The hot summer is the high incidence of intestinal diseases, and the higher incidence of appendicitis in summer is closely related to the gastrointestinal diseases caused by poor living and eating habits. In children, the appendix is relatively free, the appendix wall is thin and the resistance is poor, so once the appendix is inflamed, it is easy to be perforated. Once the appendix is perforated, the inflammation in the abdominal cavity is not easy to control, and the complication rate of children is significantly higher than that of adults. What can cause appendicitis? Appendicitis can be caused by bacteria in the intestinal tract due to cold, diarrhea, gastrointestinal disorders, etc. At the same time, appendicitis can be complicated by bloodstream infection due to upper respiratory tract infections and tonsillitis in children. In addition, the appendiceal cavity is blocked by fecal stones, foreign bodies or parasites, and the contents of the appendiceal cavity are poorly drained and bacteria multiply, which is also a more common cause of acute appendicitis. According to a group of 3500 pathological examinations of pediatric appendicitis, it was confirmed that simple appendicitis accounted for 30.7%, suppurative for 50.9%, gangrenous perforation for 12.8%, and peritonitis incidence for 43.5%. Therefore, once a child is diagnosed with appendicitis, it should be surgically removed early. What if the appendix is perforated or the appendix is abscessed and cannot be treated surgically? The treatment of appendicitis in Chinese medicine has been documented as far back as 1800 A.D. in the book “Jin Kui Yao” written by Zhang Zhong Jing, a famous doctor in the Han Dynasty. Appendicitis is called “intestinal carbuncle” in Chinese medicine. It is caused by poor diet, overwork, or violent rush, fall and injury, or anger and worry, or cold and temperature discomfort, or intestinal parasites, resulting in qi stagnation and blood stasis, impaired gastrointestinal function, unfavorable transmission and transformation, and dereliction of transport and transformation, resulting in dampness and heat, and defeat of blood and congestion of blood. Clinically, Chinese medicine can be used to clear heat and dampness, invigorate blood circulation and remove blood stasis, and so on, through the internal and external application of Chinese medicine to treat the effect. In addition, some children have residual fluid, abscesses and intestinal obstruction in the abdominal cavity after appendicitis surgery, and through the regulation of TCM, the immunity of the children can be improved and the intestinal function can be improved. Early detection and diagnosis are crucial to the treatment of pediatric appendicitis. How can we determine early that pediatric abdominal pain is appendicitis? About 1/3 of children with appendicitis have fever and gastrointestinal reflex vomiting. The presence of pressure pain in the lower right abdomen, significant pain on pressure in this area, or rebound pain are all red flags. In infants under 3 years of age, the clinical manifestations of appendicitis are atypical. The possibility of appendicitis should be thought of when a child presents with intermittent noisy and disturbing abdominal pain, as well as vomiting and fever of unknown origin. If you choose conservative treatment with Chinese medicine, you must strictly regulate the treatment process under the guidance of your doctor to ensure the effectiveness of the treatment.