Children with chancre can drink Xiao Jianzhong Tang if it is caused by deficiency and coldness in the middle jiao and disharmony between the liver and spleen, and the treatment of chancre needs to identify the evidence and prescribe the treatment, not to use the medicine by oneself without authorization. Noma is a chronic pediatric condition caused by improper feeding or the effects of various diseases, resulting in damage to the spleen and stomach and depletion of qi and fluid. It is clinically characterized by emaciation, yellowish hair, depression or irritability, abnormal eating and drinking, and irregular bowel movements (abnormal stools). Xiao Jian Zhong Tang is a traditional Chinese medicine formula. Its efficacy aspect is able to warm the middle Jiao and tonify the deficiency, as well as harmonize the li and slow down the urgency. It can be used to treat deficiency and cold in the middle jiao, liver and spleen disharmony syndrome, which is characterized by abdominal constriction (body spasm and convulsion due to wind-cold sensation), pain, warmth and pressure, fatigue (mental exhaustion and physical weakness), and deficiency and timidity with little qi; or palpitations in the heart, restlessness due to false annoyance (disturbance caused by false heat in the body), and colorlessness in the face; or accompanied by soreness of the limbs, tingling and heat in the hands and feet (irritation and sultriness), dryness of the pharynx and dryness of the mouth, pale tongue with white coating, and a fine stringy pulse. As can be seen from the above, Xiao Jianzhong Tang can be used to treat deficiency and coldness in the middle jiao and disharmony between the liver and the spleen, so it can be consumed when children’s chancre falls into this category. If there is a need for medication, it should be used under the guidance of a doctor, and not blindly used on its own, in order to avoid adverse consequences.