analysis of the efficacy and safety of traditional Chinese patent medicine in the treatment of tic disorders in children
    LI Ruiben, NIE Lianghui, YANG Libin, MA Rong
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2023, 15 (6): 479-485.   DOI: 10.3969/j.issn.1674-3865.2023.06.004
    Abstract1170)      PDF(pc) (3684KB)(3384)       Save
    Objective To systematically evaluate the efficacy and safety of traditional Chinese patent medicine in the treatment of tic disorders in children.Methods Randomized controlled trials of traditional Chinese patent medicine in the treatment of tic disorders in children were comprehensively searched in CNKI,Wanfang Database,VIP,China Biomedical Database,Pubmed,Embase and Cochrane Library.Two independent researchers screened and evaluated the quality of the literature based on pre-set inclusion and exclusion criteria,and made a meta-analysis of the included literature using RevMan 5.3 software.Results A total of 3 088 pediatric patients were ultimately included in 12 studies.Meta analysis showed that the effective rate of traditional Chinese patent medicine was higher than that of the placebo group,with a statistically significant difference [RR=2.06 (1.63,2.62),P<0.000 01].The effective rate of traditional Chinese patent medicine was not significantly different from that of tiapride hydrochloride [RR=1.03 (0.98,1.07),P=0.23].In terms of tic severity,traditional Chinese patent medicine could significantly reduce the total score of YGTSS compared with placebo [MD=-7.84 (-10.18,-5.51),P<0.000 01].Comparing traditional Chinese patent medicine with tiapride hydrochloride,there was no statistically significant difference in the reduction of the total score of YGTSS [MD=-0.32 (-1.21,0.58),P=0.75].In terms of adverse events,the incidence of dizziness,fatigue and sleepiness of traditional Chinese patent medicine was lower than that of tiapride hydrochloride.Conclusion Traditional Chinese patent medicine is effective and safe in the treatment of tic disorders in children,which still needs to be confirmed by more high-quality randomized controlled studies.
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    Research progress of language development assessment in children
    LIU Fang
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2019, 11 (2): 125-129.   DOI: 10.3969/j.issn.1674-3865.2019.02.009
    Abstract1249)      PDF(pc) (555KB)(3364)       Save

    Language is a cognitive expression that reflects the human brain's thinking and psychological process. Language plays an important role in children's cognitive and social development. Children's language is an important aspect reflecting intelligence. Language development disorders are the most common disorders of childhood development. Early childhood language problems can be used as a vigilance indicator of the brain's overall dysplasia, and can be used as an indicator to predict the cognitive processing obstacles of children's brains now and in the future. Language impaired children routinely need to have their cognitive processing levels detected.
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    Individualized intervention strategies in the treatment of childhood and adolescent obesity based on precision medicine
    LI Ping, YANG Fan, LIU Hanmin
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2025, 17 (1): 1-7.   DOI: 10.20274/j.cnki.issn.1674-3865.2025.01.001
    Abstract3348)      PDF(pc) (1165KB)(3009)       Save
    Childhood and adolescent obesity has become a global challenge in public health.Its high weight regain rate and risks of metabolic complications highlight the limitations of traditional intervention strategies.This review systematically explores individualized intervention strategies for obesity in children and adolescents in the context of precision medicine,breaking the traditional "one-size-fits-all" model.It integrates multi-omics technologies with intelligent management methods,proposing a multidimensional framework for precise intervention.First,a precise diagnosis and evaluation system is constructed based on multi-modal data,including genomics,radiomics,and gut microbiomics,to identify genetic susceptibility,metabolic phenotypes and microbiome characteristics,laying the foundation for stratified interventions.Secondly,individualized intervention plans are developed based on genetic risk scores,epigenetic regulatory mechanisms,and gut microbiome-targeted therapies:gene-guided strategies aim to optimize dietary structure through multi-gene risk assessments; epigenetic interventions aim to regulate DNA methylation and histone modification by taking advantage of nutrients (such as methyl donors and short-chain fatty acids),reversing metabolic dysregulation; microbiome remodeling aims to improve energy metabolism balance through probiotics and synbiotics.Furthermore,artificial intelligence and wearable devices are employed for dynamic monitoring in multiple scenarios.By collaborating with multidisciplinary teams in nutrition,sports medicine,and psychology,a smart management model of "hospital-family-community" network is established.While precision medicine offers groundbreaking directions for childhood obesity treatment,challenges such as biomarker validation,data integration,and long-term efficacy evaluation remain to be addressed.This review provides theoretical foundations and practical pathways for the improvement in the effectiveness and sustainability of interventions,emphasizing the need to integrate interdisciplinary innovative technologies in the future in order to promote the transformation of childhood obesity management toward precision and intelligence.
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    Analysis of direct medical cost in children with acute lymphocytic leukemia
    YAN Yuzhu, YU Jie, AN Xizhou, GUO Xiaoli, YAO Juan, DENG Zhifen, ZHANG Wenjun
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (2): 136-139.   DOI: 10.3969/j.issn.1674-3865.2024.02.008
    Abstract1933)      PDF(pc) (974KB)(2939)       Save
    Objective To analyze the direct medical cost and composition ratio of children with acute lymphocytic leukemia,in order to provide basis for the reform of medical system and guarantee the standard treatment of children with leukemia.Methods A total of 110 children with acute lymphocytic leukemia were included in the study,who were treated in the Department of Hematology Oncology of Children′s Hospital Affiliated to Chongqing Medical University from Jan.2015 to Apr.2018.Descriptive analysis was used to analyze the direct medical costs of these children and investigate the main compositions.Results During the standard treatment of children with acute lymphocytic leukemia,the direct medical costs were mainly composed of outpatient costs (averaged 23 597 CNY),one-day chemotherapy costs averaged 23 216 CNY,hospitalization costs averaged 158 152 CNY.In the total cost of children with ALL,drug costs,treatment costs and laboratory test costs accounted for a large proportion.The average reimbursement rate was 59.1%(93 415/158 152).The average hospitalization time of children with acute lymphoblastic leukemia was 131 days,and the average daily hospitalization cost was 1 207 CNY(158 152/131).Conclusion Reducing drug costs and standardized treatment and testing can reduce medical costs.Comprehensive and multi-angle support should be provided for the families of children with leukemia,in order to guarantee the treatment for these children.
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    Chinese Pediatrics of Integrated Traditional and Western Medicine    2013, 5 (4): 292-294.   DOI: 10.3969/j.issn.1674-3865.2013.04.002
    Abstract658)      PDF(pc) (464KB)(2720)       Save
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    Current research of traditional Chinese medicine on ADHD in children
    HAN Xinmin
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2016, 8 (5): 465-467.   DOI: 10.3969/j.issn.1674-3865.2016.05.001
    Abstract1485)      PDF(pc) (372KB)(2628)       Save
    In this paper, we analyzed the evolution of TCM name of ADHD, clinical and experimental research, characteristics and advantages,and deficiencies and prospects. Although there are many clinical reports, most of them lack strict design, without multicentric, randomized, controlled and large-sample clinical research. In the recent 10 years, the research projects supported by National Natural Science Foundation of China haven't obtained ground-breaking progress. The advantages of TCM treatment for ADHD are individualized diagnosis and therapy, syndrome differentiation treatment, integral regulation and restoration of the function of the internal organs. In order to make greater innovative achievements, it is necessary to conduct further research and standardize experiment through cooperation.
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    Research progress on the cause and treatment of perianal abscess and anal fistula in children
    LIU Meifang, ZHAO Bin
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2023, 15 (2): 121-124.   DOI: 10.3969/j.issn.1674-3865.2023.02.006
    Abstract913)      PDF(pc) (771KB)(2399)       Save
    Perianal abscess and anal fistula are common perianal diseases in children under 1 year of age, and currently there is no unified understanding about the pathogenesis or unified treatment plans. This paper discusses the causes of perianal abscess and anal fistula in infants based on traditional Chinese medicine and modern medicine, and explores the treatment progress from the aspects of conservative treatment and surgical treatment.
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    Research progress of tic disorder in children
    WANG Shiyan, MA Bingxiang, LI Ruixing, XU Pingping
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2021, 13 (4): 297-296.   DOI: 10.3969/j.issn.1674-3865.2021.04.005
    Abstract814)      PDF(pc) (768KB)(2298)       Save
    Tic disorder(TD) is acommon sudden, rapid, recurrent neuropsychiatric disorder dominated by rhythmic movement or vocalization in children or adolescents. The exact etiology and pathogenesis are not clear. A small number ofchildren can get relieved by themselves at puberty, but the disease may be refractory in some children. This paper focuses on theresearch frontier of tic disorder at home and abroad. By searching Pubmed, Cochrane Library, CBM, CNKI and Wanfang databases, this paper systematically discusses the diagnosis, treatment and prognosis of ticdisorder from the aspects of epidemiology, comorbidity, pathogenesis and diagnosis and treatment methods by traditional Chinese and Western medicine, in order to provide new treatment ideas and theoretical basis for clinical practice.
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    Expert consensus on body constitution characteristics and nursing of children in traditional Chinese medicineBody Constitution
    WANG Qi, WANG Xuefeng, ZHAO Xia, LI Min
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2023, 15 (4): 277-282.   DOI: 10.3969/j.issn.1674-3865.2023.04.001
    Abstract1602)      PDF(pc) (857KB)(2245)       Save
    Expert consensus on body constitution characteristics and nursing of children in traditional Chinese medicineBody Constitution Research Committee of World Federation of Chinese Medicine Societies
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    A systematic review of the effectiveness and safety of acupoint application in treating children with cough variant asthma
    LI Panpan, WU Liqun, LU Chen, XU Fangwei, CHENG Yuhang
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2021, 13 (6): 529-536.   DOI: 10.3969/j.issn.1674-3865.2021.06.019
    Abstract801)      PDF(pc) (3158KB)(2245)       Save
    Objective To systematically evaluate the effectiveness and safety of acupoint application in the treatment of children with cough variant asthma.Methods Relevant literatures on acupoint applications in treating cough variant asthma(CVA) in children were retrieved from electronic databases, including China National Knowledge Infrastructure(CNKI), WanFang Database , Chongqing VIP information Chinese scientific journals database(VIP), Chinese Biomedical Literature database(CBM), PubMed, Cochrane Library and EMbase database, from their inception till February 2020. Meta-analysis was conducted after extracting related data from the included studies.Results In total, 18 randomized controlled trials(RCTs) involving 1 407 children were selected for the meta-analysis. The analysis indicated that the total effective rate of acupoint applications in the treatment group was better than that in the control group. In terms of the pulmonary function test and ACT scores, the forced expiratory volume in one second(FEV1), forced expiratory volume in one second/forced vital capacity(FEV1/FVC), peak expiratory flow rate(PEF) and ACT scores were better in the treatment group than in the control group. Concerning immune function, IgM, IgG, and IgA values in the treatment group were significantly higher than those in the control group, while IgE values of treatment group were significantly lower. In terms of efficacy in the long run, the treatment group had lower rate of recurrent cough variant asthma and shorter duration spent in eliminating recurrent cough as compared to the control group. The differences in the above research results were statistically significant(P<0.05).Conclusion Acupoint applications can improve the overall efficacy of treatment in children with CVA, improve pulmonary ventilation, boost immunity, and reduce recurrence rate and shorten the duration spent in eliminating recurrent cough.
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    Treatment for pediatric pulmonary diseases based on the theory of "lungs governing skin and hair" and the method of "analogy and classification" 
    WEI Jiaxuan, YANG Jianhui, FENG Zhongfa, LI Rong, ZHAO Shun, LIU Qiaoya
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2025, 17 (1): 75-78.   DOI: 10.20274/j.cnki.issn.1674-3865.2025.01.016
    Abstract2635)      PDF(pc) (1062KB)(2197)       Save
    This paper explores the application value of Traditional Chinese Medicine (TCM) theory of "lungs governing skin and hair" and the thinking method of "analogy and classification" in the treatment of pediatric pulmonary diseases.Both "lungs governing skin and hair" and "analogy and classification" are traditional TCM theoretical approaches guiding clinical differential diagnosis and treatment.By discussing the correlation between the lungs and the skin and hair,and then employing the method of analogy and classification,this paper explores the feasibility and efficacy of treating pulmonary diseases by the "skin"-cortex (the character of skin and cortex is the same in Chinese).Starting from the physiological characteristics of children,such as "lung deficiency" and loose cutaneous layers,the paper argues that "cortex-related" herbal medicines (e.g.,Baixian Pi,Hou Po,and Chan Tui) can improve the pathological features of being easily invaded by external pathogens in children.Through case studies,this paper demonstrates a formula containing cortex-related herbs in the treatment of cough (wind-phlegm obstructing the lung) in a 4-year-old child,which is very effective.The results confirm the clinical feasibility of this approach.By integrating traditional TCM theories with modern scientific validation,this paper provides new insights into the diagnosis and treatment of pediatric pulmonary diseases,highlighting the unique advantages of TCM in the field of pediatrics.
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    Exploring the rehabilitation,diagnosis and treatment of autism spectrum disorder in traditional Chinese medicine based on Professor Xu Rongqians "Theory of Shen,Hun,Yi,Po,Zhi"

    ZHU Ling, YU Minfeng, LIU Zhenhuan, LI Nuo, LIU Ying, LI Longhua, HUANG Yinying, LIN Xiaohong, CHEN Kanghua
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2024, 16 (4): 333-338.   DOI: 10.3969/j.issn.1674-3865.2024.04.013
    Abstract888)      PDF(pc) (1117KB)(2056)       Save
    The occurrence of autism spectrum disorder (ASD) involves multiple organ dysfunction.Professor Xu Rongqian′s "Theory of Shen,Hun,Yi,Po,Zhi" can explain various core clinical manifestations of ASD.Through in-depth analysis of the functions of Shen,Hun,Yi,Po,Zhi,it has been discovered that the occurrence of this disease is closely related to the "Five Organs Shen",especially to the heart-Shen,liver-Hun,spleen-Yi,and kidney-Zhi.The theoretical system of "treatment for both Xing and Shen" is used in clinical practice to guide the treatment of ASD,which achieves good therapeutic effects by benefiting Xing and qi.
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    Research progress of vestibular rehabilitation training for children with cerebral palsyYU Chaonan
    YU Nan, LI Dongxiao, WAN Kai, SHANG Qing
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2022, 14 (6): 468-472.   DOI: 10.3969/j.issn.1674-3865.2022.06.002
    Abstract897)      PDF(pc) (832KB)(2014)       Save
    Cerebral palsy is a group of syndromes characterized by movement disorders,abnormal posture,musclestrength and muscle tension changes. The main function of the vestibular system is to maintain the stability of the head and trunk,maintain body balance and motor coordination. The vestibular function damage of children with cerebral palsy can lead to impaired balance function,poor posture control,difficulty in eye movement,poor head-eye coordination and delayed motor development. Vestibular rehabilitation training is an individualized non-drug rehabilitation treatment, which,mainly through vestibular adaptation,vestibular acclimatization,vestibular compensation and other mechanisms and through repeated strengthening of vestibular receptors,improves the excitability of nerve cells and promotes the injury of brain tissue area to produce new neural pathways,so as to effectively improve the patient′s motor function,posture control,balance ability,muscle strength and muscle tension,eye movement and so on. At present,vestibular rehabilitation training has been widely used in adults with Parkinson′s disease,stroke,spinal cord injury,Alzheimer′s disease. It has also been used in children with autism spectrum disorder,attention deficit hyperactivity disorder,and global developmental delay. There are few reports on the effects of vestibular rehabilitation training on children with cerebral palsy. Based on the above background,this paper summarizes the vestibular rehabilitation training mechanism of vestibular rehabilitation training in the treatment of children with cerebral palsy at home and abroad,in order to provide help for better improving the quality of life of children with cerebral palsy.
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    Research progress in external treatment with Chinese medicine for mesenteric lymphadenitis in children
    GUO Kun, WU Jiusi, ZHAO Hongxia, OU Yajuan
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2021, 13 (3): 196-200.   DOI: 10.3969/j.issn.1674-3865.2021.03.003
    Abstract1276)      PDF(pc) (747KB)(1981)       Save
    Objective: Traditional Chinese medicine has obvious advantages in treating mesenteric lymphadenitis,and the external treatment is especially effective.This article summarizes the reports on TCM external therapy for mesenteric lymphadenitis in the past five years.It is found that acupuncture,massage,acupoint application and umbilical therapy,enema with traditional Chinese medicine,percutaneous treatment with traditional Chinese medicine on acupoints,ultrasonic induction of traditional Chinese medicine,microwave physiotherapy and other methods are more effective than conventional treatment with pure western medicine.This provides reference and methods for clinical treatment and broaden the thoughts on clinical treatment methods to a certain extent hoping to further promote the external treatment of TCM in clinical practice.
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    Professor Wang Sumei's experience in treating children with consciousness diseases with warm medicines

    HAN Zhitong, CHEN Zijia, WANG Sumei, WU Xinyu
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2022, 14 (2): 168-171.   DOI: 10.3969/j.issn.1674-3865.2022.02.019
    Abstract595)      PDF(pc) (813KB)(1945)       Save

    There has always been the academic argument between"Chun Yang" and "Zhi Yin Zhi Yang", and the treatment also differs between "being cooler" and "being warmer". Prof. Wang Sumei believes that the children are more likely to be cold or hot, deficient or excessive during their growth and development. Therefore, the two views of "Chun Yang" and "Zhi Yin Zhi Yan" are simply from different starting points,and the two has a differential relationship of unity of opposites. They both are of significance in guiding the differential treatment,and we should not put excessive emphasis on either of them,or separate them. Warm medicines shouldn't be avoided in clinical medication: they can be used to restrain kidney-yang, tonify spleen, reduce phlegm and awaken brain,or to benefit qi,reduce phlegm,Stop wind and prevent spasm, or to make the patients quiet and calm and cure Tourette's syndrome through regulating spleen and kidney.

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    Chinese Pediatrics of Integrated Traditional and Western Medicine    2015, 7 (1): 60-61.   DOI: 10.3969/j.issn.1674-3865.2015.01.026
    Abstract587)      PDF(pc) (270KB)(1931)       Save
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