ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
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 diagnosis, treatment and efficacy evaluation of pediatric acute rhinosinusitis in integrated traditional Chinese and Western medicine
    Siyuan HU, Qinglong GU, Xuefeng WANG, Fengying QIAO, Rong MA, Daxin LIU, Qiuhan CAI, Yan CHEN
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2026, 18 (5): 369-375.   DOI: 10.20274/j.cnki.issn.1674-3865.2026.05.001
    Abstract (49)   HTML (3)    PDF(pc) (642KB)(2485)       Save

    The consensus has been developed to clarify the integrated traditional Chinese and Western medicine approach to the diagnosis,treatment,and clinical evaluation of pediatric acute rhinosinusitis. The development methods of the consensus included the RAND/UCLA Appropriateness Method,which comprised two rounds of expert questionnaire surveys and one face-to-face expert panel discussion. The main content covers scope,terms and definitions,overview,Western medicine diagnosis,traditional Chinese medicine syndrome differentiation,integrated Chinese and Western treatment,and assessments of therapeutic efficacy and safety. The consensus is intended to provide a practical reference for standardized clinical diagnosis and treatment of pediatric acute rhinosinusitis,offer methodological support for high-quality clinical research,and promote the translation and development of novel Chinese herbal medicines for children.

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    Case examples of Dong Youqi's application of Erchen decoction and its derivatives prescriptions in treating infantile phlegm-damp syndrome
    Wanying CHANG, Youqi DONG
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2026, 18 (1): 67-70.   DOI: 10.20274/j.cnki.issn.1674-3865.2026.01.013
    Abstract (1542)   HTML (3)    PDF(pc) (516KB)(3595)       Save

    Erchen decoction is the fundamental prescription for treating phlegm-damp syndrome and has been praised as "the general prescription for resolving phlegm" by physicians in the past dynasties. Children are constitutionally frail and prone to dampness retention and phlegm production due to dysfunction of the spleen in transportation; internal obstruction by phlegm-dampness can lead to multiple system disorders involving the respiratory, digestive and emotional systems. Considering the physiological characteristics of children such as "inherent splenic insufficiency" and "inherent pulmonary insufficiency", and based on the pathogenic theory that "the spleen is the source of phlegm production and the lung is the container for phlegm storage", Professor Dong Youqi adheres to the therapeutic principle of "regulating qi first for phlegm treatment and invigorating the spleen to cut off the source of phlegm". He flexibly applies Erchen decoction and its derivative prescriptions including Wendan decoction and Liujunzi decoction, with modifications tailored to syndromes, addressing both the symptoms and the root causes of the disease. These prescriptions have been widely used in the treatment of phlegm-dampness-related pediatric disorders such as cough, food stagnation, anorexia, vertigo, insomnia and emotional disorders, achieving remarkable therapeutic effects. This paper cites three typical medical cases as evidence, reflecting Professor Dong's academic thought of "diagnosing diseases and formulating treatments based on theoretical inference", and providing valuable clinical experience for the application of Erchen decoction and its derivative prescriptions in the treatment of infantile phlegm-damp syndrome.

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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
    Abstract (1924)      PDF(pc) (1482KB)(8411)       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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    Expert consensus on integrated traditional Chinese and western medicine diagnosis and treatment and management of infantile functional dyspepsia syndrome
    Xuefeng WANG, Jie WU, Sitang GONG, Lei XIONG, Hua XU, Xiaoqin LI
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2026, 18 (4): 277-282.   DOI: 10.20274/j.cnki.issn.1674-3865.2026.04.001
    Abstract (456)   HTML (14)    PDF(pc) (665KB)(724)       Save

    Infantile functional dyspepsia syndrome is a common syndrome complex of digestive system in children aged 0 to 3 years. Clinically, it is mainly characterized by such symptoms as decreased appetite, belching and abdominal distension, retching or vomiting, repeated crying, abdominal pain, and abnormal defecation, which seriously affect the growth, development and quality of life of infants. Both traditional Chinese medicine (TCM) and western medicine have certain advantages in the treatment and management of this disease. Led by the National Clinical Collaboration Group for Integrated Traditional Chinese and Western Medicine on Pediatric Functional Dyspepsia—a major difficult disease program, the consensus was developed through cooperation with integrated TCM and western medicine experts in pediatric gastroenterology, experts in pediatric Tuina and external therapy, and experts in methodology. Based on the concept of integrating TCM and western medicine, this consensus clarifies the diagnostic criteria and key points of TCM syndrome differentiation, and establishes a comprehensive intervention system centered on protecting and reinforcing the spleen and stomach. Western medicine focuses on nutritional management and feeding guidance, recommending appropriate formula milk and scientific complementary feeding. TCM interventions mainly include pediatric Tuina, acupoint application, and dietary therapy, combined with personalized care guidance. This consensus provides a basis for standardized clinical diagnosis, treatment and family care, which is of great significance in increasing the level of integrated TCM and western medicine in the management of this disease.

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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
    Abstract (785)      PDF(pc) (397KB)(5291)       Save
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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
    Abstract (1457)      PDF(pc) (555KB)(5340)       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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    Chinese Pediatrics of Integrated Traditional and Western Medicine    2009, 1 (1): 19-21.   DOI: 10.3969/j.issn.1674-3865.2009.01.007
    Abstract (528)      PDF(pc) (446KB)(1463)       Save
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    Chinese Pediatrics of Integrated Traditional and Western Medicine    2013, 5 (2): 105-106.   DOI: 10.3969/j.issn.1674-3865.2013.02.005
    Abstract (569)      PDF(pc) (307KB)(768)       Save
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    New progress and clinical application of allergen detection
    LI Yixian, YANG Jun, XIA Yu
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2021, 13 (2): 117-.   DOI: 10.3969/j.issn.1674-3865.2021.02.007
    Abstract (1424)      PDF(pc) (626KB)(3754)       Save
    Allergen detection is an important method in the diagnosis and evaluation of allergic diseases.Classical detection methods such as skin tests and IgE in vitro tests are developing in the direction of more allergens,less blood samples and higher accuracy;meanwhile,the new detection like cellular and molecular diagnosis are developing rapidly.In order to provide better clinical decision making for clinicians who are facing complicated detection methods,this article reviews the common allergen detection methods in vivo and in vitro,introduces their indications,advantages and disadvantages as well as their clinical application in various types of allergic diseases and different groups of people.
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    Chinese Pediatrics of Integrated Traditional and Western Medicine    2014, 6 (2): 102-104.   DOI: 10.3969/j.issn.1674-3865.2014.02.003
    Abstract (612)      PDF(pc) (394KB)(1038)       Save
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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
    Abstract (2887)      PDF(pc) (1062KB)(3305)       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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    Chinese Pediatrics of Integrated Traditional and Western Medicine    2013, 5 (3): 229-230.   DOI: 10.3969/j.issn.1674-3865.2013.03.017
    Abstract (519)      PDF(pc) (276KB)(553)       Save
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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
    Abstract (1462)      PDF(pc) (3684KB)(5697)       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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    Expert consensus in integrated traditional Chinese and western medicine prevention and treatment for influenza in children
    Wang Xuefeng, Shang Yunxiao
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2021, 13 (5): 369-374.   DOI: 10.3969/j.issn.1674-3865.2021.05.001
    Abstract (1698)      PDF(pc) (830KB)(2280)       Save
    Children are the highrisk population of influenza(flu) and its severe cases. The morbidity is high in the flu season, and in severe cases it may result in death. Currently, the effective western medicines for flu viruses are limited, and the treatment with western medicines alone has its limitations. In the theory of traditional Chinese medicine, flu belongs to seasonal cold, which is highly infectious, and it also belongs to "plague" in traditional Chinese medicine has had valuable experience in the prevention and treatment of "plague", but it also has its limitations. Therefore, the integration of Chinese with western medicine which takes advantage of both traditional Chinese and western medicine, will have its unique advantages, especially in the early intervention of mild cases. Based on the review on the advances in modern prevention and treatment of flu in children, the analysis of literatures on Chinese medicine treatment for child flu, the drug assessment questionnaire and the application experience of the experts, the consensus aims to standardize the combined use of Chinese and western medicines, in order to find solutions to the clinical problem of the prevention and treatment for influenza in children, especially for mild cases.
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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
    Abstract (1095)      PDF(pc) (3158KB)(4063)       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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    Data mining of medication rules of Professor Chang Ke in the treatment of cough in children
    Yali CUI, Ke CHANG
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2025, 17 (3): 264-269.   DOI: 10.20274/j.cnki.issn.1674-3865.2025.03.015
    Abstract (1956)   HTML (4)    PDF(pc) (888KB)(2809)       Save

    Objective To analyze the medication rules of Professor Chang Ke in the treatment of cough in children,and summarize his thoughts on the treatment for cough. Methods Collect the prescriptions of Professor Chang Ke for the treatment of cough in the outpatient department from November 1,2023 to November 1,2024,standardize the drug names in the prescriptions,establish a database on the ancient and modern medical record cloud platform,and use multiple analysis methods to analyze the collected data from multiple perspectives,in order to explore the medication rules of Professor Chang Ke in the treatment of cough. Results A total of 567 prescriptions involving 224 Chinese medicines were included. According to the analysis of the data from the cloud platform of ancient and modern medical records, it was concluded that the high?frequency drugs were Scutellaria baicalensis,Apricot kernel,Pinellia ternata,Belamcanda chinensis,Platycodon grandiflorus,etc. The drug properties were mainly cold,warm,slightly cold and flat,the flavors of the medicines were bitter,spicy,sweet and slightly bitter,and the meridians involved were mainly the lung,stomach and spleen meridians. The main types of drugs were antipyretic and detoxifying drugs,pharynx?benefiting drugs and wind?heat?dispelling drugs. Four groups of drugs were obtained by cluster analysis,and 6 core drugs were obtained by complex network analysis. Conclusion Professor Chang Ke treats cough mainly based on "restoring the dispersion and descent of lung qi". He is good at using Chinese medicines with the effect of removing heat and toxin, dispelling wind heat, resolving dampness and phlegm and benefiting throat.

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    An example of drugs pairs commonly used by Professor Jia Liujin in the treatment of pediatric spleen and stomach diseases
    CAO Xia, ZHANG Yan, JIA Liujin
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2022, 14 (1): 86-89.   DOI: 10.3969/j.issn.1674-3865.2022.01.022
    Abstract (973)      PDF(pc) (788KB)(1929)       Save
    As the smallest unit in the compatibility of traditional Chinese Medicine(TCM),drug pair is simple in composition,but it has the basic characteristics of TCM compatibility,and it is also the optimized combination proved by TCM traditional experience.Professor Jia Liujin,one of the first famous Chinese medicine professors in China,emphasizes on syndrome differentiation,promotes combinatorial thinking,and has made good use of combined prescriptions and drug pairs in clinical practice.This article focuses on some drug pairs commonly used by Prof.Jia Liujin in pediatric spleen and stomach diseases:Fructus aurantii and Atractyoldes macrocephalae,Rhizoma atractylodis and Atractylodes macrocephalae,Fructus amomi and Amomum melegueta,Jiao San Xian and Semen raphani,Cao Guo and dried ginger,embodying the characteristics of eliminating and reinforcing,combining tonification with transportation,mixing warming with dispersing,and so on,so that the function of spleen and stomach can be recovered:including taking in and transporting,increasing and decreasing and drying wetness.It can be used to treat anorexia,indigestion,abdominal pain,malnutrition,vomiting and diarrhea.During the treatment,the prescription is made according to the principle and the drugs are used based on the principle,and the effect is significant.The professor′s experience deserves to be summarized and inherited by us in order to give full play to the characteristics of traditional Chinese medicine,improve clinical efficacy,and enhance the cultural confidence of traditional Chinese medicine.
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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
    Abstract (1155)      PDF(pc) (771KB)(4145)       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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    Clinical observation on acute cough of recurrent respiratory tract infections in children treated by Xingsu powder with modification
    XIONG Jiaxiu, ZHAO Xiaomin
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2023, 15 (6): 523-526.   DOI: 10.3969/j.issn.1674-3865.2023.06.013
    Abstract (974)      PDF(pc) (786KB)(2540)       Save
    Objective To observe the clinical efficacy of Xingsu powder with modification in the treatment of acute cough of recurrent respiratory tract infections(RRTIs) with external evil inducing phlegm and fluid retention.Methods Fracute cough of RRTIs with external evil inducing phlegm and fluid retention were treated in the pediatric outpatient department of the Second Affiliated Hospital of Jiangxi University of TCM,and they were selected and randomly divided into a control group and an observation group,with 54 cases in each group.The control group was given symptomatic treatment with ambroxol oral solution and inhalation of budesonide solution,and on this basis,the observation group was given Xingsu powder with modification.After 6 days of the above treatment,the clinical efficacy,clinical symptom score,adverse reaction and secondary chronic cough of the two groups were compared.Results After treatment,the total clinical efficiency rate of observation group was 96.30%(52/54),higher than that of control group(83.33%,45/54),and the clinical symptom score was significantly reduced compared with that of control group,the difference bring statistically significant(P<0.05);during the treatment,there was no statistical difference in the incidence of adverse reactions between the two groups(P>0.05);the 4-week follow-up showed that the rate of secondary chronic cough in observation group was 11.11%(6/54),lower than that in control group(25.93%,14/54)(P<0.05).Conclusion Xingsu powder with modification can improve the clinical effect,improve symptoms and reduce the rate of secondary chronic cough in children with acute cough of recurrent respiratory tract infections,which is worthy of clinical promotion.om November 2019 to November 2022,108 cases of 
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    Analysis of modified Wuling powder in the treatment of infantile enuresis
    SU Jing, WANG Rong
    Chinese Pediatrics of Integrated Traditional and Western Medicine    2020, 12 (4): 335-337.   DOI: 10.3969/j.issn.1674-3865.2020.04.016
    Abstract (1131)      PDF(pc) (382KB)(2439)       Save
    Enuresis in children is a common disease in pediatrics, and Wuling powder is the common prescription from Zhang Zhongjing to treat water-drink syndrome. At present, there are many reports on Wuling powder to treat this disease. In clinical practice, syndrome differentiation is the main focus, and the powder is modified based on tongue condition, which results in significant effect. The cases in this paper are school-age children with persistent illness, which affects the physical and mental health of children. This article mainly describes the Wuling powder as the main prescription, with additional relief of liver and clearing of mind, to treat recurrent enuresis in children, and the efficacy is accurate.
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