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 blocking 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 easy coughing. In addition, children with eczema, recurrent respiratory infections, or those identified by Chinese medicine as having a deficient lung or spleen constitution are also risk factors for dark circles under the eyes. Do children with dark circles under the eyes need to be treated? It depends on the severity of the primary disease causing the dark circles under the eyes, such as severe rhinitis, recurrent respiratory tract infections, a combination of Chinese and Western medicine is recommended as the best treatment. Lung deficiency can be manifested as: low cough, sputum, recurrent respiratory infections, weakness and sweating, low cry, chest tightness, prolonged illness, weakness, etc.; Spleen deficiency can be manifested as: loss of appetite, diarrhea or bowel problems, lack of color or yellowing, emaciation, abdominal discomfort, sleepy eyes, 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.