Dark circles, commonly known as “panda eyes,” are darker areas of skin located in the bilateral infraorbital area, forming a distinct shade difference from the surrounding skin. When it comes to dark circles under the eyes of children, the first thing that comes to mind is the possibility of poor sleep quality and short sleep time. So, are dark circles under the eyes of children really only related to sleep? Dark circles under the eyes of children are mainly caused by microcirculation disorders in the lower eyelid area, while enlarged and swollen turbinates in the nasal area are the main cause of local blood flow stagnation and microcirculation disorders. Therefore, a large proportion of children with dark circles under the eyes is associated with rhinitis. The majority of children with rhinitis are allergic rhinitis, and dark circles under the eyes are one of the main signs of children with allergic rhinitis, which we call allergic dark circles. In addition, children diagnosed with eczema, recurrent respiratory infections, lung deficiency, and spleen deficiency are all risk factors for dark circles under the eyes. Does my child have dark circles under the eyes and do they need to be treated? It depends on the severity of the primary disease causing the dark circles under the eyes, such as moderate or severe rhinitis, recurrent respiratory infections suggesting that a combination of Chinese and Western medicine is preferable. Lung deficiency can be manifested as: low cough, sputum, recurrent respiratory tract infections, weakness and sweating, low crying, chest tightness and discomfort, prolonged illness and weakness, etc.; Spleen deficiency can be manifested as: loss of appetite, diarrhea or bowel problems, lack of color or atrophy, emaciation, discomfort in the stomach and abdomen, clear salivation, dewy eyes during sleep, excessive sweating, etc. Chinese medicine is suitable for comprehensive treatment, including internal and external treatment, massage, etc. In addition, it is also important to carry out physical exercise and strengthen cold tolerance training.