Almost 100% of adults associate dark circles under the eyes with lack of sleep, but in children, dark circles are mainly associated with rhinitis and not so much with sleep. The formation of dark circles under the eyes in children is mainly due to chronic rhinitis (mainly allergic rhinitis) causing swelling of the nasal mucosa, poor blood circulation, and venous blood clogging back around the eyes, thus forming the obvious “panda eyes”. When you see a child with dark circles under the eyes and ask further questions, you will often find that children with dark circles under the eyes may also have varying degrees of nasal congestion, runny nose, nasal itching, sneezing, and coughing easily. In addition, children with eczema, recurrent whistling infections, or those with TCM evidence of lung deficiency or spleen deficiency are also risk factors for dark circles under the eyes. Do children with dark circles under their eyes need treatment? It depends on the severity of the primary disease causing the dark circles under the eyes, such as severe rhinitis, recurrent whistling tract infections, a combination of Chinese and Western medicine is recommended for treatment. Lung deficiency can be manifested as: low coughing and wheezing, thin sputum, recurrent whistling infections, weakness and sweating, low crying, chest discomfort, prolonged illness and weakness; spleen deficiency can be manifested as: loss of appetite, diarrhea or bowel problems, lack of color or atrophy, thinness, discomfort in the stomach and abdomen, sleeping with eyes exposed, more sweating, etc. Chinese medicine treatment means: Chinese medicine internal, external treatment, tui na, etc. In addition, it is also important to avoid contact with allergens and to carry out physical exercise to strengthen cold tolerance.